Applying design thinking to improve HIV care.
Healthcare 'innovation' often focuses on applying technology as opposed to process improvement. Innovation is creative problem solving as applied to the user's context and experience. This is the Aviro focus.
AVIRO APP: ARV initiation and management.
AVIRO is a cell phone based guide for clinicians that they can easily consult for proper ARV treatment during patient visits. Designed for both iPhone iOS and Android, it provides real-time, immediate feedback and guidance for the clinician, so that excellent and reliable care can be delivered to every patient. It gives clinical prompts and calculates information that is essential for patient management, that is often missed in routine exams.
The mobile app is a useful guide for clinicians that they can easily consult for proper ARV initiation and treatment during the patient consult. Designed for both iPhone iOS and Android, it provides real-time, immediate feedback and guidance for the clinician, so that excellent and reliable care can be delivered to every patient. It gives clinical prompts and calculates information that is essential for patient management.
See below for the App design process.
Coming Soon to the App Store
Designing for Nurses & Clinicians
The Deep Dive
- Designing for Nurses & Clinicians in Africa
South African nurses are trained to initiate ARVs through the NIMART training program and the PALSA PLUS system. PALSA PLUS is an on-site educational outreach programme of non-didactic, case based, iterative clinical education of staff, led by a trainer. Although many nurses undergo this form of training a study of the PALSA method concluded that "though outreach education is an effective and feasible strategy for improving comprehensiveness of care and wellbeing of patients with HIV/AIDS, there is no evidence that it increases access to the ART programme.” NIMART is an intensive 2-month training course which involves theoretical, practical and mentoring components.
The South African Department of Health estimates approximately 7000 nurses have completed NIMART training with only 10-2% initiating patients on ARVS. The study concluded that the “ barriers preventing more nurses initiating ART include the shortage of primary care nurses... Expanding clinical mentoring and further training in clinical skills and pharmacology would assist in reaching the target of initiating a further 1.2 million HIV-positve patients on ART by 2012."
Starting from Scratch
Creating a Prototype
Rapid Prototyping and Testing
- “Everything Should Be Made as Simple as Possible, But Not Simpler…”- Albert Einstien.
We began on the ground noticing that the challenge for nurses was keeping up to date with new guidelines and tools. On the ground nurses had to develop their own shortcuts to initiate and manage patients and ARVs. We also noticed that nurses across Southern Africa had access to feature phones and utilized them in their daily activities. So we decided on a mobile decision-support program encouraged by the rapid developments in mobile health and technology in Africa.
The prototype was created on a simple java app based on complex algorithms constructed using existing guidelines enhanced by experienced medical advisors and clinicians. The Java app was a combination of user generated checklists, auto calculators which made workflow easier and enhanced good clinical practices.
Launching a Brand New App
- Final Design and Implementation
The final design has been carefully vetted with ultimate focus on the end-user requirements to prevent unneccesary complexity and feature-creep. We have taken the simple prototype on to iOS and Android, integrating a dynamic user interface. Development is close to completion and a study will be commisioned to assess the effectiveness of this solution before widespread application. Join us in making a difference.
Aviro grew out of a need to create practical, innovative and implementable solutions for our African healthcare context. It has so far been an exciting and challenging work in progress. We have a dynamic team with the skills and ambition to see medical care revolutionized through the application of good design and applied technology.
Musaed has worked and trained in Southern Africa as a HIV Training coordinator of MSF (doctors without borders).With over 5 years experience of coordinating HIV courses for nurses and doctors, with trainings in SA, Mozambique, Malawi and Zimbabwe he has developed innovative educational approaches to medical training.
Mim is an experienced marketing technology consultant. His Primary focus has been to develop new and innovative solutions for client's digital marketing technology needs with a strong emphasis on manipulating existing infrastructure and tools. He has directed a team of developers and quality assures to maximize Fortune 500 clients ROI with Google Ad delivery.
Maruf has 12 years experience working in various areas for the some of the worlds’ large multi- national Telecoms companies . He has experience of App Development in both the Public and Enterprise space have developed and rolled out bespoke solutions for a range of Public sector entities as well as bluechip corporate clients.
Jepchumba is a User Interface and User Experience Designer
James Nutall (MD)
James Nutall (MD)
Paediatrician and Paediatric Infectious Diseases Senior Specialist at Red Cross Children’s Hospital and Senior Lecturer at the School of Child and Adolescent Health, University of Cape Town. Areas of expertise include the management of infants & children with HIV infection and HIV/TB co-infection
Graeme Meintjes (MD)
Graeme Meintjes (MD)
Graeme Meintjes is an Assoc. Professor of Medicine and adult Infectious Diseases Physician based at the University of Cape Town in the Institute of Infectious Disease and Molecular Medicine. He jointly established the Infectious Diseases Unit at GF Jooste Hospital in Cape Town in 2004.
"The advantage of the Aviro app is that it prompts the clinician to follow a checklist and not just prescribe. Its good for newly qualified/not HIV experienced clinicians... giving you the best ARV choice for your patient."