Digital MEdIC Program Summary 2019
- 2. Message from our Founder……………...………………………………………………....………3 Why we exist………………....…………………………………………………………..……………….4 Our strategic goals…………………....……………………………………………………….……….5 2018: Finding our strategic focus……………………………………………………………….6 What we do…………………………...……………………………………....…………………………..7 Our philosophy……………………...…………………………………………………………………...8 Our design process……………..……………………………………………………………………...9 Our education design initiatives……………………………………………………………….10 Our philosophy…………………………………………………..…………………………………..…17 Our model………………………………………………………………………………….…………..…18 Latest research……………………………………………………………..……………………..……19 Digital MEdIC Team…………………………….……………………………………………………25 Our collaborators and supporters…………………………………………………………….26 Our Advisors…………………………………………..………...…………………………………...…..27 Our philosophy …………………………………….………………………………………………….14 DM by the numbers………………..….……………………………………………………………..15 Global reach……………………..……………………………………………………………………....16 Introduction Expanding Knowledge. Improving Health. 2 Our Focus Education Design Global Collaboration Impact Evaluation Meet our Team
- 3. Expanding Knowledge. Improving Health. Charles Prober, MD 3
- 4. Our mission improve their own health outcomes. Expanding Knowledge. Improving Health. 4
- 5. ➔ ➔ ➔ ➔ Expanding Knowledge. Improving Health. 5
- 6. 6 Launched 100% Breastfed Campaign in South Africa Received ELMA grant for Digital MEdIC South Africa, and hired in-country team APR DEC Expanding Knowledge. Improving Health. JAN Launched the Digital MEdIC App on Android AUG Launched Philani Community Health RCT Completed India Pilots Formalized collaboration with Noora Health
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- 10. Expanding Knowledge. Improving Health. 10 100% Breastfed Grow Great The Road to Health Alcohol Avoidance Intro to Food and Health Gender Health
- 11. Expanding Knowledge. Improving Health. 11 The Grow Great educational series promotes impactful health behaviors among caregivers during the most critical development period in a child’s life: the first 1,000 days (conception – 2 years old). The impact of stunting reaches far beyond height.
- 12. 12 Expanding Knowledge. Improving Health. INSERT PICTURE
- 13. The 100% Breastfed Initiative is the result of a collaboration between the Stanford Center for Health Education and numerous local stakeholders including: The Western Cape Dept. of Health, The University of Cape Town, Stellenbosch University, UNICEF, Philani Child Health and Nutrition, The University of the Witwatersrand, University of Limpopo and the First 1000 Days Initiative. Raising awareness around the benefits of breastfeeding as well as improving maternal knowledge about how to best feed their babies is a critical part of the solution to this public health problem. Our goal is to reach 100% rate of exclusive breastfeeding in South Africa by 2030. Expanding Knowledge. Improving Health. 13 The estimated number of under-5 lives that could be saved from exclusive breastfeeding globally. 823,000 8% The percentage of mothers who are exclusively breastfeeding in South Africa. In South Africa, rates of exclusive breastfeeding remain among the lowest in the world.
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- 15. 16 244 384,400 15 Expanding Knowledge. Improving Health.
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- 18. Expanding Knowledge. Improving Health. 18 Example: The role of Digital MEdIC evaluation in the Philani RCT project Content Creation: Content Distribution: Knowledge & Beliefs: Behavior: Health Outcomes:
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- 20. 20 The Antara Study Expanding Knowledge. Improving Health. The videos were good refreshers for us. They help us remember all the things we need to tell the mothers as we often forget some of the things. -Community Health Worker
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- 23. Expanding Knowledge. Improving Health. 23 Despite progress in reducing maternal, newborn and child mortality, more than 5 million children globally die before reaching their fifth birthday. A majority of these deaths are the result of preventable diseases, the incidence of which could be reduced by implementing health-promoting maternal-child behaviors, such as exclusive breastfeeding. Narrative, story-based entertainment-education approaches to health education have emerged as potentially powerful strategies for promoting positive health behavior change. The characteristics of particularly impactful entertainment education include appealing narratives, high-quality production, persuasive and unobtrusive messages, and high potential for involvement or identification with the presenters or characters portrayed. To better understand how such approaches can be used to promote exclusive breastfeeding, we are collaborating with the Philani Maternal Child Health and Nutrition Trust to conduct a cluster randomized trial measuring the effect of story-based video intervention developed by Stanford Digital MEdIC. The trial is currently ongoing in the Western Cape of South Africa, an area that has one of the lowest exclusive breastfeeding rates in the world. The intervention is being delivered via Philani community health workers. In the control arm, health workers will provide standard of care perinatal in-home counseling, while health workers in the treatment arm will provide standard of care plus the video intervention. The study will include over 1000 new mothers, and mother-child pairs will be followed until 5 months post-delivery. The primary outcomes of the study are exclusive breastfeeding at 0-1 and 4-5 months of age. Secondary outcomes are other infant feeding practices and maternal knowledge. We will also conduct supplementary qualitative focus groups to contextualize the quantitative findings and unpack the mechanisms of the intervention. The study and its outcomes are registered at clinicaltrials.gov.
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- 26. 26 Expanding Knowledge. Improving Health. Rob and Ashlea Paddock Sam and Kerri Paddock The Burke Family Foundation The Patrick J. McGovern Foundation
- 27. Expanding Knowledge. Improving Health. 27 Till Bärnighausen, MD ALEXANDER VON HUMBOLDT PROFESSOR, HEIDELBERG UNIVERSITY AND DIRECTOR OF THE HEIDELBERG UNIVERSITY INSTITUTE FOR GLOBAL HEALTH Rajesh Dash, MD, PHD ASSISTANT PROFESSOR OF MEDICINE (CARDIOVASCULAR MEDICINE) AT THE STANFORD UNIVERSITY MEDICAL CENTER Ingrid Le Roux, MD MEDICAL DIRECTOR, PHILANI MATERNAL CHILD HEALTH AND NUTRITION TRUST S.V. Mahadevan, MD ASSOCIATE PROFESSOR OF EMERGENCY MEDICINE AT STANFORD UNIVERSITY MEDICAL CENTER Rita Popat, PHD CLINICAL ASSOCIATE PROFESSOR, HEALTH RESEARCH & POLICY Nilima Ragavan, MD CLINICAL ASSOCIATE PROFESSOR, PEDIATRICS – NEONATAL AND DEVELOPMENTAL MEDICINE Sakti Srivastava, MD ASSOCIATE PROFESSOR OF SURGERY (ANATOMY) Matthew Strehlow, MD CLINICAL ASSOCIATE PROFESSOR, EMERGENCY MEDICINE Pedro Tanaka, MD, PHD, MACM CLINICAL PROFESSOR, ANESTHESIOLOGY, PERIOPERATIVE AND PAIN MEDICINE Abraham Verghese, MD LINDA R. MEIER AND JOAN F. LANE PROVOSTIAL PROFESSOR Jimmy Volmink, MD DEAN, STELLENBOSCH UNIVERSITY SCHOOL OF MEDICINE Peter Acker, MD, MPH, FACEP CLINICAL ASSISTANT PROFESSOR, EMERGENCY MEDICINE Jonathan Berek, MD, MMS DIRECTOR, STANFORD HEALTH COMMUNICATION INITIATIVE Seema Yasmin, MD DIRECTOR, RESEARCH AND EDUCATION PROGRAMS - STANFORD CENTER FOR HEALTH EDUCATION Gary Darmstadt, MD, MS PROFESSOR OF PEDIATRICS Paul Wise, MD, MPH PROFESSOR OF PEDIATRICS Amnesty Lefevre, PHD, MHS HONORARY ASSOCIATE PROFESSOR, UNIVERSITY OF CAPE TOWN