Recent posting on the OpenDataKit blog about our use of ODK to improve maternal care in Ethiopia:
Digital Campus is a not for profit company specializing in technology development in emerging countries. For several years, they have been working with Mekelle University (Ethiopia) and are supporting a PhD programme in public health in conjunction with Alcalá University (Spain) and Maastricht University (Netherlands). One of their projects is researching ways in which mobile technologies can help to improve maternal and child health care in rural areas of Ethiopia.
Last week I spent several days visiting the training Araya and Florida are running to show the groups of Health Extension Workers how they can use smartphones for data collection.
We first visited a group in Adi Gudem (about 30km south of Mekelle), they’ve had the phones for several weeks now, so are already familiar with them. The training revolved around them using an updated client application (we’ve also changed the server software to use OpenDataKit, but this ought to be invisible to the end users) and the new ante-natal care protocols that we’ve developed over the last few weeks. For the second group in Wukro (about 40km north of Mekelle), this was their first training session, so they’d not used the phones at all before.
All seemed to go well, we had a couple of technical issues that I need to look at this week – but this is to be expected given that we’re still in the technical feasibility stage, we won’t be starting the intervention study until early next year. One of the issues we’re still finding is the level of English of the HEWs – it seems likely that we’ll need to provide the protocol questions in both English and Tigrinyan.
Some photos from the training sessions (plus a few other pics):
As I’ve mentioned before many of the Health Extension Workers (HEWs) we’re working with have trouble using the Gregorian calendar. Much of the work we’re doing with the HEWs depends on them having a good idea of the expected date of delivery for pregnant women. To help the HEWs calculate the expected delivery date, in Ethiopian date format, for the pregnant women they are working with, we have developed a small application which gives them the expected delivery date based on the date of the last menstrual period.
With the application the HEW can enter the last menstrual period in Ethiopian date format and it will give them and the pregnant woman the expected delivery date in the date format they are used to using in their day-to-day lives.
Some of the feedback we had from the initial HEW training last week was that some of the HEWs had difficulty in using the Gregorian calendar. Ethiopia has it’s own calendar which is the normal calendar used for the vast majority of Ethiopians (Ethiopian calendar entry on Wikipedia). Given that we’re asking the HEWs to collect date information, we need to make this as easy and understandable for them as possible – for example, to enter appointment dates a few weeks or months in advance. So over the past couple of days I’ve been looking at creating a date picker widget for integration into ODK Collect that will allow dates to be entered using the Ethiopian calendar format, but will store the date in the database as Gregorian. This transformation is hidden from the user and storing Gregorian dates in the database means we can manipulate and compare dates for reporting purposes, which we’d be unable to do storing Ethiopian dates as strings in the database (we can transform the dates back into Ethiopian calendar for final display).
It ended up being much more straightforward than I though it would be, especially with much help from the ODK Community and with the Joda Time java library already built into ODK Collect. I’ve got a first version ready for testing, so if anyone else is interested in having a look you can download the .apk file for installation on your Android phone.
To see the Ethiopian date picker working you’ll need to load up a form which specifies data picker. You can connect to our ODK Aggregate server at: http://hew-datacollect.appspot.com and download the EthioDateTestV1.5 form. Or you can download the original form XML to put on your own server.
This is only a first version, so any feedback is very welcome – or if you’d like the source code then please feel free to contact me (will put it up somewhere once I’ve tested it a bit more). [Update 19-Aug-11: I’ve now put all the code up as a clone on Google Code at https://code.google.com/r/alextlittle-dc-odk/, so you can see the full changes I’ve made.]
Finally, here are a couple of screenshots of the Ethiopian date picker running in my Android emulator:
Instructions for installing a Ge’ez Virtual Keyboard on Android:
Root your device – exactly how this is done will depend on your device and you’ll need to look up on Google how to do this – note that rooting is not the same as unlocking your phone, rooting means you get administrative privileges to update system files, such as the font files we’ll update below.
Install and run the RootExplorer application and go to the sdcard folder
In rootexplorer, find the DroidSans.ttf file and copy it
Go to the /system/fonts folder and push the button marked “mount R/W”, the button will the change to be marked “mount R/O”
Paste the DroidSans.ttf file into this folder – replacing the existing DroidSans.ttf file. Leave all the other font files as they are. It’s probably a good idea to make a backup of the original DroidSans.ttf file first, before you overwrite it. Just rename the original file to (something like) DroidSans.ttf.bak.
Now restart the phone and the new font will be installed
Copy this to your phones SD card and install the application
You should now be able to switch between the standard and Ge’ez keyboards. You may need to enable the keyboard by going to: Settings -> Language & Keyboard then select check the box to enable the new keyboard
To find out how to switch between keyboards, watch our video:
We have tested this installation procedure on a few different phone models, though obviously we can’t cover every possible phone type and can’t guarantee it will work for every device. If you have any problems/issues then please post a comment. We’d also be very happy to hear that it did work for you!
I was just having a look at the statistics for the Mekelle Uni Moodle and am very pleased to see how much the site has increased in usage over the last year. Great to see students making up a large proportion of the hits. Last year we were seeing more hits from teachers, probably due to their course development and issues with lab opening. The drop is hits during February and March this year is likely due to three factors: (a) one of the labs being closed following theft of some terminals, (b) end of semester exams and (c) subsequent inter-semester break. I hope the site usage continues to increase.