In April 2016, Gertrude’s Hospital Foundation launched the SMILES outreach program on M-TIBA. Originated as HIV/TB program, it now enables people in Nairobi’s slums to access a wide range of essential healthcare services for free at Gertrude’s private outreach clinics and referral hospitals.
People receive entitlements on their phone, empowering them to seek care when they need it. The program also provides patients, providers and payers with invaluable insights to improve efficiency and quality.
Through a patient journey tracker, we are gathering automatically generated, real-time data on health-seeking behavior, costs and efficiency of care, adherence to treatment guidelines and the medical consequences thereof. We can alert doctors, for example if they’ve prescribed drugs without performing the right test first, or send an SMS reminder to patients if they miss their ARVs pick-up.
Such insights in the quality and costs of care delivered are helping to pave the way for value-based healthcare models in low and middle income countries.