Stop Stockouts: Accountability of Health Services Improved by FrontlineSMS
By Kavita Rajah, FrontlineSMS Community Support Assistant
Stop Stockouts is currently using FrontlineSMS in their campaign to increase access to medicines in public health institutions in Uganda and Kenya. Recently we’ve spoken with Denis Kibira, National Coordinator for the Stop Stockouts Campaign in Uganda, about how FrontlineSMS software has helped to achieve campaign objectives.
When a pharmacy or health center runs out of a medicine, this is referred to as a ‘stock-out’. Stock-outs often include medicines that are used to treat common but serious diseases such as malaria, pneumonia, diarrhea, HIV, TB, diabetes and hypertension – all of which are among the highest causes of death in Africa. In African countries such as Uganda and Kenya, stock-outs can frequently occur and it can be weeks or months before the stock is replenished. Patients needing these medicines are then forced to travel long distances in search of alternate sources, pay high prices for medicines from the private sector or they are forced to do without – ultimately facing life or death circumstances.
The Stop Stockouts campaign lobbies African governments to meet their obligations to provide essential medicines by increasing the national budgetary allocation for the purchase of these medicines and by ensuring efficiency and transparency in the procurement, supply, and distribution of medicines. The campaign is an initiative of Health Action International (HAI) Africa, Oxfam, and a number of African partners – with the support of the Open Society Institute (OSI).
Stop Stockouts was introduced to FrontlineSMS by OSI, who promoted FrontlineSMS as a very useful tool for advocacy and quick monitoring of medicine availability. Since then, Stop Stockouts has been using FrontlineSMS to aid in campaign communications. They use FrontlineSMS to send information to members, to remind partners about meetings and to update stakeholders on advocacy events.
Stop Stockouts also use FrontlineSMS in their monitoring activities such as ‘Pill Checks’; where researchers visit public health institutions to check on the availability of essential medicines. Researchers send an SMS containing the results to a common server, and the incoming data is managed via FrontlineSMS. These results are then reflected in an online map of the country, produced using mapping tool Ushahidi, and showing areas where medication is out of stock. This map provides real time evidence about the stock-out situation on a national level and serves as a compelling lobbying tool to the relevant authorities. The visual mapping of these ‘pill checks’ have increased visibility of the Stop Stockouts campaign which has contributed to the success of the campaign.
Stop Stockouts state that FrontlineSMS has greatly improved their communications. Denis explains “it has reduced the turnaround time in which we get and respond to issues in the communities where we work, and the “pill check” map has added impact to our advocacy and technical reports.” Denis says that the online mapping system using FrontlineSMS and Ushahidi is especially powerful because it comes from the people. He asserts that using FrontlineSMS as part of their campaign communications has helped to reach at least 1,000 people every year. The results have been very impactful that governments are also currently using SMS to collect its own data and monitor facilities. Additionally, there has also been an increased demand for use of technology for monitoring government activities as well as new relationships for information sharing with other NGOs in different countries.
Stop Stockouts are also currently exploring using FrontlineSMS in their complaints and compliments desk which is a feedback mechanism for communities in which health service delivery, in particular human rights violations, can be reported.
We look forward to staying in touch with Denis and the rest of the Stop Stockouts team as they continue to make powerful use of FrontlineSMS software. \o/