Moka Hoffman Lantum

Ashoka Fellow
Kenya,
Fellow Since 2014

Citation

This profile was prepared when Moka Hoffman Lantum was elected to the Ashoka Fellowship in 2014.
The New Idea
Moka has developed a solution to radically enhance the efficiency of healthcare delivery in Kenya’s public health system by automating the supply chain of free and/or publicly subsidized essential drugs to rural health clinics. Through his innovation, ZiDi, Moka is ensuring that rural households are able to access high quality treatment in a reliable, affordable and timely way. He envisions that with guaranteed access to affordable medication patients will not turn to the expensive private health service providers or, even worse, the black market for lifesaving drugs as they currently do.

Moka’s idea was born from the insight that access to reliable, timely and affordable lifesaving drugs constitutes a critical “last-mile” in the healthcare delivery system, one which is largely missing for the majority of rural-based households that depend on public hospitals for these drugs. Without proper inventory management systems that are integrated with the existing workflows of healthcare providers, public health clinics cannot ensure that subsidized medication reaches those most in need.

With this in mind, Moka’s team developed ZiDi as a tablet-based application software for managing data from each patient encounter as recorded by healthcare providers at the point of service. Nurses and/or doctors enter patient data and details of each encounter onto ZiDi before uploading it for cloud storage. This data is immediately available for subsequent encounters and makes it possible to track the inventory for drugs at the clinic. A detailed report of projected inventory needs is generated instantaneously and made available to the national drugs supply agency, KEMSA (Kenya Medical Supplies Agency). This ensures that KEMSA-supplied essential drugs only exit the supply chain through a proper diagnosis and prescription at the point of care.

Although the tracking of pharmacuetical inventories is a key outcome, ZiDi is an integrated platform capable of capturing information on all outpatient lines of service including child welfare clinics and immunization services, family planning, antenatal care, maternity services, postnatal care and HIV and Tuberculosis care. A gender-based violence module is currently being added to the workflows as well. In this way, health workers are not asked to merely provide data to assist in commodity tracking but are also able to generate service utilization reports and financial and human resource reports across different care delivery lines. Consequently, ZiDi’s applicability to different healthcare delivery lines ensures that it will be more widely used across the healthcare sector and that it will provide a more accurate and comprehensive picture of citizens’ health and the public health care system. This is a first for Kenya after numerous failed attempts over the years.

In addition to ZiDi, Moka has launched 2020 Microclinic Initiatives, a non-profit organization that is trains and employs over 5,000 youths to work as “Blue Angels” that provide technical support and maintenance for ZiDi tablets and supplementary solar energy and internet connectivity systems. As most rural clinics lack connection to mains power grid and reliable internet connectivity, Moka’s solution includes reliable solar power and internet connectivity. In order for these systems to work seamlessly, they will require trained personell to install, maintain, diagnose and troubleshoot whenever a problem occurs. Moka believes that this role cannot be left to nurses and practitioners as this is where similar initiatives to digitize and track healthcare services in the past have failed. Therefore, he has created an entirely new role within the public healthcare system that will be a major source of employment for young people. Moka realizes that these Blue Angels will be empowered to either start their own entrprises or seek employment in the private sector but considers this to be complementary to his overall vision of a complete transformation for the entire healthcare system. In this way, Moka is not only transforming the healthcare system in Kenya but also increasing the employment opportunities for, and the employability of, newly trained young Kenyans in this sector.
The Problem
The Strategy
The Person

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