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Is there any reference of existing SMS based health cases reporting system that works on 2G signal?

By Yudha Saputra | 10 Jun, 2017

Dear Colleagues,

Is there any existing SMS based health cases reporting system that works on 2G?

We're currently trying to solve a health cases reporting issue in certain rural areas in Indonesia that most of the people still using mobile phone that only works in 2G signal. Both infrastructure and electricity still a challenge, where distance area make some other transportation and food support along the way still rare and expensive.

Some reason why people in the areas still using the 2G based mobile phone generally because electricity and signal issues.

Health cases here means health cases in general (e.g. reporting maternal and neonatal cases, TB issues, tobacco use, malnutrition, HIV/AIDS, etc.)

Generally what we're looking for is reference of a reporting system that using gateway SMS based that its data stored in local server database, where its have necessity mapping feature and a statistical report as outcomes.

Thank you

Mobile Devices



A/Prof. Terry HANNAN Moderator Replied at 12:36 AM, 10 Jun 2017

DearvYudha, please try Dr Alain Labrique at Hohns Hopkins school of public health on . I hope he does not mind me giving you his email address. He is a world leader in this field. Terry

Yudha Saputra Replied at 1:00 AM, 10 Jun 2017

Thank you Prof. Terry

Ronald Munjoma Replied at 1:15 AM, 10 Jun 2017

Hi Yudha,

Please try MedicMobile and Textit



Philip Craig Replied at 1:30 AM, 10 Jun 2017

I really appreciate these helpful posts. Thank you so much.

Cheers Phil

Yudha Saputra Replied at 1:38 AM, 10 Jun 2017

Thank you Dr. Ronald

Hope these helpful Dr.Philip and please feel free to share if there's experiences on encountering the same problem and how to solve it. Thank you

Xavier Morelle Replied at 4:28 AM, 10 Jun 2017

Dear Yudha,

Thank you for your question.

SMS communication (2G network) is at the core of our health connectivity solution: DataToCare. It connects laboratories.
The software is very flexible in terms of sicknesses and patient data that can be captured thanks to a light plugin architecture.

In case of power cut, the data is stored locally in buffers until electricity or 2G network is back.
All data are encrypted prior being sent per SMS or internet to a central server located in your country.

You can access the dashboard containing all gathered data from all laboratories via any connected device to perform disease surveillance, laboratory management, ... It provides you with patient medical records, graphs, maps, lists and reports that can be sent automatically.

The data access depends on the user profile. The language can be quickly adapted and the software doesn't require maintenance on the long term, except if you wish to upgrade it.

The software, which is continuously developed since 1 year together with physicians, leaders from Ministries of Health and laboratory technicians, is supported by WHO, ERS, USAID, the Global Fund, the UNION, CRS, and many others.
We did pilots in Ivory-Coast, Benin, Cameroon, Rwanda and Ouganda. We are currently implementing DataToCare in Benin. It will be implemented further in Ivory-Coast, Rwanda, Cameroon, Liberia and Mali. Other countries are following.

Please check DataToCare out on our website: www.savics.org

Thanks to its SMS simple connectivity solution, DataToCare can solve your communication problems. Do not hesitate to contact us at to get further insights.

I hope this helps,
Have a great weekend,

Richard Lester Replied at 12:10 PM, 10 Jun 2017

Dear Yudha. If you are looking for a an outpatient management system, WelTel (weltel.org) has a fully functioning platform that works on 2G or even basic cellular networks internationally. WelTel 's original concept of supporting patients starting HIV treatment in Kenya, which proved better adherence and health outcomes, has gone through significant development and field testing in multiple countries in Africa and North America and has included Asthma, tuberculosis, MNCH, HIV PreP, chronic diseases and integrated primary care. It is not specifically a lab management system but can be used to provide test results and any other care to patients. It is designed as a scalable system to support patient centred care where new clinics can be added quickly, and can be used via a secure server network on desktops, tablets, or by basic SMS commands alone. I'm not sure if this is what you are looking for but I can be reached at or .
Best regards

Steven Wanyee Macharia Replied at 8:36 AM, 11 Jun 2017


These two are good resources: 1) https://www.gsma.com/mobilefordevelopment/m4d-tracker/mhealth-deployment-tracker - the tracker though is down at the moment, but I have found it useful in the past. You can write to GSMA here - , and 2) https://www.mhealthworkinggroup.org/content/digital-health-resources.

It is also useful to mention that you might want to de-couple the capabilities of an mHealth digital technology and the offerings of the telecommunications infrastructure, in this case 2G. This is especially important because well designed mHealth digital technologies are now constructed to adapt to available telecommunications infrastructure particularly because SMS technology is at the base minimum you get right off any mobile phone.

That said and in addition to all the technologies mentioned here, most of the other popular mHealth digital technologies in use particularly in LMICs where the ICT infrastructure might not be so advanced have incorporated SMS-based functionality in their suite of technologies to ensure maximum coverage, and hence also function within constraints like the ones you mention with phones that can only use 2G. Some of these others include; DHIS2 Tracker, OpenSRP, RapidPro, mTrac, etc

Yudha Saputra Replied at 10:04 PM, 12 Jun 2017

Dear Dr. Xavier, Dr. Richard, and Dr. Steven,

I would like to express my profound gratitude for all the resources that already mentioned on your comment. It is very grateful to be enlightened that there are many solutions out there that applicable to support the unsupported geographical and infrastructure location in rural areas regarding to effort on prevent and controlling health issues in public health, whether the cases were already in red alert or still undiscovered yet.

I believe many of us would love to share their experience on planning, implementing, and evaluating their solutions, since there maybe one or more lesson learned we have got, that might help other people on different places to solving their problems.

I also would like to thanks for everyone that their inbox already notified by this discussion, hope all of you could get better insight and benefit from here.

Again, thank you, and please feel free to continue this discussion.

Jill Shah Replied at 10:45 AM, 14 Jun 2017

@Ronald, thank you for recommending Medic Mobile!

Hi Yudha,

I'm the Partnerships Associate at Medic Mobile. Our toolkit does support SMS-based health reporting. We can do this in two ways:

1) Health workers use simple structured SMS messages to submit health reports. The Medic Mobile Gateway then receives these messages and parses them into records in the Medic Mobile application, which is cloud-hosted and accessible via web browser at the facility.

2) We used a parallel SIM card that sits alongside the network SIM card to load a form on the basic phone. This is a technology that Medic Mobile pioneered and works well to collect more data with form questions and skip logic on basic phones. This would also be submitted via SMS to the Medic Mobile application.

Once the data is submitted, it can be viewed in the Medic Mobile application, analyzed using our custom dashboards, and downloaded in an accessible format for further use.

This is a short summary, but I'd be happy to talk further about your project. I can be reached at .


Jill Shah Replied at 10:51 AM, 14 Jun 2017

Hi Yudha,

Apologies, I forgot to attach resources. You can learn more about our tools for health workers at: https://www.medicmobile.org/tools and the uses that we support at https://www.medicmobile.org/use-cases


Mohammad Jawed Quereishi Replied at 12:04 PM, 5 Jul 2017

Mother & Child Tracking System, an online application system to monitor the services given to pregnant women & children of the state. The 'Jachha-Bachha Register' has to be filled by the ANM at Sub Health Centre & the same is entered at Block level CHC and Jobchart is generated for services to be provided in the next month by ANM. The Government of India opted to name its nascent programme to curb maternal and infant mortality Mamta, the Sanskrit word for “maternal affection”. This pilot project termed “E- Mehtari: Mother and Child Tracking System” aims to ameliorate current services related to maternal and infant illnesses. The programme will use an online tracking system to monitor the health of pregnant females and infants with instantaneous capabilities to document adverse health events. Stricter monitoring of outcomes aforementioned will enable health authorities to initiate preventive action rapidly and avoid unnecessary maternal and infant mortality.

Weblink: http://cg.nic.in/healthmctscg/home.aspx

Dhiren Modi Replied at 11:33 PM, 5 Jul 2017

Dear Mohammed

Greetings from SEWA RURAL.

We are running project called ImTeCHO ( www.imtecho.com) since last 4
years. In this system we had given smartphone to ASHA ( currently 400 ASHAs
using this) and she entered the details of pregnant mother once than system
remind her to taking care of her and her child up to 2 years ( it may be
spread up to 5 rears too). Kindly visit above mentioned website. Entire
software running on 2g only. Very soon Government of Gujarat may replicate
to entire state.

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