Report from a network connectivity survey in Inhambane Province, Mozambique This report was completed for the inSCALE project by Software Factory Ltd. February 2011 inSCALE – Innovations at Scale for Community Access and Lasting Effects The inSCALE programme, a collaboration between Malaria Consortium, London School of Hygiene and Tropical Medicine (LSHTM) and University College of London (UCL), aims to increase coverage of integrated community case management (ICCM) of children with diarrhoea, pneumonia and malaria in Uganda and Mozambique. inSCALE is funded by Bill & Melinda Gates Foundation and sets out to better understand community based agent (CBA) motivation and attrition, and to find feasible and acceptable solutions to CBA retention and performance which are vital for successful implementation of ICCM at scale. The key inSCALE team comprises of: Malaria Consortium: Sylvia Meek, Program Director James K. Tibenderana, Principal Investigator Karin Källander, Regional Programme Coordinator Barbara Musoke, Regional Communication Specialist Edmound Kertho, Project Coordinator Uganda Maureen Nakirunda, Research Officer Social Sciences Uganda Agnes Nanyonjo, Research Officer Public Health Uganda Stella Settumba, Research Officer Health Economics Uganda Ana Cristina Castel-Branco, Project Coordinator Mozambique Abel Muiambo, Research Officer Public Health Mozambique Cícero Salomão, Mozambique Data Management Officer Juliao Condoane, Research Officer Health Economics Mozambique London School of Hygiene and Tropical Medicine: Betty Kirkwood, Professor of Epidemiology & International Health Guus ten Asbroek, Lecturer in Intervention Research, Project Evaluation Coordinator Anna Vassall, Lecturer in Economics Frida Kasteng, Research Fellow in Health Economics University College of London, Institute of Child Health: Zelee Hill, Lecturer in International Child Health Daniel Strachan, Research Fellow in International Child Health - Page 2 of 70 - Malaria Consortium | Network Connectivity Survey, Inhambane Province, Mozambique - Page 3 of 70 - [Malaria Phone Consortium spotted | Network during Connectivity the survey. Survey, Inhambane The Community Province, Mozambique Health Worker only uses it for calling since the screen is broken ] Title: Network Connectivity Survey, Inhambane Province, Mozambique. Version: 1.0, February 2011 Copyright: Malaria Consortium and Author(s) Author(s): Software Factory Ltd (U) Date: February 2011 - Page 4 of 70 - Malaria Consortium | Network Connectivity Survey, Inhambane Province, Mozambique - Page 5 of 70 - House of aMalaria Community Consortium Health | Network Worker. Connectivity Survey, Inhambane Province, Mozambique Contents 1 Reading Guide .................................................................... 9 1.1 Abbreviations ................................................................................. 9 1.2 File Request ................................................................................... 9 2 Word of appreciation .......................................................... 9 3 Executive Summary .......................................................... 10 4 Introduction ..................................................................... 11 5 Survey .............................................................................. 12 6 Network Providers ........................................................... 13 6.1 Telecom Operators ........................................................................ 14 6.1.1 MCEL (Mozambique Celular) .............................................. 14 6.1.2 Vodacom ......................................................................... 14 6.2 Survey Phones ............................................................................. 14 7 Network Services ............................................................. 15 7.1 SMS ............................................................................................ 15 7.2 USSD .......................................................................................... 15 7.3 IVR ............................................................................................. 16 7.4 WAP (GPRS) ................................................................................. 16 7.5 Java ............................................................................................ 17 7.6 Service Quality Indexing ................................................................ 18 8 Community Health Workers ............................................. 20 8.1 Gender ........................................................................................ 20 8.2 CHW Interview ............................................................................. 22 8.3 Literacy ....................................................................................... 22 8.4 Phone Availability and Phone Models ............................................... 23 8.5 Phone Uses .................................................................................. 25 9 Survey Details .................................................................. 26 9.1 GPS Tagging ................................................................................ 26 9.1.1 Google Earth.................................................................... 28 9.2 Discovering network Coverage ....................................................... 30 9.3 Network Connectivity Comparison ................................................... 32 9.3.1 Funhalouro ...................................................................... 33 9.3.2 Inhassoro ........................................................................ 34 9.3.3 Inharrime ........................................................................ 35 9.3.4 Findings .......................................................................... 35 10 Survey Results ................................................................. 37 10.1 MCEL coverage ............................................................................. 37 10.2 Vodacom Coverage ....................................................................... 37 10.3 Coverage Comparison ................................................................... 38 - Page 6 of 70 - Malaria Consortium | Network Connectivity Survey, Inhambane Province, Mozambique 10.4 Total Service Availability ................................................................ 39 10.4.1 Best Combined Services .................................................... 40 11 Scalability and Operations ................................................ 41 12 Service Recommendation ................................................. 42 12.1.1 Dual Service .................................................................... 43 13 Survey Reflections ........................................................... 44 14 Team Reflections .............................................................. 45 15 Contact ............................................................................. 46 15.1 Malaria Consortium ....................................................................... 46 15.2 Software Factory .......................................................................... 46 16 Appendix .......................................................................... 47 16.1 Network Comparison ..................................................................... 47 16.1.1 Funhalouro ...................................................................... 47 16.1.2 Inhassoro ........................................................................ 50 16.1.3 Inharrime ........................................................................ 53 16.2 Service Availability ........................................................................ 56 16.3 Network Coverage ........................................................................ 58 16.3.1 Funhalouro ...................................................................... 58 16.3.2 Govuro............................................................................ 59 16.3.3 Homoine ......................................................................... 60 16.3.4 Inharrime ........................................................................ 61 16.3.5 Inhassoro ........................................................................ 62 16.3.6 Jangamo ......................................................................... 63 16.3.7 Mabote ........................................................................... 64 16.3.8 Massinga ......................................................................... 65 16.3.9 Morrumbene .................................................................... 66 16.3.10 Panda ............................................................................. 67 16.3.11 Vilanculo ......................................................................... 68 16.3.12 Zavala ............................................................................ 69 - Page 7 of 70 - Malaria Consortium | Network Connectivity Survey, Inhambane Province, Mozambique - Page 8 of 70 - Malaria Consortium | Network Connectivity Survey, Inhambane Province, Mozambique 1 Reading Guide The report has an Executive Summary to summary the findings of the survey. The main report details the Network Connectivity Survey as well as Community Health Worker interview. The appendix found at the back presents secondary graphs that were not relevant in the main report section. 1.1 Abbreviations (alphabetic) CHW = Community Health