TABLE 2 Mobile Contact Tracing Program Implementation Steps and Challenges
StageStepApproximate TimeKey PartnersPrerequisites for DeploymentKey Challenges
Preparationa1. Design of Application1 weekDimagi• Vetted contact tracing protocols available from CDC, WHO, and GoG• Availability of standard contact tracing protocol
2. Development of Dashboards4 weeksTableau Foundation, Tableau consultants, Dimagi• Data requirements and desired indicators available from GoG and partners
• Stable Internet and electricity available in country to access dashboards
• Interoperability of Dimagi’s data infrastructure and Tableau system
Deploymenta3. Procurement and Configuration of Equipment2 weeksEricsson, UNFPA, Blue Zones• Logistics protocols in place for accepting and processing equipment donations
• Telecommunications network identified for highest coverage in different prefectures
• Manpower to configure phones
• Logisticians to help clear donated equipment
• Cash flow availability for voice and data plans
4. Training of Trainers2 daysbUNFPA, GoG• Trainers pre-identified and hired by GoG• Quality of some trainers
5. Training of Contact Tracers and Supervisors2–3 daysbUNFPA, GoG• Contact tracers and supervisors pre-identified and hired by GoG
• Contact tracers trained on contact tracing protocol
• Supervisors trained on contact tracing protocol and supervision activities
• Accountability of supervisors to supporting CommCare troubleshooting needs
• Gaps in training on basic contact tracing protocols
• Technological literacy level of some contact tracers
6. Deployment of Mobile Application1 dayUNFPA, GoG• Completion of contact tracer training
• Distribution of smartphones, chargers, SIM cards, and other equipment to contact tracers
• Contact tracer consent on proper-use protocols for smartphones and other equipment
• Quality, timely make-up trainings for contact tracers who were not able to attend initial training and were still expected to monitor contacts using smartphones
• Abuse of phone and/or data by contact tracers for personal use
Adaptation7. Data Validation1 daybUNFPA, GoG• Contact tracing data from paper forms available and vetted• Availability of up-to-date paper-based data
• Quality of data from paper-based databases
8. Modification of CommCare Application1 weekbDimagi• Feedback on application content available from local partners and users based on use during pilot phase• Conversion of nuanced field protocols to automated skip logic and prompts
• Distribution of heavy multimedia files
• Coordination of updates where application was already deployed
9. Training and Deployment of Information Officers1–4 weeksb depending on applicantsGoG• Interest and willingness from GoG to work with information officers within commune or prefecture‐level offices
• Internet access in government offices where information officers would be working
• Space for information officers to work in government offices
• Availability of qualified applicants in rural areas
• Management of expectations with GoG, with some information officers having to support directly on supervision
• Some transportation gaps in rural areas where information officers had to support on direct supervision
  • Abbreviations: CDC, US Centers for Disease Control and Prevention; GoG, Government of Guinea; UNFPA, United Nations Population Fund; WHO, World Health Organization.

  • a Many of these steps occurred concurrently.

  • b Per prefecture.