Fighting human trafficking in the Thai fishing industry

Human trafficking has been taking place for decades within the Thai fishing industry. Undocumented migrant laborers are recruited from Myanmar, Cambodia, and Laos to hopefully be able to send money home to their families. Once aboard the fishing vessel, they are expected to work 18 hours a day, 7 days a week, sometimes getting paid, sometimes not. If a worker complains or becomes unable to work, some captains throw them overboard as an expendable asset.

Media exposure to these practices caused world-wide outrage and the European Union threatened sanctions against the entire Thai fishing industry. To forestall economic disaster and eradicate an immoral practice, the Marine Department of the Royal Thai Government teamed with iRespond to develop a system to account for every worker leaving from or returning to a Thai port. 170,000 migrant fishermen are currently enrolled through the iRespond system, providing basic human rights to a population that previously experienced human-slavery conditions.

99.86% user acceptance for HIV testing in Kenya

The Center for Global Health at the University of Washington selected iRespond's biometric identification system to protect patient privacy and link their electronic records. Their study included routine HIV testing and counseling (HTC) at 4 sites in Kenya.

Out of 8,794 patients enrolled, 99.86% agreed to register using iRespond. The operator reported that the most significant accomplishment of this work was the linkage of records for patients with HIV in an automated fashion (no ID cards, personal identifiers). Being able to connect patient records from the testing facility to the care facility, both within the same site or different sites, was a quantum leap for this community. This information has enhanced individual tracking within the HIV care continuum.

Protecting at-risk populations in Myanmar

Population Services International (PSI) provides HIV testing for high-risk groups in Myanmar where an HIV diagnosis can lead to serious discrimination. iRespond solves the critical problem of ensuring that patient records remain anonymous.

PSI’s network of 21 clinics provides health services to HIV positive patients, and individuals in the system can visit any clinic and be checked in using an iris scan. iRespond's process accurately connects them to their diagnosis and treatment plan. Confidentiality is maintained while improving their coordinated care.

Johns Hopkins and CDC chose iRespond in Senegal

Centers for Disease Control and Prevention (CDC) supported a national reference library to develop reliable data on HIV in Senegal where HIV is the fourth most common cause of death. Incentives resulted in participants enrolling in multiple trials.

John Hopkins Bloomberg School of Public Health needed an accurate patient database that also protects confidentiality. iRespond enabled researchers to build a national database of HIV prevalence without duplication or any link to personally identifiable information (PII).

Vaccinating against HPV in Sierra Leone

Immunization protocol management is another benefit of our process. In Sierra Leone, we supported a groundbreaking Human Papilloma Virus (HPV) vaccination program. Since the HPV vaccine comes in a series of critically-timed injections, it is important to track patients who have not completed their vaccination series.

iRespond's technology connected four major hospitals, enabling them to share anonymous vaccination data across a centralized digital health network. Before iRespond, healthcare providers had to rely on the patient to learn where they were in the series of shots. The lack of good data led to many young women not completing the full series, resulting in incomplete protection from HPV - a cause of infertility, pain, and sometimes cancer.

Towards universal healthcare in Myanmar

Population Services International (PSI) has partnered with iRespond within Myanmar's efforts toward universal health coverage. At present, coverage is offered only to the poorest segment of the population, so it is critical to determine who is eligible for care at the clinic level. iRespond is providing quick and accurate identity confirmation, helping facilitate a long-term effort to streamline care through advanced electronic medical records.