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D Tree team
Marc Mitchell, MD, MS, Founder and President of D-International
Marc s a pediatrician and management specialist who has worked in over 35 countries in Africa, Asia, and Latin America on the design and delivery of health care services. He is a Lecturer on International Health at Harvard University School of Public Health where his areas of expertise include health management, health systems design, program development and evaluation. He has done training and consulting for a wide variety of organizations including the US Government (USAID, CDC and NIH), the World Bank, the Asian Development Bank, The African Development Bank, the National Health Service in the UK, Pricewaterhouse Coopers, the United Nations (UNFPA, WHO), and private foundations and organizations. His research interests focus on the use of electronic standard medical protocols to increase access to high quality health care for the world’s poor. Dr. Mitchell holds degrees from Harvard University (BA, 1970), Boston University (MD, 1974), and MIT’s Sloan School of Management (MS, 1985).
Neal Lesh, PhD, MPH, Chief Technology Officer of D-Tree International
Neal is active in the new field of ‘m-health,’ the use of phone and PDAs to improve health in low-income countries. Neal received a PhD in computer science from the University of Washington in 1998. As a Senior Scientist at the Mitsubishi Electric Research Laboratory (MERL) in Cambridge, MA, he worked in a variety areas related to human-computer interaction. In 2004, Neal got a Master in Public Health from the Harvard School of Public Health. Since then, he has been working and often living abroad, working with a variety of organizations on their use of computer technology to assist health workers. Neal has been active in the OpenMRS and OpenROSA open source communities, as well as collaboration among groups working on mobile health applications in Tanzania.
Jan van Esch, MA, MS, Tanzania Country Manager of D-tree International
Jan is an anthropologist and public health specialist with 12 years experience in Russia, Nigeria, Burkina Faso and Tanzania in the areas of HIV/AIDS, child health and health systems management. Jan has a Master of Science in Public Health from Harvard School of Public Health and a Dutch Master’s Degree in Anthropology. Prior to joining D-tree, Jan worked for PharmAccess in Nigeria and Tanzania where his work focused on public-private partnerships, primarily in the area of health insurance, and also for Doctors without Borders in Russia.
Molly Bogan, MA
Molly is a Program Manager for D-tree in Tanzania. She started her career in health with several years working in clinics and outreach programs serving diverse populations in Washington State. She went on to serve two years in the US Peace Corps assisting local government with the decentralization of health services planning and provision in Paraguay. Molly holds a BA in International Relations from the Evergreen State College and a Master’s degree in International Development and Global Health Affairs from the Korbel School of International Studies at University of Denver. Previous to joining D-tree, Molly worked with a USAID-funded international health program at Harvard School of Public Health in Boston.
Gayo Mhila, BSc
Gayo is a Technical Officer in D-tree’s Tanzania country office. Gayo holds a Bachelor’s in Science in Information Technology from Uganda Christian University. His interests lay in applying his technical knowledge and computer skills to social issues. Previously, Gayo has worked on field data collection technologies in East Africa with the TIST program, including seven years design experience in handheld, PC and web-based data systems. He is currently focusing on piloting CommCare software to assist home-based HIV care providers who work at the community level in Tanzania.
Brian DeRenzi, MS
Brian is a Ph.D. student in the Computer Science & Engineering Department at the University of Washington, where his research focuses on designing and deploying appropriate and sustainable technologies for healthcare in low-income countries. With a B.S. in computer engineering from the University of California, Santa Barbara, and a M.S. in computer science from the University of Washington for his work with human-computer interaction, Brian has experience with mobile and embedded devices at hardware, software and usability levels. He has worked on the development and testing of electronic IMCI protocols with D-Tree in Tanzania (see article) and is currently on a Fulbright Scholarship to develop mobile protocols for use by community health workers in Tanzania.
Bethany Hedt, PhD
Bethany is a graduate of the Biostatistics Program at Harvard School of Public Health with a variety of international experience. After completing her undergraduate degree in mathematics at the University of North Carolina at Chapel Hill, Bethany served two years as a math and science teacher with the Peace Corps in Namibia. She extended her time for a year in Namibia as an HIV Coordinator for the Ministry of Education (Ondangwa-West Region). During her time working towards her PhD, she spent one year as an ASPH/CDC Global Health Fellow in Malawi as a HIV Strategic Information technical assistant. Her thesis, Novel Methods for Efficient Surveillance and Monitoring, introduces less intensive and less expensive methodologies to collect and analyze data to support data-driven program management. She is currently working as a statistician for D-Tree International and is a postdoctoral fellow at Harvard School of Public Health.
Melania Nkaka, CNM
Melania is a registered nurse and certified midwife who also holds a diploma in Social Studies from the College of Mwalimu Nyerere Memorial Academy. Previous to joining the D-tree Tanzania Country Office, she worked as a nurse at Bugando Medical centre in the Mwanza Region of Tanzania and at AMREF as an HIV Project Health Researcher Officer. Melania is currently a Field Coordinator with D-tree International in Tanzania, working on the introduction of mobile technology to assist health workers to provide HIV care in clinical settings.
Hamish Fraser, MBChB, MRCP, MSc
Hamish is an expert in the development and application of medical informatics and telemedicine in resource-poor settings. Originally trained in cardiology, with specialized training in medical informatics, Dr. Fraser serves as Director of Informatics and Telemedicine for Partners In Health, a healthcare NGO active in several developing countries. He is responsible for the design and oversight of the web-based medical record system that supports the management and monitoring of over 4,400 patients on treatment for MDR-TB in Peru and HIV in Haiti. This information system manages clinical data and digital images of X-rays, has the capability to identify patterns in bacteriology results, helps to optimize medication regimens and also predicts future medication requirements. This system is also operational in the Philippines to support the care of MDR-TB in Manila.
More recently he has led the development of a web-based medical record system to support the care of 6,000 HIV patients in Haiti, 1,900 of whom are on ARV therapy. The HIV-EMR operates in seven remote clinics accessed by satellite internet and can also be used offline for short periods. This system is now being replicated by his team in Rwanda. Dr. Fraser is also the educational director of a master’s degree program in medical informatics in Durban, South Africa, the first such program in Africa.
Hilarie Cranmer, MD, MPH
Hillarie is Associate Director, Harvard International Emergency Medicine Fellowship, and Clinical Instructor, Department of Emergency Medicine, Harvard University School of Medicine and the Brigham and Women’s Hospital. She has served as a health worker at Embangweni Hospital in Malawi and as a field officer with Physicians for Human Rights in post-war Kosovo where she taught ultrasonography and trauma management. Initially trained in biomedical engineering, she is a graduate of the Washington University School of Medicine in St. Louis and obtained her MPH from Harvard School of Public Health.
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