Decentralized Drug Distribution Mobile Application: Overview and Technical Architecture Guide 11
▪ Secure login portal securing client data with hidden phone numbers that are only accessed
temporarily by case managers, and a data export sheet that replaces phone numbers with a
unique identifier code thereby removing all personally identifying information in data exports.
▪ Informed consent obtained from clients before they are devolved explaining in clear terms
what data are collected, why they are collected, and how the limited data may be shared
securely with clinic staff and program staff.
▪ Staff user guides that outline user roles and staff trained in the crucial elements of
protecting privacy and handling exported data responsibly.
Maintenance and sustainability
Local implementing partners and governments can roll out and scale up the DDD App to
support other community DSD models. Since investment and maintenance costs are low, they
should be able to support the app without additional funds. The DDD App:
▪ Has low maintenance costs, mainly for regular updates and patches
▪ Is open source with no requirement for annual license fees
▪ Is hosted by the Google Play and Apple App stores, which allows for centralized updates
and easy maintenance managed by EpiC
▪ Is installed on smartphones, tablets, or laptop computers owned by the DDD outlet, which
makes installation affordable and quick
▪ Does not require an additional server in countries with EMR systems
▪ Requires a cloud-based server or a local physical server in countries without EMR
systems; a cloud-based server will require the country to pay for hosting of the data
Country adaptation
The DDD App has been developed in a generic form so that it can be easily adapted for each
country. The relevant branding, including the national emblem, will appear on the app. Specific
national, provincial, district, or local maps are incorporated to be used in relevant reports and
dashboards. The DDD App can also be customized to offer multiple options for display
languages, including local ones.
Aggregate data can be made available to country leadership through regular reports and
dashboards. DDD summary reports can be added to national HIV websites or dashboards. The
information is summarized at district, regional, provincial, national, and partner levels. Partners
can view the reports and dashboards on a read-only basis. All information generated is under
the custody of the country leadership. The DDD App has been and is planned to be adapted to
many country contexts. In Cote d’Ivoire, it has been adapted and configured for use in French to
support their pharmacy model; in Zimbabwe, plans are underway to adapt the app to support
their pharmacy model commodity tracking using the GS1 code; and in Cameroon, the DDD app
is included in the pharmacy model pilot plan approved by the Ministry of Health (MOH). The
following are other examples and testimonials from Liberia and Nigeria on adapting and using
the app.