Child Growth Monitor
PROBLEM
200 million children globally are malnourished. 5.6 million child deaths are caused by malnutrition each year. All of those lives could have been saved. In the fight against malnutrition, detection is the most important step. But detection and diagnosis is not easy. Traditional methods of measuring malnutrition are not only slow and expensive but often produce poor data and wrong assessments of the situation, wich leads to wrong or too late action.
SOLUTION
he Child Growth Monitor - uses a mobile phone to record images (3D model, pointcloud) of childrens’ bodies in combination with Artificial Intelligence (AI) to calculate height, weight and middle upper-arm circumference (MUAC). Diagnosing the nutritional status of a child will be cheaper, quicker, better quality and will deliver results in real-time.
IMPACT
Once fully developed we are planning for 13 million to 66 million children to be measured with our app.
200M children globally are malnourished. 5.6M child deaths are caused by malnutrition each year. All of those lives could have been saved. Hunger is the biggest solvable problem in the world.
In the fight against malnutrition, detection is the most important step. But detection is not easy. Traditional methods of measuring malnutrition require:
- costly hardware (scales and measuring boards cost over $500 per set)
- expert knowledge
- and time.
Traditional methods of measuring children frequently result in poor data and wrong assessments of the situation. Leaving a lot of caretakers unable to properly assess the nutrition status of a child. Thus, preventive measures are often taken too late or not at all.
“Malnutrition in children is especially harmful. The damage to physical and cognitive development during the first two years of a child’s life is largely irreversible. Malnutrition also leads to poor school performance, which can result in future income reduction. Adults who were undernourished as children are at risk of developing diseases such as obesity, diabetes and cardiovascular issues.” Unicef: https://www.unicef.ca/en/malnu...
Ending malnutrition could be a watershed moment in global health, helping an entire generation of children escape hunger and poverty and reach their full potential.
We have to differentiate between the users and the beneficiaries of our solution - and between the primary and secondary user & beneficiaries groups (according to our scaling plan).
A) Primary users & beneficiaries groups
Users: frontline healthcare workers in 52 countries (countries with “serious”, “alarming” and “extremely alarming” hunger; according to the Global Hunger Index https://www.globalhungerindex....)
Beneficiaries: children from 0-5 years of age in those 52 countries
B) Secondary users & beneficiaries groups
After our solution has proven to work in the primary user group, we will roll it out to further user groups:
Users: Healthcare workers in more than the above 52 countries; parents; teachers; pharmacists, General Practitioners
Beneficiaries: children from 0-5 years of age in all developing countries or even globally
Our solution is already out in the field in the hands the users. Although, at the moment we're using our app to collect data, not yet to give a diagnosis. Our solution is based on Machine Learning. In order to make our existing algorithm more accurate we need more data. We have collected scans from 10k children in India and are about to collect 75k more scans.
The Child Growth Monitor uses a mobile phone to record images (3D model, pointcloud) of childrens’ bodies in combination with Artificial Intelligence (AI) to calculate height, weight and middle upper-arm circumference (MUAC). It will enable anyone with a smartphone to diagnose the grade of malnutrition of a child in real-time. The Child Growth Monitor will be cheaper, quicker with better quality and deliver results in real-time.
We are collecting the following metrics:
Height (Gold Standard)
Weight (Gold Standard)
MUAC (Gold Standard)
Gender
Age
With our data we will be able to classify our diagnoses into: Moderate Acute Malnutrition (MAM), Severe Acute Malnutrition (SAM), Low Birth Weight (LBW) and stunting. The goal is to produce gold-standard anthropometric measurements for both weight and height. We will deliver results in a “traffic light system” and also as growth charts time-series.
The Child Growth Monitor decouples data-collection and diagnosis from producing measurement results. This will facilitate hardware independence in the future.
Our infrastructure is based on open-source components and can run in any cloud-environment or data-center. Development and operation is agile and highly automated through state-of-the-art DevOps tools and processes.
We aim to deploy our models on dedicated servers (cloud-enabled) and on selected mobile devices (offline-first).
Deploying on mobile devices will enable us to do an automated diagnosis, which will be available shortly after scanning a child even when in an offline region. Only if our confidence values indicate that a scan (and one or two retries) might not produce results accurate enough for a diagnosis, data is uploaded to the cloud for analysis and if possible to be included into the scan sample database including a gold standard manual measurement.
The Child Growth Monitor measurement API (both online and offline) will use multiple approaches to produce the results needed for the nutritional assessment of a child:
Approach 1: Building a 3D model
Approach 2: Building a spatio-temporal model
Approach 2: Other Future Approaches
- Reduce barriers to healthy physical, mental, and emotional development for vulnerable populations
- Decrease inequalities, stereotypes, and discrimination, from birth
- Pilot
- New technology
Replacing hardware with an software
The most innovative aspect of the Child Growth Monitor is to replace the old / tradition model of anthropometric measurement with scales and measuring boards with a smartphone app and software.
Advantages:
- better data (according to BCG only 35% of all measurements of children in India are correct - another 35% is not correct and 30% do not get measured at all)
- less costs (professional scales and Unicef measuring cost around $250 each. Our solution only needs one person to take a measurement. The traditional method needs a team of two.)
- less heavy equipment for the healthcare workers
- quicker diagnosis and reaction (we have no final data yet, but taking )
Digitizing data
Traditional measurements by hand are often recorded with paper and pencil - and often need months or years to reach the decision makers. For the children at this time it's often too late.
Our data is available in real-time, which leads back to the quicker diagnosis and reaction
Democratizing healthcare
Enabling everybody with a smartphone to become an expert for anthropometric measurement. (even illiterate people and people not speaking English). The Child Growth Monitor is a powerful tool to solve the bottleneck of missing work force.
Potential game changer and new industry standard
The impact of our solution is huge. We are working towards setting a new industry standard. Physical scales and measuring boards might be replaced for good with our solution providing better, quicker, cheaper digitized data and high-quality diagnosis in real-time.
The Child Growth Monitor decouples data-collection and diagnosis from producing measurement results. This will facilitate hardware independence in the future. (Current supported hardware is Project Tango AR-enabled smartphones such as the Lenovo Phab2 Pro and the Asus ZenFone AR).
Our infrastructure is based on open-source components and can run in any cloud-environment or data-center. Development and operation is agile and highly automated through state-of-the-art DevOps tools and processes.
We aim to deploy our models on dedicated servers (cloud-enabled) and on selected mobile devices (offline-first).
Deploying on mobile devices will enable us to do an automated diagnosis, which will be available shortly after scanning a child even when in an offline region. Only if our confidence values indicate that a scan (and one or two retries) might not produce results accurate enough for a diagnosis, data is uploaded to the cloud for analysis and if possible to be included into the scan sample database including a gold standard manual measurement.
The Child Growth Monitor measurement API (both online and offline) will use multiple approaches to produce the results needed for the nutritional assessment of a child.
- Artificial Intelligence
- Machine Learning
- Big Data
- Virtual Reality/Augmented Reality
Input: Technology & Funding
Output: # (multiple) measured children
Outcome: # customers using the product
Impact: # of children serviced by nutrition extension programs
The confidence, that the Child Growth Monitor has disruptive power comes from feedback from our users. Here is some evidence from the field:
"With the Child Growth Monitor measuring children would be much easier and quicker, which in return means that more children could be measured, diagnosed and treated for malnutrition. For ACF India and our 125 community mobiliser this would be a huge work facilitation and a big step forward."
Shivangi Kaushik, Programme manager MEAL, ACF India
“CGM will significantly improve accuracy and precision of measurements in the field of nutrition and will increase significantly the number of children correctly identified as malnourished and treated on time”
Hassan Ali Ahmed (Action Against Hunger), Senior Project Manager – SMART
- Infants
- Rural Residents
- Peri-Urban Residents
- Urban Residents
- Very Poor/Poor
- Low-Income
- Refugees/Internally Displaced Persons
- India
- Nepal
- Yemen
- India
- Nepal
- Yemen
Today
We're in development mode. Today, we're having a negative impact on our users (i.e. we're costing them extra time and resources because they are taking the traditional measurements by hand plus they take the measurement with our app).
One year
We will have integrated some kind of feedback, i.e. we will make the switch from a negative impact to a positive impact.
Five years
In terms of impact the main KPI is the number of children measured with our solution. And accordingly the number of malnourished children to be serviced by nutrition extension programs. According to our business plan our solution will help 13 million (scenario low market penetration of our solution) to 66 million (scenario low market penetration of our solution) children to be served by nutrition programs.
Next year (end of 2020)
Together with the Boston Consulting Group we have developed goals until the market-readiness for our product. The goals for end of 2020 are:
- A version that runs on commodity devices (and not special smartphones
- A version that reduces the scanning to result duration to <3 min
- A version that is able to predict height and weight on gold standard level
- Providing standard interfaces for data provisioning
Five years
We have a clear vision, a strategy and a plan what we want to achieve. Our long-term goal is to establish the Child Growth Monitor as a new industry standard. Once our solution is good enough, it just has too many advantages to not be used.
- Having established CGM as a non-profit social business.
- Being 1 years away from break-even
- Our solution being widely used in the field. Having first customers and have made our
TECHNOLOGY (time-frame: next year & ongoing)
- Product is not fully developed yet. Multiple technological developments need to be combined; in some cases new technology inventions need to be defined.
FINANCIAL/RESOURCING (time-frame: next year)
- Additional funding necessary
PARTNERSHIPS (time-frame: next year & ongoing)
- Finding good partners is paramount for our success
STAFFING (time-frame: next year & ongoing)
- We're looking for personnel (machine learning / data scientists) that is very rare. The market is very competitive.
SECURITY / DATA PROTECTION (time-frame: next year & ongoing)
- Data protection of the most vulnerable / preventing data breach
REGULATORY (time-frame: 2-3 years)
- Ethical and regulatory standards have the potential to making it difficult to ensure alignment. (Certification of app as medical device; studies to show the impact & effectiveness of our solution)
POLITICAL / ADMINISTRATIVE (time-frame: 5 years)
- The mid-level of government health administration are not necessarily interested in knowing the status of malnutrition in the region they are responsible for. Often the severity of the problem is actively concealed.
TECHNOLOGY
- Our multi-stakeholder approach will provide technological expertise. To reduce the risk we have chosen a stage gate approach of Poof of Concept, Alpha and Beta Phase. If the goal of one stage is not met, the project will be ended.
FINANCIAL/RESOURCING
- Our ALPHA phase until 12/2019 is covered. We need additional funding until market readiness. We're already in talks with potential funders for the whole amount.
PARTNERSHIPS
- We need to build a network of the best partners possible. The better our partners, the easier it will be to attract other prime partners. Existing Partnership:
- ACF Canada
- ACF India
- Boston Consulting Group Digital Venture
- Microsoft
- GSMA
- World Food Programme
- Deutsche Telekom
- Federal German Ministry for Economic Cooperation and Development
and more
STAFFING
- We've decided to onboard developers from India for several reasons (bigger pool of candidates, cost savings, shift tech development closer to field level).
SECURITY / DATA PROTECTION
- Our data are stored on a server with the highest security safety precautions possible, safe enough to store health data. In addition, we will be GDPR compliant soon.
REGULATORY
- We will certify the app. In addition we will conduct one or multiple studies to get ethical approval by governments.
POLITICAL / ADMINISTRATIVE
- We need to work together with the federal government, not the "middle-management". Our solution should to be integrated into the national malnutrition monitoring system.
- Other e.g. part of a larger organization (please explain below)
Child Growth Monitor is a project of German NGO Welthungerhife.
Later on it is planned to fund an independent non-profit organization.
FULL-TIME: 4
PART-TIME: 2 (plus possibly all 2,500 employees of Welthungerhilfe fighting hunger in 410 projects globally)
CONTRACTORS: 7
As a team we're covering all aspects to make our project successful
Tech
- Markus Matiaschek (Product Owner, Head of IT), 15 years experience in software solutions, highly-motivated and with exceptional IT skills
- Dr. Tristan Behrens (ML Coach ), AI expert. Former jobs include founding Volkswagen lab and Porsche lab
- Dr. Christian Pfitzner (ML Coach ), expert in ML having built an algorithm to measure the weight of coma patients via image data together with Siemens
- Dr. Nikolas Hesse (ML Volunteer ), ML learning expert from Fraunhofer Institute
- Ankit Gupta (Scrum Master), Developer and 5 yrs experience in managing and building scalable data systems
- Zhang Nemo (App Developer), experienced web and mobile developer
- Prajwal Kumar Singh (App / ML Intern), ML and data scientist
- Sanket Bojewar (QA / Support ), student at the Vidyalankar Institute of Technology
Business / Start-Up / Funding
- Markus Pohl (Business & Partner Mgmt, Head of Business, Funding & Partnerships), 100%, 10 years experience in consulting clients in digital business models in healthcare, founder of a consultancy for digital innovation in healthcare
Industry expertise
- We can seize the network of 2,500 Welthungerhilfe employees fighting hunger in 410 projects globally.
- Franziska Kerting (Partner Projects), 25%, expert in digital innovation and project management
- Jana Daher (external from ACF Canada, Nutrition expert), 100%, specialist for measuring malnutrition (Leader of SMART initiative)
- ACF Canada (Experts for measuring malnutrition, lead role in SMART initiative providing agencies & field workers with basic tools to collect data for nutrition surveys)
- ACF India (Experts for measuring malnutrition, taking measurements in India)
- Boston Consulting Group Digital Venture (Tech, Strategy)
- Darshna Mahila Kalyan Samiti/Indian NGO (Experts for taking measurements in India)
- Deutsche Telekom (Funding)
- Fraunhofer Institute (Development of AI algorithm, height)
- German Federal Ministry for Economic Cooperation and Development (Funding)
- GSMA (Funding, Networking)
- Mahatma Gandhi Seva Ashram/Indian NGO(Experts for taking measurements in India)
- Microsoft (Hardware, Backend, AI)
- PHAT Consulting (MS Gold Partner, Backend, Data Protection, OKRs)
- Universite de Comte (Development of AI algorithm, height & weight)
- University of Applied Sciences Nürnberg (Development of AI algorithm, weight)
- World Food Programme (Funding, Networking)
We will only have an impact on malnutrition if we have can provide a solution that is working, steadily maintained and constantly developed. I.e. we need to make sure that we have a constant influx of cash to sustain our core team. In order to do so, we will set up the Child Growth Monitor as an open source, non-profit social business.
Paying customers will be big organizations that are paying already today to measure malnutrition: UN organizations, governments from developed countries, governments from developing countries, iNGOS. We will never take money from private persons.
In our business set-up we need to distinguish between
- users: professional healthcare workers
- beneficiaries: children 0-5 years in 52 countries with biggest hunger
- payers: UN organizations, governments of developing countries, OECD governments, iNGOs
Later we will widen the user and beneficiaries group
- users: professional healthcare workers, parents, teachers, pharmacists,
- beneficiaries: children 0-5 years globally
PRODUCT DEVELOPMENT
During the product development phase we need funding (grants) to cover our expenses. Expenses are mostly HR and collection of data.
FULLY DEVELOPED PRODUCT
We will sell the Child Growth Monitor app on a pay-per-scan basis or via licensing.
According to our business plan we will be self-sustainable in 6 years.
There are two reasons for us to apply at Solve:
A) Funding
We need money for the development of our app, especially to pay data scientists and programmers
B) Network
B.1) Technology partners
esp. in the field of machine learning & anthropometric measurement.
B.2) Visibility of our solution to attract partners & talent
Visibility for our solution within the Solve network might attract partners and talent that we need for our success. PR has helped us a lot. "Pull marketing" brings in better leads than "Push marketing".
B.3) Access to possible customers
Solve has exactly the kind of people in their network (and judging panel) that are very interesting for us: Unicef, WHO, WFP. Those big international organizations are spending money already on anthropometric measurements. They need to know about our solution and the our quality, time and resources advantages we have in comparison with today's measuring methods.
- Technology
- Distribution
- Funding and revenue model
- Talent or board members
- Media and speaking opportunities
These are some of the organizations, but it's not limited to those
- MIT for technological (or business) expertise
- Unicef a) involving them as closely as possible in the product development; b) doing joint projects
- WHO a) involving them as closely as possible in the product development; b) doing joint projects
- WFP a) involving them as closely as possible in the product development; b) doing joint projects
- Bill and Melinda Gates Foundation a) funding; b) tapping into their network
- USAID a) funding; b) tapping into their network; c) industry expertise
We will use the prize money to further develop our solution. Since software development is HR intensive, we will use the money to pay our software development / data science team or hire new developers / data scientists.
The Patrick J. McGovern Foundation is not exactly the area we're active in. Schmidt Futures' AI for Good approach is 100% in line with our solution.
First of all Schmidt Futures is "shaping the future of scientific research worldwide through the infusion of new technologies", which is exactly what we're working on.
Secondly, they also have their "Artificial Intelligence Powered Science Accelerator", that could support us tremendously to develop our solution.
We will use the prize money to further develop our solution. Since software development is HR intensive, we will use the money to pay our software development / data science team or hire new developers / data scientists.
We are taking data security and privacy extremely seriously. We know that our and Welthungerhilfe's reputation - the highest good that an NGO can have - is on the line. Furthermore, we're very conscious about the fact that we're dealing with data of the most vulnerable people on earth: children from developing countries.
Thus we have the following data security & privacy policy at Child Growth Monitor:
- We have a signed consent form from each child’s parents.
- Data that we are collecting belong to the children / parents, legally protected by a signed consent form.
- The data we are collecting will be deleted automatically after 3 years or any time the parents want the data to be removed.
- Data will be hosted in Germany
- Child Growth Monitor will be fully GDPR compliant within the next months.
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