Appropriate ***healthcare technologies for low resource settings use of m-technology in rural...

Essential Engineering Intelligence

Appropriate Healthcare Technologies for Low Resource Settings: use of m-Technology in

Rural Health Care and Education

L. Bellina*, E. Missoni , G.Azzolina, I.Nucatola, A. Maggio, F.Consiglio, R. Ingrassia, F.Vitrano, D.Scarpinato °R.Carrabino

*Corresponding author: [email protected]

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mailto:[email protected]

Essential Engineering Intelligence 2

MobileDiagnosis

How it all started


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To be a medical doctor in Lampedusa , 2008


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Lampedusa 2008

For the urgent need to confirm a diagnosis of malaria from a blood sample of an African immigrant I took a picture of the microscopic field using the camera incorporated in my cheap mobile-phone, and sent it via MMS for tele-diagnostic purposes to an expert friend .


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After the “Lampedusa experience” we showed that m-phones can be easily used without any adaptor to take images from the microscope and send them for remote reference.


MobileDiagnosisWhat happened next

https://www.youtube.com/watch?v=_751FZ7Ta_U


.The idea of sharing the method with low resource communities

The path leading to this

The studies and the first network of friends

The meeting with Eduardo Missoni

The Professor Muhammad Yunus and its invitation

The Association Not for profit

The Creative youth: MobileDiagnosis Creative Team

The activity on the field

The educative power of the method :the courses

The “model”

The future “microwelfare island ” and the local sustainability

The work for a future without poverty


MobileDiagnosis

Activity on the field


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TIMELINE ACTIVITY DONE COUNTRY TRAINED PEOPLE RESULTS OBTAINED

2008- the solution- the IT patent appl. low cost transmission of diagn. images and education Identified low cost tele-m system*

2009 Lacor St Maty H Corti Foundation- 2-months Course in rural H Uganda 45

2010 Prof Yunus Invitation 3-months Course in Kalyan rural HC Bangladesh 25

2011 PIME 2-months Course in rural H B’desh 21

2011 MAE 2-months Course in Herat H Afghanistan 12 Identified a new training method **

2012 Feasibility study for Madagascar Short course in rural H Madagascar 3

2012 Start collaboration with COE 2-months course in rural H DRC 22

2013 Shoklo SMRU-Oxford invitation First one-week course in rural HC Thailand 15

2013 COE DRC Second course in rural H DRC 26

2014 SHOKLO SMRU Oxford Second three week -course at Shoklo unit Thailand 31


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TIMELINE ACTIVITY DONE AND RESULTS

2009-2014 8 Field Courses – 199 Trained People 7 Different Countries

2012-2013 two friendships created DRC – COE and THAILAND - SHOKLO-SMRU

2012-2013 a friendly collaboration established for exploring all possible S.B. introduction on the Model

Yunus Center AIT –BANGKOK THAILAND

2009-2014 11 articles published on m-health on the main international scientific press

Future efforts will be done for studying and creating “Micro-Welfare Island” for the Rural Communities wellness

also by introducing the S.B. model in the last ring of MobileDiagnosis Chain

Studies are conducted to explore all the possibilities and mechanisms in friendly collaboration with Yunus Center AIT

2014 : start to study the possibility to export the “Model” to all other rural development fields


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MobileDiagnosis

Education


https://www.youtube.com/watch?v=vvRok5QvO60


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Mobile Diagnosis: Bridging Sociocultural Gaps and Empowering WomenLivia Bellina and Eduardo Missoni Telemedicine and e-Health. November 2011, Vol. 17, No. 9: 750-750 DOI : 10.1089/tmj.2011.9976

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Thanks to the observation of easily and quickly learning by illiterate subjects

(Dinajpur, Bangladesh 2011) and by vulnerable women living in isolated and difficult contexts (Herat, Afghanistan, 2011) we started to study the psychological relationships between m-phone use in teaching and learning mechanisms

This educative method is based on three elements plus one:

1 )Interactive-creative two phase approach to the students.

2 )Interactive-creative lessons, based on logic , algorithms and use of mobile.

3) On the job lessons and use of mobile phone as didactic tool for practical learning.

M-phone impact on practical training: role of m-phone as part of the educative method for training local health workers of rural areas of developing countries DOI 10.1007/s12553-013-0073-4

http://link.springer.com/article/10.1007/s12553-013-0073-4




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Actors in the local actions

Local Education

Remote Diagnostic Support + E-learningEducating, Connecting.


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COMMUNITY PUBLIC HEALTH IMPACT Thsimbulu-DRC- 2012 :improvement of laboratory quality and better local diagnosis by local work-force education

Result 1 :reduction of the false negatives in parasitological examinations from 55% to zero

Result 2:improvement of TB stain staining with reduction of false neg

Result 3 : introduction of the vaginal smears ( and in future the PAP TEST)to prevent cancer of uterus neck in the youth women

http://www.slideshare.net/livia_bellina/mobile-diagnosis-in-tshimbulu-rdc-2012

Thimbulu –DRC-2013 :Action to prevent death from anemia/malariain the local population .

527 Checking of 527 malaria patients cases (October November 2013) thick and thin slides - triple-blind reading

Management of malaria resistant cases : Introduction of the check- exams before and after drugs ingestion, for testing the efficacy of the therapy , in the resistant cases

65 Checking and immediate(real time) therapy provision for all of 65 malnourished children living in the malnourished center

All children was checked for :malaria/anemia/general conditions/fever/ dermatological lesions /epato-splenomegaly-

all received immediate diagnosis and immediate therapy

https://plus.google.com/u/0/photos/107116750892549449944/albums/5954327534405985025







MobileDiagnosis

The Model


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The future :

Applying the “MobileDiagnosis® Model”Educating, Connecting, Networking for a remote support

to all rural development fields


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.https://www.youtube.com/watch?v=QrPWVmVyq2k


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Thanks!

We wish to thank all of the students, health workers, patients and other people who made this study possible, including supporting our field work in Uganda, Bangladesh, Afghanistan, Madagascar, Democratic Republic of Congo, Thailand, and all people of all communities where I went to, who helped me and loved me. A particular thanks to my sons Vincenzo e Giorgio Prestigiacomo, for their constant encouragement and support.


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http://mobilediagnosis.net

Appropriate ***healthcare technologies for low resource settings use of m-technology in rural...

Education

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