Project Profiles

Project Title:
"Mobile telephony: a tool for the diagnosis and self-care support for people with type 2 diabetes"
Country: Chile
Agent of Change: Catholic University of Chile School of Nursing
The problem: Type 2 Diabetes Mellitus (T2DM) is a disease characterized by alterations in the metabolism of carbohydrates, proteins and fats, and a deficiency of insulin secretion, with varying degrees of resistance to it (Ellenberg & Rilkin, 1990). Diabetes-related disability and mortality, particularly in adults and older adults, "occupy much of the health resources of countries" (MINSAL, 2006, p. 4).

The prevalence of DM2 nationwide in Chile reached 4.2% of the population (about 700,000 affected) in 2003[1]. However, according to statistics from the Diabetic Association of Chile, the prevalence is higher, reaching 7.5% in 2006[2].

[1] Health Ministry, 2003 National Health Survey
[2] http://www.adich.org/adich4.php?page=Estudio
Purpose: To develop and evaluate a "mobile phone-based communication and monitoring system", combining preferably automated text messaging and voice, with personalized assistance via telephone (using the principles of Motivational Interview). And contribute to the activation of suspected DM2 patients, with timely diagnostic confirmation, early intervention therapy and adherence.
Associated Organization:
Municipal Corporation of Education, Health and Child Care in the community of Puente Alto.
Advisory Institutions:
Department of Non-communicable Disease Prevention and Division of Disease Control Ministry of Health of Chile | Department of Primary Care, Ministry of Health of Chile | Program Quality Improvement for Complex Chronic Conditions, University of Michigan, MIT NextLab
Project general objectives:
  • Implement a common mobile phone-based platform of "communication-patient-monitoring" in two primary care centers in the district of Puente Alto.
  • Improve access to and use of information by patient
  • Improve quality of health services provision
  • Improve access to health services
  • Improve patient compliance with treatment regimen
  • Assess the impact of the system in the management of DM2, through Glycosylated Hemoglobin (HbA1c), early treatment and assistance to health checks
  • Assess the impact of the system on the early diagnosis of people suspected of DM2 and effective use of medical hours for these processes.
  • Evaluate the satisfaction perceived by practitioners and patients diagnosed with DM2 and automated custom components of the system.
Beneficiaries: The direct project beneficiaries are the suspected DM2 patients and those newly diagnosed with the disease that are seen in two primary care centers in the community of Puente Alto, Santiago in Chile (health centers Bernardo Leighton and San Geronimo). They will have a continuous monitoring of the process of diagnosis and follow in their initial treatment (6 months) through custom and automated telephone communication (SMS and voice) from the health centers between a face and the next control.

The indirect beneficiaries are the members of the health team caring for these patients, who effectively used the hours to perform medical diagnosis, and, during the treatment process, increase the effectiveness of their information by incorporating elements of care model Chronic: ongoing, participatory, integrated and comprehensive (Wagner, 1985). The proposed Edward Wagner is recognized as an effective model for the care of patients with type 2 diabetes. Additionally, health centers will benefit from better management.
Strategic approach:
  • Data collection
  • Health provider point of care support
  • Electronic medical records
  • Wireless device integration (TBD)
  • Health provider tele-guidance (mentoring, training)
  • Client reminders
  • Patient tele-counseling
  • Patient treatment compliance
  • Prevention and health promotion - equipping clients with knowledge


Project Title:
"Maternal health information: Getting connected for a better maternal and child health"
Country: Peru
Agent of Change: Cayetano Heredia Peruvian University
The problem: Every minute, at least one woman dies from complications related to pregnancy and childbirth, about 585 000 women each year. To make matters worse, for every woman who dies in childbirth, 20 more suffer injuries, infection or disease (about 10 million women each year).

In Peru, maternal mortality rate is 185 cases per hundred thousand births (DHS, 2000).

In addition, maternal death has a major impact on household living conditions. The effects have a major impact on the different roles that the mother plays in the family and society. The woman serving as caregivers for family health and home run. Moreover, in many cases, the woman provides an important economic contribution to family income (Hearz and Meashaw, 1987).
Purpose: To allow pregnant women to have higher levels of accessibility to the health system, and also enabling health centers to improve patient monitoring through mobile technology solutions.
Associated Organization:
UN and Vodafone Foundation mHealth Alliance, Qualcomm's Wireless Reach Program (TBC), Telefónica Móviles Perú, AED-SATELLIFE
Advisory Institutions:
Regional Government of Callao, Callao Health Directorate (Ministry of Health), Open Mobile Consortium (OMC), MIT NextLab
Project general objectives:
  • Develop an interactive computer-based system and a common mobile phone-based platform to support maternal and child care among pregnant women.
  • Improve health services targeted at pregnant women, reaching women with information to prevent unnecessary deaths and complications.
  • Allow pregnant women to have higher levels of accessibility to the health system, and also enable health centers to improve patient monitoring through mobile technology solutions.
  • Seek empirical evidence of social and economic impact that can demonstrate the potential of mobile services
Beneficiaries: The problem of maternal morbidity and mortality occurs in all of Peru. In our initial model, the Callao Region is a territorial unit formed by the Constitutional Province of Callao, which is located in the central coast of Peru Litoral, politically the province is made up of six districts: Callao (Cercado) Bellavista, La Perla , La Punta, Carmen Reynoso League and the Ventanilla. Callao Region is the second most populated urban city of Peru, with an estimated 876.877 people.

There is a high concentration of population between 15 and 59. The population under 15 years represents about a quarter of the provincial total. Callao has 53 health facilities managed by the State.

Women of reproductive age represent almost 30% of the entire population of Callao. The women most affected are the poorest, youngest and most excluded areas such as women and many other depressed Callao in Peru. Even in urban areas this situation persists. The main causes are hemorrhage, pregnancy induced hypertension, infection, childbirth in unclean conditions, abortion and tuberculosis.

Each year there are about 115 000 teen pregnancies in Peru. In the age group 15 to 19 years, per 100 000 pregnancies are given an average of 362 maternal deaths, nearly double the pregnancy rate achieved in adult women.
Strategic approach:
  • Data collection
  • Health provider point of care support
  • Emergency medical response
  • Electronic medical records
  • Health provider tele-guidance (mentoring, training)
  • Client reminders
  • Prevention and health promotion - equipping clients with knowledge


Project Title:
Epidemiological surveillance and response of Chagas & Dengue disease through mobile and Internet-based systems
Country: Argentina
Agent of Change: Argentine Society of Cardiology
The problem: Chagas disease is one of the most serious public health problems in Latin America, with a high socio-economic impact, affecting mainly the vulnerable segments of the population, particularly young adults of working age.

Estimates of the World Health Organization (WHO) indicate that between 16 and 18 million people have tested positive, that 50 thousand people die each year because of this disease and that there are approximately 90 million people living in high risk of contracting the disease, reflecting their high degree of scope within the context of Latin American health.

Dengue is a growing public health problem worldwide, due to an increase in the population of Aedes aegypti, the urban vector of dengue viruses worldwide. Were recorded in the Latin American region about 909,000 cases of dengue and 19,594 cases of severe dengue, with 306 deaths. 80% of these cases were notified in Brazil. In 2009, 23 countries in the Region outbreaks of dengue and 15 with more aggressive and often fatal variant, whose fatality rate is 5% to 15% in people who contract it.
Purpose: Develop, implement and evaluate a surveillance system supported by information technology and mobile leading to early and effective incorporation of Chagas disease and Dengue infected in the health care system. The system will allow systematic data collection, location-based information, monitor and evaluate the various activities of health services, and rapid analysis of information and thus plan.

The current epidemiological surveillance of Chagas and Dengue is largely based on manual records, which leads to poor information management and lack of coordination between actors and departments responsible for local, provincial and national health services. The huge delay in the transfer, processing and analysis of information, poses significant problems for the detection and follow-up of individuals infected with Chagas’ disease and Dengue fever, particularly in vulnerable populations
Associated Organization:
Universidad Nacional de Córdoba (UNC), Ministry of Science and Technology of Cordoba, Cordoba Ministry of Health, Universidad Autónoma Juan Misael Saracho, Gerencia de Red de Bermejo en Bolivia
Advisory Institutions:
Department of Epidemiology, Ministry of Health, School of Public Health at UNC, Telemedicine Area - UNC, School of Public Health of U.N.C., Departmental Directorate of Epidemiology Tarija, Tarija Departmental Health Service, National Health Information SNIS Tarija, Open Mobile Consortium (OMC), MIT NextLab
Project general objectives:
  • Strengthen epidemiological surveillance and response of Chagas & Dengue disease through mobile and Internet-based systems, shortening the time between notification and decision making by those responsible, in areas of Argentina and Bolivia.
  • Improve and optimize processes and time of the epidemiological surveillance of Chagas disease and Dengue.
  • ~100% coverage of Chagas infected in areas of intervention.
  • ~100% adherence of patient treatment.
  • Develop information services to improve access to health systems of the population at risk.
  • Appropriation of ICTs by the health team, authorities and general population applied to health care.
  • Seek empirical evidence of social and economic impact that can demonstrate the potential of mobile services
Beneficiaries: The direct beneficiaries in the monitoring of Chagas are children of 0-15 years of age and pregnant women. In the age group of 0-15, is where the etiological treatment as this internationally proven that young children, children with congenital Chagas infection, acute or recent chronic infection, it is possible to achieve cure of infection (parasitological cure), so as to prevent heart disease and digestive disorders (clinical cure). As for pregnant women, early detection of infection with T. cruzi allows timely intervention to prevent the development of Chagas disease in the offspring. This is achieved early trying to newborns that are infected by this route.

In the case of Dengue timely and complete reporting enables appropriate focus controls to cut the chain of transmission of the disease and prevent outbreaks or reduce its magnitude. The beneficiaries in this case are:

The population of endemic areas under intervention that will learn how to prevent these diseases and will have the ability to perform queries through the website or SMS.

Dengue patients since early detection prevents the spread of the disease.

The health workers equipped with software tools to streamline data collection processes, detection of infected, treatment monitoring, alarm monitoring and treatment developments.

The network of health services for timely care for patients who require referral for specialized care.

The Ministries of Health (epidemiology) to get realtime information on-line, complete and updated systematic surveillance of Chagas and Dengue fever (infection of the population, epidemiological alerts, GIS)
Strategic approach:
  • Data collection
  • Disease surveillance
  • Health provider point of care support
  • Health provider tele-guidance (mentoring, training)
  • Patient tele-counseling
  • Electronic medical records
  • Patient treatment compliance
  • Community notification and consultation
  • Prevention and health promotion - equipping clients with knowledge


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