Fondation Pierre Fabre

Combining mobile technologies, health micro-insurance and preventive monitoring to fight against preventable deaths among young people

Main beneficiary countries:
Mali - Burkina Faso

About the sponsor

Djantoli

Djantoli's mission is to reduce infant mortality by facilitating access to preventive healthcare for families. Djantoli runs a network of health mediation officers who are responsible for carrying out regular health monitoring on young children, educating on prevention and referring families to appropriate healthcare facilities. It offers health insurance systems to facilitate access to care. Djantoli has developed an “electronic health record” tool to use on mobile phones. The association is now operating in Mali and Burkina Faso.

Sector: Organizational: Communities, public authorities, NGOs, associations, foundations, etc.

Country of origin: France

The organisation has:

52
Full-Time Equivalents
15
Employees
10
Volunteers
37
Service providers

Initiative overview

Healthcare themes targeted

  • Mother and child health
  • Primary healthcare
  • Nutrition
  • Malaria/paludism
  • Infectious diseases
  • Access to quality medicines/pharmacies
  • Vaccination

Stage of development:

  • Routine project/operational

Area where initiative is utilised

  • International (in several countries)

Initiative start date

  • 01/01/2010

Financing

Financing method

  • Public (grant/subsidies, call for proposals/call for tender, etc.)
  • Private (private investors, crowdfunding, philanthropy, etc.)
  • NGO
  • Government agency (i.e AFD, USAID, etc.)
  • Intergovernmental or international agency

Economic model(s)

  • Income generated by beneficiaries
  • Revenue generated by the beneficiaries/healthcare facilities
  • Subsidies

About the initiative

In West Africa, one in eight children still die today before their fifth birthday. In 60% of cases, of a disease that is easy to prevent or cure in existing local healthcare centres, at an affordable cost. For cultural, educational, geographical or financial reasons, populations avoid or delay accessing this healthcare. Djantoli is working to lift the barriers of access to healthcare for informal and indigenous populations.

The objective of Djantoli is to monitor the health situation and preventive practices of families, in order to facilitate the rapid detection of diseases and make it easier for populations to meet the costs of medical care. By combining prevention and treatment, and providing families with an “all inclusive” service at an affordable price, the association brings a unique health offer that differs from traditional community healthcare proposals in its market-based approach (social enterprise) and from existing social protection systems because it has a preventive element, which is key for ensuring stable health insurance systems that have a positive impact on people’s health. Djantoli also promotes a sustainable change in the behaviour of the players through its mediation efforts in the area of ​​healthcare and the support it offers to populations and health centres over the long term.

Djantoli is a French NGO that was founded in September 2007, and its mission is to reduce infant and child mortality by facilitating access to preventive healthcare. Djantoli began with a basic idea: monitoring. It has since created a method of monitoring, notification and access to medical care, which helps to protect children’s health. Djantoli runs a network of professional health mediation officers (AMS) who are responsible for carrying out regular health monitoring on young children, to facilitate rapid screening for diseases, educate families on prevention and refer them to appropriate healthcare and social facilities. The association has developed an “electronic medical record” tool to facilitate monitoring, screening and early warning of illness. The data is collected in a mobile application by the AMS and can be consulted by health centres. Djantoli offers health insurance schemes to facilitate financial access to care and helps primary healthcare partners to improve their care offer.

The Android application allows peripatetic agents to: - Record key child health data (weight, brachial perimeter, key symptoms) at each home visit - Identify risks to the child's health - Follow-up on vaccinations (reminders and alerts) - Guide agents in their role to promote health education - Manage subscriptions to the service and collect membership fees.

It allows caregivers to: - View the records of at-risk children (automatically identified) - Record patient consultations (weight, height, medical history, comments, etc.) - Generate invitations - Consult the patient's historical data.

Field report of the initiative

Fields of application:

Telemedicine (remote diagnosis and consultations) - Information, education and communication for behaviour change (IEC) - Patient monitoring and medical data - Financial access to care, microinsurance

Target audience

  • Healthcare professionals and structures (hospitals, healthcare centres/clinics, health networks)
  • Entire population
  • Pregnant women
  • Children - adolescents (ages 6-18)
  • Young children (0-5 years)
  • Patient family/entourage

Initiative objectives

  • Decreased mortality
  • Decreased morbidity
  • Improved treatment

Key figures

20000 Number of beneficiaries since launch

4920 Number of users per Month

Materials used

  • Smartphone
  • Tablet

Technologies used

  • Mobile telecommunications (without data connection)
  • Internet
  • Geolocation
  • Mobile app (Android, iOS, Windows Phone, HTML5, etc.)

Offline use

Yes

Open Source

Yes

Open Data

No

Independent evaluation

Yes
evaluated independently

Partners

Ministère de la santé du Mali

Organizational: Communities, public authorities, NGOs, associations, foundations, etc.

Ministère de la Santé du Burkina faso

Organizational: Communities, public authorities, NGOs, associations, foundations, etc.

Union Technique de la Mutualité Malienne

Organizational: Communities, public authorities, NGOs, associations, foundations, etc.

Agence Nationale d’Assistance Médicale

Organizational: Communities, public authorities, NGOs, associations, foundations, etc.

Partners

Collaborators

startupBrics