Fondation Pierre Fabre

Telemedicine for the care of pregnant women and children under 5 years living in areas more than 5Km away from a peripheral health care unit

Main beneficiary country:
Togo

About the sponsor

"Le Coursier d'Hôpital" International/Togo (CH-INTERNATIONAL/TOGO)

"Le Coursier d'Hôpital" International/Togo is an association under Togolese law created in 2014 to work for the well-being of the population and to facilitate the life of patients and health practitioners. It is involved in health and hygiene, among other areas.

It is present in health facilities in Lomé as a partner in the medical monitoring of vulnerable populations such as pregnant women, children, the elderly and people with disabilities. In this sense, it works to promote access to care for vulnerable populations by facilitating their medical path through the work of medical facilitators, a new medical profile it has created within the health system. The aim is to position trained volunteers called medical facilitators in health facilities for the rapid care of pregnant women, children, people with disabilities, the elderly and emergency cases.

Since March 2018, it has been providing monitoring in remote areas thanks to digital technology, while promoting the skills of health system players in this field. Their social mission by investing in digital health is to allow African populations, especially those living in rural areas, the "luxury" of having a family doctor thanks to an application called Dokita Eyes ("Les Yeux du Docteur").

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

Country of origin: Togo

Contact the sponsor

The organisation has:

465
Full-Time Equivalents
4
Employees
570
Volunteers
2
Service providers

Initiative overview

Healthcare themes targeted

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

Stage of development:

  • Pilot project/testing/trials

Area where initiative is utilised

  • Provincial/regional (in one region of a single country)

Initiative start date

  • 10/01/2019

Financing

Financing method

  • Government agency (i.e AFD, USAID, etc.)

Economic model(s)

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

About the initiative

The ISME-Togo project aims to combat the problems of access to medical care and follow-up for the target populations:

  • Problem of access to qualified health personnel and provision of essential care due to: long distance between targets and health centres; impassable roads in the rainy season; lack of financial means to travel, pay for consultations and care;
  • The consequences: Absence and delay of medical follow-up; limited access to medicines; lack of medical history for target populations; high infant and maternal mortality rates.

In Togo, first-contact care is structured around three levels:

  1. Community Health Workers (CHWs) provide health care (including maternal, neonatal and child health) at the family and community levels. CHWs are volunteers and have not received formal professional or para-professional training. In ISME-Togo, they act as an interface between the community and health services. In addition, they are on the front line to detect and report dangerous situations and have a key role in the early warning of health centers;
  2. Peripheral health care units (PHUs) as the base of the health care system and from which outreach activities are carried out as a fixed strategy and towards the population;
  3. District and regional hospitals, which constitute the first and second referral level respectively.

This project aims to improve the quality and accessibility of care and services adapted to pregnant women and children under five in remote areas of the Maritime region through the digital application "Dokita Eyes".

To achieve this objective, the action plan is as follows:

  • The CHWs are in charge of taking vitals and performing analyses (temperature, blood pressure, haemoglobin levels, blood sugar levels, etc.). They enter these data, as well as the symptoms observed, into the application, which becomes a patient's health record. The PHU staff is then alerted of the recording.
  • The nursing staff (nurses, midwives and medical assistants) of the PHU analyse these parameters and decide on the action to be taken: issue a prescription; ask the patient to come to the PHU; make a visit to the patient's home; request the expertise of the doctors of the Medical Council of ISME - Togo; or take no specific action. The doctors of the medical council are recruited on the project to give medical advice and ensure remote treatment with the PHUs and CHWs of the community. These gynaecologists and paediatricians are 4, eventually there will be 11 or 13. They are permanently connected to the application for any request.

A synergy is created between the community health worker (CHW) in the community, the peripheral health care unit (PHU) located more than 5Km away and the specialist located hundreds of km away for an integrated management of the patient directly in his community without the need to travel. In the event that the patient needs to be placed, the PHU is informed in advance by the CHW who has been trained and knows when to refer. These CHWs receive training on Integrated Management of Childhood Illness at Community Level (IMCI-C) and danger signs in pregnant women.

Field report of the initiative

Fields of application:

Health professional training - Telemedicine (remote diagnosis and consultations) - Information, education and communication for behaviour change (IEC) - Patient monitoring and medical data

Target audience

  • Healthcare professionals and structures (hospitals, healthcare centres/clinics, health networks)
  • Pregnant women
  • Young children (0-5 years)

Initiative objectives

  • Decreased mortality
  • Decreased morbidity
  • Reduced suffering
  • Improved treatment

Key figures

5000 Number of beneficiaries since launch

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

No

Open Data

No

Independent evaluation

Yes
auto-evaluated or evaluated by a related organization

Partners

Ambassade de France au Togo

Ministère de la santé et de l'hygiène publique

Ministère des Postes et de l'economie numérique

Ministère de l'administration térritoriale et des collectivités locales

Partners

 

Collaborators

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