Fondation Pierre Fabre

Bringing together prevention, screening and diagnostic services to provide high quality, inclusive pre- and post-natal care to the most remote and vulnerable communities

Main beneficiary countries:
Italy - Madagascar - Burkina Faso - Tanzania

About the sponsor

Terre Innovative HealthCare srl

Distance and poverty present significant obstacles to quality healthcare for millions of people around the world. At Terre Innovative HealthCare we believe that mobile technology can help bridge this gap. We specialise in the conception, realisation and implementation of mobile health (mhealth) systems to render preventative and diagnostic services accessible to those living in remote, hard-to-reach and underserved areas. Our icon-based mhealth applications enable doctors, midwives and community health workers to collaborate across traditional boundaries to provide high quality healthcare services to vulnerable populations and foster the wellbeing of individuals and communities.

Sector: Industrial: Startups, enterprises, etc.

Country of origin: Italy

The organisation has:

Full-Time Equivalents
Service provider

Initiative overview

Healthcare themes targeted

  • Mother and child health
  • Sexual and reproductive health

Stage of development:

  • Pilot project/testing/trials

Area where initiative is utilised

  • International (in several countries)

Initiative start date

  • 01/07/2014

Initiative end date

  • 12/14/2021


Financing method

  • Public (grant/subsidies, call for proposals/call for tender, etc.)
  • NGO

Economic model(s)

  • Ministry of health

About the initiative

The importance of Antenatal Care (ANC) and Postnatal Care (PNC) for improving maternal and neonatal health is generally accepted, with the World Health Organization (WHO) recommending a total of 8 ANC contacts and 4 PNC visits. However, ANC/PNC can only be impactful when standardized and of high quality. Experience has demonstrated repeatedly that maintaining the quality of ANC remains particularly challenging in resource-poor settings where low-skilled workers are often charged with the task, and little is known regarding best strategies for improving the quality of care in such environments. The WHO has therefore recommended the use of mHealth systems (telemedicine systems based on mobile technology), as they allow access to essential services to ensure the health of mothers and new-borns. Notably, studies in Africa and Asia have demonstrated that mHealth applications are acceptable and feasible for allowing low-skilled health workers to adhere to treatment protocols and health services guidelines

PANDA (Pregnancy and Newborn Diagnostic Assessment) creates a system that enables doctors, midwives and community health workers to work together across traditional boundaries to provide antenatal care to vulnerable populations and to help prevent both maternal and newborn health problems and mortality.

PANDA (Pregnancy and Newborn Diagnostic Assessment) is an innovative, low-cost and high quality telemedicine system developed to tackle the issues affecting ANC and PNC visits in low-resource settings.
The PANDA system comprises three elements:
  • A solar backpack containing diagnostic platform called ‘PANDA Point of Care, for the screening of those conditions that can compromise the health of the mother and the unborn child. The backpack contains all the instruments needed to measure height, weight, body temperature, blood pressure, and to perform rapid tests for the diagnosis of syphilis, HIV, malaria, anaemia, gestational diabetes, urinary tract infections, blood group. The measurements and the screening results are sent via NFC or Bluetooth to the smartphone application.
  • An icon-based smartphone app compatible with Android devices which enables health personnel to collect patient information including medical and obstetric history, in addition to supporting the clinical screening process and providing a guide for dispensing health education as appropriate. An alert system informs the healthcare worker whenever pathological values occur during screening. At the end of the visit all data and test results are sent automatically to the database hosted within the referral hospital.
  • A database, called ‘PANDA Medical Unit’, located in the referral hospital which captures the data and results collected at community level and enables the hospital team to open a clinical chart for each woman visited, to perform diagnosis, to define the frequency of follow-up and to map the pregnancies by area, time and risk.

Fields of application:

Telemedicine (remote diagnosis and consultations) - 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

Key figures

2000 Number of beneficiaries since launch

20 Number of users per Day

Materials used

  • Cellular (mobile) phone
  • Computer

Technologies used

  • Internet
  • Geolocation
  • Mobile app (Android, iOS, Windows Phone, HTML5, etc.)

Offline use


Open Source


Open Data


Independent evaluation

auto-evaluated or evaluated by a related organization


Modena and Reggio Emilia University-Italy

Academic entities: Universities, research laboratories, etc.

University of Dodoma UDOM-Tanzania

Academic entities: Universities, research laboratories, etc.

University Hospitals of Geneva, Geneva, Switzerland

Academic entities: Universities, research laboratories, etc.

Harvard School of Public Health

Health: Healthcare professionals and structures