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Discussion about entry: TeleMedicine for Healthy Deliveries
This is discussion about TeleMedicine for Healthy Deliveries.
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This is a terrific idea. I have to wonder if anyone is already trying this somewhere. Even simple texting back and forth with reminders about interventions/ protocols would be worth trying.
This is a terrific idea. I have to wonder if anyone is already trying this somewhere. Even simple texting back and forth with reminders about interventions/ protocols would be worth trying.
I think this is a great idea too. There are a number of other people within the Changemakers community that are going far with mobile technologies. Check out these stories:
http://www.changemakers.com/en-us/node/56789
and http://www.changemakers.com/en-us/node/20252.
An organization I found that deals with something similar is the Swinfen Charitable Trust. Local doctors can send clinical photos, a patient’s history and any other relevant material (such as X-rays) to the Trust. Then there's a panel of over 400 specialists in a wide range of disciplines who could respond. According to their website, the median length of time between receipt of original message and first reply by a specialist consultant is currently 1.8 days. Pretty impressive, I think. Here's the link to their site:
http://www.swinfencharitabletrust.org/index.php?option=com_content&view=...
I don't know if they do any work in maternal health, but it would be amazing if we were able to apply their method for this field.
I found a few more links you might want to check out.
ClickDiagnostics is doing pregnancy screenings through the use of mobile phones.
http://maternova.net/tool/pregnancy-screening-mobile-phones
Also, here is a paper about the use of mobile technologies for cervical cancer screening in Botswana. Though not exactly the same, this could relate to your idea for sure.
http://clickdiagnostics.com/wp-content/uploads/2009/11/Cervical-Cancer-S...
While telemedicine is helpful for prenatal screening, much of the literature shows that you can't readily predict who will have complications at the time of labor--- it would be a great idea to pilot a hands-free labor aid/telemedicine using prompts for a midwife who runs into a complication
I just wanted to say that this is a great idea and that it would help a lot of women in the world.
This is what we've been looking for!
http://www.d-tree.org/index.php?pid=80
D-tree International is working to develop algorithms for used by health workers at a health facility accurately assesses patients who are pregnant and come to a health facility in labor. The clinical protocol will assess whether the pregnant patient in labor appeared to be progressing normally and whether any specific interventions, emergency or otherwise, are needed at any given point of time during the labor and delivery process. This work is currently at an initial stage of development.
This idea is fantastic! Its sort of like having a 911 practioner talking you through everything....Babies have been deliverd in this way for ages....well done!
That’ s an interesting idea, but could you tell me how TeleMedicine can compensate the lack of some equipment which is necessary during some deliveries?
While the lack of equipment is a problem, I do not think that is what this entry is trying to address. Whether or not the equipment is there, the baby is still going to be born and it would be nice to have a skilled practitioner helping along the way.
I'd like to see more information on the actual entry. Where are you going to get the funding? Who do you plan to partner with if anybody? You mention something you set up locally, please elaborate on this. You idea is great but it's missing a lot of information, treat the form like a business plan.
Thanks for the feedback. This proposal isn't an end-all solution; however, it's a step towards improvement. The questions you raise are good ones. As it relates to funding, there are a lot of grants that focus on the areas of technology, maternal health, babies, and improved health outcomes. There are also many companies that could be willing to partner for whatever reason. Depending on the community of focus, there may be other, non-traditional sources of funding (local or national). The model isn't complicated. Can range from telephone access to computer/ Skype-type access to full-blown, very nice tele/ video access. Again, while the goal is to address the array of issues, any improvement is worthwhile given the subjects...mom, baby, family, community.
I think TeleMedicine could be a great idea even for developing countries like Bangladesh. Bangladesh has an 80% mobile (or cell) phone coverage rate, with affordable rates even for the rural population. NGOs here have already set up tele-farming help for farmers in partnership with big mobile phone companies. Maybe they could open up a help line for emergenciy health care, especially for maternal health care. :)
Thanks for your submission! While this is not a new idea, it’s a great approach to improving women’s access to health services. We would like to learn more about where the pilot program took place, and where it will be implemented. Where is the home-base supposed to be? Also, we’re interested in learning more about your plans for financial sustainability. How are you planning on supplying the resources for this initiative? We encourage you to filter your additional comments back into your entry form so that our team can better evaluate your submission. Thanks!
- Naveen Shakir, Ashoka’s Changemakers
I agree completely with all of the comments above and how this is such a great idea! The one thing I was wondering is who would you be working with most on the ground (mid wives, hospitals,clinics, etc) and how would you chose who to work with? Also if they don't have the appropriate technology would you provide that?