HEALTHY PREGNANCY: fast blood spot testing and mobile ecographies.

GuatemalaEspaña

Etapa del Proyecto:

Inicio

Presupuesto:

$1,000 - $10,000

Website:

http://www.ehas.org

Resumen del Proyecto

Presentación del Proyecto!

Resumen conciso: Ayúdenos a presentar esta solución! Proporcione una explicación en 3 o 4 frases cortas.

EHAS Foundation has extensive experience in telemedicine in isolated areas of developing countries and has participated in numerous telemedicine projects.

About Project

Problema: ¿Qué problema está tratando de abordar este proyecto?

1 .- There are many areas of high perinatal and maternal mortality in the department of Alta Verapaz in Guatemala and these areas are very spacious. The tele-advisers and mobile nurse units can only be partially covered. 2 .- These mobile nurse units are limited to very basic and insufficient testing for adequate perinatal and maternal management.

Solución: cuál es la solución propuesta? Por favor sé específico!

1 .- Expanding both the number of telehealth advisers and mobile units of nurses managing perinatal and maternal health, and increasing accessibility in remote rural areas. 2 .- Providing these groups of fast and inexpensive techniques to improve management by: - Portable USB ultrasound scanner with portable notebook powered by solar panel that would lead to immediate assessment. - Blood samples obtained easily by a finger prick (Dry Blood Spot Screening) for screening of: o infectious diseases (toxoplasmosis, AIDS, syphilis and Hepatitis B), and o get the Rh factor, blood, glucose levels and hemoglobin.

Impact: How does it Work

Ejemplo: Guíenos a través de un ejemplo/s específico/s de cómo esta solución hace la diferencia; incluya sus actividades principales.

With a greater number of tele-advisers and mobile units a pregnant woman may, at any time, go to a relatively close area where a remote facilitator could address (if a simple case) or arrange for referral to the Hospital Coban (in case of emergency). Monthly, a specialized mobile nurse near their village would control her pregnancy by a double analysis: 1 .- The fetal image captured by a handheld ultrasound scanner; this information is more useful for the diagnosis of possible complications during pregnancy that the current measurement of uterine weight and height. This only requires a laptop with USB port with portable notebook powered by solar panel. 2 .- The blood of pregnant, with a simple finger prick, so the drop of blood on filter paper attached would keep it and mail it for efficient and fast detection of infectious diseases. A traditional blood extraction would be more expensive, require skilled personnel, sustainable materials (test tubes, needles and so on) and specialized systems for its transportation. Thus, with a 15 minutes exploration, both mother and fetus would be quickly and accurately monitored and in a few days the analysis of blood would detail this information, avoiding unnecessary hospital travels.

Sustentabilidad

Mercado: ¿Quién mas está abordando el problema aquí descrito ? ¿Cómo difiere el proyecto propuesto de esos enfoques?

This project would complement the work that the Ministry of Public Health and Social Welfare (MSPAS) of Guatemala is currently offering. The MSPAS covers roughly the population through 19 district health centers, 1 Maternal and Child Care Center, 2 district hospitals and 1 regional hospital. In addition, through a Program MSPAS expand coverage to rural population with NGO providers of basic health services. In 2011, began an expansion process with MSPAS and in 2015 it is expected all communities are covered by the telemedicine program through 460 remote advisers.The expansion of health professionals by the MSPAS and other NGOs providers would also complements this project. In fact it is a joint project between the Foundation EHAS and NGO TuLaSalud that is enriched with future MSPAS actions

Equipo

Historia fundacional

The work of EHAS Foundation in Peru, Colombia, and Ecuador, were the inspiration for the NGO TulaSalud to begin working on telemedicine in Alta Verapaz. Now, they inspire us with the figure of remote facilitator and mobile nurse units to extend its effectiveness in maternal prevention and diagnosis by economical and sustainable technology. Both institutions decided to go on joint activities in the field of appropriate technologies for improving maternal and perinatal health by this project with the support of the MSPAS.

Sobre ti

Organización:

FUNDACION EHAS

Sobre ti

Nombre

Andrés

Apellido

Martínez Fernández

URL en Twitter

URL en Facebook

Sobre tu organización

Nombre de la organización

FUNDACION EHAS

País de la organización

, MD

Países en donde este proyecto está creando impacto social

, AV

¿Cuánto tiempo ha estado operando la organización?

Más de 5 años

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Innovación

¿Cuánto tiempo se lleva poniendo en práctica tu iniciativa?

Operando entre 1-5 años

¿Cuál de las siguientes describe mejor la(s) barrera(s)s a la que da respuesta tu innovación? Elige hasta dos.

Acceso, Costo.

Impacto social

Por favor, describe el objetivo de tu iniciativa: un resumen de lo que están tratando de lograr

Our short-term goal is to reduce morbidity and mortality of the indigenous population of Guatemala, and in the future, of the entire community at maternal and perinatal health high risk.

¿Cuál ha sido el impacto de la solución hasta la fecha?

To date, there has been monitoring of pregnant women in 8 municipalities of Alta Verapaz, which represents about 175,000 inhabitants. In 2015 it is intended to upgrade to all the municipalities of Guatemala with the public and official support of the MSPAS, and also expanding the number of remote advisers (from current 60 to 460).

Cuál es tu impacto proyectado para los próximos 5 años?

By joining efforts from EHAS Foundation, from the NGO TuLaSalud, and from Area Health of MSPAS, it is expected that in 5 years the number of remote advisers will be significantly increased (60 to 460) and the health coverage of designated areas (from 1000 to 4000 ultrasound scanners).

¿Qué barreras pueden dificultar el éxito de tu proyecto? ¿Cómo planean superarlas?

The financing. In fact, in 2015 with public and official support of the MSPAS, it is expected to extend the monitoring of pregnant women to all the municipalities of Guatemala, which would entail an increase in ultrasound portable scanners and filter paper to blood spot testing.

Las iniciativas ganadoras presentan un plan fuerte de cómo van a alcanzar y realizar un seguimiento del crecimiento. Identifica tus metas a seis meses para el crecimiento de tu impacto

Our project does not require large capital investments and e-learning we can be easily expanded in nurses and telefacilitators.

Identifica tres grandes tareas que tendrás que completar para llegar a las metas de seis meses.

Tarea 1

Reporting the existence of specialized nurse units and remote local advisers in the indigenous community of the Guatemalan jungl

Tarea 2

Reporting benefits of monitoring pregnancy and facilities:physical proximity to their area to manage the pregnancy in 15minutes

Tarea 3

Training specialized nurse units in the use of portable USB ultrasound scanners and in the properly acquisition of dry blood

¡Ahora piensa en grande! Identifica tu meta de impacto a 12 meses.

(1) increasing the number of pregnant women monitored at 4000; and (2) decreasing the morbidity and mortality in this area.

Identifica tres grandes tareas que tendrás que completar para llegar a tu meta de impacto a 12 meses

Tarea 1

Promoting the need to control pregnancy and the benefits of be monitoring among pregnant indigenous

Tarea 2

Encouraging the use of portable USB ultrasound and dry blood testing with filter paper in the Guatemalan health district.

Tarea 3

Expanding the number of portable notebooks, ultrasounds and dry blood tests by public or private grants.

Sostenibilidad

Cuéntanos sobre tus alianzas.

- This project would complement the work that the MSPAS of Guatemala is currently offering.
- The NGO TuLaSalud recently signed several cooperation agreements and financing with the MSPAS.
- EHAS Foundation and the NGO TuLaSalud have previously worked in two initiatives, one related to the design of a manual of ICT and Health in Spanish cooperation and the other related to a potable water supply in rural Guatemala.- EHAS Foundation has widely experience in telemedicine, supported by the Pan American Health Organization (PAHO) and Ashoka Foundation has recognized her Director ANDRES MARTINEZ

¿Actualmente te estás dirigiendo a otras poblaciones, lugares o los mercados para tu innovación? Si es así, ¿dónde y por qué?

EHAS Foundation has implemented projects in Peru, Colombia and Ecuador. Currently, contacts have been initiated in some countries in Sub-Saharian Africa.

¿Qué tipo de sistema operativo y factores internos de la organización hacen que tu innovación sea un éxito?

With little change in the current health strategy, this project would expand health care staff and provide them with this powerful technology for better maternal and child control. All systems are low-cost and, in addition, the Department of Health area of MSPAS in Alta Verapaz, as it has done in previous NGO TuLaSalud projects, assume the charges of management, maintenance and repairing of these technologies.

Por favor, pon en claro las necesidades u ofertas que hayas mencionado anteriormente y/o sugiere categorías de apoyo que no están especificadas en la lista