This article presents three studies dealing with information and communication needs in rural primary health care from Peru Nicaragua. Results show that health-care systems areas of developing countries are very inefficient. Among the main reasons we found factors related to infrastructure, sharing, continuous training professionals. We conclude telemedicine can improve this situation, but lack infrastructures, low income levels, other conditions, impose strong limits introduction new...

The Biomedical Engineering and Telemedicine Group of the Technical University Madrid nongovernmental organization engineering without frontiers are leading "Hispano-American Health Link" program, to develop low-cost telecommunication systems information services specially designed for rural primary healthcare personnel from isolated areas in developing countries. EHAS program has five lines action: 1) research on communication needs health countries; 2) R&D voice data according conditions...

Most rural areas in developing countries are isolated due to the lack of appropriate low-cost communication technologies. Previous experiences have shown that IEEE 802.11 can be used for deployment large static mesh networks with only minor changes MAC layer enable WiFi transceivers work properly even very long distances (up 100 km point links, and almost 40 multipoint setups). However, impact distance on performance such links has not been deeply analyzed. In addition, previous analytical...

Voice and data communication facilities (email via VHF radio) were installed in 39 previously isolated health the province of Alto Amazonas Peru. A baseline study was carried out January 2001 a follow-up evaluation May 2002, after nine months operation. We measured reliability technology effect system had on staff access to medical training information. also indirect effects general population better health-care. The experimental collected from 35 sites face-to-face questionnaire interviews....

Summary The Guatemalan NGO (Non-Governmental Organization) TulaSalud has implemented an m-health project in the Department of Alta Verapaz. This 1.2 million inhabitants (78% living rural areas and 89% from indigenous communities) 2012, had a maternal mortality rate 273 for every 100,000 live births. initiative is based on provision cell phone to community facilitators (CFs). CFs are volunteers communities who perform health prevention, promotion care. Thanks phone, have become tele-CFs able...

Recent years have witnessed a massive penetration of cellular systems in developing countries.However, isolated rural areas (sparsely inhabited by low-income population) been disregarded because classical access and backhaul technologies do not assure the return on investment.This paper presents innovative techno-economical solutions to provide these with voice data services.We first analyze general characteristics communities, based this information, low cost are designed for both (using 3G...

The sharing economy has been presented as a potential contributor to the UN Sustainable Development Goals (SDGs) due change it brings consumption patterns. Although this identified in different papers, there is not, far we know, single article that explains detail all possible platforms through which can contribute achievement of SDGs. This paper addresses topic by reviewing existing literature involving and SDGs, analyzing main characteristics attributed business model, how each one them...

In western countries, heart disease is the main cause of premature death. Most cardiac deaths occur out hospital. Symptoms are often interpreted incorrectly. Victims do not survive long enough to benefit from in-hospital treatments. To reduce time before treatment, only useful diagnostic tool assess presence a event electrocardiogram (ECG). Event and transtelephonic ECG recorders used improve decision-making but require setting up new infrastructures. The Pervasive solution proposed by...

A large number of rural communities in developing countries do not have access to communications services, unlike urban areas where these services rapidly grown. This connectivity gap is mainly caused by the urban-oriented business models traditional operators, which are cost-effective regions that characterized isolation, low population density, and scarcity resources. paper analyzes a feasible sustainable strategy deploy mobile (voice data) isolated with less than 1000 inhabitants...

Maternal and neonatal mortality figures remain unacceptably high worldwide new approaches are required to address this problem. This paper evaluates the impact on maternal of a pregnancy care package for rural areas developing countries with portable ultrasound blood/urine tests. An observational study was conducted, intervention control groups not randomly assigned. Setting: Rural districts Senahu, Campur Carcha, in Alta Verapaz Department (Guatemala). The group is composed by 747 pregnant...

Abstract Background Acute respiratory infections are the leading cause of childhood mortality. The lack physicians in rural areas developing countries makes difficult their correct diagnosis and treatment. staff health facilities (health-care technicians) may not be qualified to distinguish diseases by auscultation. For this reason, goal project is development a tele-stethoscopy system that allows physician receive real-time cardio-respiratory sounds from remote auscultation, as well video...

Maternal and neonatal mortality is still very high at a global level, even though its reduction goal established among the Sustainable Development Goals by United Nations. In order to improve prenatal care address this challenge, article proposes strategy detect refer risk pregnancies in rural setting through portable ultrasound system combined with blood urine strip tests.The Healthy Pregnancy project was conceived as single, explanatory positivist case study, sample of ten thousand...

Objective While self-injection of subcutaneous depot medroxyprogesterone acetate (DMPA-SC) has well-documented benefits, uptake may be improved by addressing client concerns such as fear self-injury and low self-efficacy. However, current training materials for family planning providers do not address these concerns. We used an iterative process with clients, male community leaders partners, stakeholders in Malawi to develop a counseling message user-centered about self-injection. report on...

The increasing tendency to discharge chronic patients from hospital, as well the growing expectation of improved quality life for elderly and disabled people at home, was original motivation development a home telecare management system. system allows service centre perform remote monitoring biological signals other data via public telephone network, manage different emergency situations arising home. is part EU-funded EPIC project (European Prototype Integrated Care). It tested in Belfast...

The development of telemedicine programs for the public health network Department Cauca, Colombia, (Department is major political and territorial division country. Cauca located on Pacific coast in southwest country.) would make it possible to satisfy many identified needs such as medical coordination, continuing education, epidemiologic surveillance, patient referral counterreferral, an end feeling isolation among professionals who work rural centers. Nevertheless, geographic, economic,...

Telemedicine systems providing voice communication and email by radio were installed at seven health centres (HCs) 32 posts (HPs) in the Alto Amazonas province of Peru during 2001. A cost analysis was performed to estimate net effect on direct resource consumption from perspective society. Prior availability EHAS telemedicine system, there a mean 11.1 urgent patient referrals per year HPs 14.0 HCs. After implementation telemedicine, fell 2.5 (P = 0.03) 8.4 HCs 0.17). The economic programme...

Isolated rural areas often lack terrestrial telecommunication networks, especially in developing countries, which poses an important obstacle for offering health assistance of acceptable quality. On the other hand, low density and concentration population, electricity many areas, accessibility problems make it difficult to propose realistic solutions based on conventional technologies. This work presents development autonomous solar-powered wireless node low-cost, static mesh networks. IEEE...

In recent years, a number of proposals for electrocardiogram (ECG) monitoring based on mobile systems have been delivered. We propose here an STM32F-microcontroller-based ECG system providing both long-term (several weeks) Holter and 12-lead recording, according to the clinical standard requirements these kinds recordings, which in addition can yield further digital compression at stages close acquisition. The be especially useful rural areas developing countries, where lack specialized...