MOBILEDIAGNOSIS PROJECT ® Connecting Health Workers Worldwide for better diagnosis
MobileDiagnosis® ProjectHow it all started: to promoting the human rights of African refugeesMobileDiagnosis® was founded in 2008 by Livia Bellina an Italian pathologist who workedfor the Italian National Health Service in Lampedusa Island. In April 2008, she found herself inthe urgent need to confirm a diagnosis of malaria from a blood sample of an Africanimmigrant. With no other means in her own hands, she took a picture of the microscopic fieldusing the camera incorporated in her mobile-phone, and sent it via MMS for tele-diagnosticpurposes to a reference center. This described Method has been filed for patent in April 2008,with the sole purpose to of protecting the idea from commercialization and consent its free useand dissemination.Activity Images: https://plus.google.com/u/0/photos/107116750892549449944/albumsCV: http://www.mobilediagnosis.net/img/about_us/CV%20%20November%2012%202011%20Pdf.pdfPatent: http://www.patsnap.com/patents/view/EP2116884A1.html
The Meeting with Eduardo MissoniIn 2009 Livia met Eduardo Missoni. He immediately understood the relevance ofthe her Method, and after only two months they published the method it togetherin Diagnostic Pathology, an international open access scientific journal. It was thebeginning of their collaboration, based on common vision and goalsMobileDiagnosis®, the AssociationIn 2010 Livia, Eduardo, Giorgio and Vincenzo Prestigiacomo (Livia’s sons) foundedMobileDiagnosis® a Non Profit Association to advocate the global access to care and toeducation.Regist. At 28-11-2011reg.n.15053 at Gov.Agency Palermo-Italy FC/P.I 97261360826•MobileDiagnosis® homepage : http://www.mobilediagnosis.net•http://www.mobilediagnosis.net/img/what_we_do/statuto_md.pdf•http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2706795/http://eduardomissoni.info/
MobileDiagnosis® Creative TeamIn 2010 was set up a team of young professionals in web design, architecture, design,engineering, project specialists, which assemble cooperate with freelancers to promoteMobileDiagnosis®.The team works to for increasing the visibility of MD and for the development of new methodsof remote training and innovative technological solutions for helping the rural communities ina sustainable way.The current MDCT members are: Giovanni Azzolina, Chiara Consiglio, Francesco Consiglio,Giulia Delia, Nadia La Chiusa, Annalisa Maggio, Roberto Ingrassia, Domenico Scarpinato,Fabrizio Vitrano.
MobileDiagnosis® : The MissionPromotion of Global Access to the Health Care and Education in developing countries orunderdeveloped areas of developed countries by inserting the Method in the context of otherlocal projects, in partnership with local partners actors.The Goal: empowering the currently neglected communities in order to be a part of aworld where the Health and Education are effectively recognized and implemented asfundamental Rights of every human being.We are thinking ethic : http://www.mobilediagnosis.net/what_we_do.php?item=4All our projects will respect the “Green Code” :http://www.mobilediagnosis.net/what_we_do.php?item=5
The Activities:1. In developing countries: training local work forcesCreating a local "school” for the health education and training of local rural communities –health workers and non health workers (community representatives). Establishing orstrengthening health centers for basic screenings , focused on parasitic diseases, neglecteddiseases, mother and child care, community health care, etc., and link them with the schools2. In developed countries: training of trainersCreating a new generation of trainers by activating courses of MobileDiagnosis and a centralreferent “office” with high skilled consultants and an open-source training centre, with animages library and an interactive school.3. Planning a global course of MobileDiagnosis® , equitable care and affordablecare, sustainable technologies.
The ProjectCreation of a knowledge-centers network based on locally available and not expensiveaffordable resources and poor technology, and the improving of local health workers that,thanks to a domino effect will improve new health workers. It is operating on three levels:1) Local level, using the mobile as didactic tool, to educate by showing and comparingthe images.2) National level, thanks to a "mobile to mobile" or “mobile to web” network.3) Global level by a network linked to a web technology platform, thanks to collaborationwith Medting started in 2011.This system is operating locally-globally, and contributes to accelerate the Global Health careprovision, distance consulting and education, by connecting the “fragile” subjects, especiallyin the hard contexts (war, migrations, sex discrimination, cast, clan, family) to a solidaritynetwork of highly skilled specialists and to knowledge centers.http://medting.com
The Partnership Scenario:Global-Local Partnership and Sustainability of the Project.MobileDiagnosis®works in partnership with local NGOs, by creating a network of local ruralhealth-education posts, linked together and connected to the web platform ofMobileDiagnosis® Network. The web platform will store the images for creating of a centraldatabase for educational and distance-schooling. In the rural local educational-health thesecenters, students from friends network could will be able to apply to for internships and stagestrainings on the field, bringing economic resources contributions (housing, food, local trips,education) that will bring benefits to the local income. These economic resources will permitthe future management of projects a local level.”
Past Activities2012 - Madagascar, Andavadoaka and Tulear, explorative mission acting to individuate thebest area for future projects2011 - Afghanistan, Herat, Paediatric Hospital2011 – Bangladesh Dinajpur, St Vincent Missionary Hospital2010 - Bangladesh, Comilla and Bhuapur Grameen rural health centers2009 - Uganda, Lacor, Gulu, St Mary HospitalThe Future Development of ProjectProviding a network of education centres linked together and connected to the web platform ofMobileDiagnosis® Network for sharing of data, images and texts for education, and an open-source training centre, with an images library and an interactive school, to which willbe possible to access from the educational page of MobileDiagnosis ® site.The next goal is the expansion on a global level of MobileDiagnosis® Project.
Ongoing and Future Projects2012 - Global Project with Ashoka Health Innovators Group (Preagreement)2012 - Thailand - AIT- Bangkok - Course of MobileDiagnosis® on AIT (Preagreement) *http://www.changemakers.com/mainhttp://www.fondazionedecarneri.it/http://www.tropicalmed.eu/Page/WebObjects/PageTropE.woa/wa/displayPage?name=Department• http://www.yunuscenter.ait.asia/?p=181• * With Dr. Faiz Shah a medical doctor, head of sustainable development dept. at AIT Extension• http://www.extension.ait.ac.th/index.php?q=staff/faiz-shah
Developing Projects: Innovation1 Research and development of a new software for the recognition and early diagnosis ofparasitic diseases - algorithms for basic local immediate therapy2 Design and development of innovative, unconventional prototypes of modular health andeducation centers, thanks to research of new solutions, focused on environment respect andautonomous generation of clean energy, sanitized water, and safe waste elimination in aperspective of sustainability for the complete integration in the local scenario.3 Research of dynamics that influences the social psychology, acting on the perception of aliving environment felt as hostile or unpleasant as, i.e. public areas such as waiting rooms,schools, clinics etc.4 Developing models for studying mechanisms that characterize the socio-cultural dynamicsof different rural communities and their needs perceived, thanks to socio-anthropologicalsurveys studying on local behaviour and traditions, for improve at the best the localwellness respecting the local life, traditions, uses.5 Distance learning through an "open access open-door" web site (work in progress) basedon an "interactive course" .This “evolution” of project , thanks to creation of a network ofeducation centres linked together and connected to the web platform of MobileDiagnosis®Network for sharing of data, images and texts for education, and an open-source trainingcentre, with an images library and an interactive school. will be possible access to this"school" from the educational page of MobileDiagnosis® website.6 Promoting cultural exchanges and social engagement in different sectors by developing ofrunning workshops for local development workers : farmers ,carpenters, plumbers,seamstresses, cooks, knowledge of food hygiene, enhancing the craft traditions, andenabling the development of the small businesses.
Experience with a NobelIn 2010 Livia went as volunteer in Bangladesh, upon Prof. Muhammad Yunus’ invitation,teaching and applying mobilediagnosis, linking centers in rural areas of Bangladesh and theheadquarters in Dhaka. In Bangladesh she lived in rural centers (Tangail and Comilla). Forseveral weeks, she taught and worked with students all day long, from early morning tosunset. In Grameen Foundations health centers,she organized a “school “ of lowcosttelepathology and basic telemedicine, based only on the local minimal equipment andavailable cellphones. 16 lab technicians of 16 different rural health centers where involved.She taught the use of the microscope; theory and practice of laboratory techniques and basicparasitology, urine analysis, hematology and stool sample examination, as well as capturingand sending images from microscopical fields, and differential diagnosis and logic clinic.
Clinical ApplicationsDuring the permanence in Grameen Livia also taught to six medical doctors (about logicclinic, differential diagnosis, primary health care and transmission of ultrasound images withthe mobile-phone) from 6 different health centers.In the second phase of Grameen experience, the validity of the Method was confirmed,thanks to experimental work Livia did in Dhaka at the central Grameen office. The resultswere made possible by remote diagnosis through images sent by the previously trained lab-technicians.http://www.springerlink.com/content/a328n117r7775322http://www.slideshare.net/livia_bellina/101115-berlino-windowhttp://www.mobilediagnosis.net/multimedia.php?section=brochurehttps://picasaweb.google.com/107116750892549449944
Using the Mobile as educational-interactive tool: a new,unconventional, method. All MD students learned immediately and easily. Livia used her Method also with illiterates and all of them learned to take and send diagnostic images. This Method could be an useful tool in all the situations where the students are fragile subjects and/or with learning problems or communication difficulties. Thanks to the feedback of her "students“ Livia understood that all people were learning using this new Method, casually born, based on mobile use, mental maps and interactive session during the lessons "on the field”: a new method created day by day. The psychological basis of these surprising results are the subject of a scientific article (on course of application for publishing). http://www.liebertonline.com/doi/abs/10.1089/tmj.2011.9976
Social RelevanceIn In Paediatric Hospital of Herat the method proved its potential as tool for bridging sociocultural gap and permit Care and Education to Afghanistan Woman, in a context, were womenaccess to a male dominated health system is restrained; two women with no education or labexperience learned in a few minutes, driven by the curiosity caused by seeing Dr. Bellinaworking, to take pictures from a microscope with a mobile phone.https://plus.google.com/photos/107116750892549449944/albums/https://plus.google.com/photos/107116750892549449944/albums/5637696535215645313http://www.youtube.com/watch?v=vvRok5QvO60http://www.liebertonline.com/doi/abs/10.1089/tmj.2011.9976http://www.springerlink.com/content/a328n117r7775322*Bellina, L,.Missoni, E. Mobile Diagnosis: Bridging Sociocultural Gaps and Empowering Women Telemedicine and e-HealthNovember 2011, 17(9): 750-750. doi:10.1089/tmj.2011.9976.
Awards, Credits, Qualification, Affiliation, Membership , Partnerships2010 - WHO published MobileDiagnosis on the Compendium of Innovative Technologiesaddress to Global Health2011 - Rockefeller pubished MobileDiagnosis in their site as "philanthropic project"2011 - GHWF Alliance admitted MobileDiagnosis as members:2011 - M-Health Alliance member:2012 - Ashoka Global health Innovator group2012 - The Rotary Inner Wheel, Palermo Centro, jointed with University Academic BoardConferred to Livia the award “Premio Rosario La Duca, a life for Palermo”, for commitmentand work made with MobileDiagnosis on the fields in Developing CountriesPress:https://plus.google.com/u/0/photos/107116750892549449944/albums/5729415634620458209http://www.who.int/medical_devices/innovation/new_emerging_tech_10final.pdfhttp://www.bellagioinitiative.org/innovations/mobile-diagnosis-mobile-project/http://www.who.int/workforcealliance/members_partners/member_list/mobilediagnosis/en/index.htmlhttp://mhealthalliance.org/join-us/members
AcknowledgementsWe wish to thank all the students, the health workers, communities, local colleagues, the patients and all childrenand the other people who made this study possible, including supporting our field work in Uganda, Banglades andAfghanistan. In particular, in Bangladesh professor Muhammad Yunus, for his invitation to collaborate, greatavailability, courtesy and personal support; the management and staff of Grameen Kalyan, the St.Vincent hospitaland the Italian Pontificio Istituto Missioni Estere (PIME). For the work in Uganda the Corti Foundation and themanagement and staff of the St.Mary Lacor Hospital in Gulu. Finally, in Afghanistan staff and management of boththe General and the Paediatric Hospital in Herat, as well as the Italian NGO AISPO (Association Italiana per laSolidarietà tra i Popoli). For Madagascar the Salesians Mission and Bishop Saro Vella, Bartolo Salvo, Maurizio Rossibrother Nerina all Missionaries and seminarians in Tulear. The friends of Verona Negrar, Florence Careggi, ISS,MEMP that permitted me to become that I am. Lastly, I wish to thanks for the great patience and continoussupport Eduardo, my sons Vincenzo and Giorgio Prestigiacomo and my Family, my sister Ornella Bellina fordistance consulence, and my friend Riccardo Carrabino that believed in me, Sandro Calvani (Director ARCMDGs)that believed in me , supported me and gave me his trust, Faiz Shah, for his great friendship and trust and myyoung friends of MDCTMDCTeam : Giovanni Azzolina, Chiara Consiglio, Francesco Consiglio, Giulia Delia, Nadia La Chiusa, AnnalisaMaggio, Roberto Ingrassia, Domenico Scarpinato, Fabrizio Vitrano hoping that this list could grow more and more.