Presentation_Jurczynska - Catalyzing Investments in RMNCAH at the Community L...
Innovation and integration dr eric silfen
1. Dr Eric Silfen
Chief Medical Officer, Philips Healthcare
Innovation and Integration:
How mHealth can strengthen the work of community health
workers through public/private partnerships
2. Fabric of Africa
Maternal and child health
• Complications of pregnancy and childbirth contribute to 358,000
maternal deaths annually of which 99% occur in resource-poor
countries; mostly in Sub-Saharan Africa
• Two million cases of obstetrical fistula occur worldwide with
50,000 – 100,000 new cases each year; mostly in Sub-Saharan
Africa and Southeast Asia
• In Africa, newborn mortality is high accounting for 29% of
neonatal deaths globally
• In developing countries, approximately 30 million newborns per
year are affected with intrauterine growth restriction; mostly in
Sub-Saharan Africa and Southeast Asia
3. Addressing clinical challenges
• Education and training of community health workers
• Education of women and their husbands
• Availability of suitable equipment and technologies along with
supporting healthcare infrastructure
• Improve transportation to appropriate healthcare facilities
• Improve nutritional status and environmental conditions for
newborn babies
• Enable rural community outreach and partnerships
Our goal
To strengthen, in a sustainable manner, maternal and child care,
regardless of geographic boundaries, in the communities of Africa
5. The mHealth value proposition
Easy to use, low cost ultrasound integrated with
telecommunications allows community health
workers to improve health outcomes
7. The mHealth value proposition
Ultrasound technology can identify women at high risk of experiencing
obstructed labor and developing fistula, thus creating a powerful
prevention opportunity
A low cost, high-quality, obstetrical ultrasound device accurately measures the
obstetrical conjugate determining if a woman is at high risk for developing birth
trauma
8. Clinical studies
• A strong association between
obstetric fistula and the size of
the obstetric conjugate as
measured by ultrasound
• Women with obstetric fistula are
significantly more likely to have a
small obstetric conjugate when
compared with women who had
normal deliveries
Demographic studies
• 1,480 rural educational activities
• Over 120,000 people reached in
17 counties
• 450 fistula patients found and
counting
• 350 fistula patients repaired and
counting
• 160 women in 5 support groups
9. • Develop new "prescriptive"
standards describing normal fetal
growth, preterm growth and
newborn nutritional status in eight
geographically diverse populations
and relate these standards to
neonatal health risk
• Develop scientifically robust
clinical tools to assess fetal
growth and the nutritional
status of newborn infants, as
adjuncts to the WHO growth
charts for children ages 0 to 5
• Incorporate these tools into
national and international
maternal and neonatal
programs to monitor infant
health and nutrition at a
population level
10. The mHealth value proposition
The accurate use of anthropomorphic and ultrasound measurements
can accurately evaluate fetal growth to ensure optimal nutritional
status and overall health
12. Contact details
Dr Eric Silfen
Philips Healthcare
www.philips.com/healthcare
Chief Medical Officer
Eric.Silfen@philips.com
Imaging The World
http://imagingtheworld.org/
Kristen K DeStigter, MD
Co-founder
Kristen.DeStigter@vtmednet.org
OneByOne (Fightfistula)
http://www.fightfistula.org/
Heidi Breeze-Harris
Co-Founder & Executive Director
heidi@fightfistula.org
InterGrowth 21st
http://www.intergrowth21.org.uk/
Prof Stephen Kennedy
Project Director
stephen.kennedy@obs-gyn.ox.ac
