18 results · grouped by type
eSanjeevaniIndia's national telemedicine service connecting patients and rural clinics to doctors and specialists.Salud a su Casa / Territorios Saludables (community primary health care in Bogotá)Primary health care strategy of Bogotá's district government: territorial teams (doctors, nurses, public health technicians and community health workers) that visited, house by house, families in areas of high social fragility. It was born in 2004 as 'Salud a su Casa' and was expanded in 2012-2016 as 'Territorios Saludables' (1,000-1,005 microterritories of ~800 families, ~8,000 workers, reported coverage of 2.9-3.7 million people). Published ecological evaluations associate the strategy with reductions in infant mortality and in child health inequalities across localities. It was dismantled starting January 31, 2016 by the Peñalosa administration, which cited high cost, a weak information system and results that could not be demonstrated.DIADA project: integrated detection and care for depression and alcohol use in primary careTechnology-supported care model to integrate mental health into Colombian primary care, developed by the Pontificia Universidad Javeriana with the Geisel School of Medicine at Dartmouth and funded by the NIMH (award 1U19MH109988). It combines electronic screening kiosks in waiting rooms with clinical decision support tools on tablets so that general practitioners can detect and treat depression and risky alcohol use. It was implemented between February 2018 and March 2020 at six sites: Bogotá, Santa Rosa de Viterbo and Duitama (Boyacá), Guasca and Soacha (Cundinamarca) and Armero-Guayabal (Tolima), including rural primary-level centers.Comprehensive Health Care Model (MIAS) Guainía pilot: intercultural health for dispersed territoriesFirst national pilot of the MIAS (2016-2023), designed by the Ministry of Health with support from the IDB for the department of Guainía (Amazon region, ~41,000-50,000 inhabitants, 85% indigenous, 0.54 inhabitants/km2). A single insurer (Coosalud EPS, Decree 2561 of 2014) and the Manuel Elkin Patarroyo Hospital in Inírida operated an intercultural primary care model: health posts staffed with indigenous personnel, integration of traditional healers and midwives, river-based outreach teams and expanded insurance coverage. Evaluations record improvements in morbidity and mortality, coverage and access to specialists, along with persistent gaps (payment to traditional knowledge holders never resolved, river logistics for medicines, telemedicine limited by connectivity). Coosalud withdrew on October 31, 2023 and Nueva EPS took over the population on November 1, 2023, closing the pilot cycle as designed.Bive (Fundación Vive con Bienestar): low-cost membership for rural health accessSocial enterprise founded in 2012 in Manizales (Coffee Axis) that connects rural and low-income families with a network of 250-400 private health providers through a low-cost annual membership: discounts of up to 50-70% and faster care compared with the 2-3 months of the traditional system. Since 2015 it has worked with coffee cooperatives and reports more than 32,000 users (90% from rural communities) and 150,000 beneficiaries of social health projects (cervical cancer and HPV screening, training of youth health leaders, community telepharmacy and the Bive Previene program with a georeferenced platform for vector-borne diseases). Ongoing programs with coffee grower cooperatives (e.g. 'Mujer Bive tu salud' with the Cooperativa de Caficultores de Aguadas).Home-Based Newborn Care (SEARCH Gadchiroli)Home-based newborn care model created by SEARCH in the tribal district of Gadchiroli, Maharashtra. Trained community health workers (arogyadoots) make home visits to care for the newborn, manage neonatal sepsis and educate mothers. The field trial published in The Lancet (Bang et al. 1999) covered 1993-1998 and showed a ~62% reduction in neonatal mortality; the ten-year follow-up (1993-2003) confirmed the effect. The Government of India adopted it as the basis of the national HBNC program (2011) and WHO/UNICEF took it to other low- and middle-income countries.