MobileDiagnosis® Project : Educating, Connecting,

Networking

TeleMediCare 2014

Tele-Medicine & Tele-Care

IV - International Conference and Exposition VIII -

Convegno Nazionale (Italian National Workshop)

I am livia

I was a baby , a normal baby

I went to schoolThe world was in my hands

I became a doctor, a researcher, a pathologist

I got married

I had my children

the woman who I am ,a woman,a wife, a mother and a medical doctor, with my life, my family, my children : a normal life

I became livia

I was medical doctor in Lampedusa Island

There are many things in our life that will catch our eyes , but only a few will catch our heart.Day by day , the days were putting on my eyes, on

my mind and on my hearth a reality that I had never knew, never considered . the migrations

the wars the death the mothers and children refugees the people without a hope

the human rights Suddenly all the fears of those people,

worries, anxieties, the their pain became of mine. I had the compassion , the commitment, the feeling for those world so

far but near, so near…

chapter 1 : emergency

Lampedusa, 2008 for the urgent need to confirm a diagnosis of malaria from a blood sample of an African immigrantI took a picture of the microscopic field using the camera incorporated in my cheap mobile-phone, and sent it via MMS for tele-diagnostic purposes to a reference center.

http://www.slideshare.net/livia_bellina/verona-hetical-and-public-health-concerns

The First Action :Response to an Humanitarian Emergency

http://youtu.be/ox2gwQ1O2QI

After the “Lampedusa experience” we showed that m-phones can be easily used without any adaptor to take images from the microscope and send them for remote reference.

Chapter 2 The decision to sharing my workThe paththe studiesThe meeting with Eduardo Missoni the first network of friendsThe Association MobileDiagnosisMobileDiagnosisCreative TeamThe future : the incubator of ideas

The path

Advanced Course in “Basic laboratory for tropical disease and health cooperation”, Verona Negrar Hospital - Dr. Zeno Bisoffi

Advanced Course in “Tropical Medicine and Health Cooperation” Florence Careggi University - Pro f. Alessandro Bartoloni

Course in “Management of transmissible disease in sub saharianan Africa”, at Pemba (Zanzibar De Carneri Foundation

Master of Medicine of Poverty Emargination and Migration 5° MEMP of Caritas –Rome Idente Foundation . and more

In each courses where I was attending , the professors, interested to my work, gave to me their availability to be consultant friendsWas borning the network of MobileDiagnosis…..

This described Method has been filed for patent in April 2008, with the sole purpose to protecting the idea from commercialization and consent its free use and dissemination.

The Meeting with Eduardo MissoniIn 2009 I met Eduardo Missoni. He immediately understood the relevance of the Method, and after only two months we published the method it together in Diagnostic Pathology, an internationalopen access scientific journal. It was the beginningof their collaboration, based on common vision and goals

MobileDiagnosis®, the Association No ProfitIn 2010 Livia, Eduardo, Giorgio and Vincenzo Prestigiacomo (Livia’s sons) founded MobileDiagnosis® a Non Profit Association to advocate the global access to care and to education. http://www.mobilediagnosis.net

MobileDiagnosis® Creative Team In 2010 was set up a team of young professionals in web design, architecture, design, engineering, project specialists, which assemble cooperate with freelancers to promote MobileDiagnosis®. The team works to for increasing the visibility of MD and for the development of new methods of remote training and innovative technological solutions for helping the rural communities in a 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, Ilenia Nucatola, Giorgio Prestigiacomo and Emilio Anzon and Francesco Picone and more ….

MobileDiagnosisCreative Team

Chapter three : my experience with a Nobel :Professor Muhammad Yunus

“Dear Professor Yunus ….”

During the writing of the first paper on the method (published with Eduardo Missoni on Diagnostic Pathology - free access ) I have seen one phrase of professor Muhammad Yunus. If to a poor woman in a poor village you giv a mobile…I loved this man and its words, so a summer Sunday , I wrote to him…..

two days later

After 2 days I received this answer….

mohamed yunus A: Livia Bellina Cc: Imamus Sultan, Lamiya MorshedAugust 26, 2009Dear Dr. Bellina :

I am very much interested in your methods. We are now focusing in building a healthcare system for the rural areas of Bangladesh. Your methods will be very helpful to us.Please let us know how take the next step.Warm regards.

Yunus I went to Bangladesh

I remember still the great emotion that I had for Prof.Yunus invitation . I believe that this emotion have been one the biggest emotions of my life . I went to Bangladesh, and I introduced also my son to Professor Yunus, an extraordinary man . Several and several time He spent its time with me , also with my son, playing and conversating in very friendly way.

In 2010 I went as volunteer in Bangladesh, upon Prof. Muhammad Yunus’ invitation, teaching and applying MobileDiagnosis, linking the health centers in rural areas of Bangladesh to the headquarters in Dhaka.

I lived in rural centers (Tangail and Comilla). For several weeks, I taught and worked with the students all day long, from early morning to sunset. In Grameen Foundation's health centers, he organized a “school “ of lowcost telepathology and basic telemedicine, based only on the local minimal equipment and available cellphones.

I have been part of Grameen Family and Yunus Center in DhaKa

I experimented on the ground my method

Professor Yunus introduced me in public way , at the first SB day,during a world connection

After that

I went on the field, sharing and teaching

Working together we obtained extraordinary results

We became member of WHO Global Work Force Alliance

2011 - WHO published MobileDiagnosis on the Compendium of Innovative Technologies address to Global Health2011 - Rockefeller published MobileDiagnosis in their site as “Philanthropic project” 2011 - GHWF Alliance admitted MobileDiagnosis as members2011 - M-Health Alliance member2011 - Ashoka Global health Innovator group and

one of 11 innovator of 20112012 - The Rotary Inner Wheel, Palermo Centro, jointed with University Academic Board Conferred to Livia the award “Premio Rosario La Duca, a life for Palermo”, for Humanitarian commitment and work made with MobileDiagnosis on the fields in Developing Countries

How it work

Actors in local actions

Education of thelocal work-forces

Remote Diagnostic Support + E-learning Educating, Connecting.

COMMUNITY HEALTH IMPACT

Thsimbulu-DRC- 2012 :improvement of laboratory quality and better local diagnosis by local work-force educationResult 1 :reduction of the false negatives in parasitological examinations from 55% to zeroResult 2:improvement of TB stain staining with reduction of false neg Result 3 : introduction of the vaginal smears ( and in future the PAP TEST)to prevent cancer of uterus neck in the youth womenhttp://www.slideshare.net/livia_bellina/mobile-diagnosis-in-tshimbulu-rdc-2012Thimbulu –DRC-2013 :Action to prevent death from anemia/malariain the local population .527 Checking of 527 malaria patients cases (October November 2013) thick and thin slides - triple-blind readingManagement of malaria resistant cases : Introduction of the check- exams before and after drugs ingestion, for testing the efficacy of the therapy , in the resistant cases65 Checking and immediate(real time) therapy provision for all of 65 malnourished children living in the malnourished center All children was checked for :malaria/anemia/general conditions/fever/ dermatological lesions /epato-splenomegaly- all received immediate diagnosis and immediate therapy https://plus.google.com/u/0/photos/107116750892549449944/albums/5954327534405985025https://plus.google.com/u/0/photos/107116750892549449944/albums/5948812210026901985

How it work

https://www.youtube.com/watch?v=_751FZ7Ta_U

The flux of information

APPLICATIONS

Medting - the web platform

Education

Thanks to the observation of easily and quickly learning by illiterate subjects(Dinajpur, Bangladesh 2011) and by vulnerable women living in isolated and difficult contexts (Herat, Afghanistan, 2011) we started to study the psychological relationships between m-phone use in teaching and learning mechanisms

This educative method is based on three elements plus one: 1 )Interactive-creative two phase approach to the students. 2 )Interactive-creative lessons, based on logic , algorithms and use of mobile.

3) On the job lessons and use of mobile phone as didactic tool for practical learning. M-phone impact on practical training: role of m-phone as part of the educative method for training local health workers of rural areas of developing countries DOI 10.1007/s12553-013-0073-4

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.

This new method, casually born, is 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

Using the Mobile as educational-interactive tool: a

new, unconventional, method.

https://www.youtube.com/watch?v=vvRok5QvO60

Mobile Diagnosis: Bridging Sociocultural Gaps and Empowering WomenLivia Bellina and Eduardo Missoni Telemedicine and e-Health. November 2011, Vol. 17, No. 9: 750-750 DOI : 10.1089/tmj.2011.9976

The new method was showing a strong power in educating the low skill health workers and also the non educated people.

A new way for comunicating

Analysis Development The social and economic impact

THE PROJECT : TO IMPROVE THE LOCAL COMMUNITIES BY EDUCATING AND CONNECTING THE PEOPLE

In the World

•The people living in rural setting of developing countries , after having studied , goes away, for look a better life out of their country

•A billion people never see a health worker in their whole lives *

* GHWFA

Health workers are the heart and soul of health systems. And yet, the world is faced with a chronic shortage - an estimated 4.2 million health workers are needed to bridge the gap, with 1.5 million needed in Africa alone. The critical shortage is recognized as one of the most fundamental constraints to achieving progress on health and reaching health and development goals. GHWFA

And there is where MobileDiagnosis makes a great difference by adding a successful technological innovation to fill the gap left by the shortage of health workers and/or by difficult access to clinical laboratories for diagnosis.

Evolution

Developing Projects: Innovation by appropriate , frugal technology. Developing models for studying mechanisms that characterize the socio-cultural dynamics of different rural communities and their needs perceived, thanks to socio-anthropological surveys studying on local behaviour and traditions, for improve at the best the local wellness respecting the local life, traditions, uses.

Developing Projects:

m-education and distance learning Distance learning through an "open access open-door" web site (work in progress) based on an "interactive course" .This “evolution” of project , thanks to creation of a network of education 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 training centre, with an images library and an interactive school. will be possible access to this "school" from the educational page of MobileDiagnosis® website

Expand the area of actionRemote support for a better diagnosis

Developing Projects: Innovation by appropriate , frugal technology: MD RURAL CLINICDesign and development of innovative, unconventional prototypes of modular health and education centers, thanks to research of new solutions, focused on environment respect and autonomous generation of clean energy, sanitized water, and safe waste elimination in a perspective of sustainability for the complete integration in the local scenario.

FUTURE PROJECT : IMAGES DETECTION Thanks to a personal images database work to create an App for m-phonefor the parasyte images identification

MOBILEDIAGNOSIS MODEL

FOR RURAL DEVELOPMENT