Pediatric Outreach Telehealth Project

Partnership Objectives

  1. Reduce child and maternal mortality;
  2. Facilitate access to early-treatment;
  3. Raise awareness of prevention methods to combat childhood diseases;
  4. Remove barriers preventing families from seeking medical care.

The association services are a full part of the local healthcare environment. The association services are a full part of the local healthcare environment. Copyright Sanofi

What are the health needs and challenges?

Child mortality is a prevalent problem in Africa where, in most countries, more than 100 children out of a thousand die before their first birthday. In Mali, 1 child out of 5 does not reach the age of 5.

This is not due to major epidemics but, in 70 % of cases, to diseases that can very easily be treated if detected early enough. It is unacceptable since affordable treatment and staff qualified to treat those diseases are available locally.

Malaria, pneumonia and diarrheal diseases together account for 55% of children deaths in Africa (60% in Mali).

Description of partnership activities and how they address needs and challenges

The Sanofi Espoir Foundation has partnered the association Djantoli (formerly Pesinet) which has developed an innovative concept of providing access to primary healthcare for children up to five years old, using mobile and internet technologies. 

For a small monthly fee, families voluntarily enroll their children in a comprehensive health service. Subscribing families benefit from :

  • Regular home visits: a Djantoli agent regularly visits families at their homes to examine children and collect simple health data (weight, fever, signs of cough, number of stools…, etc.) and offer personnalized health and nutrition advice ;
  • Remote medical monitoring : the agent transfers the collected data to the doctor of the nearest health center thanks to a mobile application. Every day, the doctor reviews the data and calls in children at risk ;
  • Family alert : when a child is called in, the agent immediately goes back to the family to warn the mother and ask her to rapidly bring her child to the health center ;
  • Health insurance : when mothers bring their child to the health center, they pay only a fraction of the medical costs ;
  • Educational talks : each month, collective talks are organized on various topics (diarrhea, malaria, breastfeeding, etc.) to raise mothers’ awareness and help them improve their health practices.

A mobile phone application enables community health workers to collect and send data to a database that can be monitored remotely in real-time by the local doctor.

A ‘mutualized’ health insurance system pays for this service. For less than one euro per month, families can afford regular health examinations for their children by the association workers, and free medical consultation in case of anomalies detected remotely by the doctor, together with discounted medicines to treat the child and free follow-up consultations if necessary.

While Djantoli aims to keep the price of the service affordable to low-income families, asking for a financial contribution is key to the success of the project. Not only does it contribute to its financial sustainability, but it engages families in a new way. It encourages them to use the service they paid for, and, as customers, it gives them to right to demand good quality of service.

This project improves health monitoring of children, and educates families about prevention and early care. It is a break away from a free-assistance approach in the healthcare area; free care has shown little impact on mortality rates in the last 20 years.

Lessons learned

Most children and mothers die of benign diseases for which affordable treatment exists. Overall, more than half deaths could be avoided with frequent prevention, efficient detection of abnormalities and provision of adapted basic treatment in time.

By providing non expensive health insurance, which includes prevention, early-detection service and facilitate access to early treatment, childhood mortality is likely to reduce significantly.

The association services are a full part of the local healthcare environment. Djantoli defines itself as a public service partner that strengthens existing public health policies and community structures.

Summary of impact and forward looking information

The service runs in Mali and Burkina Faso. Key achievements include:  

  • 94% satisfaction rate among subscriber families
  • Djantoli subscribers use care resources three times more than the average local children 
  • More than 6,000 children have benefitted from the service
  • 3 500 mothers followed education sessions on health practices
  • 200 000 home-based health check-ups carried out
  • 15 000 children examined by a doctor

 

Videos

Pesinet (EN)

Spot de sensibilisation à destination des mamans

Partnership information

Company(ies) Sanofi

Partner(s) Agence Française de Développement (AFD), Agence Micro Projets, Ashoka, assosciation monidale des amis de l’enfance, BICIM, Caritas, Coordination Sud, Djantoli, Fondation Mérieux, Fondation Orange, Foundation BNP Paribas, Mali Ministry of Health, Medex, One Day’s Wages, Pierre Fabre, PWC, Terre Plural, Terre Plurielle

Type of Partner(s) Government, NGOs, Other Business, PDPs, Professional Associations

Therapeutic Focus Vaccine-Preventable Diseases, Women and Children's Health, Other

Disease(s) Children's Health, General Health, Malnutrition, Pneumonia

Program Type(s) Availability of Treatment - Differential Pricing, Availability of Treatment - Financial Support, Health System Infrastructure - mHealth, Health System Infrastructure - Training, Prevention Programs - Awareness & Outreach

Targeted Population(s) Children, Marginalised / Indigenous People, Mothers, People with low income

Region(s) Sub-Saharan Africa

Number of Countries 2

Country(ies) Burkina Faso, Mali

Start Date 2010

More information Sanofi Espoir Foundation

Anticipated completion date Ongoing

« Ever since I registered my child with Pesinet, he has been less poorly and has had fewer problems with being treated. »

Program participant