What is the name of your organization?
MMANGO A Nonprofit Corporation
What is the name of your solution?
MotoMeds Healthline
Provide a one-line summary or tagline for your solution.
MotoMeds is a telemedicine and medication delivery service that improves early access to high-quality pediatric care in resource-challenged settings.
In what city, town, or region is your solution team headquartered?
Gainesville, FL, (USA). Primary country of operations is Haiti.
In what country is your solution team headquartered?
USA
What type of organization is your solution team?
Nonprofit
Film your elevator pitch.
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What specific problem are you solving?
Our solution targets high rates of childhood mortality caused by inadequate access to primary healthcare in resource-challenged settings. In 2023, 4.8 million children <5yrs died. Many of these deaths were preventable had there been early access to evidence-based medical guidance.
Globally, the under 5 mortality (U5M) rate is 37/1,000 live births. However, there is significant disparity between countries: low-income countries have an U5M rate of 62 compared to 5 in high-income countries.
The three most common causes of death in children between 1 month to 5 years are malaria, acute respiratory illness, and diarrheal disease. Early treatment with anti-malarial medications, oral antibiotics, and rehydration solution can reduce mortality by 99.7%, 32%, and 93% respectively. However, families face significant barriers to accessing timely care, including isolation by geography, poverty, and time of presentation (night). When families cannot access care, illnesses that could be treated with simple low-cost and effective solutions can escalate into emergencies that require more complex and expensive care.
We are building, evaluating, and scaling MotoMeds in Haiti as a proof of concept for a more global mission. In Haiti the U5M rate is 55. Only 23% of the urban population and 5% of the rural population has access to high-quality primary care.
What is your solution?
MotoMeds is a pediatric telemedicine and medication delivery service. This innovative and cost-effective healthcare delivery model enables families to bypass access barriers, receive proven treatments, and avoid expensive and resource intensive emergency care.
The TMDS workflow is as follows. (i) A parent contacts the MotoMeds call center and is connected to a provider. (ii) The provider uses an electronic clinical decision support tool that our team created (https://www.youtube.com/watch?v=AwYxQYiJKzs&t=2s) based off of World Health Organization (WHO) Integrated Management of Childhood Illness guidelines to gather demographic and clinical information about the sick child, and generate a treatment plan. Treatment plans include a triage classification (mild, moderate, or severe), treatment location (hospital or home), recommended medications and/or fluids, and follow-up care advice. (iii) Severe cases are referred to emergency services. (iv) Among children who reside within a delivery zone, those with higher clinical uncertainty are offered an in-person household exam with delivery and patients with low clinical uncertainty are offered medications/fluids delivery. Children who reside outside of a delivery zone are provided advice alone. (v) All patients receive a 10-day follow-up call to ascertain the child’s condition and feedback on the service.
Who does your solution serve, and in what ways will the solution impact their lives?
Our solution serves families with children who are acutely ill from common childhood illnesses, including febrile, respiratory, gastrointestinal, urologic, and dermatologic syndromes. MotoMeds has provided services across rural, semi-urban, and urban areas of Haiti for over five years. The TMDS focuses on children under 10 years of age during the nighttime hours (6pm- 5AM) when daytime services are closed. The primary delivery zone is in and around the Southern city of Les Cayes which is the nation's third largest city. We specifically chose to pilot the TMDS model at night, as no pre-emergency options exist for this population when daytime services are closed. MotoMeds impacts families in four key ways:
1) Early access. It enables families to address pediatric healthcare needs early when they can be treated with affordable solutions.
2) Prevention. It prevents common childhood illnesses from transitioning into emergent conditions.
3) Family engagement. Telemedicine demands active engagement in the virtual exams which generates education opportunities.
4) Accessibility. It delivers care directly at home, eliminating transportation barriers that commonly prevent care seeking.
