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Hello @Bettina Fliegel and @Kate Rushton - thank you so much for your comments and questions!With regard to your questions, Bettina, to set the context a bit better, our organization is called Wuqu' Kawoq | Maya Health Alliance, and we are a global health NGO based out of Guatemala, serving more than 20,000 patients in the fields of primary care, chronic disease such as diabetes, women's health, nutrition, and complex care. Long term follow up care is provided principally through local midwives, however, if a patient's case is complicated our nurses provide additionalcare as needed. With regard to the smartphones, we developed an application that aids midwives during a pre and postnatal consultations - many of these midwives cannot read, so the app was developed to speak to them and guide them through each phase of the consult, all in their native language of Kaqchikel. Within the app, the midwives take photos of the patient's blood pressure and doppler readings, all of which get sent in real time to our staff. If a complication is found during consult, or if an emergency arises during birth, the midwives contact our on-call staff, who coordinate emergency transport to a local hospital accompanied by our care navigators. Thank you for the links to these other ideas, I will check them out!Kate, I hope to have answered your question about long term follow up above, but if there is more I can clarify, I am happy to add more! In the future we hope to expand this program to serve more women and work with more midwives, and we are always looking to build upon our existing infrastructure for quality improvement and future projects.
Many thanks again to you both for your comments!