Masimo, Last Mile Health and Opio Uganda Team (OUT) will launch five projects in villages, clinics and hospitals in Liberia and Uganda that increase access to anemia screening, intervention and education.
In Grand Gedeh, Liberia, Masimo and LMH will implement three projects, one in each of the following locations: (1) in Konobo District villages where anemia screening will occur for the first time, (2) at Konobo Health Center (MOH clinic serving 33,000); and 3) at Martha Tubman Memorial Hospital clinic, (MOH referral hospital serving 160,000).
In Uganda, Masimo and OUT will implement two projects, one in each of the following locations: (1) PPH screening at the Tororo Hospital clinic and Tororo remote villages, targeting 1000 pregnant women and (2) in the Nebbi district Packwach IV clinic (serving 26,000 people), screening mothers and children.
In each of these projects, Frontline health workers (FHWs) and medical outreach teams will identify children and mothers at risk for chronic anemia and post-partum hemorrhage. The FHWs will be employed and empowered by LMH and OUT to monitor anemia, routinely administer iron supplements and organize referrals as necessary, while nurses and physician assistants will be trained to do routine anemia screening.
Over two years, Masimo, TH and OUT will demonstrate the impact of non-invasive hemoglobin testing at the community, clinic and hospital levels, create project packages, best practices and tools that can be used at other institutions, MOHs and global health organizations to facilitate non-invasive anemia screening globally.
Masimo will provide equipment, remote project management, educational materials, study design, partners for iron supplements and pharmaceuticals. Total value = $550,000 USD.
LMH and OUT will provide in-country teams, vehicles, program integration into existing community services, materials deliver, local FHW recruitment, treatment, referral, transportation, anemia treatment services, data collection, and training guidance. TH will also provide a network to MOH and supplement suppliers, plus $150,000 USD in operational funding.
Phase 1: Mobilize Resources & Establish Ability to Implement Routine Anemia Screening, Education and Supplementation (October 2012-March 2013)
Includes baseline survey, data collection of maternal and child mortality rates, access to care, current screening practices, % without access to screening, and population data collection for the districts in Liberia and Uganda; engagement of FHW, training development and implementation; testing kits, supplies, iron supplements and pharmaceuticals procurement and initial anemia screening.
Phase II: Measurement of Sustainability of Screening (April 2013- September 2013)
Includes supervision, mentorship and support of FHW and teams providing the screening, treatment and referral, ensuring ongoing proper use of tools; data collection of the baseline data metrics with focus on the % increase of anemia screening and proactive iron supplementation; LMH and OUT will strengthen the health system and rural health workforce through employment of FHW and education of existing providers.
Phase III: Measurement of compliance to education and supplementation (October 2013 - March 2014)
Includes assessment of the repeat behavior and demand by FHW, participants and institutions for anemia screening, supervision, mentorship and support of FHWs ensuring ongoing use; measurement of proportional increase to baseline of anemia screening and continued support to the MOH to strengthen health systems through employment of the rural workforce and support of existing FHWs.
Phase IV: Identification of health and wellness impact and long-term sustainability (April 2014 - September 2014)
Includes assessment of participant, institutions and FHWs demand for anemia screening, compilation of baseline and ongoing data collection for review by MOHs and global health organizations for consideration of global health impact, formalization of recommended anemia management project packages including guidance on best practices and tools for global community roll-out; includes continuity of the ongoing support and screening at the community projects in progress in Uganda and Liberia.
Additional partnerships will be formalized over the course of the commitment. Masimo is currently working with Global Alliance for Improved Nutrition (GAIN) and Management Sciences for Health (MSH) to expand the commitment to additional countries and communities to reduce maternal mortality and global anemia by providing noninvasive hemoglobin testing alongside treatment and education.
Anemia affects one quarter of the world's population with women and children under five at the highest risk of suffering from chronic anemia. Chronically anemic children may have stunted growth and poor neurologic development. In the setting of severe malaria, already low levels of hemoglobin contribute to an epidemic that kills nearly 500,000 African children every year (World Health Organization, 2011).
Every 90 seconds, a woman dies from complications related to pregnancy or childbirth in the developing world (World Health Organization, 2008). In Africa and Asia, 30% of these deaths are attributable to significant bleeding after pregnancy, called post-partum hemorrhage (PPH) (ibid). With already low levels of hemoglobin, women who experience PPH are at significant risk of death.
Testing for anemia is often not performed because it requires an invasive blood draw and laboratory analysis, which is often not available, or too expensive. The introduction of this non-invasive hemoglobin testing in these settings has significant potential to dramatically impact maternal and child health outcomes.
Masimo, the California-based leading global supplier of pulse oximetry, recognized the important application of its noninvasive hemoglobin testing device, Pronto® Pulse CO-Oximeter, to the global challenge of anemia and maternal death. Masimo will partner with Tiyatien Health (TH), a global leader in primary care and community-based rural health delivery in Liberia, and the Opio Uganda Team (OUT), anemia management experts in Uganda.