Bangladesh

In March 2016, Satmed deployed VSATs on floating hospital ships to provide healthcare services to the 'Char dwellers' on sediment islands in the rivers of Bangladesh. Three ships belonging to NGO, Friendship were equipped – Lifebuoy Friendship Hospital, Emirates Friendship Hospital, and Rongdhonu Friendship Hospital (formerly Rainbow Warrior II).

Connectivity by satellite (otherwise unavailable to the islands) enables staff to share medical records across the three hospital ships, to synchronise information at the headquarters in Dhaka, and to use Satmed's e-learning tools in the Friendship teaching centre.^[14][15]

Benin

Deployed in June 2015, the Satmed platform at Maternité Hospital built in by Fondation Follereau Luxembourg (FFL) in the village of Ahozonnoude, Benin provides communications between the maternity hospital in Ahozonnoude, the hospital in capital Cotonou and a third hospital unit in Allada. For remote consultation and monitoring - the only effective communication link between the three units, since the routes are often inaccessible due to flooding during the rainy season. Satmed can also deliver remote online training, enabling midwives and health workers to have their performance monitored and evaluated to improve healthcare standards. FFL intends to expand the platform to other health centres in the region to create a network for sharing medical information and expertise.^[16][17][18]

In June 2016, a second Satmed platform was deployed at Centre de Dépistage et de traitement de l’Ulcère de Buruli in Allada, Benin, for FFL to provide communications with doctors and medical experts around the world, access online training tools, establish video conferencing, data collection and analysis, and raise awareness of tropical diseases.^[19]

Eritrea

The NGO, Archemed – Doctors for Children in Need, based in Möhnesee, Germany. has been active in Eritrea for over ten years providing visiting teams of doctors, nurses and technicians coordinated by permanent local project partners, with a focus on child health and training of students and medical staff. Satmed has been deployed in the Asmara Medical School and Orotta Referral Hospital (both in the capital city Asmara and the only institutes of advanced secondary and tertiary care in Eritrea) and in provincial hospitals in Keren and Barentu.

The Satmed system is primarily used for teaching students (with a focus on mother-child care), to provide a 'virtual clinic' to connect local and Archemed doctors in Asmara and the provinces, with hands-on consultations and training in surgery (including cardiac surgery) intensive care, oncology, infectious diseases, etc., and for archiving and sharing medical images for pathology across the organisation.^[20][21]

Niger

In April 2016, the Satmed platform was deployed at the CURE Hôpital des Enfants au Niger in Niamey, Niger, which specialises in the care of children with surgically correctable conditions, and has 70 staff each year providing nearly 2,000 consultations (at the hospital and in mobile clinics) and around 700 surgeries, with patients from throughout Niger and neighbouring West African countries such as Mali, Nigeria, and Burkina Faso.^[22]

The biggest challenge facing CURE in Niger is the lack of infrastructure, and without reliable electricity, internet connection and water, access to healthcare throughout the country remains very limited. The Satmed system provides communication between CURE Niger staff and national and international doctors to receive medical counselling, remote diagnosis of patients by experts across the World, online training for doctors and nurses to improve their knowledge, and easy access to necessary information via the internet, enhancing the healthcare provided to rural and remote regions in Niger.^[23][24]

Philippines

Opened in 2005, in conjunction with German Doctors, the Buda Community Healthcare Centre on the island of Mindanao in The Philippines is the only medical point of contact for more than 200,000 people living in remote villages within 100 km of the centre. Satmed has been deployed at the centre as a mobile health information management system to collect and analyse patient data. The initial focus is on using Satmed to support rolling clinics - medical teams visit local villages on a regular basis to treat patients on-site and to offer prevention measures and health monitoring. Portable devices such as tablets are used to collect patient data, which is then processed, aggregated and synchronised on Satmed's cloud platform. Satmed also provides communication with doctors and medical experts around the world via video conferencing, and training of local medical professionals. In addition, Satmed's text messaging facility allows doctors to keep tabs on large group of patients living in remote villages whose main form of contact with the outside world is via mobile phones.^[25][26][27]

Sierra Leone

During the Ebola outbreak in West Africa in 2014, Satmed, in conjunction with German Doctors brought internet access to the Outpatient Clinic of Serabu Hospital in Bo District in Sierra Leone. The hospital provides health services to six chiefdoms with an estimated population of 60,000-70,000 and the clinic sees approximately 100 patients per day but is geographically isolated with no access to higher level secondary care. Satmed enabled the community to stay in contact with the medical staff, to gather data about the disease spread, to implement prevention measures, and to provide e-learning teaching sessions and remote consultancy.^[8][3][28]