GestApp-Fit health app for pregnant mom

At present, the design, development, and digital administration of the processes we generate for pregnant mothers and the postpartum period, is done through our Web platform SIMON (Mission Information System). With this platform, we can identify criteria to improve and quicken the connectivity to ensure easy access. Through this finding, we intend to strengthen the technological procedures utilizing an App via the mentioned web platform, to guarantee in real-time, that priority attention is provided to the mother. Using the identification of medical or psychological risks, activating immediate support networks, georeferencing of users, following-up of the management of activities, attention addresses, and solutions of incidences.

Within the city's public policy, the target audience for intervention is pregnant mothers and those in the postpartum period. However, the concept of health for this population is evaluated on components such as income and use of the health system, nutritional status, and pathologies in general. However physical activity is not considered a preventive method of physical and mental health as a priority factor. Therefore, our preventive management initiative in the face of the problem is aimed at promoting impact alternatives for pregnant mothers and the postpartum period through technology to guarantee in real-time, priority attention to the mother and access to assertive information on disease prevention, mental health and healthy lifestyles as significant elements in the comprehensive protection of early childhood, pregnant mothers and the postpartum period.

Inder as a guarantor of the right to sport, recreation, and physical activity in the city; promotes spaces for the practice of safe and directed physical activity for pregnant mothers and postpartum periods, which are administered through the SIMON Web platform. We intend to strengthen this platform technologically through an articulated App, to guarantee the mother, in real-time, priority attention according to her immediate needs with physical activity as a preventive health system within appropriate terms (frequency, duration, intensity, and adaptation) and general information on the stages of pregnancy and postpartum in which risk factors for her life and that of her baby are present.

To be able to link technology and connectivity to our intervention strategy would generate in pregnant and postpartum women, articulated processes of handling documentation and tools of physical activity. According to the incorporation of actions that allow them to adapt to their new state from the physiological (hormonal, metabolic, respiratory), the physical (cardiovascular and muscular-skeletal), the social (from the emotional bond and the recognition of the baby as a subject with participation), and the mental (acceptance of their process); to create an optimal environment for baby's development, decrease risk factors, increase protective factors.

To all women in a state of gestation or the postpartum period who identify by medical prescription or by their initiative the physical, mental and social well-being generated by the practice of directed physical activity. The habits and healthy lifestyles as significant elements in the integral protection and visualize the importance of keeping informed through relevant, transversal, objective, and innovative concepts and contents of their state.

By identifying findings in the easily accessible connectivity of our SIMON Web platform, today we propose GestApp-Fit; an interactive App that will impact from diagnosis, monitoring, control in real-time to pregnant and postpartum mothers through programmed and safe physical activity, decreasing the risk of disease and increasing the knowledge of healthy lifestyles and habits.

As an innovative approach to generate greater coverage and priority attention to risks identified in the population, we intend to enrich the SIMON web platform through the app, "GestApp-Fit" for the management of general information, diagnostics, intervention, and evaluation; thus strengthening our platform to manage reliable, timely and relevant information, with new trends in physical activity such as (hydro-gymnastics, yoga, pilates, consensual childbirth, musicalized physical activity and prenatal gymnastics in all the communes and townships of the city of Medellín free of charge and regularly.

Activities and Products:

1. YouTube Channel: Channel that will allow users to access different classes (yoga, music activities, Pilates, preparation for childbirth, postpartum recovery, and gymnastics).

2. Live physical activity: Virtual space that makes it possible to bring together different pregnant or postpartum mothers in the groups to take a class with the trainer in the present tense.

3. Tutorial videos: 1-2 minute videos to be sent to WhatsApp groups with physical activity tips.

4. Virtual meetings, knowledge dialogues, and educational talks through different tools such as WhatsApp, teams, zoom. 

Special activities:

Special class "I prepare with love": Perform activities that through physical activity involve the baby's father or another family member in preparing the family for birth, through a live class.

Let's talk about anxiety and pregnancy in the middle of the coronavirus: The idea is to make a live Facebook where the management of anxiety in the confinement by the coronavirus is addressed.

Special Combat Mom Class: Promote healthy living habits through physical activity with an adaptive combat class for expectant mothers.

1. DIAGNOSIS:

*Anamnesis

*Physical tests

*Body composition assessment.

*Psychosocial assessment

*Nutritional value

2. INTERVENTION:

*Interactive sessions.

*Digitized sessions-graphics.

*Challenges of physical activity.

*Educational workshops.

*Events.

*Frequently asked questions

*Interactive chat.

3. EVALUATION:

* Physical and mental evaluation battery.

* User interaction.

* Significant achievements.

* Users served in defined periods.

* Risk levels.

* Impact assessment by the user.

* Family rankings.

Our mission information system structures, designs, develops and manages the entity's information system-SIMON with the commitment to support the activities of the strategy for the management of reliable, timely, and relevant information. The Mission Information System -SIM implemented through the SIMON web application has as its scope the mission activities that require the collection, processing, storage, retrieval, exchange and consultation of information, with internal or external users, in the development of the institutional mission and compliance with the strategic objectives.

Through the strategy of Pregnant Mothers and Postnatal Mothers, the population of the city of Medellin is impacted:

- Acquiring healthy living practices and habits through physical activity

- Reduce the risks of maternal and fetal death and complications. 

- To generate a space of stimulation and participation of the pregnant mother and in the postpartum.

- Identify risk situations that may affect the health of the pregnant mother and the baby

- To provide elements of care and prevention to the mother in her posture and body awareness during the process of gestation, birth, and post-partum.

- Promote healthy lifestyles through activities adapted to the pregnant mother and postpartum (Yoga, Pilates, musical physical activity, meaningful birth, postpartum recovery, and hydro-gymnastics).

Currently, 831 users are attended in person and due to the current situation of the health emergency caused by COVID-19, we have been implementing virtual classes through social networks through which we have impacted more than 800 pregnant women in each session, which are developed in two (2) frequency and with an intensity of 1 hour and 30 minutes.

In one year: 1,100 users in face-to-face classes and virtual classes through social networks 1,000 expectant and postpartum mothers.

With this program, we will be able to increase the number of people served.

In 5 years it is estimated that 5,000 babies and their mothers will benefit from our services.

To impact the quality of life of pregnant and postpartum women through programmed and safe physical activity.

Decrease through the GestApp-Fit application; the risk of illness and death among mothers and newborns in the city of Medellin

Increase impact coverage of pregnant and postpartum women through the GestApp-Fit application.

The economic resources to finance the creation and implementation of the App.

Absence of articulation between public and private entities or sponsorships.

Lack of internet or wifi network connectivity in the users' homes.

The absence of a technological device or equipment (computer) in the user's home.

To manage alliances with national and international entities to reach different sources of financing.

Carry out activities in connectivity spaces in sectors close to users' homes through the digital Medellin network.

The use of mobile devices such as smartphones and iPhone with mobile data are more frequent in the community, therefore the scope of connectivity of the users in the App would be of greater scope.

Government organization

Our solution team consists of:

1 strategy coordinator

15  licensed trainers in physical education.

4 administrative support staff. 

According to the Citizen Perception Survey (EPC), which allows us to gather the voice of citizens about their wellbeing and the satisfaction they have with the goods and services offered by Medellín; El Inder is recognized as one of the most favorable entities due to the credibility of the processes developed within the institution since we are a decentralized entity of the Medellín City Hall, which seeks to improve the quality of life of citizens from all social strata in a free, safe and guided manner by a group of expert professionals.

- Metrosalud with the loan of spaces for the practice of physical activity and the orientation to the mothers so that they link themselves to the program.

- ICBF with “the mothers family” program which carries out accompaniment and support in the process of breastfeeding and orientation to participate in the program.

- Good start with the Family Environment modality; mothers join the program by doing physical activity with us and the educational part with the program.

- Secretary of Education with the protective environment program. A referral is made to the adolescent girls' program at the school stage.

- Institutions providing IPS health services, with referrals to the program.

KEY RESOURCES:

- Staff (teachers) interdisciplinary group

- Materials for the classes.

- Technological resources (projector, internet connection for staff and mothers, various applications). 

PARTNERS AND KEY STAKEHOLDERS

- Mothers and babies

- Health Centers 

KEY ACTIVITIES

- physical exercise

- Hydro-gymnastics

- Yoga

- Pilates

- Respected childbirth

- Musicalized physical activity

- Prenatal Gymnastics

- Special Events 

TYPE OF INTERVENTION

- 1 hour and 30-minute classes twice a week.

- Diagnose and follow up with every pregnant mother.

- Material created with the trainers of the strategy

 CHANNELS

- Facebook Inder Medellin

- Instagram Inder Medellin

- Inder Medellin website

- Constant phone calls.

- You to you, since the inhabitants of the city recognize INDER Medellin

SEGMENT

- The direct beneficiaries are pregnant and postpartum mothers and babies.

- The indirect beneficiaries are the family and its social environment

VALUE PROPOSITION

- Physical activity and birth with meaning for each of the pregnant mothers' homes.

- Better family processes

IMPACT MEASURES

- Compliance with the service in terms of attendance, schedules, and the satisfaction of needs.

- To attend to pregnant and postpartum mothers in the city of Medellín and its townships with a quality service.

- Commitments of the counselor and the user

COST STRUCTURE

- Trainers' fees

- Materials for the class session

INCOMES

- Public, incorporated by the municipality's mayor

“Software Valley” Depends on resources coming from municipal transfers

Because thorough its principles, values, objectives, mission, and vision emphasize concern for the quality of life of pregnant women and high mortality rates through complications of premature birth and multiple post-partum difficulties, in low-income countries and marginalized communities, where obstacles to physical and mental well-being abound. 

We need sources of funding to improve and reach more pregnant and postpartum women, since we are sure that many of them are limited to enter our program because of the lack of resources to reach the point of care or the lack of knowledge or education to what we do from Medellin Inder, also hindering the lack of connectivity with which some users have so they make phone calls seeking not to leave pregnant mothers alone at any time and arriving through different channels of information to provide our service.

We would like to partner with public or private entities that contribute to the growth of the strategy in financial indexes or in population access that help improve the quality of life of pregnant and postpartum women.