2013年，有四千名儿童在马拉维的五岁生日之前死亡。超过一半的死亡是由疾病（败血症，脑膜炎，肺炎和腹泻）引起的可预防和可治疗的早期认可和干预。
在马拉维的初级健康水平上没有系统的分类时，一个普遍的挑战是缺乏对紧急转诊医院的早期和准确认识的严重疾病。以先到先得的方式看到患者。由于数百名儿童队列数小时，因此经常错过严重的疾病。许多人无法在等待中幸存下来。
The launch of Action Meningitis
动作脑膜炎于2012年10月发起，旨在通过将分诊引入初级诊所来解决马拉维的高婴儿死亡率。该项目由十年的临床研究和与卫生部和其他合作伙伴紧密合作的基础：马拉维利维尔 - 韦尔康信托基金，伊丽莎白女王伊丽莎白中央医院和D-Tree International，该项目成功地整合了MHealth Point Point Point Point Triage Triage一级系统。
Using the WHO Emergency Triage Assessment and Treatment (ETAT) protocol, healthcare workers (health surveillance assistants) are enabled to detect vital signs of severe illness.
ETAT通过改进护理和资源的优先级排序来补充现有协议，并加强整体医疗保健系统。由于诊所的拥挤和缺乏训练有素的医护人员的人满为患，他们将受到儿童的关注和治疗。
为医疗工作人员介绍移动应用程序
一百九十二名医护人员已经接受了使用MHealth工具 - 手机在八个诊所中使用ETAT的培训。通过他们的分子在两年内分配给了220,000名儿童。
Patient flows in clinics have radically improved, enabling swifter treatment of sick children or referral to hospital. Qualitative and quantitative methods of data collection were used in baseline and end line studies to examine changes in clinic practice and knowledge among healthcare workers.
Quality of triage in all primary centres remained high (average 92.2 ±7.08% agreement with ETAT clinicians who re-examined the children). Frequent monitoring visits show there is good patient flow within clinics and that patients are being seen in order of priority.
Mobile phones are an important tool, ensuring that healthcare workers stick to protocol, acting as a prompt to identify severely ill children. Triage is quick on the phones, taking less than a minute to assess each child. On the few occasions when phones were unavailable (for example during use in training sessions), the healthcare workers still continued to apply the skills they had learnt and triage children in the queue without the phones.
改善MHealth的诊所经验
诊所的等待时间仍然令人鼓舞，以引入根据疾病严重性优先考虑的系统。在紧急情况下（9分钟）的平均时间比优先级（28分钟），排队病例（31分钟）的时间平均要短得多（9分钟）。
现在将MHealth分类方案集成到三个农村初级卫生中心和地区医院儿童卫生系统（以前不存在）中。Chikhwawa区与繁忙的Urban Blantyre有很大的不同，这反映在参加诊所的儿童人数中：平均每周在Chikhwawa和Blantyre每周分别为94和395分。
MHealth的未来
Better recognition, treatment, and referral of severely ill children at primary level is a key priority for reducing child mortality. The next step is to develop a scalable solution that can be adopted across the primary setting, and current partners are working closely with local, regional and national-level Ministry of Health to develop, refine, embed and extend the reach of the triage system.
Chris Head, Chief Executive of Meningitis Research Foundation says:
“We are committed to working with our partners and the Ministry of Health in Malawi during the next three years to optimize the triage system so that it is fully appropriate for the primary level cadre staff, systems and resources (ETAT was originally designed and developed in Malawi for the tertiary setting).
在Chipatala机器人分流系统成功的基础上，我们将进一步扩展 - 在11个卫生中心培训了另外440个HCW，他们将在未来三年内将384,000名儿童分类。我们为马拉维的卫生工作者提供的分类系统以及我们提供的培训意味着，患病的孩子会很快看到和治疗，我们希望挽救无数的生命。”
Meningitis Research Foundation无脑膜炎和世界的愿景是一个9月icaemia. Their expertise has already helped save thousands of lives in the UK since it was formed in 1989 and they are now sharing that expertise in Malawi. Meningitis Research Foundation has invested £700k into research in Malawi since 2001.
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