TY - JOUR T1 - ’Padayon’: a new digital health model for diabetes and hypertension in rural Philippines JF - BMJ Innovations JO - BMJ Innov SP - 43 LP - 48 DO - 10.1136/bmjinnov-2021-000900 VL - 9 IS - 1 AU - John Paluyo AU - Anne Stake AU - Rich Bryson Y1 - 2023/01/01 UR - http://innovations.bmj.com/content/9/1/43.abstract N2 - Summary boxWhat are the new findings?The innovative use of community health teams equipped with ‘offline-first’ mobile health apps enabled the Padayon subscription service to deliver target outputs in terms of patients enrolled, BP and RBS tests provided, and prescribed medicines delivered.The impact of Padayon on patient outcomes also supports the potential of this new digital health model, particularly the improvements in systolic and diastolic BP control for members compared with the baseline.How might it impact on healthcare in the future?Equipping networks of community health workers and members with ‘offline-first’ platforms and mobile health apps can overcome traditional access barriers for non-communicable diseases (NCDs) in low-income and middle-income countries.Integrating coaching, screening and medicines into a simple subscription service delivered by ‘digitised’ community members has the potential to significantly improve health outcomes in low-connectivity, low-resource settings.There is patient willingness to pay for digital subscription services for diabetes and hypertension even in populations on an average daily income of $3–7 per day.Quality health data can be collected through community teams with ‘offline-first’ platforms, enabling remote patient monitoring and analysis for population-level precision healthcare.Non-communicable diseases (NCDs) account for 41 million global deaths every year, equating to 71% of global deaths overall. Of the 41 million deaths, 29 million occur in low-income and middle-income countries (LMICs).1 However, health system services for prevention, education, screening and treatment of NCDs remain inaccessible to billions of people living in rural regions in LMICs. The WHO has reported that over half the world’s population lack access to the basic health services they need.2 Digital health has the potential to address the gaps and weaknesses of traditional health systems.3 Unfortunately, many digital health services do not work in regions with low internet connectivity and low digital literacy.4 Approximately 3 billion people lack internet connectivity at all.5 The growth in virtual healthcare during the COVID-19 … ER -