Hands-On Telehealth Helps Reach Rural Texas Communities

A rural Texas county is using a free digital platform to connect residents to mental health resources. Bastrop County's new public health department partnered with CredibleMind to launch an online hub offering mental health assessments, self-guided tools, and a local services directory in English and Spanish. In its first six months, the platform reached nearly 1,900 unique users and achieved a 43% assessment completion rate.

Helpster Charity operates a tech-enabled emergency financing model that connects families facing urgent medical bills with donors through a website and app. The nonprofit uses volunteers stationed at partner health facilities to identify patients who can’t afford critical care for conditions like malaria, sickle cell anemia, and kidney problems. The organization has helped provide treatment for over 2,000 families across Nigeria, Kenya and Bangladesh.

Missouri's Transformation of Rural Community Health (ToRCH) pilot program is reimagining how rural hospitals serve communities by addressing social determinants of health. The program uses Medicaid waivers and a digital platform called Unite Us to coordinate referrals between hospitals and community organizations for non-medical needs like home repairs, utility assistance, and food security. In its first 18 months, the program generated nearly 3,000 referrals. The closed-loop referral system allows hospitals to track whether patients actually receive help, something that was impossible before.

In 2017, residents of Kabuga Aisami in Kano built their own maternal and child health hospital to address maternal mortality rates and improve access to care. Led by the Kabuga Aisami Community Initiative (KACI), community members pooled resources to construct the facility, which includes two labor rooms, three wards with 40 beds, four laboratories, a pharmacy, 25 toilets, and three self-contained flats for doctors to enable 24-hour care. Patient volume has since increased by over 250%, and the hospital has expanded to serve 10 surrounding communities, as well.

The National Council for Mental Wellbeing's Mental Health First Aid for Rural Communities trains local residents to recognize mental health warning signs and provide critical support until professional help arrives. The program equips non-medical community members with skills to spot crises, have supportive conversations, and navigate people to appropriate resources. In central New York alone, more than 6,000 people have been trained across 10 rural counties, providing life-saving interventions, particularly in areas where emergency services are hard to access.

West Virginia University and Monongalia County's intensive, clinically-integrated harm reduction model and Ohio University and Athens County's community-centered, peer-support program offer two distinct approaches to combating the opioid epidemic in Appalachian communities. Both programs leverage harm reduction practices and have seen significant decreases in overdose deaths.

Jacquelyn Alvarado, a certified nurse midwife with the Texas A&M Rural and Community Health Institute, travels across Texas to teach rural hospital staff how to deliver babies. Using a mannequin, she runs simulations covering both routine and complicated deliveries for ER nurses, paramedics, and other non-obstetrical staff who may be the only help available when a rural patient goes into labor.

The Bauchi State Impact Project aims to improve maternal and newborn health by training 100 people to become skilled birth attendants. Despite infrastructure challenges, the Project not only provides work and purpose to those trained, but also helps make childbirth safer by providing much-needed care.

In an effort to address maternal mortality rates and overall maternal health conditions, groups of midwives are hosting community dialogue sessions that serve as educational opportunities for preventing danger. Maternal and infant mortality rates have already begun to decrease, and midwives also provide support beyond education, giving mothers food and other supplies as needed.

The Mamacare Foundation has trained over 860 traditional birth attendants (TBAs) in hygiene, safe delivery practices, danger-sign recognition, and timely referral systems over the past decade to improve maternal care in the region. The program pairs each TBA with a supervising midwife, creating a collaborative bridge between traditional and modern maternal care. The training has increased referrals from TBAs to clinics by 40%, and district hospitals report fewer emergency cases arriving in critical condition since the Foundation has formed.