The Democratic Republic of the Congo (DRC) is the home to more than 80 million people. The DRC rural areas have one of the highest infant mortality rates (IMR) and maternal mortality rates (MMR) in the world. The DRC IMR for rural areas is 75 to 100 per 1,000 live births. The DRC MMR for the same areas is an astonishing 680–700 death per 100,000 live births. The PROSAMI program advocates the training of committed Congolese midwives, using the International Council of Midwives (ICM) standards, to the level of advanced midwife (ADM). Each ADM would then proceed to oversee a rural maternal and infants clinic in the designated Tshitenge district of DRC, where the IMR has escalated to 125/1,000 live births. PROSAMI brought the first four Congolese candidate midwives to the USA in January, 2015, for 8 months of didactic training, thus laying a solid foundation for the unique training model designed to meet maternal and infants healthcare needs in the rural areas in low resource countries. The four candidate midwives returned to their homeland in the DRC in October, 2015, to complete their training, and at the same time they have been assigned the oversight and facilitation of the training for 16 other local midwives, which espouses a cascade training model. PROSAMI has secured a two room pilot center that serves as a classroom, and in the future months this well positioned outpost will be used for the PROSAMI maternal and infant clinic in MbujiMayi, a major city in the Kasai oriental province of the DRC. PROSAMI has also shipped from USA to DRC cargoes including 3,400 surgical instruments for the benefit of the rural maternal and infants clinics as well as 22 computers and 16 two-volume textbooks to facilitate the training program. UVA sponsored telemedicine setups within the Mbuji-Mayi pilot center permit the transmission of lecture material from the United States, South Africa, and other parts of the globe directly into the classroom for these highly motivated ADM students. As the PROSAMI 20 trained advanced midwives go forth in the DRC, they will begin supervising maternal and infants clinics in the resource scarce Tshitenge district. Many mothers will have a chance to live through childbirth, and babies will not be born to die. Then PROSAMI motto, No more death for those giving life and no more babies will be born to die, will ring loudly across the globe.

The translation of knowledge to practice lags in the health professions. We describe the eHealth promotion knowledge-to-action practice concept on how Diabetes Mellitus (DM) prevention can be readily incorporated into TeleHealth practice. In addition to means of targeting patients and encouraging them to participate in health behavior change, attention is given to the role of TeleHealth components of DM prevention and management. TeleHealth services with proven track records today can be broadly categorized into 3 groups: Teleconsultation, Telemonitoring, and Electronic Health Record. Teleconsultation allows patients to consult doctors about non-emergency medical conditions such as video call over an online link without having to step out of their house. Telemonitoring, on the other hand, helps healthcare professionals keep a close eye on patients dealing with chronic medical conditions such as vital signs of blood pressure and glucose levels fig1& fig2. In the back, electronic health record keeping ties the whole system together with no more paper work. It allows healthcare professionals to see a patients entire medical history, helping them make more accurate and timely diagnoses and treatment of their conditions. Researched, close management of diabetic patients through monitoring showed significant reduction in glycemic level. Yet, the magnitude of its effects remains debatable, especially with the variation in patients characteristics (e.g. background, ability for self-management, medical condition, education). In Middle East, increasing awareness about telemonitroing and investigation of telemonitoring efficacy and costeffectiveness is needed to prevent and manage DM by monitoring lifestyle parameters and control glycemic level as the main cause of DM complications.

Outpatient cardiac rehabilitation programs provide supervised exercise training in addition to secondary prevention interventions. They are designed to speed recovery from acute cardiovascular events, benefit chronic patients and to improve quality of life. Alternative approaches to the delivery of supervised cardiac rehabilitation include home-based programs, disease management and lifestyle health coaching interventions, and other internet-based case management systems. The effectiveness of home-based programs was evaluated in several randomized trials. There was no evidence of a difference in mortality, reinfarction, revascularization, cardiac-associated hospitalization, or exercise capacity between the two modes of intervention. Other alternatives include community-based group programs and the use of telemedicine. Use of mobile health technologies may further expand cardiac rehabilitation availability. Telehealth exercise cardiac rehabilitation appears to be at least as effective as center-based cardiac rehabilitation in improving modifiable cardiovascular risk factors and functional capacity. It identifies the option of telehealth and the technologic advances to provide more comprehensive, responsive, and interactive interventions for individuals for whom centerbased rehabilitation is not feasible. The attractiveness of telemedicine models is the potential to improve participation of patients in structured with its short term and long-term benefits.