Bringing Ultrasound Access to the Heart of the Amazon: MIMAs in Peru

In 2023, MIMAs began a partnership with the Santa Clotilde health network in the Peruvian Amazon. The goal: to improve access to timely medical diagnostics in the region through tele-ultrasound services for patients, hands-on training for healthcare workers, and the provision of essential equipment.

Article content
On the path to Angoteros Clinic — MIMAs founders are making the journey to bring healthcare where it’s needed most

Where is the project being implemented?

The initiative began by connecting the health post in Angoteros, a small rural clinic, with Santa Clotilde Hospital and the Iquitos Regional Hospital. In doing so, the project links a small health facility that serves a single community with more complex and capable medical centers, creating a lifeline between remote care and specialized services.

Angoteros

Angoteros is home to roughly 1,200 people and sits midway up the Napo River. The community is extremely isolated, reachable only after a 16-hour river journey from Iquitos, the regional capital, which itself is accessible only by air from Lima.

Article content
Locals gather around their ‘chalupas’, small boats that serve as the main mode of transportation in the Amazon. Here, the rivers are the roads

How has MIMAs contributed?

Over the past two years, MIMAs has supported the Santa Clotilde network in three key areas:

1. Training Healthcare Staff

We have trained local health personnel in ultrasound image acquisition using a novel approach called volume sweep imaging (VSI) that allows a person to be trained in ultrasound image acquisition in only three one-day sessions. Operator training also includes ethical conduct of procedures and clinical protocols. This training has been conducted in person, through three visits from the MIMAs team per year.

Article content
Dr. Brian Garra trains healthcare workers in Angoteros on Volume Sweep Imaging (VSI)
Article content
Dr. Frank Miele trains healthcare workers in Angoteros on Volume Sweep Imaging (VSI)
Article content
Training in progress: A physician at Iquitos Regional Hospital learns to interpret ultrasound images captured via Volume Sweep Imaging (VSI) — a key step in supporting remote diagnostics from rural clinics like Angoteros.

2. Providing Equipment

MIMAs has supplied portable ultrasound machines, telemedicine kits, backup batteries, and satellite internet connections, ensuring technology is available and functional in even the most remote areas.

Article content
Healthcare workers operate the portable ultrasound machine alongside the ‘Medical Box’, a teleultrasound system that transmits images in real-time from remote clinics to specialists for interpretation.
Article content
Equipment and backup power supply in the background, ensuring reliable operation in a remote location with limited access to electricity.
Article content
Starlink device providing reliable internet connectivity, a critical link that enables telemedicine services in remote Amazon communities.

3. Improving Access to Imaging Diagnostics

We support real-time image transmission and reading across the network, ensuring quality control and ongoing assistance during implementation.  Physicians at the Santa Clotilde Clinic and Iquitos Hospital have been trained to interpret the ultrasound studies when electronically received and to promptly transmit electronically the reports back to the rural clinic and referral center to allow rapid management of any medical abnormalities detected.

Article content
MIMAs goes beyond training physicians to read images; we also ensure high-quality standards in ultrasound image acquisition and provide ongoing support for accurate diagnosis.

What have we achieved so far?

After intensive work in a challenging environment, we are proud to share what we’ve accomplished:

Healthcare workers trained: Each of the 14 staff members has received over 24 hours of training in obstetric, gynecological, right upper quadrant (RUQ), and kidney ultrasound protocols.

Article content
Healthcare workers proudly receive their certificates after completing an intensive but concise 3-day training program.

Patients served: 302 adults, both men and women, have been examined for various conditions, including gallstones and pregnancy monitoring.

Article content
A pregnant woman from the community receiving prenatal monitoring through VSI

Communities reached: As part of this collaboration, the initiative has been extended to include six additional communities across the region.

Article content
MIMAs operation area, delivering critical healthcare access and diagnostics to remote communities throughout the Peruvian Amazon.
Article content
Patients supported through MIMAs’ medical campaigns, expanding access to care beyond Angoteros.

What’s next?

This is just the beginning of MIMAs’ work in rural Peru. We aim to expand our reach, offering more services to more communities, and ultimately impacting the lives of over one million people in the near future.

Article content

But we can’t do it alone.

We’re looking for passionate individuals and partners who want to be part of this mission—people who are ready to bring their skills, enthusiasm, and dedication to help build our activities into something much bigger.

Follow us on our social media to keep you updated about our mission and ways you can contribute.

Leave a Reply

Your email address will not be published. Required fields are marked *