PreCare - Health Care for Everyone and Everywhere

PreCare is making a decisive contribution to improving medical care and education in sub-Saharan Africa and thus to developing a more resilient population. By ensuring universal access to important vaccines, medical treatment and essential drugs for all, it is guaranteeing basic health care.

Challenge: Why do we need this new technology? 

Basic medical care in rural areas of Africa often fails due to the poor accessibility of people and their inadequate mobility. In the sub-Saharan region, for example, distances to the nearest large town can sometimes be up to 600 kilometers. Prompt treatment of the sick as well as prophylaxis and the early detection and prevention of life-threatening infectious diseases and epidemics as well as appropriate healthcare for the entire population represent a major challenge. 

 

Solution: How does it work?

Within the framework of the PreCare project, a cost-effective platform for mounting on pickup trucks was developed, which makes pre-clinical examinations, tests and vaccinations possible even in remote areas. The care units thereby provide storage space for diverse medical devices and active substances, and contain modular elements such as a water-treatment plant, disinfectant production, a refrigerator and a telecommunications unit. Furthermore, photovoltaic modules and a battery enable the platforms to operate self-sufficiently. As a result of its modular and universal design, the PreCare mobile platform can be adapted to the respective local and substantive requirements. Depending on the equipment configuration, the intended use can be varied. The system is suitable for establishing primary healthcare in remote areas or for setting up community healthcare programs. Furthermore, it can be utilized for the monitoring of infectious diseases and, consequently, for the early detection of epidemics, as well as for first aid in the event of a catastrophe. The mobile unit, which can also be converted into a small laboratory, provides valuable, flexible support for widely differing aid organizations and even for animal and species protection.

 

Added value: Who benefits from the new technology?

People who live in remote regions and previously had poor access to healthcare benefit from ”PreCare”. In addition to individual treatment with the mobile unit, systematic data collection to determine epidemic situations and the implementation and tracking of comprehensive vaccination and medication campaigns in these regions will also be possible. In addition, telemedical consultations with doctors who no longer need to be on site can be accessed via satellite connections. The use of "PreCare" can improve the living and economic situation of entire regions. Moreover, the platform can be used for testing new products in areas where access is difficult and for research purposes.

Insights into the project

The first prototype of the mobile healthcare platform was handed over to the non-profit organization Rhiza Babuyile in March 2023 for a nine-month trial period, during which it was used at various disability centers in the community of Daantjie (Mpumalanga region, South Africa). In addition to monitoring vital signs, including blood pressure measurements and ear, nose, eye, and throat examinations, HIV testing was primarily carried out as part of general health education and counseling.

PreCare care unit
© Fraunhofer IST, Frank Neumann
The care unit provides storage space and the energy supply for diverse medical devices, active substances and tests.
PreCare care unit
© Fraunhofer IST, Lothar Schäfer
The future driver and operator of the PreCare system explains the structure of the mobile care platform to the attendees.

With Mudiro e.V., another NGO has been recruited for the future trial operation of a second platform in Namibia. This platform was manufactured entirely in Africa and went into operation in April 2025 as part of a program for the early detection and prevention of cervical cancer.

Group of nine people standing around a vehicle equipped with a roof tent. The people are smiling and standing in a relaxed pose. In the background, several buildings and a blue sky with clouds are visible. The vehicle bears the logo “S Mile.”
Another significant milestone was reached: the platform, which can be mounted on pickup trucks, was approved in Stellenbosch, South Africa, and then transported to Namibia. There, it was officially handed over to the NGO Mudiro.
A white off-road vehicle is parked on a sandy patch under a folding roof in a village in Namibia, Africa. Two people are working on the vehicle, while a third person is busy nearby with a bucket and a caddy. Trees and a simple wooden structure can be seen in the background. The sky is blue with a few clouds. There is a relaxed, rural atmosphere.
© Fraunhofer IST
The PreCare platform will be used in a six-month program for the early detection of cervical cancer in Namibia's Caprivi region.
A white SUV with the “SMile” logo is parked on sandy ground. There is a roof tent on top of the vehicle. Next to the car is a gray, tent-like structure with windows. In the background, a simple building and some trees can be seen, and the sky is blue with scattered clouds. A water container is also visible, placed on a support structure.
© Fraunhofer IST
A tent can be erected on the pickup truck, providing a shelter from the sun and insects for carrying out examinations or vaccinations, for example.
An off-road pickup truck with a fold-out roof tent is parked on unpaved ground. The tent is open and gray with orange accents. More vehicles and trees can be seen in the background. The sky is blue with a few clouds. A person is partially visible in the vehicle.
The mobile platform, developed as part of the “PreCare – Health Care for Everyone and Everywhere” project in collaboration with the Fraunhofer Institute for Solar Energy Systems ISE and Stellenbosch University, enables preclinical examinations, tests, and vaccinations in hard-to-reach regions.
A white pickup truck is parked on an unpaved road. The vehicle has a black structure on the roof and bears the “SMile” logo on the side. Green bushes and a cloudy sky can be seen in the background. The name of the PreCare project, “PreCare - Healthcare for everyone and everywhere,” is written on the platform on the pickup bed.
© Fraunhofer IST
Maintenance of the PreCare platform will be handled by S Mile Solutions (Pty) Ltd in collaboration with local partners. S Mile is a Fraunhofer spin-off from the PreCare project.

Poor accessibility in the rural regions of Africa often poses a significant barrier to providing comprehensive medical care for the population:

A wide, sandy path runs along an open landscape. On the left side stands a large tree with thin branches. A white vehicle can be seen driving on the road, and in the background there are some green bushes and trees. The sky is cloudy, adding to the dramatic mood. A wooden bench is visible in the foreground.
© Fraunhofer IST
A dry desert landscape with sparse vegetation. Small, round mounds of earth and scattered tufts of grass can be seen in the foreground. In the background, gentle, wooded hills rise up under a clear blue sky.
© Fraunhofer IST

Award from the Fraunhofer-Zukunftsstiftung (Fraunhofer Future Foundation)

The 2025 Fraunhofer annual assembly was held in Darmstadt under the motto “Fraunhofer − Transfer for Our Future. Research | Develop | Design.”

On the evening of June 4, the Fraunhofer-Gesellschaft recognized excellent projects by its researchers. Three Joseph-von-Fraunhofer Prizes were presented, along with the Innovations for a Better Future award from the Fraunhofer-Zukunftsstiftung (Fraunhofer Future Foundation).

This award recognizes the achievements of a Fraunhofer team that has succeeded in translating a technological solution into practice, thereby making a special contribution to sustainable development in line with the UN Sustainable Development Goals (SDGs).

Fraunhofer research team wins the ”Innovations for a Better Future” Award

 

Press release / 4.6.2025

Medical care in remote areas

Around the world, there is a lack of comprehensive medical care for people living in remote areas. Researchers at the Fraunhofer IST and ISE have devised a solution for this: a flexible, modular health platform. The team was presented with the Innovations for a Better Future award from the Fraunhofer-Zukunftsstiftung (Fraunhofer Future Foundation) for this development.

Prize winners

Frank Neumann and Dr. Simone Kondruweit-Reinema
(Fraunhofer Institute for Surface Engineering and Thin Films IST)

Dr. Joachim Koschikowski and Ricarda-Laura Sack
(Fraunhofer Institute for Solar Energy Systems ISE)

Further press releases and information on the reference project

 

Press release, March 12, 2024

Help for the last mile in the sub-Saharan region

No clean water, no functioning electricity grid, no primary healthcare – a scenario that is not uncommon in remote areas of the sub-Saharan region. The founding of “S Mile Solutions (Pty) Ltd”, a spin-off of the Fraunhofer IST and the Fraunhofer ISE, is seeking to change this. 

 

Press release, March 06, 2023

Health care in rural areas of the sub-Saharan region

With the aim of being able to ensure comprehensive preclinical care in even the most remote areas of Africa, researchers from the Fraunhofer IST, in collaboration with partners, have developed a mobile care platform which, on 3rd March 2023, was handed over to the NGO Rhiza Babuyile during a ceremonial event.

 

Press release, August 17, 2022

Sub-Saharan Africa: Healthcare for everyone

The comprehensive provision of medical care presents a major challenge, particularly in rural regions of Africa. The Fraunhofer IST is therefore working in collaboration with the Fraunhofer ISE and the Stellenbosch University in South Africa on the development of a mobile healthcare platform with which even the most remote areas can be reached.

 

From research

PreCare -Healthcare for everyone and everywhere

 

Reference project

Energy efficient and sustainable water-supply technologies for Africa (WASTEC)

Funding reference

The project is funded by the Fraunhofer Future Foundation within the framework of the “Zukunftsplatz" (Future Place) funding line.

 

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