the project has shown improved test results for hypertension diabetes hyperlipidaemia and liver function abnormalities the service includes programmes that encourage older persons participation in health promotion activities or reach out to those who are living alone to reduce healthrelated anxieties and prevent their isolation or neglect the introduction of a maternity health checkup through video conferencing which enabled die sharing of data between midwives in tono city and physicians in other locations made it possible for pregnant women to receive perinatal services in that model was adapted for use in the health management of older persons in tono city where diere were few medical facilities