Emergency call centers traditionally serve only with voice support over the phone. This system makes it almost impossible for people with hearing impairment to get services in emergency situations. It is important for disabled citizens to be able to communicate effectively not only in emergency situations but also when receiving clinical services. As disabled citizens cannot transfer their complaints to the medical staff correctly with traditional methods, the quality of the health service they receive decreases. This negatively affects the effectiveness of treatment. The traditional practices in question are insufficient to solve the problems. The ESIM project offers an effective and innovative solution to these problems by using technology.

Since the launch of the ESIM Application, there has been an average annual user growth of 42%. As of now, in order to spread the use of the system, efforts are being intensified to inform medical personnel and to make promotions in medical institutions. In addition, applications are constantly being improved according to feedback from users and developing technology.

During the development process of the project consultations have been held with :

• government agencies,
• private health institutions,
• non-profit associations established for the hearing impaired.

In addition, joint efforts have been made with the digital communities (Facebook & Whatsapp Groups) that disabled citizens are members of to promote the project and to address the audience appropriate to its purpose.

Among them are citizens with hearing impairment, health professionals, specialist health operators who know sign language, public hospitals, and private health institutions. In line with the common goals, workshops were held with the mentioned institutions during the application development phase. These studies have directly contributed to increasing the level of awareness of the rights of disabled citizens among institutions. It has also improved inter-institutional coordination.

The ESIM System has provided support to more than 13 thousand disabled citizens in more than 60 thousand cases since 2018. Thanks to the advantages provided by the system, more qualified health services have been provided in thousands of cases. Within the framework of the social state understanding in Türkiye, access to health is seen as a fundamental right. In line with this understanding, it is aimed for our disabled citizens to benefit from the rights and privileges that everyone has. It has been seen that success has been achieved in the application according to the system data.

The application requires internet access to use video calls and instant messaging services. This situation has been observed to make communication difficult for the doctors who will provide services, especially in the departments located on the underground floors of large health facilities and where the Internet access signal is insufficient.

In order for the application to continue its success, it is necessary to keep up to date with the developing technology and to make the use easier and more effective every day. In addition, in order to increase the spread of the application, it is necessary to increase the promotions made for disabled citizens.

The application has set an important success example for hearing impaired citizens in terms of communication with the institutions they need. Inspired by the innovation of the application, projects have been implemented with similar technology in areas other than health.

According to the data of the application, it has been observed that the use of smart devices is quite common among citizens and that their adaptations are at a high level. In addition, it has been understood that the new generation channels such as social media are very effective in reaching a group that can be considered as a minority in society.