Abstract-The first steps for a telemedicine network which connect the units and places within the Medical Consultation for Infant Neurodevelopment and Disability (CPNDI) in Santiago de Cuba are discussed in the paper. For that target a web-based system for communications within the CPNDI structure and also to access rural areas with limited communication infrastructures is finally proposed. The system consists of a patient management system and a medical device system that are available to the doctor and the patient-side assistant during treatment via an Internet browser. The combination of local and remote web applications enables a reliable integration of the medical devices required at the patient's location into the doctor's remote station based on browser technology.Keywords-web-based telemedicine, infant neurodevelopment outcome, cry analysis. I. INTRODUCTIONA study of infant cry using advances from the field of cybernetics and signal processing was initiated by the Group of Speech Processing (GPV) from Universidad de Oriente in 1990. Just in 1991 the multidisciplinary group formed with specialists within the Medical Consultation for Infant Neurodevelopment and Disability (CPNDI of Southern Infant Hospital of Santiago de Cuba) was created, funding the basis of the research project Infant Cry Analysis Oriented for Diagnosis. In 2008 GPV researchers designed a cry-based methodology for newborn diagnose well commented through a PhD thesis successfully defended by a member of GPV in February 2010. As alternative results to that methodology several software tools were obtained for parametric characterization of the cry signal, also a fundamental frequency-based cry pre-classifier , as well as some theoretical contributions concerned with new algorithms for hybrid classification of cry signal. During the whole multidisciplinary research period the members of GPV has been established as a priority the study of infant neurodevelopment and disability holding the CPNDI as its main stone.This entity assumes as a main goal to find out neurological and sensorial deviations precociously, and also to describe the related risk factors in newborns. In that way newborns who displayed some kind of sequel as neurological as motor or functional disability are properly studied and followed up.The effective routine performance of the CPNDI is often limited by complexities of Cuban daily life as the urban mobility, problems with the communications, limitations in the access and use of the new communication technologies, existence of remote and mountain locations with difficult access where many newborns live, etc. In spite of the big efforts done by the Government and administration staff in order to extend people access to those technologies, until now is even insufficient and the CPNDI is affected too.With the objective of contributing to the solution of this problem, the authors propose a low cost web-based system that should assume the communication via web of the nodes that conform the CPNDI and remote rural places located in...