PRESENTATION: Rethinking Healthcare - Saving Lives at Birth through Strengthening Community based Structures and Referral Linkages

8/10/2019 PRESENTATION: Rethinking Healthcare - Saving Lives at Birth through Strengthening Community based Structures and Referral Linkages

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Rethinking Public Health

A Social Enterprise Model for Birthing Stations

www.umeedsey.org

Saving Lives at Birth through Strengthening CommunStructures and Referral Linkages

Disclaimer: The views expressed in this paper/presentation are the views of the author and do not necessarily ref

or policies of the Asian Development Bank (ADB), or its Board of Governors, or the governments they represent. A

guarantee the accuracy of the data included in this paper and accepts no responsibility for any consequence

Terminology used may not necessarily be consistent with ADB official terms.


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Teaching Hospital

DHQ Hospital

THQ Hospital

100,000 Population

RHC

10,000 Population

BHU/ CMW/ LHV

1000 Population

LHW

Family

Healthcare Levels


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Tertiary Care(Rehabilitation)

Specialist(Consultant)

GeneralPractitioner

Lady HealthVisitor

CommunityMidwife

Lady HealthWorker

Triage

Cost

L b T / G l i


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DHQ

THQ

H

RHC

BHU

CMW/LHV

LHW

D

Primary HealthCare Tertiary HealthCareSecondary HealthCare

Referral Pregnant

Women

Referral

Complicated

Cases

Referral

Acute

Diseases

Lab Tests/ Gynecologist

Referral

Emergency Cases

Referral Special

Cases

Referral Special

Cases

Referral

Complicated

Cases


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CMW

/LHV APP Developed Register Pregnant Women (If not registered by LHW)

Monitor Symptoms (Antenatal Record, Physical Examination)

Refer Complicated Cases to RHC (Gynecologist) (Basic EmOC)

Refer Emergency Cases to Comprehensive EmOC. (DHQ/

Teaching Hospitals)

LHW

APP Developed

Register Families

Monitor Acute Symptoms

Family Planning Growth Monitoring

Refer Patient to GP

Refer Pregnant Women to CMW/ LHV

GP SP

Pharmacy

Lab Tests

Comprehensive EmOC

Referral (Emergency Cases)

Basic EmOC Referral

(Emergency Cases)

Prescription Prescription

Lab Tests

Pharmacy Slips

Discharge Summary

Patient AdmissionReferral

1 2

Lab Tests

Pharmacy Slips

General Practitioner

(Available At)

BHU

RHC

THQ

DHQ

Private Hospital

Private Clinic

Specialis

(Availab

RHC

THQ

DHQ

Priv

Priv

1 2

Electron

EMR EMR

M-Health Information System


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Micro Health Franchise ModeProject Name: UmeedSey

high quality care to mother and child

www.umeed
http://www.umeedsey.org/http://www.umeedsey.org/


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Franchisor will Provide:

1. Birthing Station

2. Life Saving Drugs, Birthing Toolkit (Complete)

3. Smart Phone

4. Emergency and Transportation Services

5. Referral Doctor (Expert Advice)

6. Branding/ Awareness Campaign

7. On going Trainings

Supply Chain System

Financially Sustainable Franchisor


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CMW CoverageOur Goal

25% MarketShare

PKR 14000

40% MarketShare

PKR 22400

55% MarketShare

PKR 30800

70% MaShare

PKR 392


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Innovation in MNCH Care System

Mobile App

CDSS

EMR

M&E

SupplyChain

Billing &Insurance


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Franchisor Management SystemDesktop/Web App

Features

Internet/ Wireless Netwo rk Sett ings

Managing Referrals and Emerge

Health Statistics Reports

Supply Chain Manageme

Accounting and Payroll

Health Worker/ TBA Cap

Program Indicators

Monitoring and Evaluation Repor


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http://umeedsey.org/opendata.aspx


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CMW Trainings


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LHWA

pp

Anemia

Diarrhea diseases

Intestinal parasites

Acute respiratory infectionstuberculosis

Malaria

Primary eye care

Scabies

AIDs and hepatitis

Monitoring/Vaccinations of BabiesUnder 5

CMWA

pp

Anemia

Gestational diabetes

Pre-eclampsia (Toxemia)

High blood pressure

Eclampsia

Hyperemesis gravidarum

Placenta previa

Placental abruption

Preterm labor

Miscarriage

Multiple pregnancies

Fetal problems

LHW(Promotive healthcare - FP)

CMW(Skilled Birth Attendant)

(R

MNCH Triage


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RegisterFamilies

CommonAilments

GrowthMonitoring

Immunization

FamilyPlanning

Births/Deaths

Supplies

LHW

Community1000 Persons

LHW Role


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LHW Monthly Report


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LHW MIS (Excel Based)


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1 Month Delay 1 Month Delay

Delay in transfer of Information(2 Months)

EDO Health

Office

Monthly

Report

Hard Copy

Directorate of

Health

LHW

MIS (Excel)

Soft Copy

LHW

Community

1000 Persons

LHW Register

Data

Record Keeping

LHW Program Story Board


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LHW Program Story Board

LHW

Community

1000 Persons

Data

Directorate of

Health

LHW

MIS (Web

Based)

Real-time

Data Transfer

EDO Health

Office

Daily

Report


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LHW App

RegisterFamilies

FamilyMembers

WASH

SymScr

An

Primary eyecare

Scabies

AIDs

Hepatitis

Medication

Immunization

Family Planning

Poverty ScoreCard

LADY HEALTH WORKER APP (Developed)


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LADY HEALTH WORKER APP (Developed)

RegisterFamilies

Helps in Collectionof evidence based

data

Average FamilySize

Birth/ DeathReporting System

Identification ofUnregistered

citizens

SymptomsScreening

Early Diagnosis

Disease Burden

Reduced Cost ofHealthcare

Identification ofcommunity health

practices

GrowthMonitoring

Identification ofChronic Disorders

Nutritional Status

ImmunizationRecord

Polio

Measles

Hepatitis B

Diphtheria

Pertussis

Tetanus

Tuberculosis

Pneumonia

FamilyPlanning

ContraceptiveDisbursement

Pregnancy Rate

Population GrowtRate


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LHW Enterprise Revenue Streams

LHW

Data

EPI

CMW/ LHVReferral

Fee

Selling ofHealth

Insurances

Medicine

Others


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THANK YOU!

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PRESENTATION: Rethinking Healthcare - Saving Lives at Birth through Strengthening Community based Structures and Referral Linkages