HAEFA’s “Health on Wheels” Proposed Contributions 4 Garment Factory Workers’ Healthcare in Bangladesh

Svein Gaute Bleivik serving Senior Global Advisor for HoW

Project Presentation by

Health and Education for All, USA

• Non-profit 501c(3) Foundation

• Mission is to help provide healthcare assessment and treatment in the garment sector

• To date, we have evaluated workers in 5 (five) Bangladeshi garment and textile factories since 2013

• We can diagnose and treat up to 750 factory workers per day on-site

Ruhul Abid, MD, PhD Rosemary Duda, MD, MPHPresident Vice PresidentBrown University Medical School Harvard Medical School

Health On Wheels

• In 2013, we did large overall health assessment and identified most common diseases

• We were able to identify new cases of hypertension, diabetes, tuberculosis, anemia and presumed cancer cases

• Based upon this information, we now focus on hypertension, diabetes, tuberculosis, high-risk pregnancy, and anemia

Health on Wheels

http://www.healthonwheels-usa.org/

HoW on-site preventative care• Immunization

• Ante- and post-natal care, to ensure safe infant delivery

• Health and general hygiene education

• Feminine health and hygiene education

Health on Wheels

HoW on-site curative care

• Treatment of infectious disease such as typhoid, malaria, tuberculosis, dengue, hepatitis, diarrhea

• Treatment of chronic disease and non-communicable diseases such as diabetes, hypertension, heart failure, and high-risk pregnancy

Health on Wheels

Mobile health care delivery system

• A sophisticated mobile device-based m-Health and electronic medical record (EMR) SW is used to coordinate screening test results, diagnosis, and treatment regime with our physicians.

• All patient and employer records are kept strictly confidential and secured. Workers are seen each month, and followed up as necessary to improve their physical and mental health.

Health on Wheels

Male

Female

Total

0.00% 2.00% 4.00% 6.00% 8.00% 10.00% 12.00% 14.00%

Hypertension

Male

Female

Total

0.00% 2.00% 4.00% 6.00% 8.00% 10.00% 12.00% 14.00%

Diabetes Mellitus

11% of total workforce have undiagnosed high blood sugar! 7.5% are undiagnosed high blood pressure!

11% workers are either diabetic or have impaired glucose tolerance (undiagnosed)

7.5% workers are hypertensive (undiagnosed)

Health on Wheels

Male

Female

Total

0.0% 5.0% 10.0% 15.0% 20.0% 25.0%

Respiratory disorder including suspected TB (tuberculosis)

Male

Female

Total

0.0% 5.0% 10.0% 15.0% 20.0% 25.0%

History of Shortness of breathing

17% have lung diseases including tuberculosis

Health on Wheels

20% female workers have respiratory disorder

20% female workers have shortness of breathing

Male

Female

Total

0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% 35.0%

Anemia

Male

Female

Total

0.0% 1.0% 2.0% 3.0% 4.0% 5.0% 6.0% 7.0% 8.0% 9.0% 10.0%

History Fractured bones

22% suffer from anemia, an easily treatable condition

30% female workers have anemia

Male workers are more prone to bone fracture than women, approx 9 vs 2%

Health on Wheels

Schematic of Health on Wheels’ On-site Health Care Delivery System:

Health on Wheels

Health on Wheels’ team members in Dhaka, August 2013

Health on Wheels

Health on Wheels

Health on Wheels’ team performing On-Site health checkup in 2013

Acknowledgements:

• BRAC Health, Bangladesh

• Director General of Health’s Office, Bangladesh

• Envoy Group of Textile and Garments• Avant Garments Ltd.• Ananta group of garments• Urmi Garments• Child Health Awareness Foundation, Dhaka

Health on Wheels

Project Support

KLOUDSPUN, provider of EMR system • Company driven by engineers with the ideal of

promoting the best of technologies and software• Holding deep experience designing, developing,

and deploying customized analytical solutions• Their NPAE tool allows tailoring of compliance for

specific objectives and/or various requirements, and provides analytics, graphics and reporting features, visualizing results for doctor/patients.

http://kloudspun.com/Health on Wheels

Ongoing Activities

• Kloudspun’s SaaS platform developed to build system for collection, registration, verification, storing, categorizing, sorting and presenting health data on individual and group basis.

• Apps developed for hand-held devices like tablets and smartphones, enabling instant and secure mobile on-site real-time registration.

Health on Wheels

Thank You

Health on Wheels