HEALTH services MMU & Health Camps
Evolution of new concepts
2009 2010MMU + MMU ++
~ 2008MMU
Health Camps
Transition Phase of MMU programme
Factors behind the evolution of new
concepts
Finding answers to our own questionsTreatments / beneficiaries
Justify our Expenses Vs. Activities
MMU Effectiveness & Efficiency
Evidences to prove our credibilityto prospective donors
Better donor servicing in funded projects
???
MMU + MMU ++
!!!
MMU ++All services of MMU +
Additions Treatment data collection MIS software based data collection
and pathway analysis Donor can avail updated data online
and view analytical reports from time to time
Referral services / facilities Referral Linkage with local health
providers (where-ever possible) Referral Linkage with Govt. schemes/
programmes(where-ever possible)Home Care for bed ridden Mobile Physiotherapy services Palliative care services
MMU Out-patient
services Dispensing of
medicines Referral of
patients Health Awareness
(by a few MMUs) Health camps –
mostly donor mandated
MMU +All services of MMU
Additions Base line through Social
Mapping & Socio-Health-Economic Profiling
Treatment data collection Basic Diagnostics Home visits by doctorReferral services / facilities Linkage with local
health providers Linkage with Govt.
schemes/ programmes
Modes of MMU operations
Focus in Transition Phase
MMU
Actual beneficiaries
Potential beneficiaries
Justify our Expenses on Activities
MMU Effectiveness & Efficiency
Evidences to prove our credibility to prospective donors
MIS for MMU Impact Analysis
Treatment Nos.
Actual Beneficiaries
“X”
Potential Beneficiaries
“Y”
Health Services Health care is primary to well being of elderly with advancing age and natural process of ageing and thus requires access and affordability.
Design and implement mobile and stationary pilot demonstration primary health care services for needy elderly in both rural and urban areas
and ...Endeavour to mobilise local community and resources for establishing community based sustainable models which strengthen integration of elders into family and local community and also linkage with government and other health service providers.
Thereby establish resilient local capacity and processes including training of Para-health workers and affordable alternate forms of medicines.
Importance of this Strategic Option
Continued health and well being of elderly can only be assured with the help of resilient and sustainable community based health services through trained local Para-health workers and affordable in local context.
CRITICAL FOR ELDERLY POPULATION
Access to basic health services in both rural and urban areas.
Affordable low cost health care and physical mobility to access those facilities
Psychological intervention for acceptance, pain management and long term treatment without major side effects.
Specialised medical intervention for conditions such as cataract, coronary diseases, hypertension, diabetes etc.
Lack of clarity on MMU line management; simultaneous management by HO and Regions is confusing and ineffective.
Key Barriers to Implementation
Modern medicine practitioners not inclined or attracted to difficult areas ...non urban .....basic health and non curative care.
Acceptance of change to a more appropriate, workable and cost effective health service delivery design by HI and donors.
In house management capacity calibrated in line with annual work plan and financial allocation and hence effectiveness degrades in responding to new projects
In house skill enhancement prerequisite to successful implementation of new approach viz. MMU+ & MMU++
X
X
X
X
X
POTENTIAL ROLES / ACTIONS OF KEY STAKEHOLDERS
MMU Team Implementation of project activities and timely achievement of project deliverables.
Mobilising the elder community and ensure their participation Collective approach to Rights and Entitlements and response to the
local health needs elderly
Head Office Strategic-Vision (2009-13) o Implementationo Policy and operational guidelines
Mobilisation and allocation of financial resources Handholding of the state and project staff Project Review Impact evaluation
State Office State strategic plan Planning and implementation - increasingly working with elders Ensuring the quality of services delivered. Supportive supervision of project activities
HEALTH services
Single window system
Activities 2010 – 2011(20 MMU++ ONGC & 14 MMU+)
Key Targets:• 44,000 Registered elderly for health services.• 34 MMU individual model operational plans
(20 MMU++ & 14 MMU+)• 26 MMU impact analysis reports on disease
pattern (12 MMU++ & 14 MMU+)• 26 MMU treatment records digitised
(12 MMU++ & 14 MMU+)
“ The Future depends on
what we do in the present”Than
ks!