Date post: | 15-Jan-2016 |
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Rethinking Public Health
A Social Enterprise Model for Birthing Stationswww.umeedsey.org
Saving Lives at Birth through Strengthening Community based Structures and Referral Linkages
Teaching Hospital
DHQ Hospital
THQ Hospital
100,000 PopulationRHC
10,000 PopulationBHU/ CMW/ LHV
1000 Population LHW
Family
Healthcare Levels
Tertiary Care (Rehabilitation)
Specialist (Consultant)
General Practitioner
Lady Health Visitor
Community Midwife
Lady Health Worker
Triage
Cost
HDHQ
THQ
H
RHC
BHU
CMW/LHV
LHW
D
Primary HealthCare Tertiary HealthCareSecondary HealthCare
LHW
CMW/LHV
D
BHU
RHC
THQ
DHQ
HH
Civil Dispensary
Community Midwife/ Lady Health Visitor
Lady Health Worker
Basic Health Unit
Rural Health Centers
Tehsil Level Health Facility
District Level Health Facility
Private Hospital Facility
Tertiary Level Hospital Facility(Complex)
Referral – Pregnant Women
Refe
rral
–
Com
plic
ated
Ca
ses
Refe
rral
– A
cute
D
isea
ses
Lab Tests/ Gynecologist
Referral – Emergency Cases
Referral – Special Cases
Referral – Special Cases
Referral – Complicated Cases
H
KEY
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)
LHWAPP Developed• Register Families• Monitor Acute Symptoms• Family Planning• Growth Monitoring• Refer Patient to GP• Refer Pregnant Women to CMW/ LHV
GP SP H
Pharmacy
Lab Tests
Comprehensive EmOC Referral (Emergency Cases)
Basic EmOC Referral (Emergency Cases)
Prescription Prescription
Lab Tests
Pharmacy Slips
Discharge Summary
Patient AdmissionReferral
1 23
Lab Tests
Pharmacy Slips
General Practitioner (Available At)• BHU• RHC• THQ• DHQ• Private Hospital• Private Clinic
Specialist (Consultant)(Available At)• RHC (Gynecologist)• THQ• DHQ• Private Hospital• Private Clinic
Hospital (Panel Hospital Category)• RHC• THQ• DHQ• Private
Hospital
1 2 3
Electronic System
EMR EMRHIS
M-Health Information System
Micro Health Franchise Model Project Name: UmeedSey
high quality care to mother and childwww.umeedsey.org
Franchisor will Provide:1. Birthing Station2. Life Saving Drugs, Birthing Toolkit (Complete)3. Smart Phone
4. Emergency and Transportation Services5. Referral Doctor (Expert Advice)6. Branding/ Awareness Campaign7. On going Trainings
Supply Chain System
Financially Sustainable Franchisor
CMW Coverage – Our Goal
25% Market Share• PKR 14000
40% Market Share• PKR 22400
55% Market Share• PKR 30800
70% Market Share• PKR 39200
Innovation in MNCH Care System
Mobile App
CDSS
EMR
M&E
Supply Chain
Billing & Insurance
Mobile Application
Add New Patients•Patient Details•Past Obstetric History•Genetic/ Family History•Surgical Medical History
Calculates EDD
Remembers Patients Gestational Week
Show Patient List with Real Time Status Alerts
Reminds CMW on pending Information
Antenatal Visit Record
9 Lab Tests
http://umeedsey.org/opendata.aspx
CMW Trainings
LHW App
• Anemia• Diarrhea diseases• Intestinal parasites • Acute respiratory infections
tuberculosis• Malaria• Primary eye care• Scabies• AIDs and hepatitis• Monitoring/Vaccinations of Babies
Under 5
CMW App
• 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)
Doctor(Referral Center)
MNCH Triage
Register Families
Common Ailments
Growth Monitoring
Immunization
Family Planning
Births/ Deaths
Supplies
LHW
Community1000 Persons
LHW Role
LHW Monthly Report
LHW MIS (Excel Based)
1 Month Delay 1 Month Delay
Delay in transfer of Information(2 Months)
EDO Health Office
MonthlyReport
Hard Copy
Directorate of Health
LHWMIS (Excel)
Soft Copy
LHW
Community1000 Persons
LHW Register
Data
Record Keeping
Decisions &
Planning
LHW Program Story Board
LHW Program Story Board
LHW
Community1000 Persons
Data
Decisions &
Planning
Directorate of Health
LHWMIS (Web
Based)
Real-time Data Transfer
EDO Health Office
DailyReport
LHW App
Register Families
Family Members WASH
Symptoms Screening
Anemia
Diarrhea
Intestinal Parasites
Acute respiratory infections
Tuberculosis
MalariaPrimary eye care
Scabies
AIDs
Hepatitis
Medication
Growth Monitoring
Immunization
Family Planning
Poverty Score Card
LADY HEALTH WORKER APP (Developed)
LADY HEALTH WORKER APP (Developed)
Register Families
Helps in Collection of evidence based
data
Average Family Size
Birth/ Death Reporting System
Identification of Unregistered
citizens
Symptoms Screening
Early Diagnosis
Disease Burden
Reduced Cost of Healthcare
Identification of community health
practices
Growth Monitoring
Identification of Chronic Disorders
Nutritional Status
Immunization Record
Polio
Measles
Hepatitis B
Diphtheria
Pertussis
Tetanus
Tuberculosis
Pneumonia
Family Planning
Contraceptive Disbursement
Pregnancy Rate
Population Growth Rate
Poverty Score Card
Update of PSC NADRA/ BISP
Targeted Benefits/ Subsidies
LHW Enterprise Revenue Streams
LHW
Data
EPI
CMW/ LHV Referral Fee
Selling of Health
Insurances
Medicine
Others
Franchisor Management SystemDesktop/Web App
Features
Internet/ Wireless Network Settings
Managing Referrals and Emergency Transport
Health Statistics Reports
Supply Chain Management System
Accounting and Payroll
Health Worker/ TBA Capacity Building Training
Program Indicators
Monitoring and Evaluation Reports
THANK YOU!
Any Questions?