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