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Rethinking Public Health

Rethinking Public Health. Saving Lives at Birth through Strengthening Community based Structures and Referral Linkages. A Social Enterprise Model for Birthing Stations www.umeedsey.org. Healthcare Levels. Triage. Cost. Lab Tests/ Gynecologist. KEY. Referral – Emergency Cases.

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Rethinking Public Health

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  1. Rethinking Public Health Saving Lives at Birth through Strengthening Community based Structures and Referral Linkages A Social Enterprise Model for Birthing Stations www.umeedsey.org

  2. Healthcare Levels

  3. Triage Cost

  4. Lab Tests/ Gynecologist KEY Referral – Emergency Cases Referral – Special Cases Referral – Complicated Cases Tertiary Level Hospital Facility (Complex) Private Hospital Facility District Level Health Facility Referral – Complicated Cases Referral – Acute Diseases Tehsil Level Health Facility Referral – Special Cases Rural Health Centers Basic Health Unit Civil Dispensary Community Midwife/ Lady Health Visitor Referral – Pregnant Women Lady Health Worker Tertiary HealthCare Primary HealthCare Secondary HealthCare

  5. M-Health Information System Pharmacy • APP Developed • Register Families • Monitor Acute Symptoms • Family Planning • Growth Monitoring • Refer Patient to GP • Refer Pregnant Women to CMW/ LHV Lab Tests HIS EMR EMR Patient Admission Referral Prescription 2 Discharge Summary 1 Prescription 3 Lab Tests Lab Tests Pharmacy Slips Pharmacy Slips Basic EmOC Referral (Emergency Cases) Comprehensive EmOC Referral (Emergency Cases) • 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) • Hospital (Panel Hospital Category) • RHC • THQ • DHQ • Private Hospital • Specialist (Consultant) • (Available At) • RHC (Gynecologist) • THQ • DHQ • Private Hospital • Private Clinic • General Practitioner (Available At) • BHU • RHC • THQ • DHQ • Private Hospital • Private Clinic 2 3 1 Electronic System

  6. Micro Health Franchise ModelProject Name: UmeedSey high quality care to mother and child www.umeedsey.org

  7. Franchisor will Provide: • Birthing Station • Life Saving Drugs, Birthing Toolkit (Complete) • Smart Phone • Emergency and Transportation Services • Referral Doctor (Expert Advice) • Branding/ Awareness Campaign • On going Trainings Supply Chain System Financially Sustainable Franchisor

  8. CMW Coverage – Our Goal

  9. Innovation in MNCH Care System

  10. Add New Patients Mobile Application • 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

  11. http://umeedsey.org/opendata.aspx

  12. CMW Trainings

  13. MNCH Triage LHW (Promotive healthcare - FP) CMW (Skilled Birth Attendant) Doctor (Referral Center)

  14. LHW Role Community 1000 Persons LHW

  15. LHW Monthly Report

  16. LHW MIS (Excel Based)

  17. LHW Program Story Board Community 1000 Persons Delay in transfer of Information (2 Months) LHW 1 Month Delay 1 Month Delay Data Decisions & Planning EDO Health Office Directorate of Health Monthly Report LHW MIS (Excel) Record Keeping LHW Register Hard Copy Soft Copy

  18. LHW Program Story Board Community 1000 Persons Real-time Data Transfer Data LHW Decisions & Planning EDO Health Office Directorate of Health Daily Report LHW MIS (Web Based)

  19. LADY HEALTH WORKER APP (Developed)

  20. LADY HEALTH WORKER APP (Developed)

  21. LHW Enterprise Revenue Streams

  22. Managing Referrals and Emergency Transport Franchisor Management System Desktop/Web App Features Health Statistics Reports Supply Chain Management System Accounting and Payroll Health Worker/ TBA Capacity Building Training Program Indicators Monitoring and Evaluation Reports Internet/ Wireless Network Settings

  23. THANK YOU! Any Questions?

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