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Background. India is 70% rural Most healthcare is city-based Local MDs are stretched to capacity Limited access to affordable licensed doctors Public Health Center (PHC) in villages open only 6 hr/day during work hours. Challenges.
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Background • India is 70% rural • Most healthcare is city-based • Local MDs are stretched to capacity • Limited access to affordable licensed doctors • Public Health Center (PHC) in villages open only 6 hr/day during work hours
Challenges Mobile phone technology provides a platform for access to care Easy and affordable access to healthcare Access to license medical practitioners Limited access to medical information Expensive transportation from villages to city hospitals
Why Mobile Phones • 24/7 access to free medical services • Minimal time commitment • Doctors need only 1 min to reply • Contacts are village residents • No need for traveling health workers • Low cost • < Rs. 1 ($0.02) per message • Lowers future costs through preventative medicine • Discourages unlicensed practitioners • Compact, portable and widely accessible • Proven effective internationally • Any literate villager can become the Village Health Director (VHD) • Does not limit scalability • Transportation costs minimized
How Does it Work - Health Care Access: Five Simple Steps 1 2 3 Sick/injured patient contacts Village Health Director (VHD) who has a mobile phone VHD sends SMS to Communication Control Centre (CCC) laptop in hospital CCC doctor responds through system, offering immediate first aid advice IF PROBLEM IS SEVERE 4 5 CCC sends ambulance to bring patient to hospital for free of charge Ambulance returns patient to village *MH has already piloted this program in India for three weeks*
MH Has Already Piloted This Program In India Udaipur, Rajasthan • Pilot Stats • Ran for 25 days in 8 villages • Served 64 patients • Together, these 64 patients saved 80 full working days • Avg earns $0.80/day • Approx $1/PCH visit
Keshu Keshu • 12 yr-old boy with 8-year old burn that went untreated • Resulted in gangrene and cancer • Could have been prevented if a system like MH had been present
Cost Effectiveness Funding Progress for 2010: $43,506 -2010 budget -needed October 1st $26,809 $22,500 -summer budget -needed June 1st $7,500 -raised before 2010 • Low-cost – proven economical • Save villagers MD cost of private visits • Long-term cost structure is efficient
Scalability & Sustainability • The MH program is easy to scale • Most villages have cell phone connectivity and if not, will so in the next few years • Professional Health Workers are not needed • Any literate villager can be trained and it opens up hundreds of villages that can have this service • Options to creating a sustainable model • Village governments pay for the service in their village • Patients pay a negligible amount • Partner with local cell phone company • Micro financing VHDs
Improved Access to Health Care MH’s integration of Information Technology into the framework of hospitals creates sustainable health care
Expansion Will Impact Thousands • Program successfully piloted in 8 villages in Summer 2009 • In July, we will travel to 50 villages, connecting 50,000 people
www.mobilizinghealth.wordpress.com Treatment – Access - Prevention