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Bringing Sustainable Healthcare to Developing Countries

Retail Medical Care is a new concept and sounds corny for those unfamiliar about how the system works. Effective provision of preventive and primary care in developing countries reduce in most cases the number of long-term hospitalizations in traditional hospital settings. Therefore, Mobile Outreach Clinics, called Mobile Healthcare Safety-Net provides smarter and effective ways to reach patients in rural regions.

We are bringing back Home Calls and Home Visits by clinicians in an integration and collaborative form. The revised and updated traditions are among the most effective methods of sustaining healthcare in developing countries in the 21st century. Our blueprints are guided by extensive research and validations:

A.      Donating Medical Equipment, Supplies and Medications

B.      Designing Healthcare Management ( i) HR Management, ii) IT Management, iii) Patient Management, and iv) Other Resources Management)

C.      Training/Maintenance ( i) HR Training ii) IT Training iii) Mentoring, iv) Leadership Training v) Equipment Usage Training vi) Collaborative Empowerment Training vii) Equipment Maintenance Training viii) Audit and Data analysis and xv) R & D 

D.      Microfinance for Healthcare Sustainability ( i) Work Program Modeling ii) Work Program Implementation iii) Agricultural Product Storage iv) Marketing)

E.       African Awareness Week (Case studies and best practices through world symposiums – Cohort Learning)

These are the hallmark of MH-GC Public Charity signature programs. They are controlled by two drivers:

1)       Partners Healthcare Management Engine (Modeling Instrument)

2)       Quasi Healthcare Microfinance Engine (Modeling and Real Time implementation simulation of Terminal Objectives)


Help us end dependency


Retail Medical Care for the poor is a system of bringing care to patients through Mobile Healthcare Safety Net programs, focusing on preventive and primary care. The mission of Mobile Healthcare Safety Net is to provide integrated outreach programs, which combine Mobile Healthcare Safety-Net Clinics, Motorbike Ambulances and Follow-up Visits at homes. Only long term and complicated cases that require hospitalization are referred to traditional healthcare facilities.  Retail Medical Care transforms the lives of many poor people and communities in a significant way. The process reduces wastages of local government medical programs.  After treatment, the patients are encouraged to participate in job creating programs. The programs help them to acquire quasi healthcare insurance, a means to finance their healthcare as well as purchase basic necessities.  This is called insurance exchange program.


Research indicates that local solutions designed with the indigenous people work better because they are rooted on empowering them to be accountable to their economic wellbeing and health situations. These solutions take into account the challenges that deter attempts to help the indigenes.  Our strategy is to partner with humanitarian organizations to advert these human tragedies.   This approach is a lot different than previous solutions designed and implemented by World Bank in most developing countries in that focus is put on intervention and less emphasis on sustainability. And this has created a culture of dependency. MH-GC provides a new paradigm.
There are many regions in the World where millions are dying of HIV/AIDS, malaria, TB and other diseases, and where crime is commonplace and pitiless social injustice becomes routine. Since these do not encroach onto the well-to-do, the problems are invisible to them because they have so much and little to offer for programs to build a bottom-up working class. They believe in free markets systems that have no responsibility for the society - those expected to purchase their goods and services are the very consumers ignored. Our mission is to provide wellbeing ladders of opportunity for those ignored.  Microhealth Global Consulting defines poverty as hunger. Poverty is lack of shelter. Poverty is being sick and not being able to see a doctor. Poverty is not having access to school and not knowing how to read. Poverty is not having a job, is fear for the future, living one day at a time. Poverty is losing a child to illness brought about by unclean water. Poverty is powerlessness, lack of representation and freedom. The poor are the voiceless of the society!

Desmond Cohen of United Nations Development Program (UNDP) supports poverty reduction programs as a way of improving and sustaining healthcare. He notes that, “poor nutrition leads to poor health which is an important cause of low labor productivity and thus the persistence of low incomes for the poor. Poor and damp housing is a major factor in causing illnesses such as tuberculosis, which is itself exacerbated by the HIV epidemic”. Sub-Sahara Africa faces most of the complex healthcare challenges in the regional blocks of the world. The healthcare challenges are compounded by the differences of more than a thousand cultures and sub-cultures, and belief systems that comprise tribes. Though Sub-Sahara Africa holds most of the poorest people in the world, the region is the richest in housing resources for example minerals, timber, rubber, oil, coffee, cocoa and banana. Microhealth Global Consulting provides answers to the healthcare situation of Sub-Saharan Africa.  


CAMEROON (WEST AFRICAN COUNTRY) AS A CASE STUDY

Healthcare Human Resources of Cameroon

(Ministry of Public Health (MSP) 2006)

  • Physician/population      = 1/7,000 (15000)
  • Nurse/population            = 1/800 (2351)
  • Hospital per population = 1/1200 (30,000)
  • Hospital bed/population = 1/389
  • Dentists/population         = 1/254,237

These statistics represent similar cases in many countries of Sub-Saharan Africa


Inside Mobile Healthcare Safety Net

Mobile Healthcare Safety Net and Healthcare Insurance Exchange programs do not interfere with other community medical care projects in the region but provide reinforcements for ongoing healthcare efforts, with the primary goal of sustaining medical care improvements through a stable employment. Healthcare insurance exchange acts as a catalyst to sustain projects that are working, reducing the culture of dependency.


One out of five children in Africa will be dead before his or her fifth birthday.  In areas like West Africa, where they are faced with the most serious of health problems, they often have the fewest of resources to care for those children. They are often confronted with a poor infrastructure, limited health facilities, shortage of trained medical staff and an overuse of counterfeit medications.  In order to save lives and advance health care, these issues must be addressed openly and honestly together.  In order to improve health care in those communities, we must work hand-in hand with those most affected to help address their most critical challenges.  Microhealth Global Consulting has six basic principles: results, efficiency, cost effective, sustainability, accountability and transparency.  By eliminating counterfeit and illicit drugs with various strategies and through target outreach programs that include home visits on foot and motorbikes by medical staff, MH-GC will be able to address the challenges many face in West Africa.


Africa has the highest mortality rate in the world - 1 out of every 5 African children dies before his or her fifth birthday. If you knew them by names would you likely do something about it? To help, send an email to Nicole@mh-gc.org about how you can assist.

Microhealth Global consulting’s solutions provide  integrated outreach programs, which combine Mobile Healthcare Safety-Net Clinics, Motorbike Ambulances and Follow-up Visits at homes. Only long term and complicated cases that require hospitalization are referred to traditional healthcare facilities.  Retail Medical Care transforms the lives of many poor people and communities in a significant way. The process reduces wastages of local government medical programs.  Microhealth Global Consulting incorporates best practices from around the world, focusing more than seventy percent of each dollar raised on direct patient care. We have volunteers’ doctors from some of the best world hospitals such as Harvard Medical School Teaching Hospitals working on our programs, mentoring local medical staff on best ways to practice effective and reliable medical care.



Bringing Sustainable Healthcare to Developing Countries


Problem Statement using African Countries as Examples: Africans need more hospitals that are staffed with trained medical doctors, nurses and other medical staffs and are managed effectively. The hospital should have equipment, supplies, medications and a well designed patient management system in place. In cases where the hospitals are staffed and equipped, often patients complain of lack of adequate medical attention or the lack of means to reach the hospitals or health Centers. In most cases, these complaints result from healthcare leadership failures. These issues are routine in almost every country in Sub-Sahara Africa.  The lack of oversight, accountability and effective supervision are problems in almost all the regions. The simple truth is that we can provide all the equipment, supplies and medications a hospital needs and still not see an impact in the lives of patients if there are no healthcare management strategy and effective leadership in place. The sad story for most rural regions in Sub-Sahara Africa is the lack of almost everything associated with medical care. Most indigenes in villages have stopped looking for places where to obtain medical treatment.  The solutions are not how to raise funds and construct more hospitals but how to upgrade and effectively use the facilities already in place to provide medical care. In addition, the solution is how to reach villagers where medical care is lagging and provide preventive care, primary care and effective follow-up treatment to the indigenes. 

 

Effective provision of preventive and primary care reduce in most cases the number of long-term hospitalizations in traditional hospital settings. Therefore, outreach Mobile Clinics, called Mobile Healthcare Safety-Net Clinics provides a smarter and effective way to reach patients in villages. Microhealth global Consulting solutions provides integrated outreach programs that combine Mobile Healthcare Safety-Net Clinics, motorbike ambulances and healthcare professionals who walk to homes for home visits, follow-ups and transportation of critically ill patients to the Mobile Healthcare Safety-Net Clinic or nearby hospitals for further medical treatment. Each Mobile Healthcare Safety-Net Clinic has two consulting rooms, patient waiting room, lab, x-ray, a treatment room, and a pharmacy. A wireless electronic medical record is installed to collect patient data for follow-up treatment, reviewed by other physicians located at the Head Quarters of Microhealth Global Consulting to provide a collaborative patient treatment environment, ensure that medical staff are following proper protocols, safety to patients and are accountable for each case treated.

 


This family has no home! Their nomadic lifestyle makes traditional static health settings unable to reach the the family. These children need regular check-ups, vaccinations and primary care. Outreach mobile medical care design takes into consideration ways to reach the most vulnerable - these children! We need your help! Send email to nicole@mh-gc.org to inquire how you can help.
Nutritionist, Mr. Japhet Tata, Chief of Delegation works with UNICEF and MSP staffs to help these nursing mothers - teaches them how to produce local nutritious foods for their children. He represents one of the many MH-GC staff working to combat malnutrition in Sub-Sahara Africa. He explains the difficulties of reaching indigenes especially those living nomadic lifestyles. He believes more should be done on sustainability.
 
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Community Development and Capacity Building