Drishtee Health Franchisee Model: Of the community, by the community and for the community
Idea is to empower rural communities with sustainable and innovative health model owned by the community for improving communities’ own health and to reduce health disparities. Model aims empowering poor marginalized and unreached rural communities with health awareness and meeting this demand created by providing equitable access to healthcare options.
About You
Section 1: You
First Name
Dr Minal
Last Name
Singh
Website URL
Organization
Country
India, UP
Section 2: Your Organization
Organization Name
Drishtee Foundation
Organization Website
Organization Phone
0120- 41166000
Organization Address
Knowledge Boulevard, Tower B, 8th Floor, Plot No.A-8 A, Sector 62, (Near Shipra Mall) Noida – 201301
Is your organization a
Non‐profit/NGO/citizen sector organization
Organization Country
India, UP
Your idea
Name Your Project
Drishtee Health Franchisee Model: Of the community, by the community and for the community
Country and state your work focuses on
India, UP
Describe Your Idea
Idea is to empower rural communities with sustainable and innovative health model owned by the community for improving communities’ own health and to reduce health disparities. Model aims empowering poor marginalized and unreached rural communities with health awareness and meeting this demand created by providing equitable access to healthcare options.
Website URL
Innovation
What makes your idea unique?
The uniqueness of the model lies in the fact that it ensures both individual empowerment and community empowerment. The model allows community to act collectively to gain greater influence and control over the determinants of health and the quality of life in their community. Drishtee develops a health committee in the village comprise of the influential members of the village. Health committee nominates a woman whom Drishtee trains as health entrepreneur (DHF) skilled in basic diagnostics. At the backend, this health franchisee is linked with a qualified MBBS doctor, with an estimated ratio of 1:10 of doctor to DHF. The doctor conducts weekly clinics at these kiosk locations. Committee monitors the services at the kiosk and simultaneously counsels the villagers to ensure service utilization and treatment adherence.
DHF empowers the individuals by educating them about the need of healthcare, options for treatment and quality by life thus facilitating individual’s ability to make decisions about his or her treatment and have control over his or her personal life. This builds up the capacity of patients to help them to become active partners in their own care, to enable them to share in clinical decision making, and to contribute to a wider perspective in the health care system.
Patient education in the model is further supported by the tele-consultations or call me back SMS. On request DHF facilitates these interactions for the patient with centralized doctors’ team in case more detailed information is needed.
Do you have a patent for this idea?
Impact
This Entry is about (Issues)
What impact have you had?
Approximately 250 words left (2000 characters).
Problem
1) Health disparities: In several developing countries, there is a gradient of health which cut across the socioeconomic conditions. Poor and rural communities are the ones which suffer from most of the health problems
2) Unawareness: Due to unawareness, villagers lack the capacity to identify the basic symptoms of diseases thus failing to seek health care on time or demand quality healthcare. They lack source of information, although we live in an era of internet and loads of information is found at the click of the fingers. But more than half of our world has no access to computers, electricity or formal education to understand it.
3) Capacity to Demand: There is a psychosocial stigma attached when a villager goes to the city based hospital for treatment. They are stigmatized to interact freely with a doctor in an urban set-up
Actions
1) Having community members define and act on community health needs
2) Drishtee Health model is training the women health workers as the social mobilize who is supported by a DHE (Drishtee Health Executive) and village health committee. Qualified MBBS doctor travels to these villages where there is no healthcare facility for 60-75 km.
3) The team of the DHF,DHE, Doctor supported by Village committee is involved in village sensitization. Drishtee team believes that to empower begin with education and information and includes seeking out information about one’s own health. Within the model, education is imparted by door to door meetings, community meetings, and private sessions with doctors, tele consultations and personalized private calls on request.
4) Correct education has to be combined with the healthcare options to the patients. The villagers especially the females are comfortable in attending village based camps and clinic.
Results
The expected results can be divided here into the outputs and outcomes:
Outputs: Without any doubt there has been an increase of service utilization at health Kiosk due to community education. Villagers recognize the importance of a qualified doctors coming to their village and indirect cost of traveling to city is saved.
Outcome: Bigger outcome through this attempt of community empowerment and participation is the psychosocial empowerment of the communities. Villagers increasing bonding and identification with their village based health system are becoming evident with the growing need and demand of the community.
Summarizing the expectation, it can be said that Drishtee works towards three empowerment outcomes:
a) Community and patient participation
b) Psychosocial empowerment
c) Sense of community best developed by the strategies which build on existing sense of community and cultural networks
What will it take for your project to be successful over the next three years? Please address each year separately, if possible.
Drishtee model successfully reached two bench marks of success:
1) PHASE 1- Sustainability: We aim to sustain the cost of a network of 10 DHFS at a time i.e. the expenses for doctor, travels etc.
2) Phase 2- Replicability : As soon as the model attains it is replicated over other geographies
3) PHASE 3- Community based central healthcare facility- As next steps, Drishtee aims to construct a small health care facility that provides a) preventive health care education to the patients b) Non conventional health care like yoga, ayurveda, healthy lifestyle education etc c) Centre for treatment options and information
What would prevent your project from being a success?
Lack of sustainability: As the model is based on User fee which leads to the sustainability and spontaneous model which can run by itself without any external funding on continuous basis
Lack of balance between the Social and cause.
How many people will your project serve annually?
Fewer than 100
What is the average monthly household income in your target community, in US Dollars?
Less than $50
Does your project seek to have an impact on public policy?
Yes
Sustainability
What stage is your project in?
Operating for 1‐5 years
In what country?
India, UP
Is your initiative connected to an established organization?
Yes
If yes, provide organization name.
Drishtee Foundation
How long has this organization been operating?
More than 5 years
Does your organization have a Board of Directors or an Advisory Board?
Yes
Does your organization have any non-monetary partnerships with NGOs?
Yes
Does your organization have any non-monetary partnerships with businesses?
Yes
Does your organization have any non-monetary partnerships with government?
Yes
Please tell us more about how these partnerships are critical to the success of your innovation.
Approximately 150 words left (1200 characters).
What are the three most important actions needed to grow your initiative or organization?
Building a centralized health care facility which can act as
a) a referral center for the village based kiosk
b) Education and interaction centre for patients group meetings
c) Training centre for DHF specially for sharing their experience with each other
d) Centre for preventive healthcare
e) Seat of community heads discussion to demand the change in the model
The Story
What was the defining moment that led you to this innovation?
For last ten years, Drishtee is working for the development of the rural communities through ICT based services. Constant efforts in the field and learning indicated the need for a health model for the rural population. A model which can help the villagers to access the health services within the villages and the demand of a health worker with whom they can relate themselves. Especially, the females who were stigmatized to talk to a male health worker or an outsider about their health problems
A health model was launched with digital diagnostic equipments which were connected to the central doctor in the city through GPRS system. Model was very promising as it could prove to be the gateway to health education and timely diagnosis within the village.
Very soon it was realized that the model had low cultural acceptability as villagers with low technology proficiency could not value the system. Second learning from the previous model was the need to create the demand of the health service before introducing it to the people.
Thus, in 2006, health model involved as a pilot in areas of UP. The health model has under gone several changes to address the needs of the villagers and became the community centered model which empowered the community to run it.
A model that is run by the community with the flag holder as a female promised women empowerment as they were becoming increasingly comfortable to discuss health problems and explore the treatments.
Tell us about the social innovator behind this idea.
SatyanMishra
Managing Director, of Drishtee, Satyan Mishra has a Masters in Business Administration from University of Delhi - Delhi School of Economics with International Business. Besides this he has extensive 11 years of enterprising experience. He has worked towards combining the passion with his managerial and technical expertise to create a viable organization. The concept has motivated like-minded people to come together and form an intellectual horsepower behind Drishtee. This team has also taken up limited equity in order to facilitate the growth of the organization along with few institutional investments.
How did you first hear about Changemakers?
Personal contact at Changemakers
If through another, please provide the name of the organization or company
50 words or fewer
| Attachment | Size |
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| Drishtee_1.jpg | 1.71 MB |
| Drishtee_2a.jpg | 327.18 KB |
 | 80 weeks agoAda Van der Linde said: Dear Dr Singh, Thank you for reacting. Pls find our Cambodia CBHI programme link under http://www.changemakers.com/node/92549 We ... about this Competition Entry. - read more > |
| 80 weeks agoDr Minal Singh said: Thanks Ada, Thanks for your kind words of appreciation! Please send the link to your entry, it would be nice to share thoughts and ... about this Competition Entry. - read more > |
| 80 weeks agoAda Van der Linde said: Dear Dr Mingal Singh, I like your project very much and think it is a very interesting model that we may learn from. Especially ... about this Competition Entry. - read more > |
| 81 weeks agoDr Faisal Mir said: Right kind approach to address the remote population. I appreciate the holistic way of empowering the patients with right knowledge and ... about this Competition Entry. - read more > |
| 83 weeks agoDr Minal Singh said: Thanks Martha for showing faith in the model. Hope we will be able to replicate the model across the geographies very soon. Dr ... about this Competition Entry. - read more > |
| 83 weeks agoDr Minal Singh said: Thanks Martha for showing faith in the model. Hope we will be able to replicate the model across the geographies very soon. Dr ... about this Competition Entry. - read more > |
| 84 weeks agoMartha Adenew said: I have heard about the project when I was in India and I was impressed. Now I have got more clear information about the model. It is ... about this Competition Entry. - read more > |
| 86 weeks agoDr Minal Singh submitted this idea. |
