Globalización

According to anthropologist Claude Levi Strauss, health is a part of civilization. Therefore, different civilizations express different health cultures.The most common characteristic of health cultures,is the establishment of a triangle of trust between the "healer", the "patient" and the treatment. When people are forced to migrate to other countries, they find civilizations that they do not know and / or cannot adopt. Consequently, while they have very limited access to therapy, very often do not trust the therapeutic intervention because they do not trust the civilization of the receptive country. That creates nocebo effects to patients. Doctors cannot solve this issue as they cannot understand the language AND the health culture of immigrant patients. This increases health costs.

1. Educate doctors in different health cultures by providing them an approved compilation of
non western medicine & treatment approaches, to western treatment approaches by
using traditional healers that have also studied western medicine.
2. Create a multilingual e-application that will compile diagnostic findings to different health cultures
/languages in order to speed up communication between doctor & patient.
3. Identify sources of traditional drugs that could be provided by the doctor to the patient in order to
build trust relationships between the doctor and the pharmacist. These therapies might be used to
increase safety of the western drug by increasing placebo.

Vision: Decrease health care costs due to immigration by incorporating traditional therapies to western treatment protocols in a way that :
1. establishes trust relationships between the western doctor and the non western patient
2.anticipates limited market access of western drugs to immigrants by providing them drugs of their
culture that the know, accept, and respect
3. helps western doctor understand different health cultures and use this knowledge to increase
patient compliance

Objective:
create an e-application that can be used by both doctors, traditional healers companies and patients that shall facilitate communication on description of symptoms, diagnosis and treatment based on at least three different non western cultures (Ayurveda, Yunnan, and Chinese)

doctors that come or will potential come in contact with immigrant patients
traditional healers
immigrants

for patients:capitalization of NGOs ( trusted and respected from immigrants) that are very successful on defusing good news to target populations (homeless people, immigrants, minorities etc)
for doctors / medical institutions: Multi-channel activities & personal visits to the boards of their associations

identification of traditional healers that understand the language of "evidence based medicine"
selection of doctors that are experienced in working with immigrants. Creation of a working group for the creation of the compilation guide and the training seminar
selection of the agency that will create the convenient application based on the findings of the above mentioned working group.

there is no direct competitor for the moment.
Doctors might reject any "alternative medicine initiative because they might be afraid of an expansion of alternative medicine practice to general population. To overcome this, only traditional therapies that have been approved in pharmacopoeias of countries of origin should be used.

current legislation does not support access to treatments to illegal immigrants (the only exception is acute hospitalizations).
Use of medical NGOs that deal with health coverage of immigrants (ex medecins sans frontieres, ), patient organizations , and other NGOs as well as company CSR programs partially overcomes those problems. T

Sinceramente como algo viral y contagioso, rompiendo estereotipos y mitos, real y verdadero, siempre innovador y capaz de evolucionar en el tiempo por si mismo, capaz de transcender fronteras y romper cualquier barrera del tiempo, económica, indiferencia social y humana. Logrando una respuesta testimonial y responsable basada en el cambio de pensamiento y actitudes en personas VIH+,negativas e institucional en general.

Que la iniciativa ya sea una costumbre pudiendo ser adoptada en sociedades internacionales, que impulse otras iniciativas y que realmente nuestra misión sea parte esencial y columna vertebral para quien quiera romper mitos, estigmas y cambiar eso que esta mal y simplemente no lo aceptamos.

El trafico de información, cobertura, alcance, hechos, reconocimiento, sensibilización, efecto y cambio positivo en cualquier punto donde llegue nuestra misión, que escuchemos hablar de VIH como decir: ¡Buen día!. Sin miedo, con tolerancia, esperanza, respeto, solidaridad, conocimiento, inclusión, responsabilidad y colaboración mancomunada.

A través del activismo social y desarrollo personal como batuta para la evolución de cada persona, capacitándolos responsable y acertadamente en el área no solo de VIH/SIDA si no también, espiritual, profesional y física, es decir, ofreciéndoles la posibilidad de creer en sus sueños y descubrir sus talentos y habilidades.

Considerando que en nuestra organización siempre contara con lideres en distintas áreas, de acuerdo a sus intereses, capaces de trabajar en equipo; pienso que para nombrar algún líder principal me basaría en su trayectoria, credibilidad, versatilidad, sinceridad, esfuerzo, sentido de pertenencia, sensibilidad, efecto y responsabilidad en el alcance y ejecución de la misión de la fundación y colaboración de otras causas.

Continuaremos con la inclusión de benefactores directos, bien sea a nivel institucional o personal, ademas realizar campañas de prevención donde al mismo tiempo se ofrezcan productos e invenciones relacionadas con cada actividad, imponiendolos como moda y forma solidaria de apoyar la causa.

Creating access to healthcare through service delivery at home. We shave money for client as we cut short hospital stay which is tedious for family members and associated care taking party and help hospitals make more money by making hospitals more active on bed occupancy reate by leveraging faster discharge and more flow of work. We create work for people who are left unemployed in healthcare service sector like nurses, doctors and physiotherapist. We also have created extra volume of work for similar professionals who are willing to work extra hours. We bring value to the employee whose work is more demanding as they cant give time to take care of their loved ones, its gives them relief and respite of social responsibilities.

We tried something completely out of box for healthcare delivery services. There has been growing healthcare services in Nepal like hospitals, tertiary care services and super speciality centers, and everything was happening in more conventional and orthodox healthcare service delivery models. So, as gap was evidently growing, we decided to create something new and serve people who were not getting service in that area where the ACCESS was missing. the creating of formal Access to mainstream healthcare staying at home has been our one of the focus. We also wanted it to be associated with mainstream healthcare so that the continuum of care is not broken ever. This fundamental concept has helped our patient to stay connected with care

Our objective is simple to create access of healthcare to people who need it at home at affordable cost. The service has to be self sustaining, replicable and scalable anywhere done. The service of healthcare is essential humanitarian service it has to be blend of social enterprise which evolves responsibly. We think this service is local now if done properly this service become global, specially for the societies or population in developing world like Asia and Africa.

We approach to individual issue independently and let the solution be totally customizable and compatible to the individual’s need of care value. As we respect the individual capacity should not be limiting factor we make program as customized possible. We have some values that we follow very closely.
1. Compassion we practice the value of compassion as the foremost value of healing.
2. Care with professional value, ethical practice, evidence based knowledge and professional skill are associated with true care value of ours.
3. Confidentiality is respecting individual’s identity and dignity and we value that most.
4. Customization of service is mandatory for the service of human as every human is different.
5. Comfort as comfort of home is unmatchable for any individual.

1. Sick people not improving with medical treatment and management at hospital for example in cancer care and palliative care.
2. chronic disease condition not necessarily requiring hospital care but require consistent medical vigilance and assistance for example in oxygen dependent people of respiratory illness, parkinsonism people with walking limitation, Dementia care and management etc.
3. People requiring multiple and frequent access to simple healthcare services like blood testing, medication management and physician visits in close intervals in weeks for example in old age related care.
4. Rehabilitation services like physiotherapy management at home.
5. Pharmacy deliveries, lab test and result delivery services,

.We have good network of our old clients who refer us to their other family members or friends.
.We have another network of good doctors who practice ethical and evidence based medicine.
.We also get walk in clients from social marketing and international base. Like Facebook and website.
.We have good relationship with good hospitals of Nepal like Norvic, OM, Medicare, Gangalal (Cardiac center), TUTH, Bir and other highly reputed and good flow hospitals.
.We have trusted office managers who ensure the link is maintained with the people who are eligible and willing to work and .we also have consistent flow of clients who maintain our work volume.
.We do marketing to that limit/extent where we can provide service. Till the record of our own existence we have not turn down any queri

#People significantly not improving with medical treatment and management or not responding to management protocol of treatment at hospital for example in cancer care and palliative care.
#chronic disease but not necessarily need hospital care but require consistent medical vigilance and assistance for example in oxygen dependent people of respiratory illness, parkinsonism people with walking limitation, Dementia care and management etc.
# People requiring multiple and frequent access to simple healthcare services like blood testing, medication management and physician visits in close intervals in weeks for example in old age related care.
# People requiring rehabilitation services like physiotherapy management and care who not necessarily need hospital stay etc.

We don't have market competition as of now in our service category. We are pioneer and have been able to create price tag according to our service design, which is considered as benchmark and revolves around the same value all the time. Where as there are group of nurses or physiotherapist who do pretend to present them self as a service provider, which have either had breakaway or had to shut down due to other reasons, which we don't get to know always.
There is none existing service provider in exact our value of integrated service provider in our market. There had been some nursing agencies and some physiotherapy services, which has evolved or inspired in our model. We don't think that is exact competitive model but they do take away some market share.

1. Personal (Non acceptance by family as a doable thing and rediculing process of quiting cardiac surgery residency to persue social enterprise and solution for service gap.)
2. Professional (Non support by senior practitioners as a service for needy one going out of hospital specially from the field of neurology, orthopedics and oncology. Humiliation of doing networking and asking for cases where as there were no one providing solution at the patients service.)
3. Financial (Non availability of fund for the start up both from personal front and banking sector)

1. Stabilize institutional development (Infrastructure, Training)
2. Marketing (Networking, Branding, MOU, Advertisements)
3. Verticals creations and spinoffs like nursing agency, physiotherapist-agency, equipment buy/sell/rent, doctor on call etc
4. IT integration for branding and e-commerce.
5. Starting training institution for home caregivers in local centre(HR development)

We have tested our product idea, solution concept design and service delivery to the level from where we can say it has worked well for the existing service gap in healthcare delivery. We have been able to make it responsible service both inside organizational value and outside in society (Award, Media and word of mouth referral). We have future plan to expand, stabilize and globalize the service.

We want to make it a concept/brand of service which is needed in every society.
No one has to think that the service of healthcare is only confined to the boundaries of hospital or individual.
The process of the service of home healthcare has to be affordable, sustainable, and suitable according to the social structure and values. Home healthcare has to be complimenting service.

Short term: We have plans to open new centers in other cities of Nepal or subcontinent.
We have been training in-house staff to run service centres independently.
We have two new independent services arm likely nursing agency and a physician service coming independently as spin off.
We are trying to sign an agreement with hospitals and healthcare organizations for referral base creation.
We are networking with independent specialist for specialist based services development.
Long term: Health at home has to be model of service for the any societies in world be it replicate or partner with our organization. health at home has to be complete institution with training modules, service mechanisms and success stories.