Thank you for your entry Betty. This is an interesting idea, but I'm curious about how you will staff these facilities. Won't the buildings be useless if there are no skilled health professionals in the area?
Thanks claire for your curiosity, we will have to encompass rooms on the grounds of:
1 - monitoring treatment protocal,
2 - telemedicine
3 - treatment.
4 - Administration
These can be cost effective when we use modern tents.
the buildings will be useful as the skilled health professionals will be able to attend to patients through the telemedicine, the staffs in the ground have to be computer litrates
How helpful is telemedicine. I understand it is better than nothing but does it really work, especially in the event of a complicated birth? What you be able to use computers and video so the skilled workers could actually see what was going on? It sounds very interesting, what training would the unskilled workers need to go through?
You mentioned the buildings would be solar powered. Will this be cost efficient? I was under the assumption that solar power was quite expensive. Also, do you really have a patent for this idea?
Thank you for your entry, it is very ambitious. Keep us updated on what progress you are making.
Hi Jake, well, telemedicine if well administrated can be more helpful than having few hospital far away from the needy people where women die on the queue before seeing the docs or on their way to the hospital. solar power is cost effective being that there will be no bills apart from accasinal maitainance. in my country installing power in the rural is more expensive than buying a solar panel and black outs are frequents not forgeting the burden of the huge monthly bills from the power company. The less highly trained staffs can get capacity building on how use computers and videos, on this ground the patients will be attended by the highly skilled staffs through the less skilled staffs. I believe in this way the project truely has potential to deliver the best health outcomes to the largest number of people at the lowest cost.
Hi Betty,
Congratulations on an innovative idea. I would like to know the level of acceptance of telemedicine in your country. As in my country and other developing countries of South Asia. Telemedicine is not very culturally feasible as when it comes to health issues people like the touch and feel method and do prefer to see a physical doctor. This mindset is more prevalent in the rural & remote location and among the less educated population. This often diverts people from the tele medicine centres to the local quacks
Thanks
Hi Dr Minal, i can imagine the bad cultural practices in the developing countries that hinders women from obtaining their rights and fundamental freedom. In my country poeple get psyched by new things (technology) the fact that they can talk to a qualified Dr from a broad through a video can be a privilage as in my country getting an appointment to see a qualified doctor from a provincial leave alone national hospital can be a tall order.
Thanks betty this is a very essential idea the project can be an effective conduit to changing and improving health care practices in developing countries have you thought of including the old people who can not walk for along distance yet they need health care too ?
hi betty , this is a very potential project for sexual gender based violence survivours, there are so many cases that loose forensic evidence just because of the distance to the hospital, some times the survivour does not have transport or may be it is a woman with a disability who can not walk on her own and does not have a wheel chair, even the ageing groups.
Dont you think it can be prudent enough to have SGBVSR wing in the clinic?
Hi Mohamed, the idea is terrific, yes we really will need a SGBVRC in these centers this will assist the survivors not only by keeping forensic evidence but also getting pep at the right time it will also assist women by choosing when to have children and the number of children they want as many of the rural women can not access fp due to poor infrastructure .
Hi betty, although this scheme is not new, l believe that it is a great idea especially to the developing countries where access to health care is not granted to all. My question is, can it work on the operation apendix? can the said low skilled health workers operate on an apendix?
hi betty I was asking what time frame are we looking at if we were to impliment your idea to effect considering the rural areas where alot of resources are not found.
we should also put in mind what areas are mostly in need or are we going to cover region by region?
Dear Rahmadhan, the time frame for this project to be fully effective is two years and the project as indicated in the idea is destined for the rural areas where there is a hitch in accessing enhanced primary heath service.Thank you.
Hi Betty, telemedicine is still in use at universities to share the wisdom of experts. Combat support hospitals are existing since hundreds of years. Mobile clinics were transported to disaster areas, like now to Haiti and Chile. Its a good idea of you to combine all with the newest technology to supply the the rural population in regions with a low infrastructure with healthcare.
It's not the question if a goat-herder is able to excise an appendix, there are enough doctors with a social conscience, wich would do that job, and a well tried midwife sometimes is better than a one-track specialist. The technical requirements are also no problem. It doesn't need a lot, only a lorry and a containerized unit or two wich can be combined and some medical tools.
This mobile clinic is not dedicated to realise an operation at the open heart and to broadcast it to the townspeople. It is dedicated to the health care and health care is predestinated to recognize possible complications.In the case of hard complications other solutions are possible.
Above all, a mobile clinic is realizable in a short time and would be a blessing for the rural population. So my only question is... when will you start
Hi Helmut,
thank you for your obliging contrtibution, at the moment we are in consultation with our ministers of health and finance so that they can mobilize members of parliament whom represent these needy constituencies , we want to edify them ( members of parliaments) on how primary maternal health care could impact the lives of their constituents, when we come to agreement they can use the constituency development funds on this project we are also lobbyng for our finance minister to do a budget through ministry of health for this project. our financial year is June , so we expect the project to get started in August. Thank you.
your idea is quite good but since you're targeting the rural areas have you considered the mode of communication since most of them can't write and can only talk and understand their mother tongue?
Hi Peres, thanks for the concern , but other service providers and community workers in the centres will be poeple from the locality who are able to uderstand english and local language, in that sense they will be able to do translation.
Hi Betty,
This is a brilliant idea that if aptly implemented can change the life of rural women to the enhanced. Have you heard of Laurie Garrett Senior Fellow for Global Health, Council on Foreign Relations and her project of (Doc-in abox)you can get the site on - http://www.cfr.org/project/1247/docinabox_project.html
I love this idea! Maternal health is truly one of Kenya's most important issues, even if the government doesn't know it, so Kenya needs visionaries like you to do the work that the government is failing to do! While Kenya is a middle income country, it's social indicators, especially maternal mortality are more comparable to least developed countries. Other middle income countries have managed to address this problem while Kenya has not. As well as saving the lives of many women in Kenya, this project would also bring international laud to Kenya if the project is able to lower maternal mortality. If implemented effectively, this could also be a model for other countries with high maternal mortality. I love your vision for working with this issue- it is so ambitious and reveals your commitment and ability for working with issues of women and development! I think that if solar power could work, telemedicine would work in rural Kenya with encouragement my local advocates, which the clinics could hire with funding. I also think that the clinics could bring jobs to areas where there are otherwise many unemployed youth. I love the idea of this project- here are my questions about its further implementation:
-You mentioned that clinics could be dropped off by four wheel drives or airplanes and that clinics could be all over Kenya in two years. However, won't the clinics have to be continually stocked with medicine, health care materials, clean needles, gauze, antiseptic and many other things in order to be kept up? My question is how are you planning to sustain materials at the clinics, which won't end after two years, but will need to be a continual process occurring throughout the life of the clinic?
-Will the project be training medical personnel for the clinics or are you planning on using local or international doctors who are already trained? If you will be training people, can you talk more about this and will training add to the implementation time for the project? How will you ensure that professionals have the most up to date information about effective medical practices? If you are planning on using local professionals, how will you ensure that these professionals are actually adequately trained if many supposed health professionals are actually 'quacks'?
-Are you planning to involve the communities where the clinics are in the work of the clinic? Many development projects have found greater success when communities themselves are able not only to be served, but be directly involved with the project. What do you think about involving the community in the project?
-Do you have a budget for the project?
-Would the services be free? If so, how will the clinic sustain funding, which it will need long after this competition?
-Don't some issues that lead to high maternal mortality need doctors (not all, but some) to perform surgeries that mid-level workers can't perform? Will there be any doctors at the clinics or are the clinics mainly meant to address issues that can be solved by mid-level workers?
Thanks for the wonderful idea, Sharon! I think that funding is probably the biggest thing for this project- if you can find some very willing donors and a way for the clinic to sustain part of the funding, I think the project could be a huge success!
Comments
Thank you for your entry Betty. This is an interesting idea, but I'm curious about how you will staff these facilities. Won't the buildings be useless if there are no skilled health professionals in the area?
Thanks claire for your curiosity, we will have to encompass rooms on the grounds of:
1 - monitoring treatment protocal,
2 - telemedicine
3 - treatment.
4 - Administration
These can be cost effective when we use modern tents.
the buildings will be useful as the skilled health professionals will be able to attend to patients through the telemedicine, the staffs in the ground have to be computer litrates
How helpful is telemedicine. I understand it is better than nothing but does it really work, especially in the event of a complicated birth? What you be able to use computers and video so the skilled workers could actually see what was going on? It sounds very interesting, what training would the unskilled workers need to go through?
You mentioned the buildings would be solar powered. Will this be cost efficient? I was under the assumption that solar power was quite expensive. Also, do you really have a patent for this idea?
Thank you for your entry, it is very ambitious. Keep us updated on what progress you are making.
Hi Jake, well, telemedicine if well administrated can be more helpful than having few hospital far away from the needy people where women die on the queue before seeing the docs or on their way to the hospital. solar power is cost effective being that there will be no bills apart from accasinal maitainance. in my country installing power in the rural is more expensive than buying a solar panel and black outs are frequents not forgeting the burden of the huge monthly bills from the power company. The less highly trained staffs can get capacity building on how use computers and videos, on this ground the patients will be attended by the highly skilled staffs through the less skilled staffs. I believe in this way the project truely has potential to deliver the best health outcomes to the largest number of people at the lowest cost.
Hi Betty,
Congratulations on an innovative idea. I would like to know the level of acceptance of telemedicine in your country. As in my country and other developing countries of South Asia. Telemedicine is not very culturally feasible as when it comes to health issues people like the touch and feel method and do prefer to see a physical doctor. This mindset is more prevalent in the rural & remote location and among the less educated population. This often diverts people from the tele medicine centres to the local quacks
Thanks
Hi Dr Minal, i can imagine the bad cultural practices in the developing countries that hinders women from obtaining their rights and fundamental freedom. In my country poeple get psyched by new things (technology) the fact that they can talk to a qualified Dr from a broad through a video can be a privilage as in my country getting an appointment to see a qualified doctor from a provincial leave alone national hospital can be a tall order.
Thanks betty this is a very essential idea the project can be an effective conduit to changing and improving health care practices in developing countries have you thought of including the old people who can not walk for along distance yet they need health care too ?
Hi faith, although the project will b significantly for maternal health , basic health care can be included.
hi betty , this is a very potential project for sexual gender based violence survivours, there are so many cases that loose forensic evidence just because of the distance to the hospital, some times the survivour does not have transport or may be it is a woman with a disability who can not walk on her own and does not have a wheel chair, even the ageing groups.
Dont you think it can be prudent enough to have SGBVSR wing in the clinic?
Hi Mohamed, what means SGBVSR ?
Hi Betty
pardon me , that was a typing era, l meant SGBVRC!
Hi Mohamed, the idea is terrific, yes we really will need a SGBVRC in these centers this will assist the survivors not only by keeping forensic evidence but also getting pep at the right time it will also assist women by choosing when to have children and the number of children they want as many of the rural women can not access fp due to poor infrastructure .
Hi betty, although this scheme is not new, l believe that it is a great idea especially to the developing countries where access to health care is not granted to all. My question is, can it work on the operation apendix? can the said low skilled health workers operate on an apendix?
hi betty I was asking what time frame are we looking at if we were to impliment your idea to effect considering the rural areas where alot of resources are not found.
we should also put in mind what areas are mostly in need or are we going to cover region by region?
Dear Rahmadhan, the time frame for this project to be fully effective is two years and the project as indicated in the idea is destined for the rural areas where there is a hitch in accessing enhanced primary heath service.Thank you.
Hi Betty, telemedicine is still in use at universities to share the wisdom of experts. Combat support hospitals are existing since hundreds of years. Mobile clinics were transported to disaster areas, like now to Haiti and Chile. Its a good idea of you to combine all with the newest technology to supply the the rural population in regions with a low infrastructure with healthcare.
It's not the question if a goat-herder is able to excise an appendix, there are enough doctors with a social conscience, wich would do that job, and a well tried midwife sometimes is better than a one-track specialist. The technical requirements are also no problem. It doesn't need a lot, only a lorry and a containerized unit or two wich can be combined and some medical tools.
This mobile clinic is not dedicated to realise an operation at the open heart and to broadcast it to the townspeople. It is dedicated to the health care and health care is predestinated to recognize possible complications.In the case of hard complications other solutions are possible.
Above all, a mobile clinic is realizable in a short time and would be a blessing for the rural population. So my only question is... when will you start
Hi Helmut,
thank you for your obliging contrtibution, at the moment we are in consultation with our ministers of health and finance so that they can mobilize members of parliament whom represent these needy constituencies , we want to edify them ( members of parliaments) on how primary maternal health care could impact the lives of their constituents, when we come to agreement they can use the constituency development funds on this project we are also lobbyng for our finance minister to do a budget through ministry of health for this project. our financial year is June , so we expect the project to get started in August. Thank you.
Make sure you add any pertinent information you've entered here into your actual entry.
Thanks Jake, Note taken.
hi betty
your idea is quite good but since you're targeting the rural areas have you considered the mode of communication since most of them can't write and can only talk and understand their mother tongue?
Hi Peres, thanks for the concern , but other service providers and community workers in the centres will be poeple from the locality who are able to uderstand english and local language, in that sense they will be able to do translation.
Hi Betty,
This is a brilliant idea that if aptly implemented can change the life of rural women to the enhanced. Have you heard of Laurie Garrett Senior Fellow for Global Health, Council on Foreign Relations and her project of (Doc-in abox)you can get the site on - http://www.cfr.org/project/1247/docinabox_project.html
Dear Sharon,
I love this idea! Maternal health is truly one of Kenya's most important issues, even if the government doesn't know it, so Kenya needs visionaries like you to do the work that the government is failing to do! While Kenya is a middle income country, it's social indicators, especially maternal mortality are more comparable to least developed countries. Other middle income countries have managed to address this problem while Kenya has not. As well as saving the lives of many women in Kenya, this project would also bring international laud to Kenya if the project is able to lower maternal mortality. If implemented effectively, this could also be a model for other countries with high maternal mortality. I love your vision for working with this issue- it is so ambitious and reveals your commitment and ability for working with issues of women and development! I think that if solar power could work, telemedicine would work in rural Kenya with encouragement my local advocates, which the clinics could hire with funding. I also think that the clinics could bring jobs to areas where there are otherwise many unemployed youth. I love the idea of this project- here are my questions about its further implementation:
-You mentioned that clinics could be dropped off by four wheel drives or airplanes and that clinics could be all over Kenya in two years. However, won't the clinics have to be continually stocked with medicine, health care materials, clean needles, gauze, antiseptic and many other things in order to be kept up? My question is how are you planning to sustain materials at the clinics, which won't end after two years, but will need to be a continual process occurring throughout the life of the clinic?
-Will the project be training medical personnel for the clinics or are you planning on using local or international doctors who are already trained? If you will be training people, can you talk more about this and will training add to the implementation time for the project? How will you ensure that professionals have the most up to date information about effective medical practices? If you are planning on using local professionals, how will you ensure that these professionals are actually adequately trained if many supposed health professionals are actually 'quacks'?
-Are you planning to involve the communities where the clinics are in the work of the clinic? Many development projects have found greater success when communities themselves are able not only to be served, but be directly involved with the project. What do you think about involving the community in the project?
-Do you have a budget for the project?
-Would the services be free? If so, how will the clinic sustain funding, which it will need long after this competition?
-Don't some issues that lead to high maternal mortality need doctors (not all, but some) to perform surgeries that mid-level workers can't perform? Will there be any doctors at the clinics or are the clinics mainly meant to address issues that can be solved by mid-level workers?
Thanks for the wonderful idea, Sharon! I think that funding is probably the biggest thing for this project- if you can find some very willing donors and a way for the clinic to sustain part of the funding, I think the project could be a huge success!
Very Best,
Gillian