primary maternal health care
Location
Primary martenal health care is an innovated project portrayed as an after thought, which should be run by charities or NGOs out of makeshift premises with concerned volunteers struggling to provide rudimentary care.
The project primary matrnal care should have the potential to deliver the best health outcomes to the largest number of poor women in the rural at the lowest cost. as in my country,with poor infrustructure, women still trek for more than 60km to get to a hospital.
The question is, how best could you rapidly provide a comprehensive, cost effective national primary care service when there is no existing infrastructure?
The answer seems to me a bit like telephones - if there are no fixed lines in existence, the service can jump outmoded technology and go directly to mobiles.
The same with primary care, leap the permanent medical practices with their expensive doctors and set up a service using less highly trained staff and community midwives supported by communication technology.
I believe the key here is the physical space primary care is actually delivered from.
My suggestion is that we manufacture stand alone medical treatment pods, a basic consulting room to start with, followed by add on treatment rooms and even a small operating room and a few beds.
The pods are solar powered with a water filtration unit and satellite internet access, so need no existing power, water or telephone lines, nor a long build time.
Staffed by nurses and community health workers, the central organization will monitor robust treatment protocols and provide real time advice using telemedicine, so obviating the need for expensive doctors.
They can be dropped(literally by fourwheel drive viechles or helicopter if necessary) wherever there is a sizable community, onto a firm base and will be fully self sufficient.
This way a government can provide the whole country with a modern health system in just a few years and at a cost comparable to building one large central hospital. The project can only be achieved with a political good will and strong network of stake holder.
i am nominating this project because primary maternal health care is an important determinant of neonatal survival, and maternal health interventions during pregnancy and birth, dramatically affect neonatal health and survival. Chances of a child whose mother has died at birth are next to nill . and this project can seave two lives at ago.
