Please describe the goal of your initiative; outline what you are trying to achieve
Clínica Verde’s clinic provides high-quality healthcare to poor women and children in an environmentally sustainable, responsibly designed facility. Clínica Verde proposes a novel social environment where patients can improve their health interactively – by receiving the highest quality health care and participating in nutrition and health education. Clínica Verde will provide a medical home for 4,000 children for 12,000 visits per year and prenatal care for 1,500 high-risk pregnancies for 6,000 visits per year. The clinic aims to reduce by 20% the number of hospitalizations for infant dehydration, infant mortality and the number of babies of low birth weight. The clinic will also focus on adolescent fertility, given that 25% of all pregnancies in Nicaragua are to adolescent mothers.
What has been the impact of your solution to date?
Clínica Verde opened its doors to Boaco and the surrounding countryside on January 4, 2012. In its first month of operation, Clínica Verde had 837 patient visits, including 231 children under the age of 9. Treatment ranged from dehydration and flu to prenatal care for pregnant women. As Clínica Verde continues its outreach to outlying areas and as the community begins to develop trust in the promise of the clinic, we are seeing demand grow exponentially.
In these early weeks of the clinic's operation, the primary quantifiable benefit of the clinic has been economic. Consistent with its mission of environmental sustainability, construction of the facility, which was completed in mid-2011, used locally sourced materials and supplies, as well as local labor. This approach infused significant economic stimulus into the community of Boaco and nearby towns. Additionally, the clinic is providing 10 well-paying jobs in a very poor area, with that number projected to grow over time.
What is your projected impact over the next five years?
Nicaragua’s Ministry of Health has defined maternal, infant and perinatal mortality as a priority, consistent with the UN Millennium Development goals. Clínica Verde will support this, with the aim of significantly reducing mortality, improving pre- and postnatal standards of care, and empowering women to care for families through better nutrition and improved hygiene in the home. Through a sustained campaign of education and partnerships with schools, nonprofits, and local businesses, we will target the high rate of adolescent fertility by providing health care and education, as well as opportunities for young women. One of our five-year goals is to train teen girls as community health care workers, providing an opportunity to effect change and promoting a sense of self-esteem.
What barriers might hinder the success of your project? How do you plan to overcome them?
Clínica Verde is focused on the unique needs of women and children. However, the clinic will serve anyone with a need we are equipped to address, meaning demand for services will be high. Patients with insurance will be asked to remain with their providers in order to direct resources to the poorest. Once our services for the poor are running smoothly, we will open an exam room to serve paying patients during designated hours. This model provides a revenue stream to help subsidize care for the poor. Fundraising in the current global economic environment is also a challenge. We are realistic about the need to continue actively seeking donors while simultaneously building a business model that generates independent income. We are devoted to creating a model that ensures long-term success.
Winning entries present a strong plan for how they will achieve and track growth. Identify your six-month milestone for growing your impact
Clinica Verde will treat 300 women and 700 children/month with a package of high-quality, high-impact interventions.
Now think bigger! Identify your 12-month impact milestone
Provide care to 500 women & 1,000 children/mo.; expand community outreach; and achieve 80% of quality standards in all services.