Public Health Foundation of India

Barefoot-Community-Health-Nurse: Create Livelihood Option, Ensure Self-sustainability-bridge last mile connectivity-for-1billion-Indians

Lead Organization

Public Health Foundation of India

Bangalore, State of Karnataka, India

http://www.phfi.org

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Project Summary

1. PROBLEM: World Health Organization (WHO) report suggests that 1 in 4 Indian adult risks dying from an NCD before they reach the age of 70. 2. SOLUTION: We adopted a package to screen non-communicable diseases such as Diabetes, Hypertension, Anaemia, chronic kidney disease, refractive errors and malnutrition. Our barefoot community nurses (local village health worker) screen the NCDs at household level in each of the village, captures data such as Height, Weight, BMI, Blood Pressure, Haemoglobin, Blood Sugar and Vision;3.LIVELIHOOD: The above services are delivered at door step by trained BFNs at affordable price such as INR 15 for BP, INR 25 for blood sugar, Haemoglobin-INR 40 weight INR 2, Vision-INR 30. This amount goes to barefoot nurse and making the program self- sustainable. The goal of the Project is to accelerate progress towards achieving sustainable development goals (SDGs) by reducing the ‘service gap’ in NCDs prevention.

Problem Statement

PROBLEM: World Health Organization (WHO) report suggests that 1 in 4 Indian adult risks dying from an NCD before they reach the age of 70. SOLUTION: We adopted a package to screen non-communicable diseases such as Diabetes, Hypertension, Anaemia, chronic kidney disease, refractive errors and malnutrition. Our barefoot community nurses (local village health worker-previously unemployed are trained) screen the NCDs at household level in each of the village, captures data such as Height, Weight, BMI, Blood Pressure, Haemoglobin, Blood Sugar and Vision; LIVELIHOOD: The above services are delivered at door step by trained BFNs at affordable price such as INR 15 for BP, INR 25 for blood sugar, Haemoglobin-INR 40 weight INR 2, Vision-INR 30. This amount goes to barefoot nurse and making the program self- sustainable. The key features of the project are; 1)Accessible: Screening non-communicable diseases in once neighbourhood and pre-empt burden of NCDs; 2) Affordable: the costs of tests are affordable to rural and remote population; 3) Livelihood option; It takes care of livelihood for the BFNs while providing preventive health care services;4) Technology: Smart phone enabled solutions for easy workflow, data automation and; 5) Training capacity building: Standard training video to improve skills and; hands on training; constantly learning from the community experiences.

Solution Overview

We adopt a package to screen non communicable diseases such as Diabetes, Hypertension, Anaemia, chronic kidney disease, height-weight, pregnancy care, obesity, refractive errors and malnutrition. Our barefoot nurse (local village health worker) screen the non-communicable diseases at household level in each of the village, captures data such as Height, Weight, BMI, Blood Pressure, Haemoglobin, Blood Sugar and Vision and refers suspected cases to hospital. Captures data such as Height, Weight, BMI, Heart Rate, Blood Pressure, Blood Sugar and Vision . These services are delivered at door step by trained barefoot nurse at affordable price such as INR 10 for Blood Pressure (10 cents), INR 20 (20 cents) for blood sugar etc. This amount goes barefoot nurse to take care their livelihood. All data is recorded without any manual intervention to reduce human errors. The data related to screening is password protected and anonymous data made available to users, analysts; shares information as SMS, as print and electronic form. All the services are delivered at affordable prices. We started the project at Doddaballapura Bangalore rural district with 200000 populations. At presently there are 100 barefoot nurses are reaching about 50,000 families. Preventive and promotive health space is providing sustainable livelihood opportunities for rural and semi urban women. The program is scaled up to four more districts.and reaching to close to half a million population and now we are aiming to operate at scale to reach 100 districts in India.

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Project Funders

  • Jai shivshakthi 2019
  • The state government
  • Navodaya Charitable Trust

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