Africa Future Foundation Madagascar

Mobile Medical Service

Lead Organization

Africa Future Foundation Madagascar

Antehiroka, Analamanga Region, Madagascar

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Project Summary

There are currently 4,109 doctors registered with the Madagascar Doctors Association for a population of 26 million. The education system does not produce enough doctors, particularly ones that are skilled. The locals face a handful of obstacles including difficult accessibility, affordability, and a scarcity of medical specialists.We will take Malagasy doctors and train them to maximize their abilities in diagnosing the most common diseases and executing common procedures. These newly trained doctors are called Rural-Integrated-Medicine-Specialist. These properly equipped specialists will join the proposed Mobile Medical Service (MMS). MMS would target Malagasy districts which have no surgeons (56), making medical assistance more accessible. MMS drastically increases a Malagasy person's chance to see a specialist, from zero to ten times a year. This program would greatly increase the necessary number of specialist, making medical assistance more accessible and affordable for locals of Madagascar in remote areas.

Problem Statement

Communities without doctors or surgeons will, by far, be the most impacted. Madagascar has a dire shortage of medical professionals because the education system does not provide a sufficient number of quality doctors. In some regions, it faces a scarcity of medical specialists due to its land's vastness, making medical access difficult to impossible. Lastly, the Malagasy general public lacks the financial ability to seek special medical assistance. The most effective solution to, both, ineffectual doctors and the gap on a persons accessibility to healthcare is to turn modern methods of providing healthcare upside down. We do this through the Mobile Medical Service (MMS), in which existing local doctors' schooling is reinforced with retraining to meet evidence based medicine standards. MMS then deploys them into districts with health scarcity. The deployment of the MMS teams not only afford the locals access to regular doctor's visits, but also virtually eliminates the peripheral costs of visiting doctors of this caliber. Training may also be leveraged by allowing a hand full of retrained doctors to join the cadre of staff at a central training facility. Ideally, at the end of the final stages of MMS deployment, Madagascar will have near full coverage of medical accessibility.

Solution Overview

MMS’s plan to improve Malagasy access to health in rural areas is divided into two fronts. First, MWF will retrain existing local doctors in a central training facility. Second, mobile clinics and operating rooms will be transported on a convoy of three off-roading special utility vehicles (SUV) to care for patients in far reaching regions. Progress will be gauged against previous mission standards such as populations reached, polls of locals attended to, or other formal or informal feedback from local leaders. Short-term, doctors working under Miral will be the first to be standardized according to evidence based medicine. Long-term, regions that have never been touched with modern medicine will receive care on a wide scale, across the country. Individual, isolated communities can benefit as much as the larger scope of the regions they belong to. When the overall health of a community of any size improves, all aspects of life soon follows such as school attendance, work productivity, and even the general outlook on life. Beneficiaries also include the doctors Miral retrains who gain a considerably higher quality training than Malagasy institutions can afford.Training will be continuous to sustain an expected outflow of MMS team members exiting the program. Malagasy educators will eventually replace foreign trainers, replenishing its ranks, as the program gains self sustainability.

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Project Funders

  • Korea International Cooperation Agency

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