AN INVITATION TO SUPPORT 'SETTING UP OF A MOBILE- OUTREACH-CLINIC FOR RURAL COMMUNITY SERVICES'
Thanks for making time to read this:
My name is Augustine Kwaku Bow, CEO of PARALLEL INTEGRATION and HEALTH MILITIA. (https://healthmilitia.org/) or (https://parallelintegration.org/) We are grateful you have decided to take a look at this short proposal we have carved to help in the establishment of a 'Mobile - Outreach - Clinic' for Rural Outreach aim at improving health care accessibility within the Central Region and beyond. Please, you can contact me via, [email protected] or +233 242081764 for inputs.
THE DAUNTING EFFORTS OF OUR VOLUNTEERS GAVE RISE TO THIS PROPOSAL
Rural healthcare delivery has received little attention in almost every part of Ghana. This situation has caught the attention of many stakeholders of different background resulting in appreciable research in this field.
While Ghana’s government has increased its expenditure for healthcare more than threefold within the past 10 years, it still has not achieved its goals connected to health. Infant and child mortality remains high, as does maternal mortality. In fact, circumstances for expecting mothers have been worsening towards the end of the past decade.
While all settlements have their share of these unfortunate circumstances, the rural dwellers are the most affected.
Lu et al (2010) identified inadequate health facilities, long distances to health facilities, lack of effective and efficient transportation systems, inadequate health personnel and inability to afford the cost of health services as major hurdles constraining rural people from accessing health services.
It is a fact that Ghana has quiet a good number of both government and private hospitals that are able to assist in medical emergencies. However, Healthcare facilities tend to be concentrated in large cities while rural areas have ill-equipped health care centers.
The situation is no different when it comes to Laboratory services. In Ghana, laboratory services exist at most levels of health facilities, except smaller health centers or CHIP (Community Health Improvement) Compounds
- Apathy to check ups. Due to long distant travel most rural communities do not visit the hospitals for regular examination or check up, and only do so when situations get worst and most at times leads to death. Defeating our efforts in achieving the MDGs 4,5 and 6
- Hidden Cases: Even where CHIP COMPOUNDS exist in villages, and as already stated laboratories are unavailable. Thus cases that require lab investigations are not conducted. In this case there are two options available; a guess or the patient is directed to a health facility in town. Which means covering quiet a number of kilometers couple with transportation challenges.
- Pregnant women who may require frequent SCAN and LAB test would have to go through similar ordeal and still PAY for most of the lab services when they get to town.
OUR EFFORTS AND VOLUNTEERING EXPERIENCE
Over the past 3 years, volunteers have embarked on medical outreaches and worked in a manner that wasn’t desirable. The lack of ideal logistics and inadequacy of some materials hampered service delivery. Some times we could see a sense of dissatisfaction expressed on the faces of most of the volunteers especially in times when we needed to improvise. Thus having a Mobile Outreach Laboratory stocked with modern logistics / materials, and dispatched to the rural communities would facilitate the work of the Local Health Professionals and our medical volunteers.
Establishment of 'A MOBILE OUTREACH -CLINIC AND LABORATORY' system to render FREE services to the Rural Folks whiles offering Commercial services (for sustainability) to the urban dwellers would help answer this problem in many rural settings.
WHAT WE SEEK TO ACHIEVE
- Accessibility to basic health care to the rural dwellers through regular checkups
- Improve Maternal Health using our 'Tripartite Integrated Approach'
- Improved learning and concentration in schools through medical outreaches.
- "Ensure healthy lives and promote well-being for all at all ages" as envisaged by the SDGs
SOME ACTIVITIES TO BE CARRIED OUT: A. HEALTH EDUCATION ( for both Pregnant Women and the general public), MALARIA TEST, WOUND DRESSING OF CHILDREN, BLOOD SUGAR CHECK, BLOOD GROUP, SCAN SERVICES, FULL BLOOD COUNT (for pregnant women ), EYE SERVICES FOR THE AGED, VITALS, WIDAL TEST, SYPHILIS, GONORRHEA ETC. B. Ad hoc Rural Ambulance Services (RAS)
A. STRATEGY AND SUSTAINABILITY:
1.The FIXED laboratory is to be sited in Winneba town to offer commercial services to the township whilst the Van (MOBILE LAB AND CLINIC) moves to villages to render FREE services. This already gives the clue, that the proceeds from the commercial aspect would be used to complement other sources of support and logistics for the MOBILE Clinic.
2. NHIS: We are assisting the rural communities to have them enrolled on the National Health Insurance Scheme. This way they would be able to access the facility with their insurance card then we make the claim from the National Health Insurance Authority. This will enable us expand our services to more communities.
STRENGTH / SUPPORT SYSTEM:
-Availability of prospective foreign volunteers coming through our organization https://healthmilitia.org/and (www.parallelintegration.org ) to help in the outreaches aside working at their placements and hospitals.
-Municipal Health Directorate: Our NGO is already working in partnership with most of the hospitals, and they have often been helping us with health officers during our medical outreaches
-We are to work also with the CHIP COMPOUNDS where available on an agreed schedule.
As witnesses to what we have seen with our eyes, what we have heard, and touched with our hands, concerning the Rural Health Problems during series of free medical outreaches undertaken by the organization and its partners, we wish to put forward this proposal for consideration, and asking you to make a donation so that together we could answer the life’s most urgent question.
THE COST COVERS THE FOLLOWING:
1. Laboratory Van
3. Fixed Space for the Laboratory