NAYA JEEVAN
doctHERs is a novel healthcare marketplace that connects home-restricted female doctors to millions of underserved patients in real-time while leveraging technology. doctHERs circumvents socio-cultural barriers that restrict women to their homes, while correcting two market failures: access to quality healthcare and gainful employment. doctHERs leapfrogs traditional market approaches to healthcare delivery and drives innovative, sytems change. For example doctHERS can access urban/rural patients through mobile and internet enabled technologies/vídeo-conferencing • Trained, trusted community Nurses/ Health Workers/Midwives assist DoctHERS in assessing patients at ‘point-of-care’ using diagnostic tools which creates a new ‘healthcare value chain’ • doctHERs can work across the healthcare sector: operate 24/7 tele-healthlines, conduct medical/claims reviews, contract services to health plans (PPOs, health insurance companies), promote health/wellness coaching and trainings via web, IVR-enabled health modules or SMS-enabled localized health messaging.
Over the past 18 months, doctHERs has provided ICT-enabled telehealth services in Sultanabad, an urban slum of 250,000 lives in Karachi which is inhabited by marginalised migrant workers.
80% of all medical school graduates in Pakistan are women, yet only 25% ever practice due socio-cultural constraints. In the same Pakistan, 95% women living in poverty can not access affordable, quality healthcare and have never seen a qualified doctor. Stuck in this status quo, millions of marginalized women face unnecessary high maternal-child mortality/morbidity, sadly in the presence of promising doctors who have historically been unable to reach them. All the while, the same Pakistan boasts 85% penetration of mobile access to mobile & internet technology. Given the significant demad-supply mismatch between doctors and patients, it behooves us to question how we can use information and communications technology to bridge this gap?
doctHERs is the first ICT-enabled model anywhere in the world (that we are aware of) that specifically and exclusively integrates home-based medical health providers who have otherwise been marginalised from the health workforce. In addition, it provides skills-training and gainful employment for community-based lady health workers (LHWs) in remote, rural communities and connects them to urban-based doctHERs via telemedicine in a manner which creates significant impact and tangible value for end-users/beneficiaries.
(i) Connect home-restricted female health professionals to marginalised communities who lack access to quality, affordable healthcare
(ii) Train and Capacitate community-based Lady Health Workers on how to provide communities in urban slums and remote rural areas with access to doctHERs
ICT-enabled videoconsultation
ICT-enabled 24/7 Telehealth (healthcare delivered via mobile phones)
Electronic Health Records (of patients visiting clinics or using doctHERs)
ICT-enabled Clinical Management System
(i) Conducted preventive health workshops delivered by video for 5000 urban slum dwellers
(ii) provided 7500 patients with high-quality primary care
(iii) Established a telemedicine-equipped Community Health Center in Sultanabad
Telehealth-facilitated OB/GYN consultations have led to 70+ safe hospital deliveries • 500 lives have been saved by providing them with access to life-saving interventions/surgery
• PBS Newshour
http://www.pbs.org/newshour/bb/world/jan-june11/pakistanhealth_05-23.html
• Christian Science Monitor
http://www.csmonitor.com/World/Making-a-difference/2011/0328/In-Pakistan-Asher-Hasan-brings-innovation-to-health-care-cost-at-1.80-per-month
• Forbes
http://www.forbes.com/global/2010/0719/creative-giving-asher-hasan-health-care-native-son.html
• Fast Company
http://www.fastcompany.com/1690237/five-innovators-heading-cgi-naya-jeevan-doctors-rx-micro-insurance
• Stanford Social Innovation Review
http://www.ssireview.org/articles/entry/hmo_for_the_poor
• Center for Health Market Innovations
http://healthmarketinnovations.org/program/naya-jeevan?display=izpb
• Foreign Policy Magazine
http://afpak.foreignpolicy.com/posts/2012/07/11/the_doctor_isnt_in
2013: GE/Changemakers Innovation Award 2013: Rockefeller Foundation Centennial Innovation Challenge 2012: G20 Financial Inclusion Challenge Award 2012: Wall Street Journal Asia Innovation Award Finalist 2011: WEF/Schwab Foundation Asia Social Entrepreneur of the Year
http://www.youtube.com/watch?v=Iol8AFLDYT8
https://www.facebook.com/nayajeevan
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http://healthmarketinnovations.org/program/naya-jeevan
http://www.changemakers.com/community/changemakers/blog/world’s-first-dedicated-health-plan-marginalized-takes
Case_Brief_on_Naya_Jeevan_Mar_2014.pdf
Fall_2012_HMO_for_the_Poor.pdf
Dr. Ashar Hasan