MIT SP 783 - Homework 3 (4 pages)

Previewing page 1 of 4 page document View the full content.
View Full Document

Homework 3



Previewing page 1 of actual document.

View the full content.
View Full Document
View Full Document

Homework 3

83 views


Pages:
4
School:
Massachusetts Institute of Technology
Course:
Sp 783 - Engineering Capacity in Community-Based Healthcare
Engineering Capacity in Community-Based Healthcare Documents
Unformatted text preview:

Jelena Mirkovic Jessica Rhee Aparna Kollpara Jina Kim ART ACCESS Group Homework 3 Due to lack of resources in the public health sector vast majority of people cannot obtain care and treatment Community based organizations are emerging as a complement to public health efforts in providing ART A survey by Sidaction UNAIDS 2005 shows that many African communities are already providing antiretroviral therapy on a significant scale and not only that but facilitating access to treatment through advocacy education voluntary counseling and testing providing home based care bulk purchasing of medicines and mental support Therefore they provide psychosocial assistance and education not commonly offered in public health services which is a key to success of ART They are also focused on helping groups of people who tend to be left out from the public sector healthcare such as poor orphans and women gain access to treatment Community organized Home Based Care does not require extensive and costly infrastructure such as hospitals and clinics and simultaneously is a possible solution to issues like treatment adherence and access to healthcare by individuals who may be too sick to attend a hospital clinic Wilson 2005 This approach also allows for patients to receive regular attention by healthcare workers and have their treatment programs supervised Just as the public sector the community based organizations are facing a lack of resources financial stuff in order to provide adequate healthcare It could be of great help to identify ways to provide community based organizations with technical and infrastructural assistance to improve treatment quality and coverage We propose collaborating with community health programs to help them use staff more effectively and communicate their efforts with each other Text Messaging Mobile Phone Networks Mobile phone technology has become widespread even in developing parts of the world Simpler and more prevalent than computers mobile phones would be a potential way to communicate with patients in the home based care system Then health care workers would not have to travel long distances to perform routine check ups freeing up their time for more managerial activities During our discussion last week we thought this idea would be an interesting technological solution to the shortage of human manpower shortage Other countries are already utilizing cell phone networks to inform and mobilize citizens For example one of the companies in India s Business Alliance organized for the fight against tuberculosis plans to use its 5 million phone network to text message users information about TB and treatment Zahorka et al 2004 Colombia is also initiating a study to evaluate whether daily text messages to remind ART patients about taking their medicines will improve adherence This pilot project in Baranquilla Colombia hopes that these automated SMS messages will alleviate the burden of time and money on health services Villanueva We propose incorporating the cell phone in Lusaka into the home based care system Patients would receive a text message each month that asks them to answer several questions about their health and dial in the responses to a certain hotline If a patient s replies merit an in person visit the health care worker would do so Text messages would be a form of triage allowing already over burdened health care workers to expend their efforts most efficiently Depending on the results of the Colombia project text messages could also be used more frequently to promote adherence There are also some concerns to address with this approach The cell phone can be used as a monitoring tool but patients may not be able to afford to send text messages unless the service is free We would need to work with network ART Patients as Advocates Health Care Providers People affected by HIV are receiving a grater role in providing healthcare and designing and implementing national programs The International HIV AIDS Alliance 2002 They can be strong advocates and participate in the process of education planning management and even providing treatment themselves They can combine the acquired technical knowledge with the first hand experience with the disease to ensure that the treatment services are credible relevant and people with HIV friendly An involving person with HIV AIDS does not only increase numbers and quality of providers of healthcare but also strongly benefits the individuals themselves For example at the Salvation Army s Chikankata Health Services The International HIV AIDS Alliance 2002 involvement in the care and prevention teams had helped people with HIV to identify opportunistic infections at an early stage and seek medical attention as soon as they became sick A strategy to involve people living with HIV AIDS in community based organization NGO work on treatment specific can be developed This can include informing PHLA about possibilities for being involved in activities and recruit them as employees with clearly defined roles and some form of compensation such as free treatment for opportunistic infections It would be interesting to find out what the level of involvement of PLHA in providing healthcare in Zambia is if there is an incentive and strategy to increase this involvement Medical Students as Health Care Workers Encouraging medical school students to volunteer as primary health care workers at local health care facilities Initially we can build a network of volunteers e g UNZA medical students that might be interested in working at a health care center for ART patients We can work with the university to establish a volunteer program for students who are interested in devoting their free time to assist ART patients These volunteers can also assist with home based care or other health care delivery functions The volunteer program might be successful if it is mandated by the government or UNZA The church system can be used to promulgate the importance of volunteerism to assist people infected and affected by HIV AIDS Church leaders can instill a sense of community to encourage volunteerism among churchgoers who will thereby assist people living with HIV AIDS PLWHAs It must be noted that medical students will have very little incentive to volunteer as primary health care workers if they can find paid work elsewhere Another option is to provide a stipend for medical students who do contribute their time to work at health care centers Home Based Care


View Full Document

Access the best Study Guides, Lecture Notes and Practice Exams

Loading Unlocking...
Login

Join to view Homework 3 and access 3M+ class-specific study document.

or
We will never post anything without your permission.
Don't have an account?
Sign Up

Join to view Homework 3 and access 3M+ class-specific study document.

or

By creating an account you agree to our Privacy Policy and Terms Of Use

Already a member?