HEALTH services MMU & Health Camps

Evolution of new concepts

2009 2010MMU + MMU ++

~ 2008MMU

Health Camps

Transition Phase of MMU programme

Factors behind the evolution of new

concepts

Finding answers to our own questionsTreatments / beneficiaries

Justify our Expenses Vs. Activities

MMU Effectiveness & Efficiency

Evidences to prove our credibilityto prospective donors

Better donor servicing in funded projects

???

MMU + MMU ++

!!!

MMU ++All services of MMU +

Additions Treatment data collection MIS software based data collection

and pathway analysis Donor can avail updated data online

and view analytical reports from time to time

Referral services / facilities Referral Linkage with local health

providers (where-ever possible) Referral Linkage with Govt. schemes/

programmes(where-ever possible)Home Care for bed ridden Mobile Physiotherapy services Palliative care services

MMU Out-patient

services Dispensing of

medicines Referral of

patients Health Awareness

(by a few MMUs) Health camps –

mostly donor mandated

MMU +All services of MMU

Additions Base line through Social

Mapping & Socio-Health-Economic Profiling

Treatment data collection Basic Diagnostics Home visits by doctorReferral services / facilities Linkage with local

health providers Linkage with Govt.

schemes/ programmes

Modes of MMU operations

Focus in Transition Phase

MMU

Actual beneficiaries

Potential beneficiaries

Justify our Expenses on Activities

MMU Effectiveness & Efficiency

Evidences to prove our credibility to prospective donors

MIS for MMU Impact Analysis

Treatment Nos.

Actual Beneficiaries

“X”

Potential Beneficiaries

“Y”

Health Services Health care is primary to well being of elderly with advancing age and natural process of ageing and thus requires access and affordability.

Design and implement mobile and stationary pilot demonstration primary health care services for needy elderly in both rural and urban areas

and ...Endeavour to mobilise local community and resources for establishing community based sustainable models which strengthen integration of elders into family and local community and also linkage with government and other health service providers.

Thereby establish resilient local capacity and processes including training of Para-health workers and affordable alternate forms of medicines.

Importance of this Strategic Option

Continued health and well being of elderly can only be assured with the help of resilient and sustainable community based health services through trained local Para-health workers and affordable in local context.

CRITICAL FOR ELDERLY POPULATION

Access to basic health services in both rural and urban areas.

Affordable low cost health care and physical mobility to access those facilities

Psychological intervention for acceptance, pain management and long term treatment without major side effects.

Specialised medical intervention for conditions such as cataract, coronary diseases, hypertension, diabetes etc.

Lack of clarity on MMU line management; simultaneous management by HO and Regions is confusing and ineffective.

Key Barriers to Implementation

Modern medicine practitioners not inclined or attracted to difficult areas ...non urban .....basic health and non curative care.

Acceptance of change to a more appropriate, workable and cost effective health service delivery design by HI and donors.

In house management capacity calibrated in line with annual work plan and financial allocation and hence effectiveness degrades in responding to new projects

In house skill enhancement prerequisite to successful implementation of new approach viz. MMU+ & MMU++

X

X

X

X

X

POTENTIAL ROLES / ACTIONS OF KEY STAKEHOLDERS

MMU Team Implementation of project activities and timely achievement of project deliverables.

Mobilising the elder community and ensure their participation Collective approach to Rights and Entitlements and response to the

local health needs elderly

Head Office Strategic-Vision (2009-13) o Implementationo Policy and operational guidelines

Mobilisation and allocation of financial resources Handholding of the state and project staff Project Review Impact evaluation

State Office State strategic plan Planning and implementation - increasingly working with elders Ensuring the quality of services delivered. Supportive supervision of project activities

HEALTH services

Single window system

Activities 2010 – 2011(20 MMU++ ONGC & 14 MMU+)

Key Targets:• 44,000 Registered elderly for health services.• 34 MMU individual model operational plans

(20 MMU++ & 14 MMU+)• 26 MMU impact analysis reports on disease

pattern (12 MMU++ & 14 MMU+)• 26 MMU treatment records digitised

(12 MMU++ & 14 MMU+)

“ The Future depends on

what we do in the present”Than

ks!