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Health Care at My Fingertips (HCAMF)

The project will empower communities from under served and remote rural and urban regions in Kenya to adopt a new health care model that combines electronic medical records (EMR), hand held portable ultrasound diagnostics, e-health technology and community health workers (CHWs).

Program goals

CHWs will offer health screenings in 500 schools in Meru, Illeret and Turkwel (300+ primary and 200+ secondary) for approximately 150,000 students as part of their yearly physical. They will conduct HIV and TB screenings to approximately 1000 orphaned children (250 each year) and deliver public health curriculum in the schools. The CHWs will also carry out physicals and ultrasounds on pregnant women providing clinicians with GE’s portable ultrasound 3D data sets with conventional 2D scanners that can lead to improved treatment before the condition reaches a critical juncture. Additional ultrasounds will be performed as needed to monitor progress and develop necessary treatment plans.

Key program components

HCAMF uses wireless technology to link remote, low resource hospitals and clinics to competent clinicians that would not otherwise be available. Technology deployed within a community based health model will provide basic diagnostics including new portable hand held ultrasounds, e-health technologies, point-of-care testing (POCT), electronic medical records (EMRs), and health education as never before possible.

CHWs will use wireless e-health tablets to conduct health assessments of maternal women and children. The tablets can record a patient’s temperature, weight, blood pressure, blood oxygen, POCT, cardiac and lung sounds. The tablets can also carry out diagnostic evaluations (e.g., for HIV/AIDS, malaria, TB) and electrocardiograms and can take high resolution photographs. Data collected will be entered into the EMR and can be shared with remote CHW team members (nurses, physicians) for diagnosis and treatment assistance. CHWs will provide access to medical advice as appropriate and will make referrals to clinicians at Mt. Meru Hospital, pharmacists, or to their regional supervisor and/or local clinic/nurse as necessary for further assistance. Specifically, the CHWs will offer health screenings in 500 schools in Meru, Illeret and Turkwel (300+ primary and 200+ secondary) for approximately 150,000 students as part of their yearly physical. They will conduct HIV and TB screenings to approximately 1000 orphaned children (250 each year) and deliver public health curriculum in the schools. Hand washing techniques, hygiene, nutritional assessment, and STD prevention. The CHWs will also carry out physicals and ultrasounds on pregnant women providing clinicians with GE’s portable ultrasound 3D data sets with conventional 2D scanners that can lead to improved treatment before the condition reaches a critical juncture. Additional ultrasounds will be performed as needed to monitor progress and develop necessary treatment plans. Sustainability: The first year of HCAMF will be free of charge for all participants. The second year will require residents to contribute a nominal fee [$2.50 US currency, ~197 Kenyan shillings] for each child in the family, per year, to sustain the costs of CHWs and the technology. The lowest paid individuals would be asked to contribute less than 1% of their salary per child.