The Lake Clinic (TLC)
Country of Operation
Target income level
- Bottom 20%
- Lower-middle income (20-40%)
- Middle-income (40-60%)
SummaryThe Lake Clinic (TLC) is a mobile boat clinic that serves isolated populations on the Tonle Sap Lake.
The Lake Clinic aims to improve access to quality health care services for people living on the surface of the Tonle Sap Lake (mainly those located 30km to 100km from inland public facilities through mobile care service provisions and health education.land public facilities through mobile care service provisions and health education.
Key program components
Health care services are provided free of charge in the form of a mobile clinic on a boat by a TLC medical team including 3 medical doctors, 3 midwives and 3 nurses who all receive training from the Ministry of Health.
Health care services are delivered in accordance with national service delivery guidelines in the form of minimum package activities (MPA) such as outpatient consultation with drug prescriptions available, laboratory tests, normal delivery services, small surgery, etc.. If higher levels of care are needed, TLC facilitates the referral of patients to referral hospitals and/or provincial hospitals in the provinces under coverage of the TLC project. The TLC staff assesses the socio-economic conditions of the patients to determine their ability to afford to seek care at higher levels from public facilities. If the patients are identified as poor, they are provided with transportation fees for travel to higher levels of care. TLC also facilitates the identified poor to be covered by health equity fund schemes (health care financing schemes that facilitate the poor to access quality health care through medical and non-medical assistance mechanisms).
Besides facilitating patient’s access to quality health care services, TLC makes use of existing front-line health workers (village health support groups) to mobilize health education promotion services in the community, and refer patients to TLC mobile clinics or public facilities. The village health support groups are trained on disease prevention, case management such recognizing basic symptoms and danger signs, and referral management. The village health support groups are incentivized by TLC to attend training courses, meetings or workshops at higher level public facilities.