Projeto CIES (Center of Education and Health Integration)
Country of Operation
- B.I. InternationalNot-for-profit
Target income level
- Bottom 20%
- Lower-middle income (20-40%)
- Middle-income (40-60%)
SummaryProjeto CIES uses mobile clinics, such as trucks and vans that are supplied with medical equipment and trained healthcare professionals, to bring high quality specialized care to patients with limit access to healthcare.
The goal of this program is to help those with limited access to healthcare, whether it is due to an overburdened public health system or due to their distance from health facilities.
Key program components
Projeto CIES uses two types of mobile clinics to reach its patients: Health Wagons and Health Boxes. Health Wagons are larger, staffed with 3 specialist doctors, 4 nurses and 4 administrative workers, and have the capacity to see 4 patients at a time. Health Boxes are staffed with 2 specialist doctors, 2 nurses, and 2 administrative workers, and have the capacity to see 2 patients at a time. Projeto CIES works on a contractual basis. Most often, the government will contract the organization to provide healthcare to patients (in 2012, 75% of their services provided were through contracts with the government). Sometimes this will occur on the grounds of public hospitals to deal with patient overflow and other times it will take place in rural areas where patients normally have to travel much farther to visit a health center. Projeto CIES often works closely with the public hospitals, both taking referrals from and providing referrals to them. In addition, various companies have contracted Projeto CIES to come for certain periods of time to provide healthcare to their employees. In these cases, Projeto CIES will often provide feedback to the company on the types of ailments they are seeing so that the company can better fit their health plans to fit the needs of their employees. In all cases, it is the government or the companies that pay Projeto CIES for the services; the patients do not pay for the care. CIES provides testing services in more than ten specialties. The mobile unit—which has the ability to serve 250 people in a single day at an average cost of $10 each—can be customized according to each community’s needs. Overall, the services are free to patients, but the contracts include a defined price for each type of procedure: an audiometry costs R$ 6, around 3 USD; gastroenterology consultation costs R$ 14, around 7 USD; ergometric test with ECG costs R$ 106, around 53 USD. In its first five years of operation, Projeto CIES treated 100,000 outpatients. Moving forward, Projeto CIES plans to expand further in Brazil, including moving more into northern regions. Additionally, the are planning to export their model to Peru using a franchising model.
The program started in São Paulo’s outskirts and operates in 28 cities in 5 states. It serves over 2,500 patients a month and has served over 100,000 patients total (April 2013).
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