Center for Health Market Innovations (CHMI)

Programs

Sehat Sahulat Clinic Basic+

last updated Feb 10, 2012

Overview

Implementing organization: 
Contech International, Pakistan
Implementation Partner(s): 
District Government of Kasur, Punjab
Legal Status: 
Private (not-for-profit)
Year Launched: 
2009
Stage: 
Pilot/startup stage
Income Level of Target Population: 
Bottom 20%, 20-60% (lower to lower-middle)

Funding

Primary Source of Funding: 
Donor
Additional Source(s) of Funding: 
Out-of-pocket payments
Funders: 
Zahanat Foundation

Scale

Personnel Employed: 
<10
Number of Clients Served: 
10,000 patients treated, 1100 pregnancies attended
Replication: 
MHC's flexibility and reach has resulted in the provincial government employing this model for a province-level initiative of mobile health clinics in Punjab.
Summary: 

Contech Private has piloted a successful “life-cycle approach” in private service delivery through its pioneering work in district of Qasur. The model proposes a wide range of activities including the provision of health services, health education, gender mainstreaming and livelihood support. The focal point of the model is the Mobile Health Clinic (MHC) which houses diagnostic, treatment, and referral facilities, as well as a trained doctor and support staff.

Program goals/rationale: 

The vision behind the Mobile Health Clinic has been to enhance the accessibility and coverage of quality primary healthcare services in rural communities and hard-to-reach areas of Pakistan. The facility has proven to be effective for both routine and emergency health cover. (MHC’s played a vital role in the flood relief efforts in 2010 by providing primary health services to the badly affected areas in Pakistan).

Key program components: 

The MHC has been fabricated on a 4.4L ISUZU truck comprising of four cabins that include a doctor’s examination room, pharmacy and a laboratory. Doctors are selected and trained from the local area and provided additional benefits for performing functions over an extended time period. The Mobile Dispensary visits remote areas not covered by formal public or private health care providers based on a regular schedule.

MHC has been operational in a rural Union Council of Matta, district Kasur, where it has successfully been providing primary healthcare services to a population of over 27,000 people. In addition to providing basic primary healthcare, this initiative focuses on maternal, neonatal and child healthcare services. Mothers and children are the main beneficiaries of this initiative. Its major services include completely free general OPD, MNCH services, medicines, micronutrients, lab investigations and ultrasonography.

The MHC model has been acknowledged as a functional system of health market innovation, which is pro-poor, accessible and cost effective while addressing the coverage and service delivery gap of primary healthcare services for the poor and disadvantaged.

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