Details | Asha Jyoti: Women's Healthcare Mobile Outreach Program

DETAILS:

Estimated Total Value: $1,500,000
Commitment Duration: 5 years
Geographic Region: Asia
Countries: India

APPROACH:

RAD-AID commits to implementing a unique integrated mobile women's health outreach program for providing screening and referral for breast cancer, cervical cancer and osteoporosis. As a proof of concept for the importance of linking preventative health care with routine and follow-up medical care, the program will aim to reach over 7,000 underserved patients over five years in Northern India, in the Punjab province and City of Chandigarh. In addition to implementing a public-private collaboration to deploy a specially designed mobile clinic (van) and its technology (mammography and bone densitometry), RAD-AID will provide educational and program planning support to health workers and staff via on-site and on-line (internet-based) approaches optimizing health care quality and safety. The program is called "Asha Jyoti," meaning "Ray of Hope" in Hindi, to signify the use of advanced medical technology to bring hope and vital health service to underserved populations.

ACTION PLAN:

The first stage of implementation entails a pilot phase with service delivery to 500 patients, from April 22nd to October 30th of 2012. The services will be designed, planned, tested, and refined based on community feedback.

The second phase involves optimization of imaging technology quality and process, targeted for October 15, 2012. In this stage, mammographic images and bone densitometry data will be reviewed and improved to achieve diagnostic quality. Clinical data for cervical cancer screening will be reviewed to match best-practice procedures. The workflow process will be evaluated in terms of personnel, communications, and patient referral so that screened patients can receive appropriate follow up clinical care.

Third, a training workshop for health care workers will be held by December 31st to increase dialog among participating health care staff, increase outreach to surrounding communities, and optimize clinical methods.

The fourth milestone is to extend service and health counseling to 1,000 patients by March 1, 2013, including the fully integrated women's health portfolio of osteoporosis, breast cancer and cervical cancer screening.

Fifth, by October 30, 2013, the partners will perform outcomes data collection, including the numbers of screened patients, referrals, diagnoses, follow-up procedures (biopsies), follow-up medical/surgical interventions, and resulting health outcomes. This information will be shared with public institutions in India and abroad to help others implement similar preventative care programs for women.

Service expansion to more villages and sites is aimed for December 31, 2013. By this date, we intend to implement a distance learning management system for mobile health workers, enabling health workers to engage in professional learning via internet-based lectures.

The mobile health service aims to deliver service to an additional ~2000 patients per year after the initial roll out year, to reach 3000 by 2014, 5000 by 2015 and 7000 by mid-2016.