CaseIndiaTrips 4

Layers of Learning in Global Health


Posted by luismiguelito on 4 October, 2010

In Hyderabad we had an amazing presentation on HMRI. They started by showing us a call center, where the objective is to reach to the rural population, improving the access to health care. The idea is that many of the people that live far from the city can schedule appointments and make sure that they will have their health needs taken care a priori showing up to the city, that way they don’t waste time. It is also useful as a triage for the urgency of consults. It is a state of the art building with >200 employees answering phones with high tech computers. Initially I thought of it more of a luxury rather than a necessity, but then after an amazing presentation they showed us the 2nd part of HMRI which I think is the more helpful one: mobile HMRI. It is a van with 7 people that includes nurses, which go to the villages in the state once a month. To put into perspective the amount of coverage, let me start by explaining that the rural population of the state of Andra Pradesh is approximately 40 million people, and currently they are covering close to 39 million, which is Colombia’s population. When I heard those numbers it hit me. My whole country could be covered with the HMRI center. As you might have read before we where fortunate to follow one of the HMRI van’s to a village. They arrive to the town and they set up their center in the town’s Sarpanch‘s house. A line quickly starts to form. In less than 15 min they set up 6 tables, which are numerated, and each one has a specific purpose. The town let us feel like we where movie stars, they let us visit the school, people where taking pictures with us, they where happy, nice respectful and grateful that we where there.

The amazing thing about HMRI is that it answers a question I have been asking myself throughout this trip: who follows the patient? A patient gets a diagnosis and a plan in a 2-minute visit and is then sent back home which in some instances is 7-8 hours away. I have wondered who follows the patient and who makes sure the plan gets executed. Mobile HMRI reads the MD’s plan and makes sure the patient gets the medications and follow-up needed.

Overall AMAZING experience, which could be easily, implemented elsewhere (for example Colombia)

This is one of the examples of India’s Intelligence. It is a country that has a lot of problems but comes up with Brilliant solutions.


One Response to “HMRI”

  1. Keith said

    A sarpanch is a democratically elected head of a village level statutory institution of local self-government

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