Case studies Innovation programs: health context

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Innovative Health Programs

The Barnet-Argenti Care Technology (UK), Rwandan Ministry of Health-One Family Health (Rwanda), and the Malawi Ministry of Health-Village Reach (Malawi) are 3 global case studies surrounding innovative health programs. Their details are provided below.

BOROUGH OF BARNET-ARGENTI CARE TECHNOLOGY (UK)

CONTEXT
INNOVATION PROGRAM COMPONENTS
OUTCOMES AND LESSONS LEARNED

RWANDAN MINISTRY OF HEALTH-ONE FAMILY HEALTH (RWANDA)

CONTEXT
INNOVATION PROGRAM COMPONENTS
OUTCOMES AND LESSONS LEARNED

MALAWI MINISTRY OF HEALTH-VILLAGE REACH (MALAWI)

CONTEXT
INNOVATION PROGRAM COMPONENTS
OUTCOMES AND LESSONS LEARNED
Sources
Sources

Quotes
  • "London Borough of Barnet: This project aimed to use care technology to support service users with complex learning disabilities and who are based in supported living facilities. They partnered with care technology specialist, Argenti Care Technology (part of PA Consulting), to provide more personalised, independence-enhancing support, as well as a quicker response to issues."
  • "The project focused on four strands of work: • increase in non-intrusive support, eg reduced night cover, less 1:1 where no direct care is delivered • person-centred care; better match between user’s real needs and the care provided"
  • "To overcome these challenges, the following approach was adopted: • engagement and communications with providers • pre-assessment and communication with service users and families"
  • "(Outcomes) Council; • However, identified cost savings of up to £20,000 were achieved through reductions in overnight care in particular. Based on actual other costs of care avoided, the savings for the 22 cases in the full 2018/19 financial year will total £152,666. Full year savings for 2019/20 are projected to exceed £435,000"
  • "The project could serve to promote better use of data and monitoring analytics to gain a more accurate picture of an individual’s needs. It provides an example of an approach which structures care around technology"
Quotes
  • "The Local Investment Programme (LIP) 2017/18 is part of a NHS Digital funded Social Care Programme, focusing on improving digital maturity in the adult social care provider sector and using technology for better joint working between adult social care and the health sector."
  • "LIP is the first of three waves of funding for council-led innovation encouraging the use of digital technologies to improve the services, support service integration and create efficiencies within the challenging and increasingly financially pressed environment of health and social care. Through LIP, the LGA offered £50,000 of funding to 19 councils to develop these various technology-based initiatives."
Quotes
  • "ONE FAMILY HEALTH A sustainable nurse-led franchise model in partnership with the national health insurance fund (Mutuelle de Santé) increasing access to primary health care services for people living in the mountainous rural areas of Rwanda."
  • "In Rwanda, 72% of the population reside in rural areas and are widely dispersed across its mountainous landscape, making access to health care services difficult (World Bank, 2015). A major goal for the Rwandan Ministry of Health is to provide access to entry-level care within the radius of a 30-minute walk, and to open 1548 new health posts (small primary care clinics) by 2017."
  • "In partnership with the Rwandan Ministry of Health, OFH has established a network of rural franchise health posts, owned and operated by local nurses. Grade A2 College graduated nurses with five to eight years of clinical experience are eligible to join the OFH network. "
  • "Basic feature mobile phones, coupled with real-time analytics, support multiple service delivery functions including electronic patient records, stock ordering, monitoring, and billing. Nurse-franchisees generate their own income through providing primary care services to the people of their village. "
  • "In 2015, 92 health posts were in operation in 11 of the 30 districts, providing employment for over 300 health and support workers, including the nurse franchisees. Since 2012, OFH has been able to provide basic health services for common primary care conditions to 550 000 patients in 850 000 consultations. "
Quotes
  • "Chipatala Cha Pa Foni (CCPF) is a toll-free health hotline that provides reliable health information and referrals on demand."
  • "CCPF is an mHealth facility that gives rural residents access to expert health care through its two main components. First, its toll-free hotline connects callers to trained health staff who respond to all general health inquiries in accordance with the Ministry of Health and Population guidelines."
  • "The second component is an opt-in text and voice messaging system where pregnant women, caretakers of children under one-year old, and women of childbearing age receive maternal and child health information and advice that is tailored according to their pregnancy timeline or child’s age. CCPF also makes use of an interactive voice response system that allows users to retrieve messages on demand."
  • "Initiated in one district in 2011 in collaboration with the Ministry of Health and Population and Concern Worldwide, CCPF was expanded by non-government organization VillageReach and now operates in nine districts and is accessible to more than five million people."
  • "One of the changes noted among selected CCPF users was their increased knowledge of available maternal health services, including awareness on the number of recommended prenatal visits and what to bring to the health centre for labour and delivery. CCPF also reduced the burden on the rural health facilities and rural health workers by resolving 75% of the calls without referral to a health facility. "
  • "The Ministry of Health, a partner from the beginning, signed a memorandum of understanding in July 2017 to scale and sustain CCPF, and transition full ownership and management from VillageReach by July 2019. A national scale-up to all 28 districts is seen at the end of 2018."
Quotes
  • "RWANDA | ONE FAMILY HEALTH (p.16) CHALLENGE: Currently, 80% of Rwandans live in rural areas, most of which are beyond a three-hour walk to a health care facility. "
  • "SOLUTION: One Family Health enhances access to essential quality health services in rural areas. ...This model is an extension of the public health system and operationalised as a public-private partnership with the Rwandan Ministry of Health, leveraging the community based national health insurance scheme to reimburse OFH nurses for services rendered."
  • "MALAWI (p. 17) CHIPATALA CHA PA FONI (CCPF) “HEALTH CENTRE BY PHONE” Implementer: Malawi Ministry of Health in partnership with VillageReach"
  • "CHALLENGE: In remote and rural communities, distance often prevents people from seeking health care when they need it."
  • "SOLUTION: CCPF provides a toll-free hotline where callers can speak with trained health workers who provide information on a wide range of health issues, triage calls to doctors, and refer callers displaying “danger signs” for further care at a village clinic, health centre or hospital. It also provides a mobile message service for personal text or voice messages on maternal and child health topics, customized to a women’s month of pregnancy or a child’s age."