$300 Portable Clinic Affordable Health Services in the homes of URP - - PDF document

$300 Portable Clinic

Affordable Health Services in the homes of URP

(c) Ashir, 2010

URP (UnReached People)

Background

• Reaching the unreached

– Mainly in remote areas – 4 billion people (70% of the world population) – Irregular access to quality physicians

• Overcoming the challenges of building

sustainable clinics in developing world

• Testing for diagnoses

– Health consultancy over mobile phone / Internet can offer counseling but difficult to identify the disease because of lack of diagnostic information

• Making use of technologies to create

portable on‐site diagnostic tools to save lives

(c) Ashir, 2010

Health Checkup Booth: Prototyped by Kyushu University

(c) ashir@grameen.com

Assembled Booth: Present Architecture

RS-232C Height Weight + Body Fat USB USB HUB Bodily Temp. Blood Pressure ECG SD Card PC Glucose Level USB-Serial Adaptor Headphone Urine Tester Not Connected (Input by user) Card Reader

Rural Patients Cell Phone Diagnostic Tools Interfaces (a) $3000 “Clinic Booth” with existing devices Urban doctor (b) FHR Rural Patients Proposed $300 “Portable Clinic” Patients visit clinic Clinic visits patients (c) FHR Application Server (d) FHR Viewer Phase 1: System design of a clinic booth using traditional devices and SW tools Phase 2: Develop a cost effective portable clinic

Can we make it more efficient? Portable?

FHR: Family Health Record

$300 Portable Clinic

(c) ashir@grameen.com

$300 portable clinic

the clinic visits the patient

• Expected feature

– Portable – High‐tech diagnostic tools – Instant onsite testing – Communication facility with a remote physicians – Operated by local health assistants

(c) Ashir, 2010

Tool _1 Tool _1

(3) Mother Board (3) Mother Board

EC G

1 1 5 5

ECG Blood Test Urine Temp Eye …

Architecture and technical requirements

• 1. Standard interface for the

diagnostic tools

• 2. Central touch panel display
• 3. Single processor to enable

less intelligence and cost reduction of tools

• 4. Audio and video

communication

• 5. Optional interfaces for

future uses

Tool_ 1 Tool_ 1

(2) Display (2) Display (3) Mother Board (3) Mother Board

VRICS,SD VRICS,SD Network Network Tool_x Tool_x Printer Printer

Suitcase

ECG Blood Urine

Tool_ 2 Tool_ 2 Tool_ n Tool_ n

(c) Ashir, 2010

1 1

ePassbook ePassbook (4) A/V (4) A/V

Other requirements

Non functional

• Affordability < USD 300
• Portability < 3 kg
• Usability. Operate with

minimum training

• Extendibility. Plug‐in facility

for future tools Environmental/regional

• Use in flood‐prone areas
• Tolerant of high

temperature

• Consideration of universal
• readability. More digits and

graphs

(c) Ashir, 2010

Consortium as a GTL project

Medical Equipment Vendor Medical Equipment Vendor $300 Portable Clinic Project $300 Portable Clinic Project GTL@Dhaka …. eHealth Software Provider eHealth Software Provider Health Card (ePassbook) Health Card (ePassbook) Experimental Support Experimental Support GTL@Dhaka …...

(c) Ashir, 2010

KU ….

Plan and Schedule (very rough)

(c) Ashir, 2010

Business Model (Draft)

(c) Ashir, 2010

Health Assistant Health Assistant

Patient Patient Health Welfare Organization Health Welfare Organization Training Training Device & Maintenance Device & Maintenance Physicians Physicians Communication Infrastructure Communication Infrastructure

Health Service Provider Health Service Provider

Health Research Institute Health Research Institute

Potential Customers

Health Service S t a t i s t i c a l D a t a One Stop System Support

Support Infrastructure

Nurse Training Centre..

Grameen Shakti, Grameen Distribution, Grameen Communications….

Grameen Health ? GrameenPhone? Grameen Kalyan… Nurse training graduates Members, non‐members WHO, UN, Universities