In views of the poor health indices, the strategy of the Mobile Health Team “mailafiya” is to provide integrated PHC services to the rural lowest poor communities particularly those in remote and difficult to reach settlements, with the adoption of new technology (ICT) to improve on the very poor status of Primary Health Care Management data base.
.The Mobile Primary Health Care Programme ‘mailafiya’ in partnership with Intel Corporation is an innovative approach to address the challenge of shifting care beyond the traditional institutional setting to where ICT is helping to increase access and quality and reduce the costs of care. How technology could be used to bring health care to people in great need in remote areas.
Mailafiya, an integrated data managed mobile Primary Health Care programme, serves the following purposes:
•Delivering health care to the unreached rural and indigent poor population in the FCT.
•Improves quality of Primary health care services,
•Increases access to quality Primary health care services
•Enhances health system evaluation and planning,
•controls loss of medical inventory and
•Fast tracking attainment of the MDGs 4, 5 and 6 targets.
The programme is achieving all these through sensitization, Technical training and process automation.
The vision of mailafiya is to be a world class model of Primary Health Care delivery with an integrated data managed mobile health solution
The goal of the scheme is to accelerate the attainment of MDGs 4, 5 and 6 Targets in the FCT.
The objectives are:
•To improve the quality of Primary Health Care services
•To increase access to primary health care services by 50% in at least three hundred and thirty six (336) rural settlements and the un-reached urban poor in the Federal Capital Territory by the end of year 2011
The scope of the program is in two folds:
(i) To provide Integrated PHC services and reach the defined settlements with one or more of the following characteristics in order to deliver community and facility based PHC services in a scheduled and integrated manner:
•Difficult to reach settlements;
•Communities which are five (5) kilometers and more from the nearest PHC facility;
•Communities with poor health outreach coverage;
•Communities with no functional two ways referral systems and;
•Communities with low income (below 1USD/day); and
(ii) Deployment of PHC management information system.
•The programme consists of 24 teams and each team consists of a Medical Officer, Nurse/Midwife, Laboratory Scientist, Community Health Extension Worker and the Project Driver. Each team worked in alternate week
Each team is equipped with one double cabin fully air-conditioned 4-wheel drive high suspension pick up van with customized back carriage; mobile laboratory unit, essential drugs and routine vaccines to render free medical services
STRATEGIC LINKAGES FOR QUALITY AND COMPLETENESS OF CARE
A. Linkage to Communities- voluntary health workers, traditional chiefs actively carrying out sensitisation/mobilisation of communities to available services
B. Linkage to the Existing (static) PHC Facilities- Half of the team members are Area Councils employees and clusters are linked to existing PHC Facilities with data transfer through the PHC MIS. HOD (Health)/PHC Coordinators monitor programme in respective Area Council.
C. Linkage to the Secondary Health Care system- 2-way referrals from mailafiya to general hospitals/continued Free ANC
D. Linkage to Tertiary Health Care Providers- Minor surgery/ophthalmologic interventions/research with the Teaching Hospital Gwagwalada
E. Linkage to Other Health Services Providers-Birth attendants, community based Private health providers are linked to mailafiya service delivery plan