Improving Access to Healthcare Services

India's population living in urban marginalized and rural regions have no or limited access to hospitals and other health institutions. People have to walk long distances to reach fixed health care services, as a lot of people live at locations far away from fixed-location health facilities.

Another basic problem lays in delivery the primary healthcare system of our country. Many of those health facilities are also under-equipped with trained personnel and needed equipment and supplies. The government Ayushman Bharat scheme and 'health insurance' cost cover measures refer to secondary and tertiary care. WHO's health financing profile for 2017 shows 67.78% of total expenditure on health in India was paid out of pocket, while the world average is just 18.2%. Moreover, government community health interventions do not achieve the results that it intends to, is due to the fact that they only focus on the service delivery component, without imparting simultaneous strong sensitization and awareness on the health issues in the community.

Therefore, with the donation by PwC foundation, BUDS has custom-fabricated a mobile medical care van; it is helping them to reach out to marginalized communities in need of primary health care services and free medicines. BUDS also focus on community awareness, sensitization and health education in order to prevent diseases and promote health. The focused efforts through BUDS mobile health van includes the following:

  • Improvement in primary healthcare infrastructure facilities
  • Availability of quality health service providers in the community
  • The mobile healthcare systems helps address the concerns of inadequate skilled medical practitioners, and ensuring effective and free medication are available on time
  • Build a strong knowledge base in the community on various health issues
  • Develop strong referral linkages and timely follow ups

BUDS services operates on the Principle of 3Ps: Prevent Disease, Prompt Treatment & Promote health; facilitates access to health care in the community through a mobile health van equipped with state-of-the-art facilities with a view to improving the health status of vulnerable adolescents residing and working near the intervention area. From a gender lens the issues related to a divergence in health status between males and females is seen in the intervention sites – while adolescents girls puberty brings reproductive maturity and sexual and reproductive health issues as concerns – making them vulnerable to sexual violence and exploitation; traditional masculine identities are linked to boys’ sexual health risks, violence, substance abuse, educational failure and eventually their relationships with their spouses/intimate other. Most adolescents are school drop-outs or illiterates; therefore reaching them through RKSK program of the National Health Mission is a challenge.

The mobile clinic team comprise of a Doctor, Counselor and Para-medical Worker (pharmacist) visit the different project sites as per a fixed schedule to provide basic health care services. The clinical services offered include: treatment for pediatric medical care, general ailments; emergency care, counseling services; Gynecology, sexual and reproductive health, treatment of gastrointestinal and respiratory infection; and referral services. The mobile clinic team is supported by community social and outreach Workers. Peer educators conduct community mobilization, promote access to services, provide nutrition education, distribute IEC materials and follow-up with the clients.

Rotary Club Delhi South signed a MOU with BUDS to support operational costs of the Mobile health van among the urban poor and marginalized rural communities.

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