OneDay Health Centers are low cost, both to set up and sustain.
Including set up costs, every patient treated costs about $1.50. We achieve these low costs by doing things local style. We use motobikes not cars. We pay fair, local wages. We use affordable drugs which are proven to work for each condition. We don't know of other initiatives which treat patients in remote communities at this kind of low cost.
We provide a comprehensive care package, covering all aspects of standard primary care.
Our skilled nurses diagnose and treat common conditions using good clinical skills and 7 rapid tests. We treat the conditions based on standardised guidelines that follow WHO best practise. In addition, we provide antenatal care, family planning and treat common conditions like high blood pressure. If patients are too sick for a nurse to handle at primary care level, we give the IV drugs and fluids required to protect the patient as they move long distances to higher level health facilities.
We train our nurses to use innovative flowchart based diagnosis and treatment guidelines.
These guidelines are based on Ugandan Clinical Guidelines and World Health Organisation. On call support for the nurses and standardised drug supply means that patients have the best chance of getting high quality treatment. Our audits show that patients get the correct treatment which matches the diagnosis over 90% of the time. Anyone is free to use our guidelines and modify them for their own purposes. We aren't interested in protecting our intellectual property, only in seeing patients being treated better wherever they are.
Many organisations provide healthcare in rural areas. We provide care in unserved, remote areas.
This means the healthcare we provide has a bigger impact on each person treated, and the wider community. Every rural citizen treated in a OneDay Health Center, is someone who previously had no access to quality primary care.
OneDay Health wants to take honesty and accountability to a new level.
Working deep in remote villages is an enormous challenge, and along with success there will be a lot of failure and heartbreak as well. Some nurses may struggle in the remote locations. Some communities may not value the clinic enough to pay the small fee. We'll update real time the number of patients our health centers see each month, and talk about why some work well and others don't. We realise that some OneDay health centers will fail to work and we'll have to close them, and we want to talk about that with our supporters and followers.
Our model has one manager in a base location, who opens and continues to manage between 6 and 8 OneDay health centers within 1/2 hours motorcycle ride of their base.
We have piloted this in one location only, but we believe this model would easily transplant to other locations, and we look forward to planting more bases around Uganda.
We embed OneDay Health Centers in already existing health networks.
This helps the community to trust us, and ensures ongoing viability and sustainability. This also helps us work within Uganda's health provision regulatory framework. Our current partner is the Diocese of Northern Uganda, and as we move to other areas, we will partner with other non-profit providers and potentially government provider.