Jaroka Tele-healthcare in rural Mardan

Jaroka Tele-healthcare is successfully implemented at the UM Healthcare Medical Facility at the Village Zahidabad, in rural Mardan District, KPK Province of Pakistan. The facility is equip with high-speed Internet access, provided and supported by Cybernet, a national leading ISP.

The basic statistics of Mardan district are a quite alarming. There are only two District Hospitals and only 50 BHUs off which almost 50% are non-operational (source UNFPA). To make matters worse, the maternal mortality ratio is much higher in Mardan District than the national average.

 In order to provide quality healthcare to poorest of the poor, Jaroka Tele-healthcare connects specialist medical doctors from US, UK, NUS Singapore and Pakistan with the doctors at UM Healthcare Trust, for diagnoses and management of selected complex medical cases. These cases include diverse specialties such as dermatology, pediatrics, hepatology, endocrinology, neonatology and ophthalmology. Doctors at UM Healthcare Hospital use a “store and forward” system in which case histories of patients coming to the hospital are recorded and then sent along with pertinent photographs/videos to specialist doctors via e-mail. These tele-referrals improve patient care as well as provide the physician with specialist knowledge and advice about cases they are managing. This is the first time that the patients in rural community are getting quality opinion from the medical doctors in a minimal cost. At the end of each month a visual disease trend is generated so that preventive measures can be taken accordingly.  The information about disease trend is regularly shared with policy makers, researches and public.

We treat 100 patients everyday on average and all of their data is saved in form electronic medical record. This way the management and tracking of the medical record is efficient. We are annually treating 35,000 patients, at UM Trust facility, 90% of whom lives below the poverty line and can not afford to visit the doctor and pay heavy fee.

The women in this area rarely visit to the doctors and large percentage of them never had an opportunity to visit a hospital or see adoctor in their whole life. Jaroka Tele-Healthcare reaches this neglected population through highly innovative mobile-based tele-healthcare. We train and guide Lady Health Workers (LHWs) and Community Health Workers (CHWs) on using Jaroka mheatlh mobile services. This allows the LHWs and CHWs to not only strengthen their medical knowledge but also able them to get expert medical advise in the field.  With the mhealth system we have managed to provide healthcare to females in the area which makes 53% of our total patients being treated at the facility. The Jaroka mhealth system also provides short trainings, audios and tips to the workers in the field.






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