KARMA HEALTH'S MODEL
Karma Health's Model has two Domains: I. Care Delivery II. Management of Care.
DOMAIN I: CARE DELIVERY
1. UPGRADE EXISTING GOVERNMENT CLINICS
We upgrade existing government clinics by adding equipment and personnel so that adequate quality services are available for the people when they need them.
In Rajpur, we deployed the first doctor and added an ultrasound and an X-ray machine.
2. ROUTINE MOBILE CLINICS FOR PREGNANT & ELDERLY
Because heavily pregnant women and the elderly can not walk for hours to reach the health centers, our health workers travel up to the remotest villages.
Ultrasound camps for pregnant women are held every month in eight locations in Rajpur.
3. COMMUNITY HEALTH WORKERS-LED HOME VISITS
Our professional Community Health Workers regularly visit pregnant women, children under 2 years, and patients with non-communicable diseases at their homes.
They perform simple tests, check for any danger signs, and plan for safe child-births.
DOMAIN II: MANAGEMENT OF CARE
PER PERSON, PER YEAR
The additional cost of Karma Health's Model is $1 beyond the usual expenses in Rajpur Municipality in western Nepal.
Most governments, even in low-income settings, have the capacity to invest an amount as much as this. As we aim to scale up, we expect local governments to invest an increasing share of expenses of a model like this and eventually adopt this model altogether.
1. COMMUNITY INPUT INTO PROGRAM DESIGN & DELIVERY
The community should lead all aspects of its healthcare from design to implementation.
We strive to enable the communities to take such a lead. For example, we decided on the number of ultrasound camps based on inputs from mother's groups in villages.
2. STRATEGIC GOVERNMENT INVESTMENT
Since the government is often the only stable institution in low-income or rural settings, we focus on a continued government commitment towards regulation and financing of healthcare in partnership with the communities they serve.