| Title: |
Developing and deploying a community healthcare worker-driven, digitally- enabled integrated care system for municipalities in rural Nepal |
| Authors: |
Citrin, David; Thapa, Poshan; Nirola, Isha; Pandey, Sachit; Kunwar, Lal Bahadur; Tenpa, Jasmine; Acharya, Bibhav; Rayamazi, Hari; Thapa, Aradhana; Maru, Sheela; Raut, Anant; Poudel, Sanjaya; Timilsina, Diwash; Dhungana, Santosh Kumar; Adhikari, Mukesh; Khanal, Mukti Nath; KC, Naresh Pratap; Acharya, Bhim; Karki, Khem Bahadur; Singh, Dipendra Raman; Bangura, Alex Harsha; Wacksman, Jeremy; Storisteanu, Daniel; Halliday, Scott; Schwarz, Ryan; Schwarz, Dan; Choudhury, Nandini; Kumar, Anirudh; Wu, Wan-Ju; Kalaunee, SP; Chaudhari, Pushpa; Maru, Duncan |
| Source: |
Healthcare, vol 6, iss 3 |
| Publisher Information: |
eScholarship, University of California |
| Publication Year: |
2018 |
| Collection: |
University of California: eScholarship |
| Subject Terms: |
4203 Health Services and Systems (for-2020); 42 Health Sciences (for-2020); Health Services (rcdc); Clinical Research (rcdc); 8.1 Organisation and delivery of services (hrcs-rac); Generic health relevance (hrcs-hc); 3 Good Health and Well Being (sdg); 11 Sustainable Cities and Communities (sdg); Community Health Services (mesh); Community Health Workers (mesh); Delivery of Health Care (mesh); Delivery of Health Care; Integrated (mesh); Electronic Health Records (mesh); Humans (mesh); Nepal (mesh); Rural Population (mesh); Community health workers; Delivery of healthcare; integrated; Electronic health records; Biometric identification; Health information systems; Nepal |
| Subject Geographic: |
197 - 204 |
| Description: |
Integrating care at the home and facility level is a critical yet neglected function of healthcare delivery systems. There are few examples in practice or in the academic literature of affordable, digitally-enabled integrated care approaches embedded within healthcare delivery systems in low- and middle-income countries. Simultaneous advances in affordable digital technologies and community healthcare workers offer an opportunity to address this challenge. We describe the development of an integrated care system involving community healthcare worker networks that utilize a home-to-facility electronic health record platform for rural municipalities in Nepal. Key aspects of our approach of relevance to a global audience include: community healthcare workers continuously engaging with populations through household visits every three months; community healthcare workers using digital tools during the routine course of clinical care; individual and population-level data generated routinely being utilized for program improvement; and being responsive to privacy, security, and human rights concerns. We discuss implementation, lessons learned, challenges, and opportunities for future directions in integrated care delivery systems. |
| Document Type: |
article in journal/newspaper |
| File Description: |
application/pdf |
| Language: |
unknown |
| Relation: |
qt0pt4v0qg; https://escholarship.org/uc/item/0pt4v0qg; https://escholarship.org/content/qt0pt4v0qg/qt0pt4v0qg.pdf |
| DOI: |
10.1016/j.hjdsi.2018.05.002 |
| Availability: |
https://escholarship.org/uc/item/0pt4v0qg; https://escholarship.org/content/qt0pt4v0qg/qt0pt4v0qg.pdf; https://doi.org/10.1016/j.hjdsi.2018.05.002 |
| Rights: |
public |
| Accession Number: |
edsbas.8C12B8 |
| Database: |
BASE |