Creating a Home based out of practice Lady Doctors Tele Health network by training them in Maternal and Newborn Mortality prevention

6 June, 2019

Dear Members, Please see this exciting project from Pakistan.

Empowerment of qualified and fully registered non-practicing female doctors to return to practice through new sustainable models of working using tele health digital solutions

Our comprehensive proposal entails training of three cohorts of 500 female doctors in total cohort, in 12 months period as telehealth eDoctors. These applicants are already identified and have registered with the collaborators making this proposal. They are currently out of practice doctors due to cultural and gender inequalities as described above. The training course will be delivered using online and virtual training modalities.

The uniqueness is that it bring back the lost investment of Government on such lady doctors through use of Technology led tools and enable them.

There is a collaboration agreement between an academic medical education institution and a well established tele health company, Educast. The academic health institute, Dow University of Health Sciences (DUHS), will be responsible for setting out the curriculum for a six month blended learning tele medicine course (online and practical) aimed at equipping the certified eDoctors with focused training to refresh and update their knowledge and skills as a first line triage and advisory clinician, in women and child health issues

This proposal is targeted to tackle women and child health issues in Pakistan and understanding of the relevant World Health Organizations (WHO) Sustainable Development nt Goals (SDG)number 1,4,5,8 and 10 enriches this proposal to be focused to prioritize health needs of the poor, foster gender equality, facilitate quality education, promote health employment and reduce inequalities.

1) Impact and Outreach

Pakistan is producing around 14,000 doctors per year, out of whom 70 per cent are women. It is feared that almost 75 per cent of the medical students would never work. Only 25 per cent of the female doctors are working.. Many women also feel overwhelming social pressure to stop working to devote their lives to their families. This is compounded by the lack of gender specific HR planning for the female workforce in general, and in particular to female medical which is responsive to their social responsibilities since women would prefer to work from home or near their hometowns. Due to domestic issues Nearly 65% of female doctors do not work after marriage.

Maternal and child health issues in Pakistan are significant; 1 in 89 women will die due to complications in pregnancy & childbirth; an annual abortion rate of 50 per 1,000 women (2012 national study 2.2 million abortions/year for unplanned pregnancies give rise to high morbidity. These issues are compounded by a lack of access to adequate and high quality services particularly by women from poor and rural background. Non availability of skilled and certified female health providers.

Through the proposed project, we seek to improve women's access to services by by providing female practitioners with the tools to reach out to women in need and in the process empowering them with business skills that will enable them to use their knowledge by engaging in technology based solutions to earn a living and support their families.

2) Replicability and Scalability *

The project has been designed on basis of a popular teaching methodology of Flip class, as targeting busy house wives and led them to get on webinars or physical class attendance was a challenge.

So designing eLectures of models to get top professional academicians from health sector for getting their content recorded, send over to all registered house based lady doctors to study in their own pace. Then send questions, which was forwarded to teacher for review, then live class to be conducted for learning, all such event are to be be recorded for usage later on by busy house wife doctors. The model has been successful, and currently the project has over 500 such Pakistan lady doctors from all around the globe who had to quit their profession due to family commitments.

Now these are being trained on Family Medicine with focus on Obstetric and Gynecology to work on prevention of Maternal and New born mortality and morbidity.

These Lady doctors are taught on Tele health tools, such as remote monitoring, video consultation, Tel Consultation on phone, operating Electronic Medical Record(EMR) platform etc.

This group data is populated of EMR portal, which has the timing of lady doctors from various zones,

This service once operational to be offered to all programs working on MOTHER AND CHILD HEALTH, infection prevention, HIV, Polio campaign, so home based doctors can provide support while sitting from home using smart phones in their own times.

This service to be available 24/7.

Need Global community support to enable this project into a self sustaining model

Pl visit: www.edoctor.net.pk

Regds.

Sania Butt

Project lead.

HIFA profile: Sania Butt is Head of Operations - eDoctor, Pakistan. Professional interests: I am Professionals Female, have done my M Phil in Clinical Psychology from Bahriya University. Karachi, I have developed this startup, beside this project, I have vast experience of Virtual Teaching, online services, Tele Health. The current eDoctor is now seeking to expand in its next phase of creating a Major Out of work Lady doctors home based clinical network connected through eHealth application and EMR , with video collaborative platform to connect nay one from any part of the country with our eDoctors who are sitting at their home globally. Email address: abutt AT educast.co.uk