WCF PAKISTAN – SHEIKHUPURA CARE CENTRE
To save and improve lives of those that can’t afford medical treatment in Pakistan.
INTRODUCTION TO SHEIKHUPURA CARE CENTRE:
Starting from our first centre on Sheikhupura; we have set ourselves an ambitious target of revamping the free primary community healthcare model in Pakistan and providing a quality medical service based on principles of health education, primary prevention and public health. Whilst the eventual goal is to provide a homogenous service throughout the country; of course the initial focus will be the suburbs and rural lands where healthcare facilities of any description are either extinct or scant. The service will be provided free of cost reaching out to the poor or less privileged of the society.
There are many reasons to invest in the primary care. The model is currently non-existent or defunct or simply unsustainable due to lack of personnel or resources. As a consequence, the existing service fails to address even the most basic and common healthcare issues like diabetes and hypertension. Sadly, lack of health education and awareness also leads to late presentations of easily treatable illnesses in people who can even afford private healthcare. The result as expected is increasing incidence of heart diseases, strokes and other horrible illnesses which have overcrowded and flooded already insufficient and fewer hospitals located in bigger cities. Other deadly communicable illnesses like tuberculosis and viral hepatitis are still on the rise complicating an already struggling and fatigued healthcare system.
There are 9 million officially diagnosed patients with diabetes in Pakistan. Ironically, for each diagnosed case there are 2 patients with undiagnosed diabetes. 7.5% population suffers from chronic hepatitis B and C and 1% population is blind by WHO standards due to trivial causes like cataract; the treatment of which is merely a few pounds. Pakistan continues to be in the unenviable position of having third highest maternal death rate in the world. It has the highest cancer rate in Asia and sadly half of its children have stunted growth due to malnutrition. Unfortunately the depressing list goes on and on.
The solution however, is simple; nip the evil in the bud. Treat the causes of major acute illnesses and stop a disease process before it’s too late and that is only possible by early recognition and prevention by improving the primary healthcare system.
A state of the art hospital which will provide a quality medical facility free of cost to the poor in an adjoining population of around 2-3 million people. The hospital will be an example of the non-acute healthcare model.
We aim to preferentially target the major healthcare epidemics like diabetes, hypertension, women health, early cancer detection etc but also provide specialist treatment for common communicable illnesses like TB and hepatitis. The hospital will also provide elective day case surgeries for common Eye, ENT issues such as cataract which will be supervised and performed primarily by eminent foreign qualified clinicians. With passage of time, there is a plan to include a wide array of other surgical procedures to benefit the common man.
PHASE 1 INTRODUCTION:
Aiming to serve and benefit the local community as early as possible we have planned our development work in various phases.
A DEDICATED MEDICAL CENTRE FOR SISTERS
Main target audience for our medical facility is por and less privileged in rural areas of Pakistan. However, even within the poor, perhaps the most vulnerable population is that of women. The health of families and nations is interlinked with the health of women. Health of women can have serious implications for the health of her children and family. If the women are healthy they will produce healthy children and they may be in a position to take care of the entire family health, so we can say that healthy women are the sign of a healthy family and healthy nation.
Many organizations raise women’s health awareness but do not provide them a safe environment, medical services and family planning. A large number of women in Pakistan die every year because of unavailability or lack of access to health facilities and those which are available are of poor quality. The most serious health issue for women is complications during pregnancy which takes the lives of thousands every year.
Pakistan ranks third highest in the world with the number of maternal deaths. There are many factors responsible for such problems. However, more important is the lack of resources even for those who wish to seek treatment.
It is therefore no surprise that we have dedicated the first phase of our very first medical project to our sisters and mothers in Pakistan.
Our focus will be in five key areas.
Reproductive health: would be the key area with particular focus on ante and post-natal care, avoiding maternal complications by early detection and referral to secondary care for complicated pregnancies in for selected patients. The tribal and rural concept of home deliveries are another reason why patients remain undiagnosed of medical complications and later on suffer for the remainder of their lives. So, providing a safe environment and training of community midwives is also something we plan to achieve in longer run.
Cancer screening: Pakistan has the highest cancer rate in Asia and unfortunately it seems to have higher incidence in women. Often, late presentation due to social reasons precludes effective treatment in most cases; therefore a culture of early cancer detection would be one of our key areas.
Medical care: Providing free care for early diagnosis and treatment of all other common medical issues like diabetes, hypertension etc and communicable diseases like TB and hepatitis will be provided synchronous with rest of the target population.
Malnutrition: Due to multiple child births and poor socio economic backgrounds, malnutrition remains a common issue in our women which subsequently leads to poor child health and growth stunting.
Mental health issues remain largely undiagnosed and stigmatised in our country and are much more coomon in our women due to various socio-economic reasons. This will be one of the key areas of focus.
Our key service areas will include:
- Daily clinics operated by resident Doctors/ Medical Staff
- Mobile clinics to visit local rural areas
- Specialist clinics by visiting, international doctors
- Free ambulance service to local community for sisters
- Medical camps such as eye cataract treatment camps
- Community outreach work (visiting local community for special cases)
- Telemedicine and multidisciplinary team management for complex cases
PHASE 1 STRUCTURE:
For phase 1 structure, a multi-story Care Centre that will feature:
Drs room x 2 – each connected with examination room
Waiting area x 1
Day Ward 1
Day Ward 2
Warehouse/ Janitor’s room for storing stuff
Pharmacy Room with storage area
Admin Room for office/ admin work
Toilet x 2 so one next to each Dr’s Room
Outside public Toilet
PHASE 1 BUDGET:
Annual running costs: £50,000
Equipment and fittings: £15,000
Contingency Funding: £25,000