Mithr 2.0

A Navigational support system for primary health care services

About

The vast improvement in the range of health services has failed to penetrate vulnerable communities who still face challenges in accessing dignified, quality primary health care services even in a large city like Bangalore. Informational and institutional erasure play a major role in marginalisation and poor access to primary health care among Transgender, LGBTQ communities, and women from vulnerable communities (including women in sex work). These communities in India are oppressed & highly stigmatized, living in acute poverty, routinely facing violence, sexual assault & rape. In addition to these factors, discrimination at health care facilities further force health to be of least priority to these communities.

The current national programs have done a tremendous job in reaching out to the above communities with HIV and STI prevention and treatment but caring for people involves much beyond these services.

To understand this issue of access to primary care or health care in-general and work towards it, we need innovative solutions. Ensuring quality non-judgemental, person centred primary care is one way towards that.

Hence we are exploring by engaging with the communities to understand the current challenges with regard to access to quality primary health care and working with various health care professionals to bridge the gaps between them and the communities.

Components of the program:

Our navigational support system includes a technology platform that helps the community members find safe spaces which consists of friendly health care providers who can deliver quality primary healthcare (PHC) services both locally and virtually. This would help them get the necessary information and support from strengthened outreach to improve access to PHC services. We also aim to have a peer - learning program for the providers in order to support their cultural competency to care for the communities.

This program is led by Swasti, Bangalore and supported by Grand Challenges Canada. Grand Challenges Canada is funded by the Government of Canada and is dedicated to supporting Bold Ideas with Big Impact®. https://www.grandchallenges.ca/grantee-stars/1909-30377/

Community Safe Spaces:

To improve the access to primary health care services, we need high - quality, empathetic, and community friendly health care professionals. We are building such a network in Bangalore locally and across India virtually (through providers who deliver tele-consultation services). The program has been initiated in North Bangalore with the intention of expanding with learning.

The network of like minded health care professionals are engaged through an orientation to the communities, periodic peer learning sessions and feedback to ensure support for caring for the communities. The health care professionals would be listed on the tech platform for enabling the wellness facilitators (outreach workers) to help members of the communities navigate the system. Wellness facilitators also support the members and health care professionals in continuity of care through follow up support and emotionally being there as a first responder.

Partners

Swasti

Swathi Mahila Sangha

Samara

PCMH Restore Health

Supported By

This Project is supported by Grand Challenges Canada.

Knowledge Partner

Institute of Public Health, Bengaluru

People

Akshay S Dinesh

PCMH Restore Health

Ammu

Swathi Mahila Sangha

Angela Chaudhuri

Swasti

Aveek De

Swasti

Dilfaraz

Samara

Hareesh B S

Swasti, Swathi Mahila Sangha

Jameela Begum

Swathi Mahila Sangha

Jarmi

Samara

Nandini Agarwal

Swasti

Nilakshi Biswas

Swasti

Praneeth Pillala

PCMH Restore Health

Prashanth N S

Institute of Public Health, Bengaluru

Pushpalatha R

Swathi Mahila Sangha

Rajashekar

Samara

Ramakrishna Prasad

PCMH Restore Health

Sadiq

Samara

Sangappa

Swasti

Shamanta

Swasti

Shivaraga

Swathi Mahila Sangha

Stella

Swathi Mahila Sangha

Swathi S Balachandra

PCMH Restore Health

Syama B S

Swasti