1. HEALTH services MMU & Health Camps

2. Evolution of new concepts20092010 MMU +MMU ++ ~ 2008 MMU Health Camps Transition Phase of MMU programme

3. Factors behind the evolution of new concepts Finding answers to our own questions Treatments / beneficiaries Justify our Expenses Vs. Activities MMU Effectiveness & Efficiency Evidences to prove our credibility to prospective donors Better donor servicing in funded projects ??? MMU + MMU ++ !!!

4. All services of MMU + Additions Treatment data collection  MIS software based data collection and pathway analysis  Donor can avail updated data online and view analytical reports from time to time Referral services / facilities  Referral Linkage with local health providers (where-ever possible)  Referral Linkage with Govt. schemes/ programmes(where-ever possible) Home Care for bed ridden  Mobile Physiotherapy services  Palliative care services MMU  Out-patient services  Dispensing of medicines  Referral of patients  Health Awareness (by a few MMUs)  Health camps – mostly donor mandated MMU + All services of MMU Additions  Base line through Social Mapping & Socio-Health- Economic Profiling  Treatment data collection  Basic Diagnostics  Home visits by doctor Referral services / facilities  Linkage with local health providers  Linkage with Govt. schemes/ programmes Modes of MMU operations

5. Focus in Transition Phase

6. MMU Actual beneficiaries Potentialbeneficiaries

7. Justify our Expenses on Activities MMU Effectiveness & Efficiency Evidences to prove our credibility to prospective donors MIS for MMU Impact Analysis Treatment Nos. Actual Beneficiaries “X” Potential Beneficiaries “Y”

9. Health Services Health care is primary to well being of elderly Health care is primary to well being of elderly with advancing age and natural process of ageing and thus requires access and affordability. Design and implement mobile and stationary pilot demonstration primary health care services Design and implement mobile and stationary pilot demonstration primary health care services for needy elderly in both rural and urban areas and... Endeavour to mobilise local community and resources for establishing community based sustainable models Endeavour to mobilise local community and resources for establishing community based sustainable models which strengthen integration of elders into family and local community and also linkage with government and other health service providers. establish resilient local capacity Thereby establish resilient local capacity and processes including training of Para-health workers and affordable alternate forms of medicines.

10. Importance of this Strategic Option Continued health and well being resilient and sustainable community affordable in local context Continued health and well being of elderly can only be assured with the help of resilient and sustainable community based health services through trained local Para-health workers and affordable in local context. CRITICAL FOR ELDERLY POPULATION Access to basic health services Access to basic health services in both rural and urban areas. low cost health care mobility to access Affordable low cost health care and physical mobility to access those facilities Psychological intervention Psychological intervention for acceptance, pain management and long term treatment without major side effects. Specialised medical intervention Specialised medical intervention for conditions such as cataract, coronary diseases, hypertension, diabetes etc.

11. Lack of clarity on MMU line management Lack of clarity on MMU line management; simultaneous management by HO and Regions is confusing and ineffective. Key Barriers to Implementation Modern medicine practitioners Modern medicine practitioners not inclined or attracted to difficult areas...non urban.....basic health and non curative care. effective health service delivery design Acceptance of change to a more appropriate, workable and cost effective health service delivery design by HI and donors. In house management capacity calibrated in line In house management capacity calibrated in line with annual work plan and financial allocation and hence effectiveness degrades in responding to new projects skill enhancement prerequisite In house skill enhancement prerequisite to successful implementation of new approach viz. MMU+ & MMU++ X X X X X

12. POTENTIAL ROLES / ACTIONS OF KEY STAKEHOLDERS MMU Team  Implementation of project activities and timely achievement of project deliverables.  Mobilising the elder community and ensure their participation  Collective approach to Rights and Entitlements and response to the local health needs elderly Head Office  Strategic-Vision (2009-13) o Implementation o Policy and operational guidelines  Mobilisation and allocation of financial resources  Handholding of the state and project staff  Project Review  Impact evaluation State Office  State strategic plan  Planning and implementation - increasingly working with elders  Ensuring the quality of services delivered.  Supportive supervision of project activities

13. HEALTH services Single window system

14. Activities 2010 – 2011 (20 MMU++ ONGC & 14 MMU+) Key Targets: 44,000 Registered elderly for health services. 34 MMU 34 MMU individual model operational plans (20 MMU++ & 14 MMU+) 26 MMU 26 MMU impact analysis reports on disease pattern (12 MMU++ & 14 MMU+) 26 MMU 26 MMU treatment records digitised (12 MMU++ & 14 MMU+)

15. “ The Future depends on what we do in the present” Thanks!