P R E S E N TAT I O N O N I N T E R N S H I P L E A R N I N G

Welcome to my
Presentation
Institution: Universal Research Care (URC)

Md. Mahin Zaman Labib

Exam Roll: 15826
Reg No: 2017-518-817
Session: 2017-2018
 P R O J E C T T O P I C

REVIEWING THE EXISTED NCD MODELS IN BANGLADESH

and recommending to improve NCD Corner in Upazilla Health Complexes.
R E V I E W I E D M O D E L S A R E

CMED Health Comprehensive PHC Models (Rural)

NCD Corner Model
Portable Health Clinic Model
BRAC NCD Program Models
HAEFA PHC Models
BADAS Adult Diabetes Care Models
 C O M PA R I S I O N O F T H E M O D E L S
01
1st Point of Service
CMED Health Comprehensive PHC
Models (Rural)
Portable Health Clinic Model BRAC NCD Program Models
Program Setting: Home/Household.
Program Setting: Home/Household. Program Setting: Home/Household.
Service provider: Health Visitors.
Service provider: Health Workers. Service provider: Shasthya Kormis (SKs),
Services: NCDs screening, data collection, and
Services: Conduct basic check-up, clinical Shasthya Shebikas (SSs).
referrals.
measurement, take medical history, triage Services: NCDs screening, data collection, and
Digital Integrations: CMED smart health kit,
mobile app, Susastho digital health care platform.
03 patients, and referrals. 04 referrals, and basic medication.
Digital Integrations: Portable health clinic box, Digital Integrations: Android tablet to enter
Specialty: Automated referrals, and well-
GramHealth client app, GramHealth server. data.
organized data management system.
Specialty: Portable health clinic box, Specialty: Social entrepreneurship of SSs, health
GramHealth client app, GramHealth server. promotion and information delegation.

02 HAEFA PHC Models BADAS Adult Diabetes Care Models

Program Setting: Mobile Clinic/Health Centre
NCD Corner Model Service provider: HAEFA Mobile clinic
teams/medical team
Program Setting: Community.
Services: NCDs screening, basic tests, instant
Service provider: Community Health Workers.
Services: Health promotion, disease prevention,
blood pressure monitoring, and referrals.
05 printed prescription, data collection, digital
notification, referrals.
Digital Integrations: Smooth EMR system,
Digital Integrations: Nil
NIROG; NIROG app.
Specialty: Nil
Specialty: Data stored on EMR system, NIROG;
Send notification via text.
Program Setting: Home/NCD Corner at
Mosque.
Service provider: Trained Imams/Nurse/Female
assistant
Services: Conduct basic check-up, referrals,
06 health promotion through religious sermons.
Digital Integrations: ‘Diabetes Journey’ app,
Ibrahim Healthline, subscription-based telehealth
line service.
Specialty: Trained Imams to promote health
promotion, 24/7 telehealth service.
 C O M PA R I S I O N O F T H E M O D E L S
01
2nd Point of Service
CMED Health Comprehensive PHC
Models (Rural)
Portable Health Clinic Model BRAC NCD Program Models
Program Setting: Satellite Clinic
Program Setting: Village pharmacy. Program Setting: Community
Service provider: Health Officers (paramedics)
Service provider: Health Workers. Service provider: Shasthya Kormis (SKs),
Services: Basic treatment and well-being
Services: Basic check-ups, regular monitoring, Program Assistant (PA).
counselling, prescription of medicine (33types),
data collection, referrals. Services: Raising awareness, delegation of
data collection, referrals.
Digital Integrations: Mobile app, Susastho
03 Digital Integrations: Portable health clinic box, 04 health education, screening at adult camps,
GramHealth client app, GramHealth server. referrals.
digital health care platform.
Specialty: Effective triage algorithm. Digital Integrations: Internal database to track
Specialty: Well data management, referrals.
treatment compliances and progress.
Specialty: Propagation of health education and
raising awareness.

02
HAEFA PHC Models BADAS Adult Diabetes Care Models
NCD Corner Model Program Setting: Public/Private health centres. Program Setting: NCD Corner at UHC.
Program Setting: NCD corner at UHC Service provider: GPs/Specialists. Service provider: Medical Officer (MO)
Service provider: Medical Officer (MO) Services: Different categories of patients are Services: Basic check-ups, consultation,
Services: Registration, basic check-ups.
Digital Integrations: The ‘Simple’ app, Google
05 treated in different public/private health centres.
Digital Integrations: Smooth EMR system,
06 counselling, care services, and referrals.
Digital Integrations: Nil
sheets. NIROG; NIROG app. Specialty: Nil
Specialty: Nil Specialty: Proper EMR system.
 C O M PA R I S I O N O F T H E M O D E L S
01
CMED Health Comprehensive PHC
Models (Rural)
Program Setting: GP Office/Centre
Service provider: Remote GPs, Union-based
GPs.
Services: Remote GPs provide telemedicine
services, digital prescription and referrals, Union-
based GPs provide in person services and
03
referrals.
Digital Integrations: Dedicated digital platform
for telemedicine, GP doctor dashboard.
Specialty: Digital prescription, Smooth referrals.
3rd Point of Service
Portable Health Clinic Model BRAC NCD Program Models
Program Setting: Referral Centre.
Program Setting: Call Centre
Service provider: GPs/specialists.
Service provider: Remote Doctors.
Services: Provide testing, diagnosis, clinical and
Services: Consultation via video conferencing,
treatment services to the referred patients.
provides online prescription and referrals.
Digital Integrations: Video conferencing
04 Digital Integrations: Teleconsultation via
Skype.
platform, GramHealth Server.
Specialty: Smooth treatment to the referred
Specialty: Video conferencing.
patients.

02 BADAS Adult Diabetes Care Models

HAEFA PHC Models Program Setting: BADAS affiliated-DM
NCD Corner Model Centre.
Program Setting: Secondary/Tertiary Hospitals. Service provider: Doctors/GPs.
Program Setting: District Hospital. Service provider: GPs/specialists.
Service provider: GPs/specialists. Services: Comprehensive DM services,
Services: Referred critical patients get advanced
Services: Referred critical patients get necessary
services.
05 care as need basis. 06 including primary prevention, screening,
treatment and management.
Digital Integrations: Smooth EMR system, Digital Integrations: ‘Diabetes Journey app’
Digital Integrations: Nil NIROG; NIROG app.
Specialty: Nil provide clinical decision-making support
Specialty: Nil Specialty: Online decision-making support
system.
 RECOMMENDED MODEL
IN NCD CORNER OF UHCs

R
Community Level Community Level E

1st Point of
1st Point of
Service

CHWs will provide doorstep service.

Service
CHWs provides doorstep service. C
P
No digital services integrated Digital Smart Kit/Portable Health Clinic Box O
R
Services are irregular, not available in all unions. Data collection system by android app, Triage Algorithm, M
E auto referral, Trained Imam will promote healthy life styles
V M
I NCD Corners Telemedicine Services E
2nd Point of

N
Service

O Medical Officer provides services. • Some renowned UHCs and District hospitals
S Limited digital service available. may act as central hub points of telemedicine services. D
Basic NCD screenings, check-ups, treatment & Medication NCD Corners E

2nd Point of
services provided. D

Service
M Medical Officer will provides services.
O Basic NCD screenings, check-ups, treatment & Medication
D District Hospitals M
services provided, digital data storage, online prescription,
3rd Point of
Service

E GPs/Specialists provide service. online referral. O

L No digital services integrated D
District Hospitals E

3rd Point of
Basic NCD screenings, check-ups, treatment & Medication

Service
services provided. GPs/Specialists will provide service. L
Digital health server, data management, access to all data.
Critical patients’ treatment & Medication services provided,
digital data storage, online prescription, online referral.
 CMED Health Grameen
CMED Smart Health kit, well planned
Communications
Portable health clinic box,
Susastho digital health care platform with Gramhealth server & client app,
android app and auto referral system strong triage algorithm.

Planning for
Implementation

Community level local DGHS

NGOs
BRAC or other NGOs may play Will strongly coordinate with private
important roles. organizations or NGOs. NCDC Unit of DGHS
must have to play an important role.
 SK ILLS & QUALIFICATIO NS

Skills & Qualifications I have gained

01 02 03 04
I have gained comprehensive understanding Acquired valuable insights It has significantly enhanced I have comprehended multifaceted
of various ground-level non-communicable through key informant both my communication and aspects of professional environments,
disease (NCD) healthcare models, particularly interviews. analytical abilities. encompassing institutional hierarchies
their functional dynamics and implementation and the intricate process of delegating
strategies. functions within them.
 01
This experience will serve as the cornerstone for my
future research pursuits.

02
My interest in NCD-related policies and operational
activities has significantly intensified.
MY CAREER
PLANING 03
VS INTERNSHIP
It has provided me with the drive and motivation to
pursue innovative entrepreneurship.

04
As a health economist, I can develop potent health
policies for our system.
Correlation between internship experience and classroom knowledge?

• I perceived a strongly positive correlation between my experiential learning and classroom knowledge.

• The knowledge acquired in my academic pursuits over the past four to five years has significantly
contributed to my comprehensive understanding of every aspect related to my internship project and our
healthcare services.

• I would like to gently suggest the incorporation of NCD models into our regular course syllabus to enhance
learning in the NCD sector.
Any Question
?
Thank
You