What we do is simple. We take delivery to the doorsteps of the poor. In case of disease management, even the samples are collected in the vicinity of the patients’ house and transported to labs. Results are also given at the patients’ house. Essential elements of our methodology are given in the box alongside.
A model like this, which ensures compete adherence, is necessary for diseases that require long term care. For example, in TB, under the DOTS regimen followed across the world, every patient is required to take up to 75 doses under supervision of an observer, over 6 months or more. Because of accessibility and many other issues, patients stop coming for treatment, causing their TB to morph into a deadlier version called multiple drug-resistant TB (MDR-TB). MDR-TB is just as infectious as regular TB and almost always fatal.
No patient/ beneficiary is more than 10 minutes from our center/ community health worker. Many centers are next to large bus terminals and key exits/ entrance to slums. This way, the beneficiaries hardly have to spend any time in commuting to take the medicine/ services. In rural areas, our health workers travel from village to village and deliver the services.le drug-resistant TB (MDR-TB). MDR-TB is just as infectious as regular TB and almost always fatal.
In a nutshell, Operation ASHA has developed a local, deep, high impact and low cost model.