WHO Rural Health Equity Webinar Series

Innovations in equity-oriented health service delivery in rural and remote areas in LMIC

March 24, 2022

Greeting by Chair: Theadora Swift Koller, Senior Technical Advisor, Health Equity, Director General’s Office, WHO/HQ

Panel:

  • WONCA perspectives on lessons learnt from use of rural mobile health clinics and community mobilization, including
    in the context of COVID-19 – Mohammed Morad, Head of The Israeli Society for Rural Health & Frontier Medicine,
    Israeli Association of Family Physicians
  • Increasing organizational and social innovations through the “Health Equity Champions” project in Mongolia to
    decrease health inequities and barriers to services in rural areas – Enkhsaikhan Lkhagvasuren, Director, Division of
  • Infectious disease, Department of Public Health, Ministry of Health, Mongolia, together with Byambaa Ganbat and
    Monica Fong, WHO Country Office for Mongolia
  • Using Digital Health to reduce inequities in access and improve the quality-of-service capacity in rural areas – Derrick
    Muneene, Unit Head, Capacity Building and Collaboration, Digital Health and Innovation Department, WHO/HQ
  • Innovations for equity-oriented eye care in rural and remote areas– Stuart Keel, Technical Officer, Sensory
    Functions, Disability and Rehabilitation, WHO/HQ

Closing remarks: Bruce Chater, Chair, World Organization of National Colleges, Academies and Academic Associations of
General Practitioners/Family Physicians (WONCA) Working Party on Rural Practice

Chat Transcript

Chat Transcript

James Rourke
30:03
hello from Canada

Bruce Chater
30:43
Good to have you join us again Jim

Khorolsuren, Mongolia
31:07
Hello from Mongolia.

Ian Couper
38:21
Hi from Cape Town, South Africa

codjia
41:39
where are located the PHC providers?

codjia
52:40
what incentives have been given to the PHC providers during this project? Is it sustainable?

codjia
53:24
How many years the PHC providers are staying in the health center?

James Rourke
01:12:30
When Covid dramatically limited in-person health visits we were surprised at how effective and widely used telephone consultations were even in places were video telemedicine could be set up for the health visits as the televideo set up needed more bandwidth and took longer to set up

James Rourke
01:15:05
cellphone technology seems to be leaping past formal telemedicine and best examples are integrated into integrated digital health record system accessible to both health care workers and patients

IENG Vanra-WHO/KHM
01:38:41
For the second speaker:- Is there a guide to establish digital governance ?- Connectivity is a gap, but I think we need to think about financial aspect for the initial setup and maintenance ?

mbanabad
01:46:02
Indeed – pursuit of diagnostic accuracy vis a vis responsibility of care/health outcomes is possible with a good digital health governance system

mbanabad
01:46:17
Dr. Mudassar Ben ABAD – Kasulu Tanzania

Ian Couper
01:52:56
Related to the determinants of health, there was a locely quote about Paul Famer in a tribute written by Dr Sriram Shamasunder (https://www.npr.org/sections/goatsandsoda/2022/02/22/1082289854/with-love-and-tears-my-first-and-last-memories-of-dr-paul-farmer):

Ian Couper
01:53:51
The quote: “One time I asked him what to do with a “non-compliant” diabetic patient who was not taking her medicine. He wrote back with a three-paragraph retort. He said the onus remained with the physician to figure out what the barriers were that prevented a patient from receiving care. He wanted me to deeply understand how the health system often conspired against our greatest hopes for the healthy life our patients sought. He would not allow me to blame a patient, especially someone who lived in poverty.”

Ian Couper
01:54:44
Thank you Theadora for making the series happen.

mbanabad
01:54:56
Thank you to all