Health on wheels proposed contributions

1. HAEFA’s “Health on Wheels” Proposed Contributions
4 Garment Factory Workers’ Healthcare in Bangladesh
Svein Gaute Bleivik serving Senior Global Advisor for HoW
Project Presentation by

2. Health and Education for All, USA
• Non-profit 501c(3) Foundation
• Mission is to help provide healthcare assessment and
treatment in the garment sector
• To date, we have evaluated workers in 5 (five)
Bangladeshi garment and textile factories since 2013
• We can diagnose and treat up to 750 factory workers
per day on-site
Ruhul Abid, MD, PhD Rosemary Duda, MD, MPH
President Vice President
Brown University Medical School Harvard Medical School

3. Health On Wheels
• In 2013, we did large overall health assessment and
identified most common diseases
• We were able to identify new cases of
hypertension, diabetes, tuberculosis, anemia and
presumed cancer cases
• Based upon this information, we now focus on
hypertension, diabetes, tuberculosis, high-risk
pregnancy, and anemia
Health on Wheels
http://www.healthonwheels-usa.org/

4. HoW on-site preventative care
• Immunization
• Ante- and post-natal care,
to ensure safe infant delivery
• Health and general hygiene education
• Feminine health and hygiene education
Health on Wheels

5. HoW on-site curative care
• Treatment of infectious disease such as
typhoid, malaria, tuberculosis, dengue,
hepatitis, diarrhea
• Treatment of chronic disease and non-
communicable diseases such as diabetes,
hypertension, heart failure, and high-risk
pregnancy
Health on Wheels

6. Mobile health care delivery system
• A sophisticated mobile device-based m-Health
and electronic medical record (EMR) SW is used
to coordinate screening test results, diagnosis,
and treatment regime with our physicians.
• All patient and employer records are kept strictly
confidential and secured. Workers are seen each
month, and followed up as necessary to improve
their physical and mental health.
Health on Wheels

7. 0.00% 2.00% 4.00% 6.00% 8.00% 10.00% 12.00% 14.00%
Male
Female
Total
Hypertension
0.00% 2.00% 4.00% 6.00% 8.00% 10.00% 12.00% 14.00%
Male
Female
Total
Diabetes Mellitus
11% of total workforce have undiagnosed high blood sugar!
7.5% are undiagnosed high blood pressure!
11% workers are either diabetic or
have impaired glucose tolerance
(undiagnosed)
7.5% workers are
hypertensive (undiagnosed)
Health on Wheels

8. 0.0% 5.0% 10.0% 15.0% 20.0% 25.0%
Male
Female
Total
Respiratory disorder including suspected
TB (tuberculosis)
0.0% 5.0% 10.0% 15.0% 20.0% 25.0%
Male
Female
Total
History of Shortness of breathing
17% have lung diseases including tuberculosis
Health on Wheels
20% female workers have
respiratory disorder
20% female workers have
shortness of breathing

9. 0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% 35.0%
Male
Female
Total
Anemia
0.0% 2.0% 4.0% 6.0% 8.0% 10.0%
Male
Female
Total
History Fractured bones
22% suffer from anemia, an easily treatable condition
30% female workers have
anemia
Male workers are more
prone to bone fracture than
women, approx 9 vs 2%
Health on Wheels

10. Schematic of Health on Wheels’ On-site Health Care Delivery System:
Health on Wheels

11. Health on Wheels’ team members in Dhaka, August 2013
Health on Wheels

12. Health on Wheels
Health on Wheels’ team performing On-Site health checkup in 2013

13. Acknowledgements:
• BRAC Health, Bangladesh
• Director General of Health’s Office, Bangladesh
• Envoy Group of Textile and Garments
• Avant Garments Ltd.
• Ananta group of garments
• Urmi Garments
• Child Health Awareness Foundation, Dhaka
Health on Wheels

14. Project Support
KLOUDSPUN, provider of EMR system
• Company driven by engineers with the ideal of
promoting the best of technologies and software
• Holding deep experience designing, developing,
and deploying customized analytical solutions
• Their NPAE tool allows tailoring of compliance for
specific objectives and/or various requirements,
and provides analytics, graphics and reporting
features, visualizing results for doctor/patients.
http://kloudspun.com/
Health on Wheels

15. Ongoing Activities
• Kloudspun’s SaaS platform developed to build
system for collection, registration, verification,
storing, categorizing, sorting and presenting
health data on individual and group basis.
• Apps developed for hand-held devices like
tablets and smartphones, enabling instant and
secure mobile on-site real-time registration.
Health on Wheels

16. Thank You
Health on Wheels