We care presentation ieee june 1 2009

739 views

Published on

we care solar

Published in: Business, Technology
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
739
On SlideShare
0
From Embeds
0
Number of Embeds
2
Actions
Shares
0
Downloads
1
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide
  • The hospital relies on the support of family members to provide dietary services, linen and intimate care of patients.
  • We care presentation ieee june 1 2009

    1. 1. Where There Is No LightUsing Solar Energy to Improve Emergency Obstetric Care in West Africa<br />Laura Stachel, MD MPH<br />Bixby Center for Population, Health and Sustainability<br />University of California, Berkeley<br />
    2. 2. Maternal Mortality<br />
    3. 3. Maternal Mortality <br />http://www.worldmapper.org/display.php?selected=258<br />
    4. 4. Causes of Maternal Mortality, 2000<br /><ul><li>Hemorrhage
    5. 5. Infection
    6. 6. Unsafe Abortion
    7. 7. Eclampsia
    8. 8. Obstructed Labor</li></ul>AMDD, Columbia; www.pphprevention.org<br />
    9. 9. Federal Republic of Nigeria<br />
    10. 10. Why Nigeria?<br />11% of the world maternal mortality<br />>1100 deaths per 100,000 live births<br />Lifetime risk of dying as high as 1 in 13<br /><ul><li>Poverty
    11. 11. Early Marriage
    12. 12. High Illiteracy
    13. 13. Low contraceptive use
    14. 14. High Fertility</li></li></ul><li>
    15. 15.
    16. 16.
    17. 17.
    18. 18.
    19. 19. The Three Delays<br /> Home Transport Hospital<br />
    20. 20. The Three Delays<br /> Home Transport Hospital<br />Recognition<br />Decision<br />
    21. 21. The Three Delays <br /> Home Transport Hospital<br />Recognition<br />Decision<br />Availability<br />Cost <br />Distance<br />
    22. 22. The Three Delays<br /> Home Transport Hospital<br />Facility <br />Supplies<br />Staffing<br />Cost <br />Recognition<br />Decision <br />Availability<br />Cost <br />Distance<br />
    23. 23. Municipal Hospital, Zaria<br />
    24. 24. Lack of Running Water<br />
    25. 25. Lack of Sanitation<br />
    26. 26. Pharmacy Stock Outs<br />
    27. 27. Medical Records<br />
    28. 28. Operating Theatre<br />
    29. 29. Labor and Delivery<br />
    30. 30. Labor and Delivery<br />
    31. 31. Life-Threatening Delays<br />
    32. 32. Lack of Blood Bank<br />
    33. 33. Inadequate Lighting<br />
    34. 34. Emergency Obstetric Care - Challenges<br />Electricity<br />Light<br />Communication<br />Water<br />Facility<br />Supplies<br />Staff <br />Medication<br />Equipment<br />Surgical supplies<br />Staff shortages<br />Deficient Training<br />Lack of Protocols<br />
    35. 35. Emergency Obstetric Care – Intervention<br />Electricity<br />Light<br />Communication<br />Water<br />Facility<br />Supplies<br />Staff <br />Medication<br />Equipment<br />Surgical supplies<br />Staff shortages<br />Deficient Training<br />Lack of Protocols<br />
    36. 36. WE CAREWomen’s Emergency Communication and Reliable Electricity<br /> Solar Electricity to…<br />….provide reliable lighting<br />….enable mobile communication<br />….power blood bank refrigerator <br /> and surgical equipment<br />
    37. 37. Design Principles<br />Autonomous power<br />Durable, Robust<br />Reliable<br />Simple to Use<br />Easy to Maintain<br />Affordable<br />Scaleable<br />
    38. 38. Operating Room Design<br />
    39. 39. “Solar Suitcase”<br />
    40. 40. Demonstration to Hospital Staff<br />
    41. 41. Phase I<br />Solar Suitcase charging station for:<br />LED Headlamps for maternity & surgical staff<br />Walkie-Talkies (short range) for physicians, midwives, and operating room staff<br />
    42. 42. Impact of LED light Medical Documentation<br /> Before After<br />
    43. 43. Impact of LED lightNursing Care<br />Before After<br />
    44. 44. Impact of LED lightsSurgical Care<br />Before After<br />
    45. 45. Testing Two-way Radios<br />
    46. 46. Phase I Outcomes<br />Improved Communication<br />Immediate Contact<br />Reduced Delays <br />Patient Status Updates<br />Less Referrals Out<br />
    47. 47. Phase I Outcomes<br />Improved Communication<br />Immediate Contact<br />Reduced Delays <br />Patient Status Updates<br />Less Referrals Out<br />BUT….<br />Inadequate Range<br />Battery runs out during shift<br />
    48. 48. Phase I Outcomes<br />Improved Lighting<br />Increased Visibility<br />Increased Ease of Procedures <br />Increased Safety<br />
    49. 49. Phase I Outcomes<br />Improved Lighting<br />Increased Visibility<br />Increased Ease of Procedures <br />Increased Safety<br />But…MORE Desired<br />
    50. 50. Phase II<br />LED headlamps for all night duty staff<br />Installation of permanent PV system in maternity ward, delivery room, and OR<br />Long-range walkie-talkies for all emergency staff<br />
    51. 51. LED Headlamps<br />
    52. 52. PV Installation<br />
    53. 53. Labor and Delivery Ward<br />
    54. 54. Maternity Ward<br />
    55. 55. Maternity Ward<br />
    56. 56. Operating Room<br />
    57. 57. Operating Room<br />
    58. 58. Solar Powered Suctioning using DC to AC Inverter<br />
    59. 59. Long-distance two-way radiosand solar powered charging<br />
    60. 60. Solar Powered Blood Bank Refrigerator<br />
    61. 61. WE CARE Accomplishments….<br />Solar electric system in hospital in maternity, delivery, & operating theatre<br />Solar powered blood bank refrigerator<br />LED headlamps for all night duty staff<br />Walkie Talkies for Emergency Obstetric Staff<br />
    62. 62. Nigerian Support<br />Ministry of Health, 2008 <br />Governor of Kaduna, 2009<br />
    63. 63. Impact<br />No patients turned away from L&D<br />Increased capacity to deliveries<br />Immediate assembly of surgical team<br />Clinician feedback:<br />“Fantastic!”<br />“Great Improvement!”<br />
    64. 64. Challenges<br />Fixed budget<br />Vetting solar electric companies in Nigeria<br />Obtaining government buy in<br />Ensuring Quality Products and Service<br />When to delegate<br />
    65. 65. Lessons Learned<br />Let the user drive the product<br />Field testing is important<br />Design to be “idiot proof”<br />Create redundancy in system<br />Interdisciplinary collaboration<br />Be Patient ….and persistent<br />
    66. 66. Next Steps<br />Assessing health facility needs throughout Kaduna and other states<br />Optimizing“solar suitcase” prototypes<br />Scaling this intervention to other facilities<br />
    67. 67. Special Thanks to Our Funders…<br /><ul><li>Big Ideas @ Berkeley
    68. 68. Blum Center for Developing Economies
    69. 69. Bixby Program in Population, Health and Sustainability</li></li></ul><li>Contact info:<br />wecaresolar.com<br />laura@wecaresolar.com<br />
    70. 70.
    71. 71. Maternal Mortality <br />http://www.worldmapper.org/display.php?selected=258<br />
    72. 72. Formal Commissioning<br />
    73. 73.
    74. 74. Phase I Outcomes<br />Improved Communication<br />Immediate Contact<br />Reduced Delays <br />Patient Status Updates<br />Less Referrals Out<br />Improved Lighting<br />Increased Visibility<br />Increased Ease of Procedures <br />Increased Safety<br />
    75. 75. Phase II Evaluation<br />Lighting Adequacy Survey<br />Pre and Post LED headlamps<br />Communication Survey <br />Who’s needed by whom?<br />How was this person contacted?<br />Time to locate and bring to facility<br />Obstetric patient triage and outcome<br />Observation/Interviews<br />

    ×