Purpose - affordability so that nobody wherever they live should die before their time
Breaking news 2 of the top 7 finalists fom oregon yunus student sb competition starting the USA ac year 2012-2013 had special helathcare emphases - the number 2 winner on mobile medical van- there are arts of oregon that never see a doctor - this project resoves this with a hi-tech and hi-human medical van that serves isolated communities- excellent timing as current governor has offered to cut student debts of medical graduates if they serve rural communitie
open source medical networks collaboratively hosted by technolgy wizards excited me a lot - first project sensor integrated spectacles for blind enabling a blind person to sensor clear pathways ahead of then in much the same way that robots use to move around- whats great is seeing tech wizrds colaborating around lif's most needed apps
mail email@example.com if you wnat more on these projects- there was also a world calss cluster of student projects in oregon aimed at nutrition chalenges
In the first 10 years (1972-1982) that Entrepreneurial Revolutionaries debated the coming of the net generation, no sector caused more concern than healthcare. In fact the idea of setting millennium goals that the world would invest in youth co-producing was stimulated more by the need to free the healthcare market than any other trillion dollar sector of the coming globalisation
Herman Kahn advanced the framework of health and safety fascism as a way of illuistrating how impolitically correct american society had made debates about healthcare. My father -see his 1984 survey on better healthcare at an eight the cost - suggested that each country needed to identify which sectors were determined to add cost not value. Typically sectors determined to make american healthcare more expensive include pharmaceuticals, politicians, advertising, lawyers, and purveyors of big technolgy approaches to healthcare. Then twin in action learning with a country that mercifully designed healthcare with out system tampering form those sectors
So this sector became the heart of the branch of the 3 billion jobs map that we call -1 billion community jobs. Just as the keynsian schumacher had pointed out that we will never achieve worldwide sustainability unless we adopt a deeper model of sustaining 2 million communities we argue for the gamechanger - end nurseless villages
In our 21st C conception of such an open-knowhow nursing network, we are not arguing for asetting the highest standard of nursing expertise- local accessibility is the urhgent priority. We are discussing whether the most socially networked person in your community has two opposie sorts of connections- she is best linked in to those who life critically need afordable heathcare startting with mothers and infants, and she is valued by experts and through mobiles new wave of apps as someone who breaks down degress of separation. She can get through to the most relevant expert and she has the most relevant mobule tracking apps to connect information in her comunity - and she is cross-culturally loved for her service
To help youth advance this gamechanger key innovations include the free nursing college (which becomes girl effet's paradigm for redesiging apprenticeships as a top 3 job creator) and the idea of ending nurseless vilages needs to be celebrated at every opportunity including student entrepreneur competitions and the search for future heroes- where the most celebrated people twin up with those whose networks have th geratest lpositive inpact on the most number of people. That is of course one way of defining the 21st Century title of nurse as open knowledge networking champion.
FYI Michele Rumsey from our UTS/WHO CC recently attended a meeting with the President of the World Bank arranged by the George Institute for Global Health USyd(Vlado Perkovic is the CEO of the George) and she had the opportunity to put a question to Dr Kim. I have provided an extract from the transcript of Dr Kim’s speech below
VLADO PERKOVIC: A question over this side.
MICHELE RUMSEY: Hello, Michele Rumsey from the WHO Collaborating Centre at the University of Technology, Sydney. I'm very excited to hear you talk about delivery, a focus for World Bank on delivery of health care. The group that we work within health workforce is nurses and midwives. I feel they've been the poor relation really in a lot of our discussions over the years and yet we know that for example if we increase the education of midwives and increase the capacity of nursing midwifery, it would single-handedly improve the maternal and child's health rate for 75 countries that are still struggling. Wondered if you could give a comment on your thoughts around nursing, midwifery, health workforce generally. Thank you.
DR. KIM: One of the things that we're really stressing in the Ebola response is that numerous precautions, monitoring of electrolytes, providing intravenous therapy and keeping people alive because these are self-limited infections if you can just keep people alive. All of this can be done by health workers supervised by nurses and this is how we've done the most complicated treatments: HIV treatment, drug-resistant TB treatment, in all of our community-based responses have been done mostly by nurses.
What we've found is that nurses do much better at treating these kinds of complicated diseases because they're much more willing to follow protocols and doctors feel like they need to make it up. (laughter) This has been proven again and again and again that the more you can get health care focused on protocols that people will follow, the better the outcomes are.
I think that there's no question that the solution to the problem of access to health care is what we've called task shifting, that the things that the doctors do in some health systems should be moved to nurses. Nurses should take a very much stronger leadership role, especially in developing country healthcare systems and that utilizing community health workers is both a great employment program and also is tremendously helpful in improving outcomes. Because it's not - what we realize, for example in tuberculosis care, that having a health worker actually observe treatment, watch people take their pills, was the most important thing in improving outcomes.
And HIV as well - what we found was that doing the same thing, having people from the community help you take your medicines every day was the most important thing in improving outcomes. So in a time when people desperately need jobs, these are great jobs. Nurses can be central to the kind of leadership we need to really extend health care, the kind of health care that will really make people healthier.
I work very closely with a gentleman named Michael Porter at Harvard Business School and he's trying to introduce the notion of value. Value is just simply health outcomes over dollars spent. What happens is we get so focused on one aspect of the value chain, the intervention, the treatment, the diagnosis, but actually better health is a value chain that includes many, many things.
One of the things which I do is in HIV care. What are all the things you need to do to actually have a healthy person living with HIV at the end of the day? Most programs were not focusing on compliance, on actually people taking their medicines. So we made the argument that if you invest more to health workers in ensuring that people are taking their medicines, you actually make the overall value of your treatment much, much higher. I feel very strongly that we've ignored far too long the role of nurse midwives and nurses in global health. I agree with you in maternal mortality and in terms of childhood mortality and infant mortality. Nurses are really at the core.
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