Our Health Care Model
Vision of AMOR Health Care Model
The overall vision of the AMOR Health Care Model (AHCM) is to improve the health of women and children in the project areas while strengthening local health systems. In collaboration with the Afghan Ministry of Public Health and other major players in Afghanistan the AMOR model of community care continuously monitors and incorporates Home Health Workers (HHW’s) who are trained by midwives and family medicine physicians, linking their clients to high quality hospital services to address community health issues based on real time information.
This health care model can meet the current and future needs of its target population by building strong local health systems, human resources, improving gender equality and addressing the socioeconomic issues. Our health care model can be scaled country-wide as well as transitioned to local control.
Outcome Measurement
As with any program of this nature, one of the more difficult aspects is “outcome measurement,” or how to measure the impact of the project. In this regard, we are currently gathering data about households in a defined geographical area. This “baseline” will allow us to initially have an idea of what challenges exist in the area. We then can develop intervention plans regarding the area, approach the area in a rational manner with each community health care worker gathering information about the specific area. We currently have eight community health care workers in our program and each is being trained and equipped with basic medical knowledge and methods of how to approach the task.
Once we are actively working in the communities, health care workers will then begin gathering information through simplified patient tracking or patient information gathering methods. The information gathered this way will be fed into computerized standard reports and analyzed by the physicians at Afshar Hospital.
In addition,the gathering of patient information will be occurring in our clinics and the hospital. This information will be combined with the community health workers data, so that a “real-time” database of patients and their medical conditions will be created. In this manner intervention planning, early detection, prevention, treatment, and proper medical staging will occur in a “real-time” retrospective manner.
Over time, as data is accumulated, more data will be gathered from similar sources, comparing it to the initial data to determine impact and outcomes. In this manner we will be able to measure progress as well as achievements and re-evaluate constantly to achieve maximum impact.
8 Guiding Principals
- To always focus on placing the local population in a position to control their own future and provide experience, knowledge, understanding and skills to help them provide for themselves while constantly recognizing individuals irrespective of their gender or ethnicity
- Provide basic/essential healthcare services to those who cannot provide for themselves focusing primarily on infant, child and maternal health
- To provide an environment of education that leads to the continual improvement of the quality of healthcare provided at all levels in the delivery system
- To meet the international standard of care – Do No Harm
- Conduct all financial matters in accordance with internationally accepted accounting practises with complete transparency at all levels of the organization
- To provide accurate statistical information to allow for outcome measurements and assessment
- To have a positive socioeconomic impact in the communities we serve
- To create a self-sustainable health care model that will serve the community for years to come without reliance on external resources.
Expected Impact:
Five Areas of Impact
1. Expanded access to preventative and curative maternal and child health interventions.
2. Empowerment of women and their communities to enable women greater capacity to claim their right to health.
3. Increased local capacity to provide a full spectrum of coordinated and high-quality maternal and child health services, from prevention to community-based primary to tertiary care, in target areas.
4. Community outreach through mobile clinics and Home Health Workers integrated with high quality hospital care.
5. Responsive community monitoring through the use of the patient tracking document to gauge health outcomes, health interventions that are designed in response to monitored trends.