THE AMADER GRAM COMMUNITY-ORIENTED PRIMARY HEALTH CARE PROGRAM (AG C-O PHCP)

Primary care has been demonstrated to be associated with enhanced access to health services and better health outcomes. Community-oriented primary care is medical practice that undertakes responsibility for the health of a defined population. In June, 2022, on its 8-acre medical campus in Rampal, Amader Gram will complete construction of the first two, three-story buildings: a 12,090 ft2 outpatient center, and a 14,728 ft2 diagnostic center, as shown here is the architects’ images:


Based in these facilities, the goal of the AG C-O PCHP is to provide accessible and high-quality primary care for all 160,000 Rampal residents and self-selected regional residents before 2026, under a sustainable business model. The integrated program network of ambulatory, virtual, and comprehensive community care services in every Rampal village, will earn revenues under subscription and fee-for-service systems. Complementary health supporting-activities are being developed under a community-led Rampal Forward Initiatives Program. Key components of the medical service system are: A well-developed, primary care ambulatory service model with major paraprofessional-specialist conduct of routine guideline-defined processes, key point-of-care diagnostic capacities, and immediate tele-consults, facilitated by a Bangladesh-circumstances-customized, interoperable electronic medical record system focused on major patient care-related functionalities, and broadband connections.


HOW IS OUR APPROACH INNOVATIVE AND WHAT ARE OUR PLANS?

AMADER GRAM is creating an integrated system of services with primary health care expert panel-recommended three ambulatory, virtual, and community components. Each component service will work with a single new interoperable electronic medical record, focused on patient care, developed in collaboration with UBICOMP lab researchers and students, at Marquette University in the United States. Additionally, this ambulatory care service has a high ratio of paraprofessional (health record technicians, equipment technicians, medical assistants) to doctor staff, many point-of-care diagnostic tests (like ultrasound examinations), immediate tele-consultation capacities, and functions under evidence-based evaluation and treatment guidelines.
An Amader Gram medical officer (doctor) and a medical assistant conducting a tele-consultation with a specialist doctor, which allows patients to get high quality care without having to travel, particularly during the Covid pandemic.


Use of point-of-care ultrasound in the clinics’ offices to image many different organs and tissues is inexpensive, fast and accurate. Here, an Amader Gram medical officer (doctor) and medical assistant are looking at a breast ultrasound image showing a benign 2.6 cm x 1.3 cm fibroadenoma. This image can confirm this diagnosis without having to do a tissue biopsy.
During the last two years, Amader Gram has had a virtual medical care call in “hot line”, and has served over 2000 patients. We are going to increase the capacity, and details of this service over the coming years. A community health worker helping a Rampal resident with ac onsultation call to the Amader Gram virtual care “hot line”.


AMADER GRAM currently has 78 full time village health volunteers in 84 of the Rampal upazila’s 138 villages, each with about 200 families. We plan to intensely train these volunteers to become the Community Health Workers (CHWs) and increase their numbers to 100 to cover all upazila villages, and enrich their portfolios to play major roles in: 1. Facilitating villagers’ health education and access to the Amader Gram ambulatory care center and virtual care hot line; 2. Contributing to disease registries for hypertension, diabetes, asthma, undernutrition; and 3. Providing home communicable disease, palliative, and hypertension management care.

An Amader Gram Community Health worker checks a Rampal villager’s blood pressure.


SPPORT NEEDED

AMADER GRAM needs start -up funds and money to sustain our momentum for: • Equipment for the two new campus buildings, specifically for ultrasound, oximetry, spirometry, blood pressure measurement, EKG, Chest X ray and bone X ray, patient peak air flow meter, and echocardiography equipment. • Furnishings for the outpatient building examination rooms: • An ambulance • Electronic rickshaws • Equipment for the community health workers caring for residents in their homes.


HOW TO DONATE

Please donate though our American partner organization at Marquette University. Marquette University is a 501(c)(3) organization, with an IRS ruling year of 1970, and any donations are US federal tax-deductible. The total dollar value of any donations made in the following way will directly and only benefit the Amader Gram Medical Project. No money will be subtracted for any administrative costs.


It is fast and easy to make a donation right now: Click on the following link and follow the clear instructions which are also summarized below:

https://timetorise.marquette.edu/give?appeal=ADF

On the first page, in the “Select a priority fund” box, scroll down to the last line which says “Other fund designation” line, and click on this. Then, in the new box below which says “Enter your designation below”: Write or paste in the following words “UBICOMP LABORATORY/ AMADER GRAM MEDICAL CARE PROJECT”

Then you will see a button “ADD GIFT” at the end of this box. Click on this box, and a new heading will appear which says: “GIFT SUMMARY”

UBICOMP LABORATORY/ AMADER GRAM MEDICAL CARE PROJECT.

Below this line will be a line with a dollar sign $. Here type in the amount you wish to donate. The total $ number you type in will be then shown below this box on the right side of the screen.

Then continue to the next screen field, which will say “Gift information”, and then below in a box it will say: “One time gift”. Then below this is a series of questions; after answering these, then click the “Continue” button at the bottom of the screen.

The next screen field asks for information about who is making the donation. Giving this information is necessary so that there is a record, for tax purposes. At the bottom of the screen, there is a button which says “Give now”. Click on this.

A field will come up for you to click on saying “Pay by card”. The information you have given about who you are will then appear on the screen. Click on the bottom of the screen where it says “Continue to payment”.

A screen field will appear asking you for your card information. Complete this and click on the box that says you are not a robot.

The next field will say that the information is being processed, and when this is successfully done, which is usually in a few seconds, a field will appear thanking you for your donation, summarizing the donation, and saying that you will get an email confirming the donation for your records shortly. Keep this email for your tax records.


To make a donation by check in other ways Funds or checks sent by mail should be accompanied by a communication/cover letter saying that the donation is specifically being made to benefit the Amader Gram Medical project of the UBICOMP lab, in the Department of Computer Science, under the direction of Professor Sheikh Iqbal Ahamed. Donations and the accompanying letter should be sent to: Molly Eldridge Director of Development, Klingler College of Arts and Sciences Marquette University, University Advancement 1250 W Wisconsin Ave, Milwaukee, WI 53233 USA


ABOUT US AMADER GRAM WEBSITE PAGE

Must emphasize accountability, trustworthiness, honesty, history of success. $ of support over last years.