How VHTs are helping rural women access family planning

The H.I.V. infection rate in San Francisco dropped drastically after the city increased testing and created programs like Rapid, which immediately offer public health insurance, antiretroviral drugs, and personal counselors for people with AIDS.

Northern Maine is home to some of America's poorest - but it ranks high on national measures of health. Hospital programs visit more patients in their homes where they can be more comfortable and receive everything they need, which in turn reduces medical costs.

To educate and prepare new mothers, Centering Pregnancy and Centering Parenting sites in the United States offer community-based patient-centered care in low-income areas. Centering offers interactive learning, check-ups, and social support, so that women can take charge of their health.

Latin American women in San Francisco have suffered from post-partum depression, social isolation, and chronic stress at the time of their pregnancies. Run by midwives, the Centering Pregnancy program at the San Francisco General Hospital provides patient-centered care, an environment to speak in Spanish, and a nurturing community for women’s group appointments. The results boast fewer c-sections and pre-term births, and an improvement in emotional support and overall prenatal health.

Physical illnesses trigger and exacerbate poverty because costs are too high to treat them. The Associação Saúde Criança in Rio de Janeiro counsels helps by assisting families with services such as food, medicine, vocational training, housing, and legal aid, which helps mothers achieve their personal goals.

Studies show group prenatal care leads to better birth outcomes when compared against standard care. Centering Pregnancy in San Francisco is a space for women with similar gestational ages to meet, learn about self-care, and have facilitated group discussions.

Health insurance sign-ups made available to all inmates at the San Francisco county jail, partnered with guidance from a clinic once they are on the outside, allows them to receive better care upon release, and may help prevent a return to crime and substance abuse.

Three African countries are successfully reducing the transmission of HIV through treatment and education, surpassing many developed countries in reducing cases. Although each is unique, the key lessons include using comprehensive, community-based approaches and strategies that involve collective action.

Project ECHO - driven by a single doctor with a cause - pulled together a team of specialists to develop a model that combines technology with collaborative care and careful patient tracking to help cure for diseases spread to patients around the world through community healthcare agents, as opposed to only specialty centers. This kind of "disruptive innovation" is effectively working to demonopolize health care knowledge and access, and lends to a health system capable of meeting today’s soaring demands for care.

India has been able to eradicate polio through large-scale logistics, highly organized vaccine teams, proper funding, and accountability of health officials and front-line workers.