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MICROHEALTH GLOBAL GROUP

412 Pleasant Street Unit 2
Stoughton, MA 02072 USA

P. O. Box Mbengwi
Mbengwi District – Momo Division
North West Region, Cameroon

MICROHEALTH GLOBAL DENTAL CENTER MBENGWI

STRATEGIC PLAN

THEORIES BEHIND MICROHEATH GLOBAL MEDICAL CARE

Before and After Patient Transport System in Mbengwi

Dental- Case Study

Abstract

The dentist-to-population ratio in Cameroon stands at 1:254,000. According to data from the World Bank, IMF, and the Cameroon Ministry of Public Health, the aggregate HIV/AIDS prevalence rate is 5.6%, with an elevated rate of 8.7% in the North West Region, where the Mbengwi District is located. There appears to be a correlation not only between HIV/AIDS and oral diseases but also with other health conditions linked to inadequate dental care. Data on other diseases such as malaria, heart disease, cancer, and hypertension is challenging to obtain, as many individuals succumb to these conditions at home without proper diagnosis. The Multi-Cluster Index survey instruments employed in Cameroon yield statistically significant results. However, sampling in rural areas is hindered by logistical challenges in reaching remote villages, indicating that the actual HIV/AIDS prevalence rate in Mbengwi District may be higher or lower than 8.7%. Since this study, the HIV/AIDS has reduced due to discovery of treatments and preventive care. Other diseases are still exceptionally high and cancer prevalence has about doubled since this writeup. Out recent screening overview is published on this sight.

The foundational statistics required for implementing programs in Mbengwi are based on figures from the World Bank, IMF, and the Cameroon Ministry of Public Health. The Electronic Health Record (eHR) system, if used country wide would facilitate the collection of accurate data for performance evaluation. (We encourage the Government of Cameroon to implement Health Record Management Systems).

Our strategic plan involved screening a sample from six of the 31 villages in the Mbengwi District and the Presbyterian General Hospital Acha-Tugi, revealing a 5.9% HIV/AIDS positivity rate. However, the hospital reported a significantly higher prevalence of 12.9%. Many individuals who participated in village screenings appeared healthy and did not expect a positive result, with some refusing testing due to the lack of treatment facilities in the area at the time. This led to a skewed screening sample, as the lack of randomization affected our findings. Our analysis indicated a lower infection rate; however, the broader data from the World Bank, IMF, and Ministry of Public Health suggested a higher prevalence. Our services aim to gather comprehensive data to inform pathology findings and better allocation of resources.

Many developing countries struggle to provide adequate healthcare to their populations are due to resource limitations. Rural areas are especially affected, suffering from poor infrastructure, inadequate hospital facilities, insufficiently trained personnel, limited diagnostic tools, and a lack of medications and wellness programs.Mbengwi is not spared.

Research indicates that Mobile Clinics are effective in rural areas where resources are scarce. Regions utilizing Mobile Care Clinics report increased screening, diagnosis, and treatment rates without compromising care quality. The Family Van (Mobile Clinic) of Boston, an affiliate of Harvard Medical School Teaching Hospitals, for example reports a return on investment of $1: $36. And we in MBENGWI District factor mobile clinics in our strategic plan and hope organizations will partner to implement this in MBENGWI. our ultimate goal will be to implement smart medical care, now practiced in Massachusetts, USA.

The absence of well-funded treatment facilities in the Mbengwi District hampers trust in modern medicine and deters screening. Confidence in diagnosing and treating diseases such as HIV/AIDS, malaria, diabetes, hypertension, oral diseases, and cancer is low among villagers. The objectives of Microhealth Global Dental Care Center focus are on improving healthcare and wellness programs in the Mbengwi District specifically and the North West Region of Cameroon generally.

Introduction

Our current goal in Cameroon is to raise $1.2 million to provide essential services in the Mbengwi District, located in the North West Region of Cameroon. Funding will come from financial contributions and in-kind donations, including medical equipment, supplies, mentorship from doctors, and medications. Financial donations will be allocated to procure Mobile Clinic vans, medical equipment, medical motorbikes, and resources for transportation to remote areas, as well as necessary supplies and medications. Two Mobile Dental Care Clinics will support the Microhealth Global Dental Center in the Mbengwi District, which serves an estimated population of 100,000 inhabitants. Given the health issues prevalent in the North West Region and the proof of concept established in Mbengwi, our programs aim to benefit the entire North West Region, which encompasses over 2.4 million people.

Our initiatives emphasize personal responsibility, improved sanitary conditions, proper hygiene, education, medical triage, screening, treatment, and referrals. We also focus on collective village and community improvements for ‘social goods,’ such as waste disposal, clean water access, safe pathways to homes, properly constructed pit toilets, and drainage to mitigate mosquito breeding.

We are implementing Mobile Healthcare Clinics in rural communities, starting with the Mbengwi District, with a focus on sustaining results. A key question is how to maintain healthcare and wellness intervention programs without fostering a culture of dependency. This strategy, outlined in this plan as THE R.A.C.E. SOLUTION, addresses the large, global nature of medical challenges while specifically targeting solutions at the village and community level. Our dental clinics will offer preventive care, screening, and treatment for oral diseases, cardiovascular diseases, HIV/AIDS, malaria, typhoid, diabetes, hypertension, tuberculosis, and cancer. We will also provide counseling and education on various diseases, including cancer, hypertension, diabetes, and HIV/AIDS, as well as prenatal care and education for nursing mothers and children.

The contributions of humanitarian organizations in Sub-Saharan Africa are invaluable. Literature reviews indicate that the region requires not only intervention programs but also strategies to sustain outcomes. For decades, Sub-Saharan Africa has faced persistent suffering, and fostering a culture of dependency without empowerment strategies has proven ineffective. Traditional methodologies employed over the years have often created dependency rather than sustainability. Providing temporary solutions, such as seasonal mosquito nets to urban populations to reduce malaria mortality, fails to address the needs of those in rural areas who lack access to basic healthcare. Our approach aims to shift from conventional practices, starting with the Mbengwi District as a pilot project, utilizing The R.A.C.E. Solution.p

THE MICROHEALTH QUASI HEALTHCARE INSURANCE SOLUTION (MQHIS)

MQHIS Flowchart Overview

1. Donors

0
– **Types of Donors:**

– Multilateral and bilateral alliances

– Individuals

– Non-governmental organizations

– **Purpose:**

– Financing microloans for farmers and small businesses

– Supporting health faculties for medical care for microloan beneficiaries and their families

– **Engagement:**

– Donors can specify investment programs within MQHIS aligned with the strategic plan.

– Progress reports provided annually after deployment and quarterly thereafter.

– **Community Involvement:**

– Encouragement for community members to be donors and stakeholders, fostering ownership of the system.

## 2. Cooperative Bank

– **Role:**

– Acts as the implementation engine for MQHIS.

– **Management Principles:**

– Ensures transparency and accountability.

– Utilizes banking workflow procedures for effective management.

## 3. Microfinance

– **Cooperative Bank Formation:**

– Establishes the framework for managing MQHIS and offering commercial loans.

– **Functions:**

– Provides microloans and commercial loans.

– Enlists healthcare subscribers and manages their portfolios.

– **Community Ownership:**

– Allows for local governance under banking regulations and customary law, ensuring checks and balances.

– **Resource Sharing:**

– Information systems and resources are shared to support businesses transitioning from microloans.

– **Leadership Accountability:**

– MQHIS leadership is accountable to the community and external partners, primarily located in the United States.

## 4. Quasi Health Insurance

– **Concept:**

– Buy-in healthcare insurance programs funded by low-interest loans for private investment projects by patients.

– **Funding Utilization:**

– Profits from loans cover repayment and healthcare expenses.

– **Public Health Safety Net:**

– Local governments and NGOs provide essential services (e.g., mosquito nets, HIV/AIDS screening) to vulnerable populations.

– **Healthcare Facilities:**

– Endowed facilities offer quality care, with costs reimbursed to MQHIS Partners Management.

– **Motivation:**

– Healthcare providers incentivized to deliver affordable, quality care, while patients encouraged to invest in their health.

– **Counseling Support:**

– Organizations provide knowledge-based management strategies to aid microloan recipients.

## 5. Partners Management (PM)

– **Role:**

– Integral leadership and management of MQHIS.

– **Responsibilities:**

– Distributing microloans, ensuring transparency and accountability.

– Collecting and sharing data with headquarters and donors.

– Collaborating with local communities to identify funding programs.

– Providing training and support to local farmers.

– **System Oversight:**

– Ensures alignment with strategic goals and makes necessary adjustments for project success.

– **Service Level Agreements (SLA):**

– Established to ensure stakeholder responsibilities and project success.

## 6. Micro Loans/Buy-Healthcare Insurance

– **Assessment Process:**

– Evaluates need, viability, and community interest for microloans and healthcare buy-in programs.

– **Loan Determination:**

– Based on program nature and borrower’s capacity.

– **Interest Rates:**

– Designed to cover healthcare costs and service the loan.

## 7. Investment Management

– **Program Determination:**

– Based on community needs and performance metrics for revenue generation.

– **Feasibility Evaluation:**

– Programs assessed using the MQHIS CALCULATOR for potential adjustments and optimization.

## 8. Endowment – Healthcare Facilities

### Private Healthcare Facilities

– **Requirements:**

– Must submit a plan for affordable, quality medical care for MQHIS members.

– **Cost Management:**

– Requires review and approval of treatment costs to prevent excessive billing.

– **Subscriber Leverage:**

– Increased subscribers enhance bargaining power for competitive pricing and quality.

### Public Healthcare Facilities

– **Role:**

– Serve as safety nets for non-MQHIS participants who cannot afford private care.

– **Community Impact:**

– Well-performing private facilities encourage community participation in MQHIS and promote workforce engagement through microloan investment programs.

This flowchart provides a comprehensive overview of the MQHIS structure, emphasizing transparency, community involvement, and sustainable healthcare solutions for the Mbengwi District and beyond.

We include a MQHIS calculator for modeling projects

Sample

Understanding Village Community

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