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Connecting to Clinic

Challenge Summary

People requiring medical care often travel for considerable time, over great distances and at significant cost to access healthcare. Interventions that improve connectivity between people and health clinics in rural or remote areas are therefore crucial. Solutions were particularly relevant for people living with HIV in resource limited settings, especially across Africa.

Current status of challenge: This challenge is now closed. Please see the Winners Page for information on the winning submission. 

Prize amount: $100,000 Grand Prize, Up to $50,000 Incubation Prize

Scenario 1 - for people already in care who are healthy and stably managed

Interventions that simplify the process and reduce cost both to the individual (e.g. travel) and health system of differentiated care, with a focus on improving efficiency of recurring visits for stably managed patients. Interventions worked with the local health provider(s) and were consistent with all local laws and policies for provision of HIV treatment, while improving adherence to therapy and health outcomes.

Key Indicators for Success:

  • Simplification of process – goal of 80% reduction in time required for patient to complete visits for medical care (including checkups, prescription refills and any other recurring visits). Time requirement included travel time from home/work.
  • Reduction in cost – a significant reduction in total cost to individual of refilling prescription (travel, loss of wages any other incidental costs)
  • Immediate and demonstrable cost savings to health system within 9 months
  • For people living with HIV, a significant reduction in rates of viral resistance to therapy due to failure of adherence
  • Health outcome improvement – increase in life expectancy (long term – modelled/expected)

Scenario 2 – for any persons, regardless of HIV status

The second scenario applied to anyone, regardless of HIV status, but with specific impact on people living with HIV explained. Interventions to ensure efficient triage of acute care cases for instances in which an individual in a remote community needs to be linked to a doctor or nurse for an initial triage consultation to determine whether a visit to a health facility is needed.

Key Indicators for Success:

  • Reduction in clinic visits – significant reduction in clinic of cases deemed non-urgent by provider
  • Successful triage – a significant portion of cases deemed non-urgent not needing medical care within 7 days of triage
  • High rates of patient satisfaction in cases deemed non-urgent
  • Increase number and proportion of people in the community in need of medical services using services – either doubling or achieving 90% plus utilisation within a year.

Scenario 3 – for people who need urgent care

Interventions to connect people who need urgent care to a provider more quickly and efficiently, and at a lower cost. Solutions should at least halve the cost and time of getting access to care.

Key Indicators for Success:

  • Reduction in time to clinic – significant reduction in time it takes for patients needing urgent care to get to access to that care
  • Efficiency of getting to clinic – wait time, connections, modes of transport reduced
  • Reduction in ‘time-to-care’ – increased clinic anticipation/notification of case arrival/care coordination
  • Cost of getting to clinic – significant reduction in cost of getting to clinic compared to equivalent current standards

JUDGING PANEL

OWEN RYAN

Executive Director, International AIDS Society, Geneva; IAS non-voting Governing Council member; IAS non-voting Executive Committee officer.

CONSTANCE AGYEMAN

Senior Programme Manager, International Development and UK Prizes, Centre for Challenge Prizes, Nesta, London.

ALEXIS BONNELL

Divison Chief: Applied Innovation, U.S. Global Development Lab, USAID

Ben Chirwa

Former Director General, National HIV/AIDS/STI/TB Council (NAC), PACF Board Member