Medical Mobile Clinics |
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ABC's for Global Health Medical Mobile Clinic Outreach Project (MMC)
ABC's Global Health Medical Mobile Outreach Clinic was created in 2017 to provide readily accessible, evidence-based medical care access to underprivileged communities in the Philippines with a focus on chronic noncommunicable diseases. The project involves collaboration with a variety of stakeholders, including academic institutions, local government units, and the community at large. By fostering community participation and utilizing technology to enhance healthcare, this project seeks to promote better health outcomes for those in need.
Service Components:
Service Components:
- Medical Services and Treatment: The MMC is equipped with medical supplies and equipment to perform health screening, evaluation, treatment,and perform simple surgical procedures. Examples: Management of sprain, acute fracture wound care, cough, pneumonia, bronchitis, acute asthma attack, BP and diabetes management. Major emphasis of the project is non- communicable disease management like hypertension, diabetes, and hyperlipidemia. Specialty care and higher level care are referred to hospitals and the provincial health officer for management and follow up. Electronic medical records using MedCheck and team SMS text alerts are used to assist in record keeping, appointments, health education, dissemination of information and adherence to treatment and follow- up and potential research.
- Prevention of chronic non communicable diseases and their sequelae: Hypertension, hyperlipidemia and diabetes, and their complications like heart attack, stroke, kidney failure, blindness, foot infection and amputations are the focus. Early screening is integral to the program. We also identify malnutrition and address it with evidenced based feeding programs. Above components are accomplished by developing educational programs, utilizing flyers, videos, one on one educational instructions, promoting venues like fun run, competition in cooking, gardening, sports and physical activities. Options are infinite and fueled by creativity and motivation from individuals in the communities.
- Education: The project emphasizes education of both the public and trainees from academic institutions in the Philippines and abroad. Health education is conducted in the areas of nutrition, hygiene, exercise, stress management and lifestyle modification. Health promotion interventions address in particular the prevention of chronic non communicable diseases.Programs to engage learners from multiple sectors are evolving to meet students’ goals. This will be in collaboration with academic institutions that we partner with: Holy Angel University, Angeles University Foundation, University of the Assumption, St Lukes Medical School, Our Lady of Fatima University, Theological College of Medicine, SACOP, ABC’s for Global Health , Stanford University and various NGOs and other academic institutions abroad
- Research: Upon stabilization of basic medical services, prevention and education components and community need assessments are accomplished, research components will be explored in partnership with the academic universities including Stanford Center for Asian Research and Education.
- Monitoring and evaluation: The project utilizes monitoring and evaluation to assess progress toward achieving desired health outcomes. Data is collected and analyzed to assist in identifying areas that need improvement and to continually refine and enhance the project’s effectiveness.
- Collaboration, community participation and linkages: All of the above are accomplished by building linkages and collaboration.
Stakeholders and Partners |
Roles and Responsibilities |
ABC’s for Global Health – Project lead-Julieta Gabiola and Dr. Arthur Gallo |
The primary sponsor for the mobile clinic and is primarily responsible for grants and funding. Oversees the entire project along with partners and collaborators. |
Core team of a doctor, nurses, midwife, medical assistants, pharmacist, driver and coordinator |
This will be salaried by ABC’s for Global Health. Work is 20 days a month 8-5 Pm |
Steiner Educational Foundation |
Provided initial grant to start the Project |
Stanford University School of Medicine, Center for Asian Health Research and Education( CARE), Center for Innovations in Global Health( CIGH) |
Provide structure for education and research and educational exchange |
Provincial, municipal government and barangay authorities |
Provide data as to poverty ratings, need analysis and prevalence of diseases per barangay, help support MMC agenda, facilitates relationship with the communities( Lilia Pineda, Dr. Rivera and various leaders) |
SACOP, Archdiocese of San Fernando |
Provide logistical support and service coordination for the MMC , parking for mobile clinic, logistical support and planning per Father Bacay and Karen Shih and SACOP -head by Father Kenneth, parking space for MMC at the Archdiocese of San Fernando |
Angeles University Foundation |
Will send trainees and volunteers to communities served by the MMC, help with education and training, participation in research |
Holy Angel University |
Will send trainees and volunteers to communities served by the MMC, help with education and training, participation in research |
University of the Assumption |
Will send trainees and volunteers to communities served by the MMC, help with education and training, participation in research |
ABS-CBN International Foundation |
Ensure media coverage, help in raising funds for the mobile clinic |
Feed my Starving Children(USA) |
Help provide nutritious food for undernourished children |
Philos Foundation( USA) |
Networking for the project |
San Francisco Lions for the Aetas( USA) |
Funding and support for the Aetas |
Restoring Vision and Cure Blindness (USA) |
Restoring Vision and Cure Blindness (USA Help with vision program. Helps provide reading glasses and intraocular lenses for cataract surgery |
Nasakin Dental Group , Yamat’s dental Group |
Provides flouride treatment and tooth brushes and toothpaste, help with structure of dental prevention program |
Schedule- will be based on SACOP in cooperation with the three Universities and the core team of the ABC’s for Global Health MMC
Governing Committee will be formed at the outset to facilitate implementation of the MMC. It will consist of representatives from SACOP(2), AUF(1), HAU(1), UA(1) and two from ABC’s for Global Health. Coordinator from ABC’s for Global health will lead the committee. Reflection and feedback are encouraged to help improve MMC services and logistics.
Governing Committee will be formed at the outset to facilitate implementation of the MMC. It will consist of representatives from SACOP(2), AUF(1), HAU(1), UA(1) and two from ABC’s for Global Health. Coordinator from ABC’s for Global health will lead the committee. Reflection and feedback are encouraged to help improve MMC services and logistics.
Timespan |
Activity #1 |
Activity #2 |
August , September, October |
Stay with one barangay for three days until all three 20 barangays are covered |
Immersion, building relationships, introduce the concept and services of MMC |
November (20 days) |
20 barangays( one day per barangay) |
Medical Mobile Clinic will go to one barangay per day to provide services |
Dec 20 (days ) cut short of a week due to holidays |
20 barangays( one day per barangay) |
20 barangays( one day per barangay) |
January (cut short for the holidays) |
20 barangays( one day per barangay) |
20 barangays( one day per barangay) |
4 Saturdays of every month |
HAU, AUF and AU will send their volunteers and will take turns so they can accomplished their voluntary service work for the schools( average 40 hours per semester) |
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20 days per month will be scheduled by SACOP for the entire year |
Schedule will be communicated to the Barangay health workers |
Universities will send their students for community health training and academic credits |
Participating Communities:
- Barangay San Jose, San Fernando
- Barangay Panipuan, San Fernando
- Barangay Kutud, Angeles City
- Barangay Pulung Maragul, Angeles City
- Barangay Balibago, Angeles City
- Barangay Santo Nino, Santo Tomas
- Barangay San Vicente, Santo Tomas
- Barangay Santa Catalina, Minalin
- Barangay Santa Ines, Guagua
- Barangay San Francisco, Macabebe
- Barangay Balibago, Masantol
- Barangay Sagrada, Masantol
- Provincial Jail of Pampanga
Operational budget range from $75,000 to 85,000 /year which covers the
following :
- Salary and benefits for the core team(doctor/nurse/midwife/driver/Coordinators)
- Medications and medical/office supplies
- the mobile clinic maintenance, insurance for the clinic, CCTV, gas, toll, headquarter for the mobile clinic project, meeting rooms
- The Archdiocese of San Fernando will provide security and parking for the medicalmobile clinic.
- Medications and supplies will be at ABC’s headquarter in San Jose, San Fernando , Pampanga and will be checked daily . Inventory and collection will be checked daily( what goes in and out the bus)
- University students will have to supply their own food and drinks for the day and transportation may be furnished by their school bus. Academic credits will be provided by respective schools as well as volunteer credit hours .
- For research, ABC’s for Global Health aims to obtain funding for supplies, coordinators
- ABC’s for Global Health recognizes the importance of sustainability in order to provide continuous access to quality healthcare for the underprivileged
communities. Sustainability strategies include:
1. Funding - securing grants and donations from nonprofit organizations, foundations and government agencies
2. Endowment - exploring the creation of an endowment fund that can generate income to provide continuous financial support
3. Community collaboration - building strong partnerships with the logical government , academic institutions, civic organizations and media to
collaborate on fundraising efforts, resource sharing, community outreach and enhancing awareness of health issues confronting various
communities.
4. Trainee participation - involving medical, nursing, pharmacy , postgraduate, high school and college students to help build a pipeline of students who
are passionate in making a difference in the lives of people and improving community health.
5. Technology - utilizing digital tools such as mobile clinics, telemedicine with use of remote monitoring devices for blood pressure , blood sugar, EKG,
peak flow etc. and use of electronic medical records to increase efficiency and effectiveness, reduce costs and enhance patient care. The electronic medical record will help capture the data for future analysis to evaluate progress and identify gaps in management.
By implementing these sustainability strategies, ABC’s for Global Health aims to achieve long term success, expand their reach and continue to provide quality health healthcare services to the underserved communities beyond the initial plan of 3-5 years per community.
Sustainability:
Sustainability will be dictated by training, education and commitment of local barangay workers, hopefully by participation of LGUs, by partner institutions and by minor cost -sharing from the people served. We hope to obtain endowment funds in the future for this and more mobile clinics.
Monitoring and accountability:
The coordinators and the committee will have at least monthly meetings either by Zoom or in person. Emails for some concerns are also welcome so we can all help address issues, conflicts, problems before they become problematic. My email is jettegabiola@gmail.com /jgabiola@stanford.edu and I check my emails about three times a day till midnight(US Pacific time). Please refer to ABC’s for global health website which is: www.abcsforglobalhealth.org
Let us all work passionately together to help our kabalen and to start a platform to help change the future of our kababayan. Hope this will not be the only mobile clinic. We hope to obtain funding for more units in the future, not for just Philippines but for other countries in Africa , South East Asia and South America. Let us make this first one a success!
Submitted by:
Julieta Gabiola, MD
Founder of ABC’s for Global Health
Clinical Associate Professor of Medicine, Stanford University
- Barangay San Jose, San Fernando
- Barangay Panipuan, San Fernando
- Barangay Kutud, Angeles City
- Barangay Pulung Maragul, Angeles City
- Barangay Balibago, Angeles City
- Barangay Santo Nino, Santo Tomas
- Barangay San Vicente, Santo Tomas
- Barangay Santa Catalina, Minalin
- Barangay Santa Ines, Guagua
- Barangay San Francisco, Macabebe
- Barangay Balibago, Masantol
- Barangay Sagrada, Masantol
- Provincial Jail of Pampanga
Operational budget range from $75,000 to 85,000 /year which covers the
following :
- Salary and benefits for the core team(doctor/nurse/midwife/driver/Coordinators)
- Medications and medical/office supplies
- the mobile clinic maintenance, insurance for the clinic, CCTV, gas, toll, headquarter for the mobile clinic project, meeting rooms
- The Archdiocese of San Fernando will provide security and parking for the medicalmobile clinic.
- Medications and supplies will be at ABC’s headquarter in San Jose, San Fernando , Pampanga and will be checked daily . Inventory and collection will be checked daily( what goes in and out the bus)
- University students will have to supply their own food and drinks for the day and transportation may be furnished by their school bus. Academic credits will be provided by respective schools as well as volunteer credit hours .
- For research, ABC’s for Global Health aims to obtain funding for supplies, coordinators
- ABC’s for Global Health recognizes the importance of sustainability in order to provide continuous access to quality healthcare for the underprivileged
communities. Sustainability strategies include:
1. Funding - securing grants and donations from nonprofit organizations, foundations and government agencies
2. Endowment - exploring the creation of an endowment fund that can generate income to provide continuous financial support
3. Community collaboration - building strong partnerships with the logical government , academic institutions, civic organizations and media to
collaborate on fundraising efforts, resource sharing, community outreach and enhancing awareness of health issues confronting various
communities.
4. Trainee participation - involving medical, nursing, pharmacy , postgraduate, high school and college students to help build a pipeline of students who
are passionate in making a difference in the lives of people and improving community health.
5. Technology - utilizing digital tools such as mobile clinics, telemedicine with use of remote monitoring devices for blood pressure , blood sugar, EKG,
peak flow etc. and use of electronic medical records to increase efficiency and effectiveness, reduce costs and enhance patient care. The electronic medical record will help capture the data for future analysis to evaluate progress and identify gaps in management.
By implementing these sustainability strategies, ABC’s for Global Health aims to achieve long term success, expand their reach and continue to provide quality health healthcare services to the underserved communities beyond the initial plan of 3-5 years per community.
Sustainability:
Sustainability will be dictated by training, education and commitment of local barangay workers, hopefully by participation of LGUs, by partner institutions and by minor cost -sharing from the people served. We hope to obtain endowment funds in the future for this and more mobile clinics.
Monitoring and accountability:
The coordinators and the committee will have at least monthly meetings either by Zoom or in person. Emails for some concerns are also welcome so we can all help address issues, conflicts, problems before they become problematic. My email is jettegabiola@gmail.com /jgabiola@stanford.edu and I check my emails about three times a day till midnight(US Pacific time). Please refer to ABC’s for global health website which is: www.abcsforglobalhealth.org
Let us all work passionately together to help our kabalen and to start a platform to help change the future of our kababayan. Hope this will not be the only mobile clinic. We hope to obtain funding for more units in the future, not for just Philippines but for other countries in Africa , South East Asia and South America. Let us make this first one a success!
Submitted by:
Julieta Gabiola, MD
Founder of ABC’s for Global Health
Clinical Associate Professor of Medicine, Stanford University
Telemedicine with Doctorgram Kits
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Telemedicine project
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The ABC’s for Global Health Telemedicine Project using Doctorgram remote monitoring devices was a pioneer in digital healthcare services for the underserved communities in the Philippines. The project was initially piloted in 2017 by a medscholar student from Stanford University School of Medicine in collaboration with GV Concepts Inc. and ABC’s for Global Health
During the initial phase of the project, one of the significant challenges experienced was the fluctuating internet bandwidth. However, over the years, there has been a notable improvement in internet connectivity in the target communities, thereby reducing this issue.
Between 2017 and 2019, the project was implemented in several communities, and it gained significant traction in 2020 during the COVID-19 pandemic. The quarantine measures made it difficult for the medical team and the mobile clinic to visit the communities physically. However, the telemedicine outreach made it possible to continue providing healthcare services remotely to the underserved communities.
As a result of the pandemic, there was an increased number of visits to ABC's for Global Health using telemedicine outreach. The project's success during the pandemic has validated the importance and effectiveness of telemedicine in providing healthcare services to underserved communities.
Here are the reasons why Telemedicine with the use of monitoring devices can be a valuable tool for delivering cost-effective healthcare to rural and disadvantaged communities in any part of the world.
1. Increased accessibility: Telemedicine allows healthcare professionals to see patients virtually, so it can be a great solution for patients who face barriers to access healthcare services such as rural areas, limited transportation, or mobility issues like in patients with stroke or disabilities . With telemedicine, these patients can receive the care they need, regardless of their location.
2. Reduced costs: By using telemedicine, the costs associated with traditional medical consultations can be significantly reduced. For example, it eliminates the need for travel costs associated with patients traveling long distances to see a healthcare provider.
3. Disease management: Telemedicine with monitoring devices enables healthcare providers to remotely monitor and track patients' vital signs and medical data in real-time. This can be particularly useful for managing chronic conditions such as heart disease, hypertension, COPD, asthma, and diabetes.
4. Time savings: Telemedicine can save time for both healthcare providers and patients. Virtual consultations reduce wait times for patients, while medical professionals can consult with more patients in a shorter amount of time. Patients do not have to take time from work and can see the doctor during their
breaktime.
5. Improved patient outcomes: By providing virtual care to patients who might not otherwise have access to it, telemedicine can lead to improved health outcomes. Patients can receive medical guidance and care when they need it, regardless of
their location.
In summary, using telemedicine with monitoring devices can help deliver cost-
effective, accessible, and quality healthcare to rural or disadvantaged
communities, and is a valuable tool for improving health outcomes.
Between 2017 and 2019, the project was implemented in several communities, and it gained significant traction in 2020 during the COVID-19 pandemic. The quarantine measures made it difficult for the medical team and the mobile clinic to visit the communities physically. However, the telemedicine outreach made it possible to continue providing healthcare services remotely to the underserved communities.
As a result of the pandemic, there was an increased number of visits to ABC's for Global Health using telemedicine outreach. The project's success during the pandemic has validated the importance and effectiveness of telemedicine in providing healthcare services to underserved communities.
Here are the reasons why Telemedicine with the use of monitoring devices can be a valuable tool for delivering cost-effective healthcare to rural and disadvantaged communities in any part of the world.
1. Increased accessibility: Telemedicine allows healthcare professionals to see patients virtually, so it can be a great solution for patients who face barriers to access healthcare services such as rural areas, limited transportation, or mobility issues like in patients with stroke or disabilities . With telemedicine, these patients can receive the care they need, regardless of their location.
2. Reduced costs: By using telemedicine, the costs associated with traditional medical consultations can be significantly reduced. For example, it eliminates the need for travel costs associated with patients traveling long distances to see a healthcare provider.
3. Disease management: Telemedicine with monitoring devices enables healthcare providers to remotely monitor and track patients' vital signs and medical data in real-time. This can be particularly useful for managing chronic conditions such as heart disease, hypertension, COPD, asthma, and diabetes.
4. Time savings: Telemedicine can save time for both healthcare providers and patients. Virtual consultations reduce wait times for patients, while medical professionals can consult with more patients in a shorter amount of time. Patients do not have to take time from work and can see the doctor during their
breaktime.
5. Improved patient outcomes: By providing virtual care to patients who might not otherwise have access to it, telemedicine can lead to improved health outcomes. Patients can receive medical guidance and care when they need it, regardless of
their location.
In summary, using telemedicine with monitoring devices can help deliver cost-
effective, accessible, and quality healthcare to rural or disadvantaged
communities, and is a valuable tool for improving health outcomes.
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Students and Doctors in Action
Prevention
We focus on prevention through screening and health care education.
We offer one-on-one health information sessions, home visits, and workshops to inform patients about treatment and prevention of cardiovascular diseases and their complications. Lifestyle modifications, such as better nutrition, physical activity, and exercise are emphasized for prevention and early treatment of hypertension and diabetes.
We use a variety of approaches to reach as many people and communities as possible. We share health education videos, distribute flyers, handouts, and have a presence on local TV and radio.
We offer one-on-one health information sessions, home visits, and workshops to inform patients about treatment and prevention of cardiovascular diseases and their complications. Lifestyle modifications, such as better nutrition, physical activity, and exercise are emphasized for prevention and early treatment of hypertension and diabetes.
We use a variety of approaches to reach as many people and communities as possible. We share health education videos, distribute flyers, handouts, and have a presence on local TV and radio.
Treatment
Our mobile medical clinic brings healthcare to patients in their communities by serving poorly accessed regions in Pampanga province (Philippines).
Since 2016, the mobile medical clinic has served over 10,000 patients. Currently, the team goes out four days a week and sees about 500 patients each month. The mobile clinic offers evidence-based prevention and treatment services for both acute and chronic diseases. Outpatient surgical procedures are also rendered and complex patients requiring higher level evaluation and/or hospitalization are referred to nearby facilities. We provide medications free of charge, as the majority of our patients lack adequate financial resources. We request a donation of 50 pesos per patient for consultation and cost sharing. This reciprocal arrangement encourages follow up and adherence to treatment regimens.
Telemedicine is an additional way to treat patients who are located far away from health facilities or in areas with shortages of medical professionals. We are launching telemedicine in areas where there are internet services but no health care professionals. We train local health workers to use telemedicine tools to provide both synchronous and asynchronous visits to reach these distant populations.
Since 2016, the mobile medical clinic has served over 10,000 patients. Currently, the team goes out four days a week and sees about 500 patients each month. The mobile clinic offers evidence-based prevention and treatment services for both acute and chronic diseases. Outpatient surgical procedures are also rendered and complex patients requiring higher level evaluation and/or hospitalization are referred to nearby facilities. We provide medications free of charge, as the majority of our patients lack adequate financial resources. We request a donation of 50 pesos per patient for consultation and cost sharing. This reciprocal arrangement encourages follow up and adherence to treatment regimens.
Telemedicine is an additional way to treat patients who are located far away from health facilities or in areas with shortages of medical professionals. We are launching telemedicine in areas where there are internet services but no health care professionals. We train local health workers to use telemedicine tools to provide both synchronous and asynchronous visits to reach these distant populations.
Education
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We engage and train passionate students and young professionals by providing high impact global immersion projects directly in the communities in the Philippines.
Training allows individuals to grow and to connect with people in the community, educational institutions, and local leadership. They expand their knowledge of challenges and disparities in healthcare while developing skills in teamwork, communication, and leadership. We have internships for medical and nursing students, as well as immersion opportunities for undergraduate and high school students who wish to serve disadvantaged communities and learn about community engagement and research in healthcare. |
Research
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Research is pivotal to healthcare transformation.
We collect aggregate data on our patients with hypertension, diabetes, heart disease, hyperlipidemia, and stroke to track their progress over time. These diseases are the most prevalent in the adult population and are the leading causes of deaths in the Philippines and globally. Our preliminary results among hypertensive patients who returned for follow up at least 6 times in a year show 49% maintained a normal BP and 30% showed improvement in BP. |
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US ADDRESS
223 Olympian Way Pacifica, CA 94044 USA PHILIPPINE ADDRESS 797 Purok 2 San Jose, City of San Fernando, Pampanga, Philippines 2000 |
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