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 Primary Health Care Project |
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 Problems encountered
- In this model, we initially committed to serve the member borrower along with five of his/her family members. This turned out to overburden the program and consideration is being given to reducing the coverage.
- To date, this model did not provide full requirements of drugs to the patient, as we believe that fifty percent of the drug consuming cost should be borne by the member borrower himself. This method allows for more effectiveness to the program and control of drug use. In order to decrease the burden of cost of drugs to the user, a retail drug store along with the satellite health centre could be established.
- Data of this period reflect that the project has covered more patients than in previous years. This has led to a rise of the cost for drugs. On the other hand, we had to increase staff salary in this period. All these have led to a decrease in the size of the participating share of member borrowers in the operational cost of health care component, in some places.
- Percentage of member borrowers actively taking part in the exercise reached the level of seventy-two percent.
- In order to motivate member-borrowers, sometimes field staff draw a rosy picture about our health operation which is unrealistic this creates some unnecessary illusion and unwanted debates between borrowers and the health personnel when borrowers do not receive these flowery kinds of services.
- Motivation of our field workers is crucially important. Staff should understand the dynamics of this model, its innovative aspect and usefulness. It is clear from three years’ experience that performance of our staff in motivating our borrowers increased many folds in the second year of operation. At the start, many of them could not understand the whole spectrum and mechanism of activities, which was envisioned through this concept.
- In order to reach viability, at least ninety percent of borrowers should deposit health savings regularly.
- Another point is increase of coverage. The present structure is in a position to shoulder a load of two thousand borrowers without increasing cost of personnel and maintenance.
- A further problem is non-availability of such kind of model around us. We are the pioneers in this line; so, we have to proceed facing pain, difficulties and learning, while confronting the realities.
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