We started the day off with a quick breakfast and headed to Jumma Goth Clinic with Dr. Khalid Pervez. Once there, Dr. Kamran Iqbal and his team provided a tour of the clinic, one of the 26 clinics that SINA operates.
Patients are assigned a registration card based on their socioeconomic status. The fee is 20 Pakistani Rupees for a patient that is below the poverty line and 50 Pakistani Rupees for all others.
While no patient is turned away, these clinics are primarily situated in areas where 70 per cent of the population lives below the poverty line.
SINA selects its locations based on this criteria in line with their values of access, quality and affordability. For these clinics, 80 per cent of the patients visiting are women and children.
When a patient comes to Jumma Goth, they are triaged, their vital signs are assessed, they see a doctor and, if required, they can fill the prescriptions on-site before leaving.
The doctors utilize protocols to treat all of their patients to ensure standardization, best practice and quality of care.
Each doctor will see a maximum of 50 patients a day to ensure that quality is not compromised.
After visiting Jumma Goth, we headed over to the Majeed Colony IIL Centre and quickly discovered that the operating model is consistent among all 24 clinics. This approach allows SINA to ensure standardization and quality control across all its sites.
The only difference between the two sites is that Majeed Colong IIL Centre has electronic medical records (EMR).
Clinicians have unique credentials that enable real-time access to a patients’ complete medical history at each visit.
Along with the obvious benefits of an EMR, in this population it also serves another purpose as majority of the patients are illiterate and cannot recall their own clinical history or list of medications.
At both sites the team enjoyed handing out candy and interacting with the children waiting with their families. At first, many of the children were very shy and timid; however they quickly warmed up to us.
We ended the day at the SINA head office discussing our observations from the day, as well as starting the preparation work for the diabetic outreach clinic.
We were all impressed by their change management approach, level of coordination and the passion and accountability seen in each member of the team to provide exceptional care to their patients.
We ended the day with a visit to Abdullah Shah Ghazi Mazar and a quick trip to the beach.
- Jyoti Purewal