SUCCESS STORIES

EVIDENCE-BASED INTERVENTIONS

The first EMR proven to improve quality

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WD completed its successful pilot in 2020 in Pakpak Bharat (PPB), a remote area in northern Sumatra with 50,000 residents. Immediately PPB saw dramatic improvement in outcomes. In addition, WD systems paved the way for PPB to be the first district medical system in Indonesia to go paperless.

PERSISTENCE

Integration with Indonesia's national health insurance system

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Health innovations must be integrated with local systems. One vital part of the health system is how a country pays for care. In 2021, Walking Doctors completed integration with Indonesia’s national health insurance payment and data exchange relay, BPJS. 

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critical interventions

Checklists for feeding sick infants

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Checklists for critical interventions saves lives. For example, if you don’t feed babies, they die. In a study of six public hospitals across Indonesia, we constructed a dynamic checklist that helped doctors and nurses calculate how much milk to give sick and premature babies over time. This was not intuitive because sick and premature babies don’t suck sufficiently. 

critical interventions

Checklists for feeding sick infants

closeup photo of

Checklists for critical interventions saves lives. For example, if you don’t feed babies, they die. In a study of six public hospitals across Indonesia, we constructed a dynamic checklist that helped doctors and nurses calculate how much milk to give sick and premature babies over time. This was not intuitive because sick and premature babies don’t suck sufficiently.

closeup photo of
critical interventions

3. Checklists for feeding sick infants

Checklists for critical interventions saves lives. For example, if you don’t feed babies, they die. In a study of six public hospitals across Indonesia, we constructed a dynamic checklist that helped doctors and nurses calculate how much milk to give sick and premature babies over time. This was not intuitive because sick and premature babies don’t suck sufficiently.  

One key lesson for this intervention was in the area of task shifting. Usually a pediatrician determines how much hospitalized infants are to be fed. But pediatricians are rare in most places and therefore frequently not present during feeding time. Could general doctors and nurses learn a task traditionally taught only to the specialist? The answer was yes – for most anything really.

Saving lives 101

Checklists for severe malaria

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In 2011, the Liberian Health Ministry asked for support at its public hospitals for the country’s first use of intravenous Artesunate. Artesunate decreased death from malaria by 30% relative to Quinine, another anti-malarial that had been used in Liberia for forty years. To make a long story short, we created a checklist for the proper diagnosis of severe malaria and treatment with Artesunate and were able to change practice to the new protocol — in two weeks.

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Saving lives 101

Checklists for severe malaria

closeup photo of

In 2011, the Liberian Health Ministry asked for support at its public hospitals for the country’s first use of intravenous Artesunate. Artesunate decreased death from malaria by 30% relative to Quinine, another anti-malarial that had been used in Liberia for forty years. To make a long story short, we created a checklist for the proper diagnosis of severe malaria and treatment with Artesunate and were able to change practice to the new protocol — in two weeks.

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