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Parkers Mobile Clinic

Parkers mobile clinic will do routine visits at the home of individuals with risk of recurrent fractures from osteoporosis.

Photo of Charles  Umeh

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What challenges or opportunities are you trying to address within the problem? (200 characters or less)

I am trying to solve the problem of poor accessibility to basic healthcare services and emergency health services among elderly people with osteoporosis, and Elderly people at risk of Osteoporosis.

Over 80% of osteoporosis affected patients in my state don't have good access to basic care for their condition.This is due to the fact over 90% of elderly people in Nigeria don't have cars or good transportation system which will convey them to hospital on time in case of medical emergencies or need to visit hospital.

My idea involve using movable clinics to deliver healthcare services at the homes of elderly people with osteoporosis.The healthcare services will include nursing care, physiotherapy, health counseling, health education and training. The mobile Clinic will be equipped with basic medical service facilities such as handy ultrasound scan and X-ray machines, hospital beds, Resuscitation devices etc.There will be a nurse and a Doctor attached to the clinic. We will have an emergency toll free number which patients call when they need our services

We will also remotely monitor the health and orthopedic profile of the patients.We will do this using a satellite system which will be connected to a sensor that the patient will wear.

Who is your target end user and why will they be interested? (650 characters or less)

Our Target end users are Elderly people with osteoporosis, Elderly people at risk of osteoporosis and the caregivers/relatives of these groups. Most relatives of elderly people with osteoporosis pass through a lot of stress in caring for them, some have to travel hundreds of miles on a weekly basis just to check up in them. Parkers mobile provides a perfect solution to this problem.Our product will make their journey light and flexible. Elderly people with osteoporosis will be highly interested in my mobile clinic because it will improve the way they access healthcare services and provide easily available healthcare services at their doorstep.My mobile clinic will also assist them at every stage of their post-fracture journey and experience.

How is your idea scaleable? (650 characters or less)

My idea is easily scaleable because it involve using an everyday human resource ie Doctors ,nurses and also using facilities which are already in usage in hospitals. My idea will scale through social media marketing and through community sensitization campaigns. We will also do door-door visits for the elderly people in their homes. We will scale and sustain our project by establishing a micro-health insurance scheme where patients will pay just 15 USD monthly in order to unlimitedly access our services.This fund will enable us to sustain the mobile clinic. I will additionally scale my idea through sourcing for funds from philanthropists,NGOs and through establishing partnerships with hospitals and other health organizations.

What do/will you measure to know if your solution worked? (500 characters or less)

* Reduction in fracture rate * Improved quality of life among my patients * Early recovery in fracture cases

What is the current stage of development of your idea?

  • Prototype: We have done some small tests or experiments with prospective users to continue developing the idea.

If you were to become a Top Idea, would you want to actively participate in piloting your idea?

  • I want my idea piloted, and I prefer to do my own piloting in collaboration with the health system and with assistance from the Challenge partner

Website (if applicable) Https://

Tell us about yourself or your team (500 characters or less)

I am a medical doctor, enterpreneur and home based health expert .I run a home based healthcare services network where I deliver healthcare services at the door step of people.I am also a caregiving family member.

Location (50 characters)

Onitsha, Nigeria

What is your legal / organizational structure?

  • We are a registered NGO or Non-Profit Organization

Innovator/Organizational Characteristics

  • Disabled Persons organization (DPO)
  • Youth-led organization
  • Locally/community-led organization

How did you hear about the Challenge?

  • OpenIDEO social media

Why are you participating in this Challenge?

I want to join this challenge because I am passionate about geriatric care.This challenge will give me the opportunity to partner with top healthcare organizations which will enable me to achieve my dream to delivering quality healthcare services to victims of osteoporosis.

How does your idea help more people who have had a first fracture either 1) discover they have osteoporosis or 2) access/navigate care?

My project will help people who have had a first fracture discover that they have osteoporosis through early in-house diagnosis using a flexible and handy DEXA SCAN. My project will provide a platform for easy accessibility to healthcare services through the following means: Providing daily healthcare information to users,Weekly home visit for Medical check up, Follow up on osteoporosis medication intake,In-house physiotherapy,providing an emergency helpline which users can call in case of emergency,Providing timely ambulance services and first aid services in cases of medical emergency and fall,rehabilitative services and assistance in re-establishing routine.

How is your idea new in the world or how does it build on existing interventions?

My idea is relatively new in the world and also build on existing interventions. It is new because it involve delivering healthcare services at the comfort of people's homes(not just people with osteoporosis).Based on the research i conducted, i noticed that parkers mobile clinic is a solution which many people in my community have long been seeking for. My idea also build on existing Interventions such as home based healthcare services and use of sensors to monitor health state.

Please upload your journey map. Be sure your journey map shows when your user is introduced to the idea and when/how they access it, and illustrates which moments in the Challenge Journey Map your journey map touches.

Who did you test your idea with, what did you learn, and how did you evolve your concept?

I tested this idea with my old school teacher who was diagnosed of osteoporosis 6 years ago.She has had fracture 2 times in the last 3 years so I felt she will really be in need of the mobile clinic. The mobile clinic, accompanied by a nurse and Sometimes a Doctor and physiotherapist, was visiting her on a weekly basis to do routine check up on her health condition and also counsel her on weight bearing exercises.We were also sending weekly health and fitness text messages to her through her mobile phone.We did a medical record of her data using an excel spreadsheet which we improvised as an electronic medical record system. We improvised a wearable sensor, using a small bluetooth device fixed on her right forearm which was connected to my mobile device. During the time she needed physiotherapy and lab tests, we sent a physiotherapist and a medical lab scientist to render those services to her. She had a minor fall in the course of the pilot project and we took her to the hospital where she was confirmed not to have sustained any fracture. We were also able to get feedback from her and her caregiver regarding the experience they had using the mobile clinic. From the feedback we got, we learnt that the mobile clinic will function better if the patients also have access to other healthcare services aside caring for their osteoporosis condition. I also did product testing and validation by sharing questionnaire to a group of 50 osteoporosis patients and getting feedback

(Optional) Share documentation of your solution prototyping and testing, such as photos.

I improvised the mobile clinic using my Honda Element 2005 model car which I equipped with medical instruments,drugs, medical devices and first aid boxes.The chair in the car served as the hospital bed. The mobile clinic, accompanied by a nurse and Sometimes a Doctor and physiotherapist, was visiting our selected client on a weekly basis to do routine check up on her health condition and also counsel her on weight bearing exercises.We were also sending weekly health text messages to her.

Please upload your Business Model Canvas

Please upload your team video.


Join the conversation:

Photo of Mariah Burton Nelson

Dear Dr. Umeh,

Thank you for inviting me to comment on your progress in the refinement phase of this challenge.

I am impressed with your prototyping, testing, and video.

The video, filmed from your vehicle, in particular conveys a sense of who you are, why you care, and the thinking you have invested in this challenge.

I also really like the drawing that shows how the mobile clinic would be set up, with different areas for different aspects of the testing, treatment, and consultation.

One key insight you learned from your former school teacher is that the people the mobile clinic would visit will likely need more than just ostesoporosis care. As you know from your medical training and experience, many older people have multiple chronic conditions. You and I would both hate to have the osteoporosis mobile van show up, be told that someone is okay with managing osteoporosis -- but she needs to address blood pressure, diabetes, or other healthcare needs, only to be told, "Sorry! We don't do that!" then drive away. I appreciate this insight and I can see that you expanded to include "not just osteoporosis care" and wonder if you have plan for that: to collaborate with other mobile units, for instance?

Another small point for your consideration: It's easy for this American to imagine that elderly Nigerians do not readily have transportation to clinics because they live in remote villages and do not own cars. But I have no idea if that assumption is correct; please do not be offended by my ignorance if I am wrong; that would only strengthen my case that we could use a bit more info. If you could find some data on that point, such as: ___% of Nigerian residents (or those in your area) do not have access to public transportation, or something along those lines, that might further strengthen your proposal.

Also, what are Parker Mobile Units? A brand name for a company that already provides other health services? I googled Parker's Mobile Clinic and came upon an MIT proposal you submitted for a related service -- which is fine - there's nothing exlusive about these pitches. You do provide data there: <<Parkers mobile clinic seeks to solve the problem of poor accessibility to basic healthcare services among people living in remote and rural areas of Onitsha, Nigeria. Currently, approximately three-quarters of rural women lack affordable access to health facilities and medically-skilled personnel. With no health facilities, families living in remote rural communities face serious difficulty to convey their sick relatives to hospitals in the cities due to difficult terrain and lack of routine transport services.>> This would be good info to include in this proposal.

With your business plan, I see a reference to funding the effort via monthly subscription; elsewhere you note a mere $5 charge, which confuses me a bit, since it seems insufficient. At the same time, you seek funding from the OpenIDEO challenge, of course. So some more detail about the subscription fees plus the partners' investments might be valuable. Might the OpenIDEO partners' funds cover the start-up costs of the van and supplies, with some other plan to cover costs on an ongoing basis? Or might start-up funding from OpenIDEO's partners fund the van plus a ___-year pilot, with future funding coming from _____? I don't think this needs to be too specific at this point, since all of the costs are not yet known; I'm just flagging this in case you want to review that part of the business plan to be more clear about two or more sources of funding.

I hope these small suggestions do not seem to require too much more work so close to the deadline. These are minor points. I think this is a strong proposal. Thank you for sharing it with OpenIDEO, and with me.

Sincerely, Mariah

Photo of Charles  Umeh

Thanks so much for your feedback.
I intend to register parkers mobile clinic as an NGO.The monthly subscription paid by the target audience will be used to sustain the clinic.I will choose a very low subscription fee of about 5 - 15 USD monthly in order to enable very poor people to access our services.We will also source funds from philanthropists, Friends ,other NGOs in order to scale to other communities and states.
I will also further use my personal funds and resources in other to fund and scale the clinic.

Photo of Mariah Burton Nelson

Dear Dr. Umeh,

Thanks for these details and clarifications. I think that will help the judges understand your project. Good luck in the competition - and, even more importantly, with your efforts to reach poor, underserved elderly people with osteoporosis in Nigeria.

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