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Healthcare in Lima - Peru

Provide medical care through mobile units, so that pregnant mothers with scarce resources can be attended without problems

Photo of Nadia Breuer
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My personal story precedes me, when I became pregnant I was 20 years old, I did not have a career or a profession and I was still studying and the worst thing was that I did not have a job. I remember that I had 120 soles saved ( about $30 ), with that money I was only able to afford a blood test and certain medicines.

And what will I do now?

I have no money. Finally, I talked with my family and they supported me, but as far as they could, we are not a wealthy family so I had to opt for state health centers and health centers like the SIS ( Seguro Integral De Salud ).

My early experiences

When I attended health centers called "Postas", the feeling was uncomfortable, big lines, people of limited resources waiting their turn. SIS is a health center that does not work so well, too much bureaucracy to request an appointment, bad treatment by part of the staff ( In most of the times the Peruvian has a totally deplorable service attitude on this health centers ).

The treatment is not personal, the public server treats you as if you were an object. I remember waiting for my turn in the line and realized that people who attended us, and other patients, did it in a way that they did not feel motivated to do their job.

Commun problems

Asking other pregnant mothers, I was surprised that many came from other areas because they did not have a health center nearby or at least someone that could help them. Near my house, there is a hill populated, pregnant mothers, and many other patients, come down to be treated, in some cases, they wait so much that not even seen by the doctor.

Having health insurance is very expensive, costs around 150 soles per month and each medical appointment with the insurance costs 50 soles. ESSALUD, which is the medical center of the state, is totally deficient, the appointments have to be a month in advance, if you want an appointment the same day, you have to go as an emergency, in a nutshell, near death. An example of that is the recent case in the news, Two pregnant mothers gave birth in the bathrooms of the hospitals for the lack of attention. If the mother uses SIS (other state's health system), she has to make a lot of bureaucracy to have a medical appointment. 

Tentative solution

What I would have liked to have, and what I suggest in order to reimagine my experience, is a medical center nearby my home or at least my community and without the cost specialized on pregnant mothers. The medical center would be on wheels in other words mobile, which would have a laboratory to perform the basic medical tests that every pregnant mother should be performed and give the results without having to go to a hospital. It would move around a certain area, monitoring mothers through check-ups, giving the information during and after gestation, and providing the necessary help at the times required.


All this would be financed by the government and private entities related to improving the quality of life of the pregnant mother of few resources in our capital, obviously this we will continue with the other provinces of Perú. For the moment we will focus on small urbanizations called human settlements.

 

What is a provocation or insight that might inspire others during this challenge?

Pregnant mothers need medical care during their pregnancy because they do not want to overcome any inconvenience that brings risks for the baby and for them.
Insight: Prevent difficulties during the gestation period that could endanger the life of the baby and the mother.

How does this research relate to our use cases and personas?

The Under-Resourced Mom, we consider that we start with an MVP that give to the new mothers the basic medical exams that provide them with the information of their condition during the pregnancy.

Tell us about yourself:

I'm a UX & UI Designer with 4 years of experience, I'm learning about agile frameworks. Recently I get a certificated UX in Perú. I wanna have more practice in generating an innovative experience.

Are you currently an employee of Sutter Health or UCB Pharmaceuticals?

  • No

6 comments

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Photo of Kate

Hi Nadia Breuer !

There is 1 week left to submit ideas to the New Life Challenge. It would be great to see you and your ideas there.

The deadline for idea submission is Sunday at 3 pm PST on September 24.

Please email me if you have any questions - krushton@ideo.com

Photo of Nadia

Hello Kate

Sorry, I could not answer, I've been busy. I was looking for information on the proposals of the challenge and also that has been done before in other countries. I just sent the idea proposal.

Thank you very much for your support and I also appreciate the references you sent me because I used them for this stage.

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