Expanding access to essential healthcare products and services in undeserved communities

全球52%的人口，即37亿人无法享受医疗服务。在过去十年中，菲律宾和柬埔寨的自费医疗服务支出都出现了大幅增长。2009年，菲律宾的人均年自付支出为44美元，柬埔寨为28美元（经购买力平价调整后的数据）。到2017年，这一数字分别增加到70美元和49美元。我们的创新包括开发一个数字化（通过移动应用程序和基于网络的后端）按需市场，为低收入农村人口提供负担得起的家庭即时筛查和诊断服务，由当地女性同行工作者网络实施，并由训练有素的护士和助产士提供服务。我们假设这将增加基本筛查和诊断服务的吸收，有助于改善非传染性疾病病例的发现和管理，以及改善孕产妇健康结果。这个项目的重点是初步研究，以扩大我们现有的业务（侧重于公共卫生活动、获得药品和一系列其他免费的社区一级服务）为筛查和诊断支助。这是建立在我们现有网络的基础上，以英国为主导，创造一种新的业务，改善健康结果，同时降低亚洲较贫穷社区的自付费用。

Healthcare does not reach 52% of our planet, or 3.7 billion people. Both Philippines and Cambodia have witnessed sharp increases in out-of-pocket spending for health services over the past decade. In 2009, annual out-of-pocket expenditure per capita amounted to $44 in Philippines and $28 in Cambodia (PPP adjusted figures). By 2017, that figure had increased to $70 and $49 respectively.Our innovation involves developing a digitally-enabled (through a mobile application and web-based backend) on-demand marketplace providing access to affordable at-home point-of-care screening and diagnostic services for low-income rural populations, implemented by a network of local female peer workers, and delivered by trained nurses and midwives. We hypothesise that this will increase uptake of basic screening and diagnostic services, contributing to improved NCD case detection and management, as well as improved maternal health outcomes.This project focuses on the initial research to expand our existing operations (focusing on public health events, access-to-medicines and a range of other complimentary, community-level services) into screening and diagnostic support. This builds on our existing network to create a new business offering led by the UK, improving health outcomes, whilst lowering out-of-pocket costs for poorer communities in Asia.