Table 2 Social Innovation Case Overview
Case | Location | Established | Implementing agency | Problem addressed by the Innovation | Summary of Idea | Innovative Components | Funding Sources | UCH Dimension |
|---|---|---|---|---|---|---|---|---|
Seal of Health Governance | Municipality of Del Carmen, Surigao Island, the Philippines | 2012 | Office of the Mayor and Municipal Health Department | A geographically isolated and disadvantaged area (GIDA) with a poverty incidence of 58%. Limited health professionals to serve over 20 communities. Persistent poor health indicators especially for material and child health, nutrition, sanitation, family planning. | An inter-village competition and community health leadership program promoting community-initiated health interventions and monitoring by village leaders. Communities are addressing health issues themselves, instead of being solely dependent on limited health providers. | i The training program for leadership in health ii A scorecard that is co-created with community leaders and features a set of health performance indicators and targets iii Awards recognizing good performance and community-based initiatives and innovations for health. | Local government of Del Carmen, Surigao del Norte | • Enhanced service availability. • Financial protection (due to disease avoided) |
Kaundu, Community Based Health Insurance | Dedza-East District, Central Region, Malawi | 2015 | Kaundu Community Health Centre, an affiliate of Christian Health Association of Malawi | 29% of Malawian primary health services are provided by the Christian Health Medical Association (CHAM). CHAM health facilities require fee for service. Rural remote communities live below US$1.25/day. The only access the Dedza-East community had to health services is through the CHAM health facility, thus limiting their access to care due to cost barriers. | A community-initiated and managed health insurance scheme, in the context of no functional national health insurance in Malawi. | i. Community management and accountability of the health insurance scheme ii. Membership contributions affordable for a rural population iii. Community sensitization and insurance education | Danish Church Aid, Christian Association of Malawi, Community contributions | • Financial Protection. • Enhanced service access • Service Quality Improvement. |
Model of Integral Healthcare for Rural Areas | Sumapaz District, City of Bogota, Colombia | 2001 | Nazareth Hospital (2001-2015) and Subred Sur (Since 2016). | A post-conflict dispersed rural community, with limited access to care due to the mountainous terrain and related geographic barriers. This farming community experienced health related conditions due to pesticide use. | A multi-disciplinary primary care model, developed through co-learning and co-participation with the community, inclusive of clinical, cultural and environmental health approaches and modalities. | i. Home consultations by a multidisciplinary team, inclusive of indigenous health providers. ii. Indigenous medicine provision along with conventional medical care iii. Agricultural education center delivering training to local farming community iv. Community health network groups on various topics v. Health routes – managed transport and referral process from rural health center to urban hospital | District Health Office of Government of Bogotá City | • Enhanced service access. • Service Quality Improvement. • Financial Protection. |