An Integrated Community-driven System
for proactive and adequate health care
Traditional health care systems are reactive. To add to that, in the developing societies, they are also inadequate (e.g. mostly in the public sector ) and unaffordable (e.g. mostly in the for-profit sector).
Rajpur Model of Health care:
Therefore, Karma Health is prototyping a new model in rural Nepal which is both adequate, proactive and affordable.
Functional Model
Functionally, it will be a co-existence of intercommunicating comprehensive institutional care and proactive outreach and home based care.
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Structural Model
The basic structure of Karma’s Model Health System is:
- A Major Hospital connected to several Satellite Health Clinics.
- Each health facility bridged to a specific region in its coverage area by one of the many Community Health Workers.
Multiple ‘hubs and spokes’ at different levels that are integrated into one whole, like a dandelion.
Operational Model
The Rajpur Model is based on a unique community-driven healthcare model, in which the community designs, finances and manages the healthcare it will receive based on data.










