The HAPPINESS Project uses mobile technology to deliver continued medical education, drawing upon a mobile telemedicine platform and electronic health records (EHR) for clinical evaluation, documentation, prescription and connection to specialist care. The platform is fully functional, proprietary, mobile and video-enabled. It is built to function even when internet is patchy or non-existent, making it particularly useful in low-resource settings where internet availability is not always guaranteed. The project is anchored in the community. It is led by community health workers and primary care doctors making it easily accessible, potentially scalable and cost-effective. The project generates several avenues for potential cost savings, including:
- Less need for long-distance travel
- Early identification of MNS conditions leading to less intensive and expensive care
- Utilization of mid-level, non-specialist providers.
The community engagement component of the HAPPINESS intervention promotes recovery, empowerment, advocacy and human rights. We plan to support client-led, self-help groups based in the communities and supported by the primary care teams by utilizing a stepped-care approach to delivery, which is collaborative and task-sharing in nature. Under this model, most people with mild to moderate symptoms are seen in the community by trained non-specialists while people with more severe symptoms are referred to specialists with clear framework for referral, consultation and follow up support. Finally, the project incorporates a Drug Revolving Fund to ensure a stable supply of effective, unadulterated medications at or below market value.