Some severely sick patients need hospital treatment. But public transport is not available and for many communities a hospital can only be reached after many hours or days travel by motorbike over muddy paths, by boat or by foot. This is prohibitively expensive for most.
Patients attending the MAM CHWs services with severe disease are considered for referral to the nearest hospital. All CHWs received training on guidelines based on the type of medical conditions (i.e. life-threatening diseases and/or prevention of disabilities).
MAM has referred approximately 15,000 patients since 2015.
All referral and treatment costs are paid by MAM. MAM staff also follow the patients up in the hospitals. The possibility of referral in case of severe disease has made the project very popular among local villagers.