The Health of A Nation is more critical than the Wealth of A Nation – Will Durant. Guyana is undoubtedly a country that is rich in all types of natural resources, but the most important is that of its human resources. The developed Health and Wellness sector is reflective of the interconnectivity of a cohesive and comprehensive development strategy that we required across almost all of the significant areas of development. The lack of a clearly defined health and wellness infrastructure of note in Guyana means that there are tremendous opportunities to leapfrog with the application of Health Innovation methodologies utilizing the GSE cloud-based platform. Guyana has a chance to build a new Technological Infrastructure that incorporates a 5G network into an almost unlimited cloud-based platform where, according to Forbes, Artificial Intelligence (AI), design thinking, robotics, and big data have made a splash across all industries. Still, perhaps their most significant impact is in healthcare.
According to the World Health Organization (WHO), in comparison to the rest of the nations of the world’s healthcare systems, Guyana ranked 128 out of 190 countries. Although the healthcare system of Guyana is both public and private, the predominance of healthcare expenditures is public, representing 4.88 percent of the country’s Gross Domestic Product (GDP), which is very low. Compared to its CARICOM counterpart countries, Guyana’s healthcare system is subpar with those who can afford it traveling to neighboring Trinidad, Cuba, or the USA for medical care. The shortage of nurses in Guyana is a direct result of migration to those CARICOM countries and the USA, where wages, salaries, and facilities are significantly better. The medical infrastructure in Guyana is severely challenged, with the lack of updated medical equipment and facilities at some 30 public hospitals and health centers scattered throughout a country that is larger than England and Scotland combined. The healthcare infrastructure can easily be improved with more financial resources that may not be readily available from the public sector. The GSE community/solutions based platform will take it back to when most communities in Guyana had a resident midwife that was primarily responsible for prenatal, delivery, and postnatal care for most of the babies in the village or community. The GSE model calls for a nurse practitioner available on call 24/7; the registered nurse practitioner we will vet for access for secure access to private patient information on the cloud-based platform. GSE, we are convinced that the application of secure data connection and accessibility through mobile communications devises like the smartphones, we can reduce the coverage population of one health center per 10,000 to one per 5,000. The smaller and more adaptable community-based health centers may also serve as the residence of the healthcare practitioner, an added incentive of free or reduced rent or the practitioner. The smaller, modern (vibrant colored) Healthcare Centers, with an average construction cost of between $15,000 and $20,000USD or 3 to 4MGYD would be an ideal model. The smaller construct of the contemporary community-based healthcare center is more relevant because there will not be the need for on-premises filing cabinets for the storage of patients’ information and less need for a larger patient waiting area.
Emergency Medical Service (EMS) is another healthcare infrastructural challenged areas in Guyana because of the lack of necessary resources. Guyana installed a new state of the art 911 system in 2017. However, an EMS system is only as good as the equipment and personnel that can respond to the emergency. An advance Live Support (ALS) EMS system requires the development Global Positioning Satelite (GPS) mapped roads, the vehicles, the mechanics, the spare parts, the landlines, the street names or house numbers, most of which a developing nation like Guyana does not have. Guyana’s best way of preventing premature death in emergencies is through a community-based Basic Live Support (BLS) system. The most common emergency response requirements in Guyana are Crime and Road Accidents. It is rear in Georgetown, where most of the ambulances in Guyana are concentrated, for there to be a legitimate EMS response to a cardiac arrest (heart attack), a mother in labor, or an asthma attack. Crime is a rather broad area, but the statistics have shown that although crime is down in Guyana, murder is up. It can be contended that more weapons, guns, and knives, are now more often being used in the commission of crimes in Guyana. Still, with even with at being the case, many of those inflicted with wounds for guns, knives or the cutlass can be saved if there are rapid and life-saving techniques to the wounded. But in most instances, it would be a taxi cab driver or good samaritan with a vehicle that is the first responder to the schene of a crime or accident who instinctively rushes the victims to the closest hospital, and often bleed and DOA.
There is a similar occurrence with auto accidents in Guyana, where like the crime situation, there is the convergence of social and infrastructural issues. The infrastructural problems are that there has been an explosion in the number of vehicles and drivers, and the roads and traffic management have not caught up with the growth. Additionally, many riders and drivers have not caught up with the life-saving habit of “Buckling Up” when in a moving vehicle. Recently six citizens were killed in one accident involving a private car and a siren police vehicle, a proper triage was not established around the scene of the accident, and most of the victims perished.
The GSE Community-based approach to EMS is a developmental model that seeks to integrate a Basic Life Support (BLS) with an App to Cloud infrastructure. Apart from the GSE Cloud-based platform, our App that is adaptive to mobile technology will be segmented to cover the primary areas of the Social Enterprise, which are ENERGY, ENVIRONMENT, AGRIBUSINESS, EDUCATION, and HEALTH & WELLNESS. The Health and Wellness segment of the GSE App, having a 911 component, users will be able to text in emergency calls and upload pictures to the EMS platform, which we believe will provide the first responding personnel with location information and other pertinent data. Another example of the GSE App working in the coordination of a BLS would be that of Child Birth. Since most citizens would have already been registered with the community-based healthcare center and assigned to doctor and nurse practitioner with their data securely stored in the cloud-based application. An expecting mother, for example, is to be will be moved to a select category where they will receive prenatal care alerts throughout the term of the pregnancy and finally the ability to send out an alarm at the onset of labor. Our community-based BLS solution calls for select community-based Taxi Cab Drivers and Service that are trained in administering basic life-saving techniques, and for their taxis cabs being equipt with First Ad kits. For in Guyana, there is a higher probability that a taxi cab may be more readily available than an ambulance as a first responder. We will be advocating for members of the security services, the Guyana Defence Force (GDF) and the Guyana Police Force (GPF) that live in any given community to are trained and certified life-saving techniques and triaging. Most of the BLS training modules could be delivered via the GSE Platform in a basic webinar format. Only those who are trained and certified will be able to receive text alerts from the EMS 911 system via the GSE App. Similar training modules will be developed for a community-based team of social health volunteers. The GSE Social Wellness Team is formulated and developed around the Nurse Practitioner and a paid social worker based at each of the community-based health centers. Additionally, the nurse and social working will have an assignment to the schools in the community. The goal is to create socially cohesive health and wellness pockets of concentration in each community.
Health is a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity – World Health Organization (WHO). In 2019, a twelve-year-old girl committed suicide in Guyana.
After “dropping out ” of school during the previous six months, the 12-year-old committed suicide by hanging herself, this in appearance that the school administration or a social worker never contacted the parents to find out why the child had been absent from school for an extended period. The issue of suicide very concerning for the Health and Wellness of Guyana. The World Health Organization (WHO) rates Guyana as statistically having one of the highest rates in the world. Although there is no readily available statistic, most of the domestic violence and suicides in Guyana is linked to alcohol abuse. Guyana being a sugar-producing nation also produces a great deal of alcohol, which is relatively inexpensive and highly available. In primarily agrarian communities in Guyana, pesticides are readily available, and many of the victims commit suicide by drinking the pesticides with little or no available antidote.
The issue of mental health and wellness is of grave concern in Guyana, not only because of the comparatively high rates of suicides but the level of domestic violence, which often leads to a murder-suicide, and alcohol abuse-related violence. Recent Guyana Newspapers Headlines “Man Stabbed to Death in a row over cigarettes” or “Man Stabbed His Drinking Buddy to Death”.
The actual alcohol abuse problem in the country has been compounded in the last two decades by a drug abuse problem. In Guyana, there is generally a negative view of mental illness, and in general, the lack of knowledge about mental illness in the society prevents citizens from realizing that hey might be suffering from a mental illness like depression or anxiety. It is only after the display of acute psychosis. The mental health infrastructure and personnel are rather limited; for a nation with almost 800,000 citizens, there are only three clinical psychologist, three certified mental health nurses, and less than a half dozen psychiatrists. The psychiatric ward at Georgetown Public Hospital (GPH) and The National Psychiatric Hospital in Fort Canji Berbice, commonly know as “The Berbice Mad House”, the two leading mental health institutions do not have the resources or personnel to deliver adequate services.
Although there are no empirical studies or evidence that link Guyanese sugar intake with a higher than average rate of suicide, however, it is an area that warrants significant consideration.
The sugar cane has historically been the mainstay of the Guyanese economy, and some might say the sugar has been both a blessing and a curst. Guyana has always been identified as a sugar-producing nation, but as the saying goes, “never get high on your supply,” and certainly Guyanese have done so with high intake of sugar and its by-products like rum. We might even be able to attribute the high consumption of sugar to Guyana’s high rate of suicide, as research has shown that high sugar intake can lead to an increased risk of depression and even worse outcomes in patients with schizophrenia. There is no shortage of fresh fruits and vegetables in the Guyanese diet; however, as a tropical country, it is very hot, and Guyanese continue to consume high sugar content beverages.
The GSE Platform is one that is adaptive to Healthcare as a Service (HaaS). From our cloud-based platform, GSE is utilizing technologies to improve child and maternal health, fight infectious diseases like tuberculosis, malaria, and HIV/AIDS in Guyana.
The accessibility and availability of Mobile technology have seen exponential growth in Guyana. Currently, there are many “off the shelf” apps that have been developed and are being developed for the delivery of Healthcare via a cloud-based platform.
GSE believes that the fastest way for Guyana to enhance its healthcare system and essentially “leapfrog” to a comparable level like that, for example, of Costa Rico is through HEALTH INNOVATION. Like the of Social Entrepreneurship is a relatively new area of study at institutions of higher learning globally, the field of Innovation and Design Thinking is an even more common area of research that is driving the agenda of improvement. The coupling of Innovation with Healthcare provides the potential of being trans-formative Guyana and similarly emerging countries. This is the reason why GSE has embarked on the study of Healthcare Innovation so that learned best practices can be applied to the community-based and holistic approach to Health and Wellness in Guyana.
Costa Rico, one of the smallest nations in the Americas, is an excellent example of the economic benefits of a developed healthcare system. Many American expatriates reside in Costa Rico, and the healthcare system is developed to the extent that most American Health Insurance is accepted and paid for there, representing billions of dollars to that economy. There is a sizable Guyanese population in the diaspora that would like to retire or partially retire to Guyana, similarly like New Yorkers retire to Florida or Arizona, but are restraint because of Healthcare and crime. In both areas, GSE seeks to change with the application of a holistic community-based health and wellness system. Our system will be comprehensive because it not only involves the implementation of a new innovative approach and traditional health and wellness practices. Our goal is to introduce YOGA and Taichee classes at the community centers. Or even the reintroduction of an Ayurvedic nutritional practice with daily recipes being delivered via the GSE Mobile App, as an example.
Social Entrepreneurial Professionals in the Health and Wellness fields to join us by sending an email with an expression of interest to firstname.lastname@example.org
Adaption of a modular approach to the construction of community-based healthcare centers with expandable components for childcare and development or a gym.
The GSE cloud-based platform will allow for the US HIPPA standard for the collection of BIG DATA where our healthcare practitioners worldwide can track patient information and provide the necessary diagnosis and treatment
The Telemedicine component of the GSE platform allows for doctors from any part of the globe to connect with assigned clients either in one of the community healthcare centers or in their home via a secure internet connection and a computer. Telemedicine will allow or the physician to reach a high-risk pregnant woman in the interior of Guyana to receive the necessary healthcare. healthcare infrastructure Guyana health healthcare partners.
Educate the Guyanese public on reducing the intake of sugar
The establishment of walkers and/or runners community-based club.
Yoga or Tai chi daily classes that attract cross-generational participants.
Yoga or Tai chi daily classes that attract cross-generational participants.
The creation and training of homeopathic dispensary centers working in conjunction with the community-based healthcare centers.
The creation and training of homeopathic dispensary centers working in conjunction with the community-based healthcare centers. These centers will focus on the sale of herbal medicine, packaged onsite for the domestic and export markets, vitamins, teas, and coffees, while having enough facilities for “Nara” therapy.
This network is focused on preventative health and wellness care. The GHC Network will allow members quarterly annually visits with physician either online or in person.
GHC include both domestic and international health practitioners and supporting institutions.
The GHC telemedicine is a proprietary software that is embedded into the GSE cloud-based platform, as well as, on our coordinating mobile app off of www.guyanaapp.com, the preferred landing page for all things Guyana.
Goats and Soda - Trying to Stop Suicide: Guyana Aims To Bring Down its High Rate npr.org