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Alkhidmat Mobile Health Unit SOP.
Alkhidmat Mobile Health Unit SOP.
Implementation
Prepared by: Approved by: Doc. # AHF/MHU/ 01
Date Revision: 00
HR Department CWC Page 1 of 46
Oct 01,2022
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Amendments
No Resolution Date Revised Page No(s) / Para No(s) Authorized
# No. d Signature
Page Para Page Para Page Para Page Para Page Para Page Para
s s s s s s
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Contents
1.0 Introduction:........................................................................................................................................... 6
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1.0 Introduction:
Alkhidmat is utilizing Mobile Health Units (MHUs) in response to the needs of underserved
communities in the flood-affected areas and to provide access to healthcare for millions of
people at their doorsteps.
MHU is a custom vehicle loaded with equipment, medical supplies, and skilled professionals, all
set to bring healthcare, which is otherwise inaccessible, closer to where people live and work.
The main reason for mobile health care is the provision of accessible services that are welcoming
to homeless people who can’t or won’t go to fixed-site clinics. Mobile units are the sole source
of health care in some rural communities and have also demonstrated their value in areas
devastated by floods.
1.2 Objectives:
I. To harmonize the operationalization of Mobile Medical Services in locations of Internally
Displaced People (IDPs) in camps and out of camps besides flood-impacted areas.
II. Maximize the utilization of health care services for the best interest of the flood-affected
communities
III. To facilitate the “Safe Mother Safe Family” Project in flood-affected areas.
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All of the mobile units will be parked in predefined parking areas at these clusters and also refill
inventory from these base points.
2.2 Arrangements:
a) Mobile Health Unit will rotate on a daily basis in flood-affected areas (in cluster form).
b) The schedule of mobility of MHU will be provided by the regional team on monthly basis.
c) Tents and chairs for the waiting area of patients outside the MHU will be arranged by the
local team of Alkhidmat.
d) Clean drinking water for MHU staff and patients will also be arranged by the local team
of Alkhidmat.
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a) The Mobile Health Unit should arrive at the designated place at 9:00 AM and make
necessary arrangements for the operations.
b) The working Hours of MHU will 6 hours (9:00AM – 3:00PM). Extendable in case of
emergency.
Every mobile health unit incharge will make sure the data entry of patients in MHU software,
generate the daily report and share with manager mobile health unit.
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Sr. Required
Positions Salary Range Key Responsibilities
# Qualification
• Examines the patients directly in
detail and records brief history,
findings and probable diagnosis
and treatment with date, time,
Medical
1 MBBS Rs.75,000-100,000 signs and affixes name stamp.
Officer
• Advises the investigations if
required.
• Prescribes medicines to be
taken at home.
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All employees, except daily wagers would be paid through cross cheques issued in their name or
directly bank transfer. At the time of approval of employees’ salary expense for the month, a
detailed report for each employee will be prepared containing the following information:
b) The aforesaid report will be furnished to Managing Director (AHF) by the Senior Manager
Finance for necessary approval, before approving salary disbursements Senior Manager
Finance would arrange comparison of gross salary with last month and obtain satisfactory
reasons for change, if any. After the approval, the finance officer will forward the cheques
of Salary Bill to Signatories for his signatures, along with the Salary Letter addressed to
respective Bank, mentioning all the staff accounts with their net salary for credit in their
respective bank accounts.
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b) The deducted amount of income tax would be deposited as per stipulated time period
mentioned in Income Tax Ordinance.
c) Periodic tax statements under the Income Tax Ordinance will be prepared within the
stipulated time.
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d) Fueling of Mobile Health units would be made through Fuel Cards. Fuel cards would be
issued after registration of vehicle by the head office, fuel expenses would be adjusted
through advances till issuance of fuel card. Original bills would be submitted to finance
department through DM Supply Chain.
e) Expenses regarding repair and maintenance of mobile health unit would be adjusted
through advance issued to Mobile Health Unit In charge. Original bills would be submitted
to finance department through DM Supply Chain.
f) In case of shortage of any item mobile health unit Incharge can purchase directly with the
prior approval of deputy manager supply chain endorsed by manager mobile health units.
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I. Cleaning of Vehicle
II. Break Operation Check
III. Air Pressure Check (Front Tyers 75PSI Back Tyers 80PSI)
IV. Battery Check-Up
V. Radiator Water Level
VI. Wind Screen Washer Level
VII. Engine Oil Level
VIII. Fuel Level in the vehicle and Generator (Fuel Consumption Report) and maintain log sheet
on a daily basis
IX. Water dispenser must be filled
X. Air Conditioner Filter Cleaning (weekly)
XI. 11-Detailed Cleaning of vehicle (Do Not Wash) (weekly)
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e) Danger boxes should be filled three quarters and packed with red bag by technical staff
and clearly labeled ‘sharps’ before handed to housekeeping staff.
f) All infectious waste containers must be the close lid and lined with bags to avoid any
leakage during transportation. Paper and other packing material handled with gloves /
soiled with blood or body fluid should be discarded as infectious waste.
g) Paper and other packing material handled with gloves / soiled with blood or body fluid
should be discarded as infectious waste.
h) The Waste bags must be grasped and lifted by the knot in the top of the bag and held
away from the body to avoid potential contamination of the handler while transferring to
the transport cart.
i) Waste bags never be thrown or kicked.
j) General waste is collected at different frequencies in the diagnostic center. However,
infectious waste collection is done sometimes more than required frequency
k) All records of infectious waste are documenting on the form.
l) Waste Management Procedures of our lab are implemented and monitored.
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a) It is the waste arising from resulting from the investigation, testing or treatment of
patients.
b) It is the responsibility of technical staff to identify the waste as contaminated or
hazardous, labeling and properly treating it before disposal.
a) All liquid waste from the instrument is stored in a large size plastic container.
b) Add sodium hypochlorite 5 % into the liquid waste container at a ratio of 25 % (125ml
per 500ml liquid waste.)
c) Let it stand for 30 minutes
d) Dispose of in normal drain with plenty of water.
a) The collection and solidification of clinical liquid waste should be conducted at point-of-
generation.
b) Be familiar and have education about the principles of handling infectious waste and
infection control.
c) Practice frequent and appropriate hand washing.
d) Stress that staff is adequately trained for disposing of clinical liquid waste disposal and
handling.
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Due to Devastated Floods in Pakistan, there is a huge loss of lives and infrastructure. Millions of
people need help in form of food, healthcare facilities, and shelter. There are a lot of healthcare
facilities that are partially or fully damaged, leaving people helpless in medical conditions that
are prevalent in flood affected areas due to multiple reasons.
One of the many challenges faced, is to establish uninterrupted supply lines for all the unit. Major
sectors of this supply line are medicines and laboratory kits & consumables. A comprehensive
plan is required to address this issue especially in areas where MHUs are operating. As it is not
possible to store entire month’s stock on MHU. There is a need for opening a sub-store in the
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operational area for stock storage and MHU filling. Sub-store will be managed by the MHU in
charge. Due to workload, the MHU in-charge will not be able to handle large quantities of stock
and if a small quantity of stock will be stored then the shortages will arise due to procurement
and transportation issues.
One solution to this problem, is to establish region-wise central warehouse. Central warehouse
will be responsible for receiving and distribution of stocks to sub-stores where MHUs will be
functional. Central Warehouse will also be linked with sub-stores for having check on
consumption patterns and emerging requirements.
Legal and material requirements will be fulfilled according to regional legislations. Following are
the major requirements of the project
II. Fix assets: following fixed assets will be required for operations
a) Air conditioner for maintaining the storage area temperature in prescribed limits.
b) Racks for proper storage and display of medicines and consumables.
c) Fridge for storage of temperature-sensitive items.
d) Temperature meter for measuring the room and fridge temperature.
e) Working Desks for office work and for checking and packing of stock.
f) Ups for uninterrupted Power supply.
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g) Laptop
h) Printer
III. Consumables like stationary etc.
Warehouse Incharge will be appointed in the regional warehouse will look after stocks. Stock will
be received and a sheet will be maintained showing the issuance status and in hand stock status.
regional warehouse will issue the stock to sub-stores (where MHUs will be operational) for
predefined days. MHU in-charge at sub-stores will receive the stock, maintain inventory and issue
stock on daily basis to MHUs and will maintain the record.
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REGIONAL WAREHOUSE
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Manager Mobile Health Units will be responsible for managing his office at the central level,
preparing guidelines for mobile health units, coordinating and monitoring regions, consolidating
data and reports for the smooth running of the program.
Key Responsibilities
I. The Manager Mobile Health Units Program is responsible for the overall operational
management of the mobile Health Units.
II. To provide supervisory oversight to mobile health and maintain the community outreach
schedule.
III. To maintain a log to ensure the execution and monitoring of each health project as per
planning and managing logistics.
IV. To coordinate with regional offices & ensure the smooth functioning of mobile health
units.
V. To take reports on a daily basis from each mobile health unit, compile the reports and
present to the management.
VI. To prepare the need base analysis report and plan accordingly for the movement of
mobile health units.
VII. To arrange training sessions for mobile health unit staff as per need.
VIII. To take notes during meetings and prepare minutes of meetings on the set format and
within timelines
IX. To prepare monthly reports of mobile units and present to the management.
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JD Approvals:
________________________ _______________________
Human Resource Department Prof. Dr. Muhammad Zahid Latif
( ) (General Secretary, AHF)
_________________________________
Manager Mobile Health Units
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JOB TITLE Deputy Manager Supply Chain PROGRAM Mobile Health Unit Services
REPORTS TO Manager Mobile Health Units/Managing Director AHF
Job Purpose:
I. Deputy Manager Supply Chain MHU will be responsible for operations across the country
of mobile health units and preparing guidelines for mobile health units, coordinating and
monitoring regions, consolidating data and reports for the smooth running of the
program.
Key Responsibilities
II. Deputy Manager Supply Chain operations across the country of mobile health units.
III. To Plan, manages, and coordinate all activities related to the materials and supplies
needed to meet the changing levels of demand.
IV. To Coordinate closely with the MHU Incharge to reconcile supply and demand.
V. To analyze current inventories and procedures; ensure improvements to increase the
efficiency of the supply chain.
VI. To monitor the performance of suppliers, assessing their ability to meet quality and
delivery requirements.
VII. To collaborate with other departments and stakeholders to identify and maintain
resources needed to establish and provide an effective supply chain.
VIII. To raise demands in case of a shortage of items with the respective managers.
IX. To develop and maintains detailed inventories of materials and supplies.
X. To ensure special care of refrigerator items like snake vaccine.
XI. To maintain a required quantity of supplies.
XII. To prepare reports of mobile units stock and present them to the management.
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________________________ _______________________
Human Resource Department Prof. Dr. Muhammad Zahid Latif
( ) (General Secretary, AHF)
______________________________
Deputy Manager Supply Chain
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Job Purpose:
To provide competent patient-centred care that addresses health needs and promotes wellness.
Such care is based on the latest evidence and guidelines and meets legislative requirements.
Key Responsibilities
I. Provide patient healthcare at mobile clinics implemented in flood-affected areas
II. Examines the patients directly in detail and record brief history, findings, and probable
diagnosis and treatment with date, time, signs, and affixes name stamp.
III. Advises the investigations if required.
IV. Prescribes medicines to be taken at home.
V. Explains to the patients about the use and effects of prescribed drugs.
VI. Refers the patients to the physician or other specialists as the case may be.
VII. Undertakes all life-saving measures if needed e.g. CPR with full protocol.
VIII. Work with the Mobile health units in charge to determine the supplies and materials
needed for healthcare at mobile units
IX. Records duties are performed in the appropriate forms and registers provided.
X. In case of serious illness refer to the nearest DHQ.
XI. To conduct awareness sessions for the local community regarding primary health and
guide them about nutritional needs.
XII. Play videos regarding healthy living practices on the LCD-MHU.
XIII. To conduct disease base analysis and send the report to the Manager MHU.
XIV. Any other task assigned by management.
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JD Approvals:
________________________ _______________________
Human Resource Department Prof. Dr. Muhammad Zahid Latif
( ) (General Secretary, AHF)
_________________________________
Medical Officer
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JOB TITLE Incharge Mobile Health Unit PROGRAM Mobile Health Unit Services
REPORTS TO Manager Mobile Health Units
Job Purpose:
Incharge Mobile Health Units will be responsible for managing the operations of mobile health
units, coordinate with manager mobile health units and regions, prepare consolidate reports for
the smooth running of the program.
Key Responsibilities
I. Incharge of mobile health units Accountable for the overall responsibility for running the
Medical Mobile Unit
II. Accountable for creating and sustaining a safe environment for patients and staff on the
mobile site.
III. Effectively advocates for quality participant safety and satisfaction as a daily practice
IV. To maintain a clean and mechanically-sound vehicle
V. To perform inspections of the vehicle before and after each route/scheduled visit/activity
VI. To responds to emergency situations with independent actions and within the scope of
practice until professional assistance is available.
VII. To assist patients with getting on and off the bus when required
VIII. To prepare and maintain stock reports before the closing of MHU.
IX. Prepare the vehicle inspection report of MHU on weekly basis.
X. Prepare the periodic maintenance plan of MHU.
XI. Report compilation of Mobile Health Units on a daily basis.
XII. Any other task assigned by management.
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JD Approvals:
________________________ _______________________
Human Resource Department Prof. Dr. Muhammad Zahid Latif
( ) (General Secretary, AHF)
__________________
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Job Purpose:
Lab Technician to perform sampling & tests, available at the MHU and maintain the Lab as per SOPs.
Key Responsibilities
I. To draw/receives samples and Investigation Request Forms from the Medical Officer and
carefully check the particulars of the patients on the sample and its requisition.
IV. To ensure that the results of tests requested are provided to the doctors in time.
V. Conducts urine analysis, blood sugar tests, LFTs, RFTs, CBC and Rapid screening tests.
VI. To prepare a report of all tests before the closing of MHU Lab.
VIII. Perform calibration according to the plan and maintain its record.
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JD Approvals:
________________________ _______________________
Human Resource Department Head of Flood Relief Project
__________________
Lab Technician
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Job Purpose:
The dispenser is responsible to dispenses the prescribed drugs and medicines to the patients
according to the prescription and furnishes sufficient information to the patient on use of the
dispensed drugs
Key Responsibilities
I. Dispenses the prescribed drugs and medicines to the patients according to the
prescription and furnishes sufficient information to the patient on use of the dispensed
drugs.
II. Proper disposal of syringes, needles, sharps and other wastes as per SOP
IV. Describes the use and care of medicines to ensure proper utilization & reduce their loss.
VI. Maintain daily & monthly medicine consumption and requirement report.
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JD Approvals:
________________________ _______________________
Human Resource Department Prof. Dr. Muhammad Zahid Latif
( ) (General Secretary, AHF)
__________________
Dispenser
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Job Purpose:
Responsible for drive the mobile health unit and fulfil your responsibilities in a proper way.
Key Responsibilities:
i. To keep assigned Mobile health unit free from damage, in acceptable condition, and
consistently clean in a manner.
ii. To ensure that the vehicle is in proper and safe condition prior to use, and accept
responsibility to report any damage or mechanical malfunctions that exist.
iii. To accept responsibility for proper use and maintenance of keys and submit keys to
mobile unit in charge before leaving.
iv. To work extra/overtime hours as needed according to workload.
v. To maintain an excellent driving record on logbook.
vi. To transport employees and other individuals as directed, in a safe and responsible
manner.
vii. To carry out any other task assigned by competent authority
JD Approvals:
________________________ _______________________
Human Resource Department Prof. Dr. Muhammad Zahid Latif
( ) (General Secretary, AHF)
__________________
Driver
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7.0 Annexures
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1 Week 1
2 Week 2
3 Week 3
4 Week 4
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