2015 CUGH Video Competition Winner - Innovations in Global Health

The Last Mile: Operation Asha's Delivery Model
Katie Jordan
Jacob Rosenberg
Pranav Haravu
This video offers an important glimpse into how IPIHD/SEAD Innovator Operation ASHA treats tuberculosis (TB) in hard-to-reach populations across India and what the organization’s work means to people coping with the disease. The video, “The Last Mile: Operation Asha’s Delivery Model” follows community health provider Sunil Sabetah as he works with patients in small, rural villages outside of Gwailor, a city in the Indian state of Madhya Pradesh. The video shows how Operation Asha uses a mix of high-tech and low-tech innovations to advance Directly Observed Therapy (DOT) for TB as recommended by the World Health Organization. DOT is a TB treatment method that helps patients adhere to their medication regimen by requiring the presence of a community health provider when a patient takes their medication. By sending community health providers into remote communities where people have less access to clinics and hospitals, Operation ASHA takes treatment to “the last mile.” Operation ASHA also uses a biometric device (a fingerprint scanning technology) to track patient drug compliance during DOT and avoid false reporting of treatment adherence. In the places where Operation ASHA works, the organization has increased detection of TB and patient treatment compliance and exceeded World Health Organization goals for curing patients. “I feel very lucky to serve these people through Operation ASHA,” says Sabetah. “When they are free of TB, I feel so happy for them and myself … I feel connected as a family to the people whom I serve.”

The Last Mile: Operation Asha's Delivery Model