Remedy: Holistic Health & Community-Centered Care

Report - Pubmic Health Intiative 2025-26

Excecutive Summary

The One Billion Lives Foundation (OBLF) Public Health Initiative is a community-based healthcare program focused on improving access to comprehensive primary healthcare services for vulnerable populations in Bengaluru, Karnataka. The initiative addresses Non-Communicable Diseases (NCDs), Geriatric & Palliative Care (GPC), and Mental Health (MH) through preventive, promotive, curative, rehabilitative, and home-based healthcare services delivered across villages in Anekal, Bengaluru. 

Supported by Intel since 2021, the initiative has evolved into an integrated public health model driven by community engagement, early disease detection, continuity of care, and strong government collaboration. A multidisciplinary team of doctors, nurses, counsellors, physiotherapists, coordinators, and community health workers delivered services directly within communities, significantly reducing barriers related to cost, distance, and access to healthcare.

A major milestone during the year was OBLF’s partnership with the Department of Health, Government of Karnataka, to operationalize Karnataka’s first district-hospital-based palliative care ward at Sir C.V. Raman General Hospital under the National Programme for Palliative Care. The initiative expanded access to specialized geriatric and palliative care services for nearly 90,000 people and led to OBLF’s nomination to the State-level Technical Advisory Committee for Palliative Care.

The NCD program strengthened early screening, follow-up care, and treatment adherence through the innovative “Blue Book” tracking system and mobile medical clinics. Over 10,370 individuals were screened, while more than 3,500 diagnosed patients received follow-up treatment. Sustained community-based care contributed to stabilization among 45% of diabetes patients and 57% of hypertension patients. Additionally, 1,943 individuals with pre-diabetic and pre-hypertensive conditions were identified and enrolled for preventive interventions.

The Geriatric & Palliative Care program provided clinic-based services, home-based care, caregiver support, physiotherapy rehabilitation, and referral services for elderly and chronically ill patients. Over 2,300 home visits and follow-up sessions were conducted during the year, while 450+ family caregivers received counselling and support. Simultaneously, the Mental Health program expanded access to psychiatric consultations, home-based care, transport support, and community awareness services, identifying and supporting 202 individuals with common and severe mental health disorders.

OBLF also launched a School Health & Wellbeing initiative across 103 government schools, reaching over 5,700 students through sessions on mental wellbeing, emotional health, and preventive healthcare. Pre- and post-assessment findings demonstrated a significant improvement in student awareness and understanding of health and wellbeing concepts.

The initiative is supported by strong monitoring systems, digital MIS platforms, field-level supervision, and continuous community engagement mechanisms. Through its integrated and community-centered approach, OBLF continues to strengthen public health systems, improve health outcomes, and reduce the financial burden of healthcare for vulnerable populations, with beneficiary households saving an estimated 27,000 annually in out-of-pocket healthcare expenditure.

Program Description

The OBLF Public Health Initiative is a community centered healthcare program to improve access to comprehensive primary healthcare services focusing on non-communicable diseases (NCDs), geriatric care & palliative care (GPC), and mental health (MH) in Bengaluru, Karnataka. The emphasis is on delivering preventive, promotive, and curative health services to a 370,000+ population through mobile medical clinics, community outreach, home visits, and referrals to public health systems for secondary and tertiary care.

Key Results (FY 2025–26)

• 366,776 individuals enabled with access to comprehensive primary healthcare services
• 10,370 individuals screened for NCDs and geriatric conditions
• 3,510 diagnosed patients receiving follow-up treatment and care
• 11,673 follow-up consultations and healthcare services provided
• 629 clinics organized across intervention areas
• 2,301 home visits and palliative care follow-up sessions conducted
• 1,501 individuals received counselling and mental health follow-up support
• 325 training sessions and awareness programs conducted
• 5,700 students reached through School Health & Wellbeing sessions
• 27,000 estimated annual reduction in out-of-pocket healthcare expenditure per beneficiary household

Program Impact Highlights:

• Strengthening Community-Based NCD Care: The initiative significantly strengthened early screening, treatment adherence, and continuity of care for diabetes and hypertension across 176 villages in Anekal. Over 10,370 individuals were screened for NCDs, achieving more than 80% screening coverage among adults above 25 years. Through mobile medical clinics and the innovative Blue Book tracking system, over 3,500 diagnosed patients received regular follow-up treatment and care services. Sustained community-based interventions contributed to stabilization among 45% of diabetes patients and 57% of hypertension patients. Additionally, 1,943 individuals with pre-diabetic and pre-hypertensive conditions were identified and enrolled for preventive lifestyle interventions. Increased access to medicines, diagnostics, and regular consultations also helped reduce annual out-of-pocket healthcare expenditure by approximately 27,000 per beneficiary household.
• Expanding Geriatric & Palliative Care Services: The operationalization of Karnataka’s first district-hospital-based palliative care ward at Sir C.V. Raman General Hospital significantly expanded access to specialized care for elderly and chronically ill individuals. Nearly 90,000 people gained improved access to geriatric and palliative care services through strengthened government collaboration. During the year, 891 individuals were screened under the GPC program, while over 1,770 patients received treatment, follow-up care, rehabilitation, and home-based services. More than 2,300 home visits and palliative care follow-up sessions were conducted for patients with chronic illnesses and mobility challenges. The program also supported over 450 family caregivers through counselling and guidance on caregiving practices, symptom management, nutrition, and emotional support.
• Improving Access to Mental Healthcare: The Mental Health program strengthened community-based identification, referral pathways, and continuity of psychiatric care for vulnerable individuals. A total of 202 individuals with common and severe mental health disorders were identified and supported through regular follow-ups, counselling, medication adherence support, and referrals to specialized institutions including NIMHANS. The initiative also facilitated home-based psychiatric care for approximately 24 patients per month and transportation support for nearly 25 patients per month to access specialized treatment services. Community awareness initiatives such as Chaitanya reached over 500 individuals, helping improve awareness and reduce stigma associated with mental healthcare.
• Promoting Preventive Health Among Children: The School Health & Wellbeing initiative introduced preventive health and mental wellbeing education across 103 government schools, reaching over 5,700 students from Grades 1–7. Sessions focused on emotional regulation, self-awareness, mental wellbeing, hygiene, and healthy lifestyle practices. Pre- and post-assessment findings showed significant improvement in student understanding, with average scores increasing from 36.4% to 54.9%. The proportion of students scoring above 50% nearly doubled from 36% to 68%, demonstrating improved awareness and understanding of health and wellbeing concepts among participating children.

Public Health Initiatives: Impact Analysis

Non-Communicable Diseases

• NCD screening: 69% → 81% coverage
• 2,000+ NCD patients (79.3%) on regular follow-up
• 45% diabetics & 57% hypertensives stabilised
• 1,943 pre-NCD individuals tracked for lifestyle modification

Geriatric & Palliative Care

• 1,481 individuals screened for GPC
• 1,770 patients receiving treatment & home visits
• 75% of screened individuals received specialised care
• 450+ family caregivers supported
• Transport support for 20 patients/month

Mental Health

• 200+ common & severe mental health cases identified & supported
• 10× increase in identification (2024–2026)
• 24 patients/month on home-based psychiatric care
• 25 patients/month provided transport support

Financial Impact: OBLF's services have reduced annual out-of-pocket healthcare expenses by approximately 27,000 per annum making essential healthcare accessible and affordable for the community.

Long-term Outcome Indicators

• Improved early detection of NCDs: More than 80% of individuals aged 25 years and above were screened for NCDs, enabling early diagnosis and timely initiation of care.
• Improved Disease Control and Management: 45% of individuals with diabetes and 57% of individuals with hypertension maintained controlled or stabilized conditions through regular follow-ups, treatment adherence, and continued engagement with primary healthcare services. This data is based on the last clinic cycle. Out of 393 diabetic cases which we covered in the last 2 months, 179 cases were controlled and out of 594 hypertension cases whom we covered, 342 were controlled.
• Reduced Financial Burden on Households: Average annual out-of-pocket healthcare expenditure reduced by approximately 27,000, due to improved access to public health services, subsidized care, and early disease management.

Conclusion

Through its integrated and community-centered healthcare model, OBLF continues to strengthen public health systems and improve healthcare access for underserved populations in Karnataka. By combining community outreach, preventive healthcare, home-based services, government collaboration, and continuity of care, the initiative has improved health outcomes for individuals living with chronic illnesses, elderly populations, and people with mental health conditions. The program continues to demonstrate that accessible, compassionate, and community-driven healthcare can significantly improve quality of life while reducing the financial burden of healthcare on vulnerable households.

Human Interest Stories

The following stories (shared by team members, patients, caregivers and families) highlight the work OBLF’s Public Health teams do in its truest form: meeting families where they are, restoring hope where fear had taken root, and reminding them that they don't have to walk this journey alone.

1. Dispelling Fear with a Reassuring Touch: Subramani's Story

On an ordinary day in the field, the OBLF GPC Home Care team encountered something heartbreaking—a family trapped in a quiet struggle, waiting for someone to believe they could do better. Subramani was 45 years of age when a stroke took his independence. Eighteen months later, he remained confined to his bed, suffering recurring seizures that terrified his family and kept them perpetually on edge and afraid that even their presence might trigger the next crisis.  His wife carries the weight of everything. She is the only breadwinner keeping the family afloat financially as well as the primary caregiver, and emotional anchor for the whole household. Their ten-year-old daughter, diagnosed with ADHD, requires special care and patience. Their five-year-old son is healthy, but the unpredictable environment at home is a concern for emotional wellbeing.

Subramani was increasingly isolated not just by his condition, but by fear. For six months, his wife has not given him a bath. Not because she did not want to, but because she was terrified. What if the water triggers a seizure? What if she could not handle it alone? What if something goes wrong? Subramani’s struggles with dignity and his wife's struggles with guilt and helplessness grew with each passing day.  The OBLF GPC Nurses took notice. They didn't come with judgment. They came with knowledge, steady hands, and reassurance. They carefully bathed him, attending to every detail of his hygiene with a gentleness that had been missing from his world. But more importantly, they showed her that it could be done, with care and dignity.

More than just Subramani's physical comfort improved that day. His wife's invisible burden lifted slightly. She learned that being a caregiver did not mean suffering alone in silence. And that the right healthcare and support could transform a patient's quality of life. 

Healthcare delivery for OBLF is not just helping one person or patient alone; it is assisting their caregiver, their dependents, and working to alleviate the emotions and pain for all.

2. Trust and Continuity: Mahadevappa’s Journey

Mahadevappa, a 52-year-old resident, welcomed the OBLF Public Health team into his home with warmth and ease, sitting cross-legged on a table. He greeted the team  with a smile, eager to share his experience. Reflecting on his interactions with OBLF clinics, he spoke appreciatively about the care he receives. He noted the clean and well-organized setup of the clinics and highlighted how the doctors take time to ensure patients feel comfortable.

“I really like the neat, organized way the clinics are set up. The doctors make us comfortable and interact with us in depth,” he shared. Since becoming a regular attendee, Mahadevappa has shown improved adherence to his treatment. He reported that he now consistently takes his medications for both blood pressure and diabetes, an important step toward better managing his chronic conditions.

Through consistent follow-up and positive clinical experiences, Mahadevappa’s journey highlights how accessible and empathetic care can lead to meaningful behavior change and improved health outcomes.

3. Restoring Strength, Reclaiming Dignity: Rathnamma’s Story

In a small village in Anekal taluk, lived a determined woman named Rathnamma. At 60+, she had already lived a fulfilling life, but fate had other plans. A stroke four years ago left her left side weakened, and her life took an unexpected turn. As a widow living alone, Rathnamma faced unimaginable challenges. Her passion for making nippattu (a snack), a staple in many households, was her solace, but her physical limitations forced her to rely on government pension, barely enough to make ends meet.

One of our community health workers identified her and introduced her to the OBLF-GPC team at Anekal Government Hospital's monthly clinic. Initially, Rathnamma struggled with dizziness and weakness, but the team's dedication and care put her at ease. They helped her manage her blood pressure and blood sugar levels, and she began taking her medicines regularly. With her physical strength returning, the team helped her in physiotherapy sessions. Her physiotherapists worked tirelessly with her, teaching her exercises to strengthen her muscles and improve her balance. The road to recovery was long, but Rathnamma was determined. With the support of the GPC team and the community health workers, she persevered.

Ten months later, Rathnamma's hard work paid off. She could walk independently, her joint stiffness had reduced, and her strength had returned. But more importantly, she had regained her confidence. She dusted off her old nippattu-making equipment and began selling her delicious creations once again. 

Today, Rathnamma is an inspiration to her community. Her story is a testament to the power of resilience, hope, and community support. She is a shining example of what it means to live life on one's own terms, despite adversity. As she says, "I may have lost my strength, but I did not lose my spirit."    

                                      OBLF Remedy Program: A Public Health Initiative

                                                                  Quarterly Report

                                                          October to December 2025

                                                                  Submitted by

                                                      One Billion Lives Foundation

   Executive Summary

One Billion Lives Foundation (OBLF) continued to strengthen accessible, community-based healthcare delivery across Anekal Taluk and Bengaluru Urban District through integrated interventions in Non-Communicable Diseases (NCDs), Geriatric and Palliative Care (GPC), Mental Health services, and palliative care at Sir C. V. Raman General Hospital.

During Quarter 3 (October–December 2025), OBLF delivered healthcare services through a combination of mobile clinics, community screenings, facility-based services, and home-based care, ensuring continuity of treatment for vulnerable populations. The NCD programme prioritised early detection and prevention, reaching over a thousand individuals through screenings and consultations, supporting treatment adherence, and facilitating referrals for advanced care. Community-based outreach enabled the identification of at-risk individuals, reinforcing a preventive approach to chronic disease management.

The Geriatric and Palliative Care programme provided compassionate, multidisciplinary support to elderly individuals and patients with chronic and life-limiting conditions. Through regular home visits, community consultations, and centre-based services, the programme improved symptom management, mobility, and quality of life while supporting caregivers and families.

At Sir C. V. Raman General Hospital, OBLF continued to strengthen the only government palliative care facility in Bengaluru. Clinical services, physiotherapy, and counselling were complemented by extensive capacity-building initiatives for hospital staff, contributing to the institutionalisation of quality palliative care within the public health system and improving access for urban and migrant populations.

The Mental Health Programme expanded access to community-based mental healthcare through early identification, counselling, psychosocial support, and facilitated psychiatric consultations. By combining home-based follow-ups, caregiver engagement, and frontline worker training, the programme addressed stigma, improved treatment adherence, and ensured sustained engagement with care.

Overall, Quarter 3 reflected OBLF’s integrated, system-strengthening approach to healthcare delivery one that combines prevention, treatment, and rehabilitation while working closely with government partners. With continued donor support, these efforts are contributing to more resilient health systems and improved health outcomes for the communities.

OBLF Public Health Initiative: A Comprehensive Overview

The OBLF Public Health Initiative continues to drive significant improvements in community well-being by addressing critical needs in non-communicable disease care, palliative geriatric support, community mental and and health. Through a blend of community-based clinics and personalised home visits, we ensure that compassionate, high-quality healthcare reaches those who need it most especially individuals traditionally excluded from mainstream services. Nurse assessing the patient during a home visit.

Our multidisciplinary team works in close collaboration with partners and local stakeholders, consistently adapting and strengthening our model based on ground-level feedback and evolving community needs. As the initiative grows, we remain deeply committed to expanding access, elevating the standard of care, and equipping communities with the knowledge and support required to lead healthier, more resilient lives.

During Quarter 3, OBLF continued to strengthen community-based healthcare delivery across Anekal Taluk and Bengaluru Urban District, with a focused emphasis on Non-Communicable Diseases (NCDs), Geriatric and Palliative Care (GPC), Mental Health services, and secondary-level palliative care at Sir C. V. Raman General Hospital. Through mobile clinics, community outreach, facility-based services, and home-based care, the programme ensured continuity of care for vulnerable populations while strengthening government health systems.

1. Non-Communicable Disease (NCD) Programme

With nearly one in four Indian adults aged 30–70 at risk of premature mortality due to major NCDs, our program prioritizes the prevention and management of NCDs particularly diabetes and hypertension. We adopt a comprehensive, end-to-end prevention-and-care model that integrates community-based screening for early detection and risk reduction; mobile medical clinics for timely diagnosis, treatment, and access to essential medications; and structured referral support for advanced and specialized care.

Our multidisciplinary team of doctors and paramedical professionals conducts regular village-to-village outreach through scheduled clinics, while trained frontline health workers ensure continuous, doorstep-based care through follow-ups, adherence support, and health education within the community. This integrated approach enables sustained engagement, improves treatment continuity, and strengthens long-term health outcomes for vulnerable populations.

During Quarter 3, the NCD programme focused on early detection, continuity of treatment, and prevention of disease progression through a combination of mobile clinics, community screenings, and structured follow-ups.

Across the quarter, over 30 mobile NCD clinics were conducted across multiple villages, delivering approximately 800+ medical consultations. These clinics primarily addressed hypertension and diabetes, including patients with co-morbid conditions. Community-based screenings complemented clinic services, enabling the early identification of individuals at risk (pre-hypertension and pre-diabetes), who were subsequently given guidance and follow-up pathways.

More than 1,200 individuals were screened through clinics and outreach activities during the quarter. Of those diagnosed, 700+ follow-up consultations were provided to ensure treatment adherence, medication continuity, and lifestyle modification support. Diagnostic services such as blood pressure and blood sugar testing were integral to care delivery, with over 1,400 diagnostic tests for blood sugar and blood pressure were conducted during the reporting period.

The programme also supported access to essential medicines, distributing close to 850 units of consumable medicines during Quarter 3. Patients requiring advanced care were referred to secondary and tertiary health facilities, with active follow-up by the field team to ensure continuity of treatment.

Through these efforts, the NCD programme strengthened community awareness, improved early detection, and reinforced a preventive, patient-centred model of care.

2. Geriatric and Palliative Care (GPC) – Community and Anekal Taluk

With almost 75% of India’s elderly population affected by one or more chronic illnesses, the need for comprehensive and compassionate palliative care is critical. In response, OBLF has partnered with the National Health Mission to strengthen and expand palliative care services through the GPC programme. The programme delivers a continuum of care encompassing geriatric, chronic, and end-of-life support, anchored in a structured, multidisciplinary care model.

The OBLF GPC program provides comprehensive, patient-centred services to address the medical, and supportive care needs of elderly individuals and those with chronic or life-limiting conditions. Services include regular outpatient and community-based clinics, home-based care for patients with limited mobility, pain and symptom management, medication support, physiotherapy, counselling, and referral coordination for secondary and tertiary care. Outreach services form a core component of the program, with frontline health workers conducting home visits, community screenings, follow-ups, and caregiver support to ensure continuity of care beyond hospital settings. Through an integrated and compassionate approach, the GPC program enhances quality of life, improves access to care, and supports patients and families within their own communities.

The Geriatric and Palliative Care programme continued to provide compassionate, home-based and clinic-based care to elderly individuals and patients with chronic and life-limiting illnesses. During Quarter 3, the GPC team delivered over 400 follow-up consultations, including home-based palliative care visits, community consultations, and centre-based services. These services addressed pain and symptom management, mobility support, nursing care, counselling, and caregiver guidance.

Approximately 150–200 home visits were conducted during the quarter, ensuring access to care for patients who are bed-bound or unable to travel. Physiotherapy services were integrated into home-based care, improving functional mobility and quality of life for patients with chronic conditions.

The programme maintained close coordination with frontline health workers and government facilities, enabling effective referrals, follow-up planning, and continuity of care. Regular multidisciplinary reviews ensured that patient needs were addressed holistically, combining medical, rehabilitative, and psychosocial support.

3. Sir C. V. Raman General Hospital – Palliative Care Services

OBLF operates the Palliative Care Department at Sir C. V. Raman General (District) Hospital in Indiranagar, Bengaluru. Since July 2024, this facility has been the only secondary-level public hospital in the city to offer dedicated palliative care services, playing a critical role in addressing the needs of patients with life-limiting illnesses and their families. The Palliative Care Ward at C. V. Raman Hospital was inaugurated in the presence of Dr. Avinash Menon Rajendran, Mission Director of the National Health Mission, marking an important milestone in strengthening public palliative care services. The hospital serves a large catchment population, and OBLF’s outreach activities have already reached a significant segment of the community.

Our multidisciplinary medical team has provided ongoing care to a wide range of patients through multiple service delivery platforms. These include inpatient and outpatient care, community-based clinics, physiotherapy, home-based care, and counselling services, ensuring comprehensive and dignified support for individuals with serious and life-limiting illnesses.

At Sir C. V. Raman General Hospital, OBLF continued to operate and strengthen the only  government palliative care department in Bengaluru. During Quarter 3, over 65 patients were screened for palliative and geriatric needs at the hospital, with more than 60 patients enrolled for structured follow-up care. A total of 150+ follow-up consultations were provided through outpatient, inpatient, home-care coordination, physiotherapy, and counselling services.

The department conducted over 20 palliative care clinics, serving as a key platform for multidisciplinary care and caregiver engagement. Physiotherapy services were expanded during the quarter, including home-based rehabilitation support for patients with mobility limitations.

Capacity building remained a core focus. Nearly 50 training sessions were conducted for hospital staff, strengthening institutional knowledge and skills in palliative care delivery. Doctors and nurses were also enrolled in nationally recognised palliative care certification courses, contributing to the long-term institutionalisation of quality palliative care within the public health system. Community outreach through Namma Clinics and awareness sessions further improved visibility and utilisation of palliative care services among urban and migrant populations.

4. Mental Health Programme

An estimated one in seven people (around 15%) live with a mental health condition, highlighting the urgent need for accessible and community-based mental healthcare. Responding to this need, OBLF launched its Mental Health (MH) Programme with a strong emphasis on early identification, localised care, and continuity of support. By closely collaborating with government health systems and local panchayat institutions, OBLF has established a trusted, community-anchored care ecosystem.

The OBLF delivers comprehensive, community-based mental health services aimed at promoting wellbeing, preventing mental health issues, and providing timely support for individuals experiencing psychological distress. Services include awareness and screening for common mental health and severe mental conditions, psychosocial support, and referral for specialised care. The program also conducts structured capacity-building initiatives for frontline staff to enhance their ability to identify and manage mental health concerns in the community. Outreach services, including home visits ensure early detection and continuous follow-up. By integrating preventive, promotive, and rehabilitative approaches, the program strengthens mental health literacy, empowers communities, and ensures care is both compassionate and accessible.

The Mental Health Programme continued to strengthen community-based mental healthcare, focusing on early identification, stigma reduction, and continuity of care. During Quarter 3, the programme supported over 200 individuals identified with mental health needs, including common mental disorders, severe mental disorders, and intellectual disability/epilepsy. Services were delivered through counselling, psychosocial support, medication linkage, and facilitated psychiatric consultations.

Across the quarter, over 500 follow-up consultations and psychosocial support sessions were provided, ensuring sustained engagement with care. Approximately 150 individuals received structured counselling or mental health follow-up, while caregivers were actively engaged and supported through training and stigma-reduction initiatives.

Psychiatric consultations were facilitated through partnerships with government hospitals and private institutions, alongside in-house psychiatric support for patients facing barriers to access. Regular home visits played a critical role in improving treatment adherence and reducing drop-outs linked to stigma and social challenges.

Capacity-building efforts included multiple training sessions for frontline staff, strengthening their ability to identify mental health concerns early and provide appropriate community-level support.

Key Outcomes and Impact

This reporting quarter demonstrated the strength of OBLF’s community-anchored model of care, combining preventive screenings, clinic-based services, home-based follow-ups, and strong referral linkages with government health systems. During Quarter 3, over 2,000 individuals were reached across programmes through screenings, consultations, and follow-up care, ensuring timely access to essential health services. A sustained focus on early identification, continuity of treatment, and multidisciplinary collaboration enabled patients to receive holistic, dignified, and patient-centred care.

 Capacity building remained a critical enabler, with 50+ training sessions conducted for frontline workers and hospital staff during the quarter, strengthening service quality and supporting the long-term institutionalisation of care within public health facilities. Targeted community outreach, combined with caregiver engagement, helped reduce stigma particularly in mental health and palliative care while improving treatment adherence and strengthening trust between communities and the public health system.

Overall, Quarter 3 outcomes reflect meaningful progress toward building resilient, inclusive, and sustainable healthcare systems. With continued support from partners and donors, OBLF is well positioned to scale impact, deepen government collaboration, and further improve health outcomes for vulnerable communities in the coming quarters.

Way Forward

Building on the progress achieved during Quarter 3 (October–December 2025), OBLF will continue to strengthen its integrated, community-centred healthcare model while deepening collaboration with public health systems. The coming quarters will focus on scaling early identification efforts, expanding home- and community-based care, and strengthening continuity of treatment across NCD, geriatric and palliative care, mental health services, and palliative care at Sir C. V. Raman General Hospital. Sustained investment in capacity building for frontline workers and hospital staff will remain a priority to further improve service quality and institutionalise care within government facilities. By reinforcing referral pathways, caregiver engagement, and community outreach, OBLF aims to reach more vulnerable populations, enhance quality of care, and contribute to more responsive, inclusive, and sustainable healthcare systems with continued partner support.

• Quarterly Progress Report (DOCX)