The rescue ship – a solution to the GP crisis?

Over the past several years, Lithuania has implemented a comprehensive national strategy to combat high suicide rates by shifting from a medicalized approach to community-based support. One such strategy is Sidabrinė Linija, or Silver Line, a nonprofit offering free support to isolated seniors by matching them with a “befriender” who shares some of their interests. Since its inception, Silver Line has befriended 6,000 seniors. As a result of combined efforts from multiple initiatives, Lithuania’s suicide rate has dropped from 44 per 100,000 residents in 2004 to 19.5 per 100,000 today.

Local organizations are working with the Department of Health and UNICEF to eradicate polio in Taraba state. By collaborating with community leaders, they’ve been able to spread positive information about polio vaccines, encouraging more families to vaccinate their children.

Modeled after a similar program in Costa Rica, Neighborhood Nursing has teams of nurses and community health workers who host weekly visits throughout the community to provide free medical care — particularly preventative care — to those who need it. Neighborhood Nursing has helped build trust between residents and healthcare workers and aims to serve more than 4,000 people within the next year.

The Boresha afya ya mama na mtoto (improve the health of mother and child) program works to reduce maternal and infant mortality rates by connecting mothers with community health volunteers. These volunteers provide important education on topics like antenatal care and also help to increase access to immunization services. When the group formed in 2018, 531 women died during childbirth or pregnancy, but as of 2023, that number has dropped to 344 thanks to the program’s initiatives.

The Detroit Wayne Integrated Health Network launched a series of mobile response vans that travel to area parks, libraries and neighborhoods to address the community’s growing mental health needs. The vans are intended to more proactively reach people experiencing a mental health crisis and minimize emergency room visits and police confrontations by getting them the appropriate care.

Dental offices like Asian Health Services are starting to incorporate mental health care in their dental services. By observing changes in oral health, building trust with patients to talk about their mental health and having them fill out questionnaires about how they’ve been feeling, dentists are able to identify patients that may be struggling and then help connect them with therapy and treatment. Asian Health Services screens 300 to 400 patients per year, about 7% of which are then referred to counseling.

Care Ring, in collaboration with other organizations like the University of North Carolina School of Nursing, launched The Bridge, a community-based healthcare initiative that aims to make preventive care easier to access. The Bridge features a mobile care unit that provides free health screenings, counseling support and connections to community resources. Since December 2022, The Bridge has provided care to more than 100 people, 39% of which didn’t have a regular doctor.

Leadership groups formed by sex workers are helping to reduce HIV rates by traveling door to door and hosting meetings to educate people on HIV/AIDS awareness and how those with the disease can care for themselves, encouraging regular visits to clinics and antiretroviral therapy use. The program began in 2013 and now has 12,000 sex workers from around the country who are trained to provide aid and advocate for those with HIV.

Worker-owned home-care cooperatives are emerging as an alternative to the for-profit agencies that dominate America's direct-care sector. In these cooperatives, professional caregivers earn an average of $2 more per hour than the industry standard, share in business decision-making, and stay on the job at nearly double the rate of workers at traditional agencies. Patients also stay with co-op agencies twice as long, suggesting higher satisfaction and quality of care.

Nepal has built one of South Asia's most successful eye care systems through a community-driven model spearheaded by the Nepal Netra Jyoti Sangh (NNJS). Rather than relying on government funding, Nepal leveraged NGO partnerships, community donations, and deliberate human resource development to expand access to affordable eye care. In 2024 alone, over 3.2 million people received treatment at NNJS-affiliated hospitals.