Vol. 14, Issue 9 (2025)

Author(s):
Fakeha Firdous K, Waseem Ahmed HM, Arisha Shahid, Shazia Farooqui and P Noushad

Abstract:
Background: The SCSP mobile outpatient departments (OPDs) play a critical role in delivering healthcare to underserved urban and rural slum populations. However, these services face numerous challenges, including infrastructural limitations, language barriers, cultural resistance, and difficulties in patient engagement. Addressing these barriers is essential to improving healthcare access and effectiveness in these settings. Methods: Data was collected through phone interviews with SCSP team workers who operate mobile OPDs in urban and rural slums. Their firsthand experiences provided insights into operational challenges, patient responses, and potential solutions to enhance service delivery. Results: Key challenges identified include poor infrastructure, limited resources, and social barriers that hinder effective healthcare delivery. However, leveraging technology such as real-time consultations and electronic health records can enhance efficiency. Training and hiring local healthcare workers improve trust and ensure culturally appropriate care. Collaborations with local governments and NGOs are vital for securing sustainable solutions and expanding coverage. Discussion: Mobile OPDs remain a crucial resource in addressing healthcare inequities in urban and rural slums. By adopting a flexible, community-centered approach and integrating technology, these units can improve access to quality care. Strengthening partnerships with local stakeholders and investing in workforce development are essential steps toward sustainable healthcare solutions in these challenging environments.