Our Operating Model

From community intelligence to continuity of care.

SCF works through a documented community-health cycle that begins before a screening activity and continues beyond referral. Geography, local relationships, targeted awareness, patient navigation, follow-up and learning form one connected operating model.

01 · UnderstandGeography, population, stakeholders, health resources and risk landscape.
02 · PlanZone, cluster, village roster, team, target group and activity pathway.
03 · EngageSarpanch, ASHA/ANM, Anganwadi, schools, practitioners and community contacts.
04 · IdentifyTargeted awareness, screening where indicated, risk signals and UCID-based case mapping.
05 · ConnectReferral to an appropriate healthcare unit, specialist or public scheme.
06 · SupportNavigation and feasible supported/aided care according to documented need and resources.
07 · Follow-upReferral status, barriers, home visits, continuing care and unresolved needs.
08 · LearnActivity reporting, programme review, village intelligence and the next action cycle.
Geographic Operating Architecture

Zone → Cluster → Village / Community

Zone

Programme geography organised for supervision, scheduling and accountability.

Cluster

Neighbouring villages grouped around practical population, access and travel considerations.

Village Health Intelligence

Population profile, frontline-health network, risk patterns, vulnerable groups, known needs, access barriers and outstanding actions.

Community-to-Care Pathway

The screening activity is one point in a longer process.

Village Entry → Stakeholder Mapping → Health Intelligence → Targeted Awareness → Screening / Assessment → UCID → Referral → Healthcare Linkage → Support → Follow-up → Outcome / Barrier → Next ActionPatient-identifiable records remain controlled operational evidence. Public reporting uses aggregated and de-identified indicators.
Documentation Model

Every stage should leave an evidence trail.

Planning evidence

Programme approval, activity plan, village entry, stakeholder contacts, team roster and mobilisation.

Service evidence

Activity sheet, attendance, screening record, UCID, referral, home visit and follow-up documentation.

Learning evidence

Daily close-out, weekly summary, programme review, unresolved cases, KPI dashboard and annual consolidation.