Healing Touch: Universalizing
Access To Quality Primary
1. Swami Yogesh
2. Phad Rohit
3. Bharti Sandip
4. Kharosekar Chaitanya
5. Chame Gajanan
College: Govt College Of
Current HealthCare Situation of India:
• Lack of integration of sanitation,hygiene,nutrition and
drinking water issues.
• Govt’s pu li spending on health is 0.9% of GDP.
• Hospitalized Indian spend on an average 57% of their annual
• Only 10% Indians have some form of health insurance
• Lack of coordination and integration in healthcare.
• Over 40% of hospitalized Indians sell assets to cover
• Over 25% of hospitalized Indians fall below poverty line
because of hospital expenses.
• Lack of efficiency,accountibility,effectiveness in Govt health
Healthy citizens are the greatest asset any country can have.
Public Health Service In Rural Area(In PHCs)%
Infant Mortality Rate
Rich Poor Gap (In %)
Per Capita Expenditure On Health(In $)
Proposed Solution: Health Card Scheme
• One scheme covering all citizens
• Universalizing health data
• Health card for easy access to healthcare
• Inclusive participation of citizen
• Electronic health card assigned to every citizen
• It will be read by barcode reader system
• All his/her primary medical credentials and medical history
would be associated with it
• One Primary health center for each village in rural areas.
And One Village Hospital for adjacent five health centers.
• Process can be made online ,so that medical information
related to patient can accessed anywhere in the country.
• Strengthening capacities for data collection, assessment and
review for evidence based planning, monitoring and
Village Hospital One Medical Practitioner
& One intern & Staff
additional facilities &
Medical Specialists &
Center 1 Doctor,Health Activist,
Govt District hospital plus
private allied hospitals,ICU
PROPOSED HEALTH CARE HIERARCHY
Mechanism Of Implementation
HEALTH CARD SCHEME HEALTH INSURANCE
• Families paying health insurance will get
electronic health card.
• Distribution of health card will be
monitored by district collector.
• Inclusion of Primary database eg blood
group,HB,weight,height in health card.
• Each time patient visits PHCs, his
medical history will be updated
accordingly. Eg prescription, disease etc.
• Management of this huge health
database will be online and managed by
private software institute.
• Govt will collect Rs 50 per family per
month as health insurance.
• Collected by grampanchayat and
deposited to health ministry.
• Free treatment and operation in any
village, taluka or district hospital.
• Patients who needs severe operations
will be operated free of cost in Govt
allied private hospitals. Govt will use
collected health insurance money in
• Prevention of child foeticide : Each time mother comes for check up about her pregnancy, doctors
can monitor her monthly progress. And this can be continued until baby borns.
• Monitoring of epidemiology : Some diseases are more common in certain geographic areas, among
people with certain genetic or socioeconomic characteristics, or at different times of the year.
So according to data available doctors can predict about disease, their causes and advice accordingly to
maintain hygienic environment to concern areas.
Primary Health Center(PHC)
• One Health Activist and ASHA(Accredited Social Health Activist) currently working
under NRHM to help medical official.
Medical Official in PHC :
Responsible for implementation of all Govt schemes under PHC.
All Primary healthcare and treatment in village.
Accountable to Grampanchayat &Answerable to higher authority
Submit health progress of village.
Will recommend cases under health insurance to specialised hospitals
Permanent employee of Government.
Should be Bachelor of science
Should be trained by Govt to provide primary treatment.
Can handle primary health issues in villages by himself and can provide first aid
treatment for critical cases.(e.g. Wounds during minor accidents, minor
Regular health check-up of primary school students.
Should spread social awareness regarding sanitation, health consciousness etc.
Resources & Consumptions
• Human resources required:
Considering existing system only additional health activist will require in each PHCs.
This will helpful for local employment.
Expenditure on Infrastructure development:
• Expenditure Share-> 70:30 Center:State
• Total no of villages in India=6,38,000 that is 6,38,000 PHCs
• Salary of Health activists : 5000*6.38lack =319 Crore
• Technical Infrastructure(Computer,internet access,databse
management): 1000 Crores
• Considering existing infrastructure expenditure may reduce
Financial Management :
• Average families per village=400
• Total money collected per village =400*50=20,000 Rs
• Total money collected in India per month = 1276 Crore Total
• This money will be used in Health Insurance.
Long Term Objectives
• Maternal Mortality Rate 100
per 1,00,000 live births .
• Infant Mortality Rate 30 per
1000 live births.
• Total Fertility Rate 2.1
• GRAM SWACHHATA
competitions at district
• Expenditure on health
development to 5% of GDP
• Increase in HDI(Human
• Health consciousness through Primary
• Total sanitation Programs.
• To Make PHC’s a ounta le to pu li .
• Provide more facilities to medical
officials serving in rural areas.
• Develop better transportation facilities
to connect villages to nearest
• Formulation of transparent policies for
deployment of Human Resources for
Impact Of Scheme
Criteria To Measure Impact:
• Maternal Mortality Rate
• Infant Mortality Rate
• Total Fertility Rate
• Nutritional Balance
• Integration with other Govt schemes
such as Midday Meal,NRHM,FSB.
• Autonomy to local medical officials
to improve scheme according to
• Develop Technical infrastructure
• Compulsory internship in rural areas
• Increase confidence and awareness
in citizens about Govt health
• Coordination and integration in
health care hierarchy.
• Health officials will discuss health
schemes in Gramsabha.
• Make PHCs accountable to committee
under district collector and district
• Committee will submit monthly
monitored report to health ministry.
• Regular visits of specialist and expert
medical officials to PHCs
• Need of strong technical infrastructure
• Active participation of villages
• Transparency in insurance schemes
• Technical Education to health activist
• Inclusion of expertise of private multispecialty hospital
• Efficiency in distribution of health card
• Corruption in management of insurance money
• Malpractices in insurance scheme
• Possibility of health activist to join private hospitals after
being trained by Govt
• Database loss
• Regular audits by independent committees
• In lusion of NGO’s and College students to spread
• Social activities such as street plays, NSS camps in rural
• Permanent bonds for health activist.