The document discusses flaws in India's primary healthcare system and proposes solutions. It notes that India spends a low percentage of GDP on healthcare which is concentrated in urban areas. As a result, many rural Indians lack access to quality care. The document proposes a two-pronged strategy of implementing a "Healthpal" program for community oversight of PHCs and increasing staffing and resources at PHCs to improve services, with each PHC serving 3-5 nearby villages. Proper implementation would involve equipping PHCs with examination rooms, labs, and record-keeping software to better serve rural populations.

1. Healing Touch:
Universalizing access to
quality primary healthcare
TEAM – “ BE THE CHANGE”

2. TEAM DETAILS :
1.JEFF WELLESLY
2.TANMOY RAKSHIT
3.SANKHA SAI SANDEEP
4.V.AKILESH
5.DEBARGHYA CHAKRABORTY
COLLEGE : NIT ROURKELA

3. *INDIA SPENDS A MEAGRE 2.5% OF ITS GDP ON
HEALTHCARE WHICH ,COMPARED TO GLOBAL
MEDIAN OF 5% IS APATHETIC.
*ACCORDING TO UNO,75% OF THE HEALTH
INFRASTRUCTURE IN INDIA IS CONCENTRATED IN
URBAN AREAS WHERE ONLY 27% OF INDIA’S
POPULATION LIVES.
*THE PRIVATE MEDICAL SECTOR REMAINS THE
PRIMARY SOURCE OF HEALTH CARE FOR 70% OF URBAN
HOUSEHOLDS AND 63% OF HOUSEHOLDS IN RURAL
AREAS -NATIONAL FAMILY HEALTH SURVEY -3.
*THE RESULT OF NON-FUNCTIONING PHCS HAS BEEN
THAT, IN MANY CASES, DISEASES ARE NOT DIAGNOSED
IN THEIR EARLY STAGES NOR TREATED.THIS LEAD TO
EXPLOSIVE INCREASE IN THE SPREAD OF DISEASES
LIKE HIV/AIDS AND HEPATITIS B AND C.
AN OVERVIEW OF THE FLAWS IN PRIMARY HEALTHCARE SYSTEM OF INDIA
▪ *31 percent of the rural population in India
has to travel over 30 km to get needed
medical treatment
▪ *India has a cumulative shortfall of almost
17,000 PHCs and a concomitant shortage
of 8,500 doctors across centres nationwide.

4. LACK OF RELIANCE ON PUBLIC HEALTH CENTRES
There are a wide range of qualitative and quantitative reasons for people not opting for PHCs
Quantitative issues:
▪ Lack of sufficient amount of PHCs in INDIA
Root cause:
Lack of adequate capital investment and operating capital
Qualitative issues:
Lack of quality health care
There have been a significant number of incidences which has induced a sense of horror in the minds
of public.These incidences vary from immunization-mishaps to Maternal mortality.the doctors apathy can be
known from this article.

5. LACK OF RELIANCE ON PUBLIC HEALTH CENTRES
▪ Doctors in Lucknow hospitals spend less than two minutes
with each patient
▪ Shailvee Sharda, TNN Jul 11, 2013, 03.29AM IST
▪ LUCKNOW: Doctors at super-speciality centres of Lucknow
spend less time with patients than it takes in cooking a pack
of Maggi, i.e, less than two minutes.
▪ The startling revelation has come to the fore during a
random assessment of time spent by doctors with patients
at King George's Medical University and Sanjay Gandhi Post
Graduate Institute of Medical Sciences - the two most
prominent centres of medical facilities in Uttar Pradesh.
Root cause:
Lack of adequate quality-medical personnel.

6. ISTRIB
12,522
286
4,604
9,696
5,076
175
7,274
2,508
2,067
1,907
3,958
8,870
4,575
8,869
10,580
420
405
370
396
6,688
2,950
11,487
146
8,706
632
1,765
20,521
10,356
114
17
50
26
41
14
53
0
5,000
10,000
15,000
20,000
25,000
Series 1 Column2 Column1
DISTRIBUTION OF PHC’S ACROSS STATES

7. PROPOSED SOLUTIONS
•What do we want from our primary healthcare system to be like?
We want the quality of healthcare services to be uniform and standard throughout India. Anyone who goes to a Primary
Health Centre or a Community Health Centre in the Kalahandi District of Odisha should receive the same quality of
healthcare as anyone who goes to a PHC or a CHC in Bandra, Mumbai.
We offer a two-pronged strategy:
“Healthpal”
Healthpal is a mechanism that allows stakeholders to have a say in running primary healthcare services in India. It
involves a panel of qualified volunteers who conduct surprise inspections in the PHCs in that neibhourhood.The report
from the panel can be used to ensure that the PHCs adhere to the set standards.

8. SOLUTIONS
PROPOSALS
*
*Each PHC will have a full time staff
consisting of a paramedic individual
to perform initial screening with the
computer, a trained nurse or
physicians’ assistant, and a laboratory
technician
*A qualified medical doctor will be
Shared between 3-5 PHCs in a given
area.
*Patients visiting PHCs will also be
provided health education by the staff
through posters and through
audiovisual demonstrations
*Increase the effectiveness of
doctors who are willing to
work in rural areas by a large
factor. This can be
accomplished by reducing the
need for doctors in the initial
screening of patients, and by
allocating one physician for
every five PHCs. plans
should be made to
makeworking at PHCs more
attractive and satisfying.
*The government should take keen
interest in finding private partners to
revitalize the PHCs
*video consultation facilities should
be installed in rural health care
centres to consult specialist doctors
.
*existing PHC’s should be furbished.

9. IMPLEMENTATION OF THE PROPOSAL
. * We anticipate each PHC to consist of an initial screening room with a computer,
an examination room for the doctor, a laboratory for medical tests and supplies, and
toilets. The furnishing will be simple, comfortable, and durable.
. *Each PHC will have a full time staff consisting of a paramedic individual to
perform initial screening with the computer, a trained nurse or physicians’ assistant,
and a laboratory technician
. *A software program called EDPS2000 shall assist the technician in maintaining
records of the patients and their illness details
*For the PHCs to be effective, people have to believe that the PHCs are there to
serve them and to provide value. To facilitate this we plan to involve the local
population in the operation and in the community outreach programs

10. REFERENCES:
•Wikipedia.org.
•Times of India(e-paper)
•Censusindia.gov.in
•Forbes.com
•http://www.indianexpress.com/news/untrained-or-trained-
errors-mark-rural-healthcare/1049296/
•http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3093249/