1. Setting up
Tele - Pharma Services
Team
Siddhesh Juvekar
Shraddha Shet
Prashanti Polpalli
Mobina Aghariya
Prathamesh Khot
Manthan’s Theme 14 : Healing Touch:
Universalizing access to quality primary healthcare

2. 2
Major Reasons for Deprived Health Care
• Women’shealthcare
at stake
• Caste discrimination
of SC, ST
• Discrimination
amongstrural and
urban areas
DISCRIMINATION EXPENDITURE
•Low out of pocket
expenditure
•Poor investments
•Low investments in
Generics
LACK OF AWARENESS
No knowledge about
• diseases
• Health Policies
• Facilities available
OUT OF REACH
• Doctor’s availability
• Patient counseling
• Medicines forserious
diseases

3. 3
Solution Prospect
• Pharmacist as an alternative to Doctor’s unavailabilityin
primary health treatment
For people to approach for first counseling on their health problem.
For giving medicationwithout waiting for doctor’s prescription.
Training staff in the Centre.
• Making Generic medicine available
Being cheaper than the branded medicines would be preferredby the
patients.
Also the consumptionof generic medicine products would increase
thus boosting its production.
• Developing Plural medicine system for access to people
For people who prefer plural medicines like Ayurvedic,
Homeopathy, Unani etc. Crude drug stores can also be managed.
• Emergency medicine service for delivery of medicine
This would help in reaching to remote areas on immediate demand.
• Setting up community pharmacy
This would be essential in bringing up the communities deprivedof
health care by involvinga representative of their communityand
traininghim in the Centre’s work.

4. 4
Resources for Tele- Centre Setup
• Developing strategies for Centre location and
its functioning
• Generic Medicines supply
• Medicine supply of Allopathic and of other
allied branches
• Employee recruitment
• Transport

5. 5
Medicines
• Cost effective medicine by moving for generic medicine,
selling medicine at subsidized rate, extending the health
schemes for these Centre
• Medicines effective in primary as well as chronic health
problems should be purchased
• Allopathic medicines like Paracetamol, Metaprolol, Ranitidine
• Ayurvedic crude drugs like Rauwolfia, Pilocarpus, Withania
• Homeopathy crude drugs like Aconite, Belladonna, Chameli
• Unani crude drugs like Badam shireen, Fifil siyah, Dudhi
khurdi
• Nutraceuticals and Over the counter drugs

6. 6
Comparative cost of
Generic and Branded

7. 7
Employee Recruitment
• Pharmacist
- Interns / Graduates : For emergency services and consulting purpose
- Diploma : Handling Tele-Centre stores
• Store stock managing staff
- To have a check on the state of the store, medicine products
• Community representative
- In case of rural or tribal area so as to bridge the gap between the people and
the health care
• Two graduates along with two community representative (one trained for managing
stores in the Centre and one for connecting with people) will be preferred

8. 8
Setting up
Tele-Centre
• States like UttarPradesh,
Chattisgarh,North east region,
Maharashtrashow low numberof
doctorsavailablefor health
consultancy
• Theseare the areas where
immediatehelp of pharmacist is
required
• Centre could be setup in the to
Governmenthospitalsor near to
any otheraccessibleplace
• Facilitieslikeseparateshelves for
allopathicmedicine
• Separatesection Ayurvedic,
homeopathy,unani drugs etc.
• Transportation and
telecommunication facility should
be availablefor 24 hours

9. 9
Funds and Cost Factor
• Funds for the plan can be collected from NGOs, trusts, newly developed hospitals
and from public partnership
• Venture capitalists can be approached if they do not demand for higher return
Categorizing the investments into groups the following cost is estimates:
• Medicine : INR 75 lacs p.a. (including generic, branded medicines and medicines of
all branches)
• Staffs: INR 8 lacs p.a.
(Considering two Pharmacy graduates and two community representatives)
• Centre facility and functioning: INR 5 lacs p.a.
(Includes Centre management cost, Store cost etc.)
• Transportation: INR 12 lacs p.a.
(For emergency delivery of drugs, collection of drug
from distributor and delivering drugs to remote areas.)
A total for the plan would come around INR 1 crore p.a.

10. 10
Pros
•Reducing exclusion and social
disparities in health by incorporating
training of representative of the
neglected community
•This would also boost employment
opportunities
•organizing health services around
people's needs and expectations by
emergency medicine delivery
•Increase generic medicine uptake
•Developing 24 hour health consulting
services operated by
the pharmacist.
•Promoting health awareness
amongst the people by
campaign and other
initiative
Cons
• Generic medicine may not be
available for every disease
• Setting up telecommunication in
certain rural areas may not be
possible
• Fund raising for implementation
• Gaining support from people in
terms of participation as
representative
• Getting trained professionals
Conclusion:
The Cons areless as compared to the
pros. Thecons can be greatly reduced
by implementingnew technologyand
gettingmotivated professional

11. 11
References
• R. Srinivisan, HEALTH CARE IN INDIA - VISION 2020 ,ISSUES AND PROSPECTS
• National Rural Health Mission
• Singal G L et. Al. A comparative evaluation of price and quality of some branded versus
branded-generic medicines of the same manufacturer in India, Indian Journal of
Pharmacology, Vol. 43, No. 2, March-April, 2011, pp. 131-136
• thehindu.com
• letshelpindia.com