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1. Manthan Topic : Healing Touch
Universalizing access to quality
primary healthcare
Team Details : Arjun Jaiprakash
Jatin Agarwal
Disha Agarwal
Swathy Babu
Maneesh Mohan
( Christ University Bangalore )
2. Current Healthcare Landscape
• 103,000 crores / annum spend on healthcare.
• 5.2% of GDP
• 17,000 Crores on retail Pharma. market.
• This spending matches that of other developing
countries as a percentage of GDP but low on as
per capita basis.
• The ratio of hospital beds to people is 9:10,000.
Below are our Suggestions / Steps to Universalize Primary Level Healthcare.
3. E - Consultation
PLOT
• Patients in remote
localities can consult
specialists in urban
areas through video
calling.
• All rural clinics needed
to be installed with
necessary equipment,
i.e Computer, Internet
connection.
OUTCOME
• Access to specialists
consultation in the
most remote
locations.
• Timely discovery of
illness.
• Save number of lives.
People in rural areas may be allowed to consult the doctors free of costs.
Doctors should mandatorily engage in giving free “ E - consultation “ for a fixed number of hours per week.
4. E - Inventory
PLOT
• Stock of all medicines in Govt.
clinics are needed to be
maintained in computers.
• Quantities of drugs to be
maintained in every clinic as
per locations to be preset by
MCI.
• Order for medicines would be
dispatched automatically as
and when quantity reduces.
OUTCOME
• Prevent unavailability of
drugs.
• Prevent malpractices like
black marketing of medicines.
• Faster and smoother
functioning in all aspects.
Central
database
Local
Inventory
Patient
5. Bar-coding Prescriptions
PLOT
• All patients need to have
an ID card/ Number.
• All prescriptions issued
need to have a bar code.
• A bar code reader would
reveal the drugs
prescribed to the patient
along with his/her
identity.
OUTCOME
• Prevent the patient from
being given wrong drugs.
• Enable to keep medical
history of a person for
future references.
• Prevent misuse of people
from buying subsidized
drugs in bulks.
Patient
Clinic
Medical
History
6. Mrp. On Testing
PLOT
Unnecessary Medical
test are prescribed by
doctors at times so as
to get commission from
testing laboratories.
Commissions may range
from 30 – 50%
Forcing laboratories to
charge double for
performing tests.
Actions Towards Future
Strict laws by MCI
Suspend doctor’s
licences.
Maximum charges for
each test is needed to
be fixed.( Considering
required profits for
Labs.)
OUTCOME
Cheaper and affordable
tests.
Prevent patients from
undergoing
unnecessary tests.
7. Mobile Medical Facilities
PLOT
Mobile medical vans should
be provided in the rural as
well as slums near the urban
areas. This way people will be
able to get access to primary
healthcare.
A good number of vans are
required to make this plan
successful.
Actions
Must contain all required
equipment to deal with and
assist casualties.
Must contain one driver and a
nurse.
Cost of vehicle and supplies:
Rupees 3.5 lakh to 4 lakh per
unit.
Area of initial
implementation:
Mumbai because of:
Large number of slums and
rural areas.
Lack of medical facilities to
these areas due to wide
reach.
Lack of adequate hospitals in
comparison with area of state.
8. Equidistant Clinics
PLOT
• If clinics are provided at
an equal distance in the
rural areas then would
be beneficial for the
people and society and
large.
• Clinics at an equal
distance of 5 km will be
optimal.
OUTCOME
• Access to health care
facilities for public in
both rural & urban areas.
• Would ensure
universalizing primary
healthcare.
• Combined with the
mobile healthcare
facilities this is going to
be a success if
implemented properly.
9. Cashless deliveries for
pregnant women who
are registered under
the Janani Shishu
Suraksha Yojana
free medicines, blood,
consumablesand
diagnosticsand free diet for
3 & 7 days post delivery.
Under NRHM TB
medicines; made
available free of cost.
provided the patient is
confirmedpositive for
TB by a qualifieddoctor
and is registeredwith
the Revised National
TuberculosisControl
Program(RNTCP).
Current expenditure = 250 cr
New scheme cost = 800 cr
15 lakh new cases of TB every
year
The Congress-led Scheme &its grand goal
of providing free health care
In Short
More of such schemes
are needed to be
implemented.
Initial investment of 1300 Cr under National Rural
Health Mission (NRHM) different states
purchase medicines for poorest patients, free of
cost.
Focuses on 18 states - Arunachal Pradesh, Assam, Bihar, Chhattisgarh, Himachal Pradesh, Jharkhand,, Jammu and
Kashmir, Manipur, Mizoram, Meghalaya, Madhya Pradesh, Nagaland, Orissa, Rajasthan, Sikkim, Tripura, Uttarkhand
and Uttar Pradesh.
