Team scamper piramal swasthya

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  • 1. INNOVATION V
    Piramal e-Swasthya
  • 2. General Health Condition in India
    • In 2002 investment in healthcare was only 0.9% of the total GDP.
    • 3. In 2003 the patients treated for malaria were 1.65 million, for leprosy there were 2.4 million people and there were 214 cases of polio.
    • 4. In 2001 India received $1,705 million as aid for the healthcare programs which were only 2% of the total healthcare expenditure by the government.
    • 5. But most of this money go into urban areas and only a small amount is used by the rural areas
  • Insufficient expenditure on healthcare
  • 6. Inadequate human resource
    13
  • 7. Fall of rural Health Infrastructure
    • According to the recent National Rural Health Mission report nearly 8% PHC don't have a doctor while nearly 39% were running without a lab technician and about 17.7% without a pharmacist.
    • 8. The PHCs are supposed to have one medical officer supported by paramedical staff.
    • 9. .While not a single PHC of UP's 3,660 PHCs have either a labour room or an operation theatre.
    • 10. The number stands at 208 labour rooms (13%)
    • 11. Moreover there is a shortfall of 70.2% specialists at the CHCs.
  • Rural-Urban imbalance
    NHA(2004-2005) Report
    Government expenditure on family welfare and other heakth services
    URBAN
    Expenditure of 92,408 million rupees
    RURAL
    Expenditure of 52,970 million rupees
  • 12.
  • 13. Piramal e-Swasthya
    VISION
    To Democratize Healthcare
    MISSION
    To provide reliable, high quality and affordable primary healthcare to no-doctors zones of Rural India
    GOAL
    To enable services in 100000 villages by 2013
    • An initiative by Ajay G Piramal Foundation and a subsidiary of Piramal Healthcare.
    • 14. Inception in 2008
    • 15. Offers a Scalable and Sustainable breakthrough in healthcare delivery models at rural level.
    • 16. Developed in partnership with Prof. NitinNohria of Harvard Business Model.
    • 17. Uses innovative approaches of healthcare delivery like Telemedicine, Clinical decision support systems and village based health entrenpreneurs.
  • Objectives
    Piramal e-Swasthya attempts to make affordable healthcare accessible to India’s rural communities using technology through a sustainable and scaleable service model
    • Use of Technology
    • 18. Sustainable Service Models
    AFFORDABLE HEALTHCARE
  • 19. eSwasthya Working Model
    Local literate women (PiramalSwasthyaSevaks) are recruited undergo a rigorous training programme in which they are trained to collect simple diagnostic information, preventive medicine, first-aid and customer service.
    These women are given a medical kit, marketing material and a mobile phone. They are then assisted in setting up a tele-clinic (Piramal e-Swasthya Centre) at their own homes.
    Villagers who feel ill come to the Piramal e-SwasthyaCenter or are visited by the PiramalSwasthyaSevak. After talking to and examining the patient, the health care worker communicates this diagnostic data through a cell-phone to a centralized call centre.
    At the back end, a call centre worker enters the information provided into a simple e-diagnosis system, which generates an automated response with the recommended prescription and treatment. Doctors manning the call centre also validate this.
    The total treatment costs between Rs.30 - Rs.50 depending on the medical condition.  The Piramal e-Swasthya Centre is also a village level pharmacy stocked with medicines necessary to fill the basic prescriptions recommended by the call centre. If the ailment appears serious, the call centre recommends that the patient visit a secondary or tertiary healthcare facility immediately.
    The healthcare worker also conducts preventive health workshops, which generate awareness about issues such as sanitation, nutrition and first aid.
  • 20. Working Model
  • 21. Differentiation
  • 22. Strengths & Challenges of the Program
    STRENGTHS
    CHALLENGES
  • 23. Telemedicine & CDSS
    • This innovation in service removes the distance barrier in rural healthcare through cutting edge technology.
    • 24. PSS uses mobile to dial up the Nucleus, a telemedicine call centre manned by paramedics & doctors.
    • 25. Paramedics receive the calls and enter information into web based Clinical Decision Support System(CDSS). This has been developed with TCS.
    • 26. CDSS is state-of-the-art clinical diagnosis platform that automates the generation of provisional diagnosis and prescription.
    • 27. Doctors review CDSS generated diagnosis.
    • 28. Prescription communicated to the PSS over the phone and SMS and she dispenses medicines from the kit provided.
  • PiramalSwasthyaSahayika(PSS)
    • Promoting Health Entrepreneurship and Woman Empowerment.
    • 29. PSS recruits and trains and deploys village based women health entrepreneurs, PiramalSwasthyaSahayikas, who enable healthcare access to rural patients.
    • 30. eSwasthya centre is set up in her own home
    • 31. PSS undergoes a 5 day training programme on how to conduct basic health service, use digital equipment, handle mobile usage, accounts and counsel patients.
    • 32. PSS gets 20% of the consultation fees.
    • 33. A field supervisor appointed by Piramal oversees the PSS
  • Sandbox
  • 34. eSwasthya -Sandbox
    Social Equity Focus
    • Eradicates the distance between good and reliable healthcare and rural patients.
    • 35. Makes access to healthcare affordable
    • 36. Healthier rural population
    • 37. Empowerment of women under PSS.
    Global Scale
    • The eSwasthya model of healthcare can be scaled up even on a global platform. The CDSS technology can be used at any level along with telemedicine.
    Environmental Sustainability
    • The eSwasthya model does not hinder the principle of environment sustainability.
  • New Price – Performance Level
    • eSwasthya provides affordable medical services which range from 30rs to 50rs, depending on the type of treatment.
    • 38. At this low price quality is also mantained.
    Transparency in Transactions
    • Under the aegis of Piramal Healthcare, the reputed pharma major, eSwasthya maintains fair accounting practices.
    Rule of Law – Individual Rights
    • PiramaleSwasthya promotes the lawful practice of medical services.
    • 39. It helps in eliminating quacks and maintaining the authenticity od healthcare services in rural lands.
  • Growth
  • 40. Journey So Far
  • 41. Piramal-AshaModel:Way forward
    • First partnership model that PiramaleSwasthya is launching in 2011.
    • 42. Objective is to enable Government(NRHM) appointed ASHA Sahyoginis to provide telemedicine services in their villages.
    • 43. PPP model with district administrations to enable ASHA volunteers work as PSS and leverage benefits of ASHA model an contain its limitations.
    • 44. Pilot project launched in Churu district aministration, Rajasthan for 100 villages of Tarangpur block.
  • Benefits of Piramal-ASHA model
  • 45. Impact
    RURAL ECONOMIC DEVELOPMENT
    • Wage earners eliminate the loss of daily wages due to time consumed in travelling to cities for treament
    • 46. Savings from travel costs and high medical fees charged by private players
    WOMAN EMPOWERMENT
    • Through training of PiramalSwasthyaSahayikas rural women are enabled to earn a living as PSS get 20% of consultation fees
    QUALITY HEALTHCARE ACCESS IN RURAL AREAS
    • Helps in removing Quackery
    • 47. Helps in improvement in general levels of health in rural areas
    BRIDGING THE URBAN-RURAL DIVIDE IN HEALTHCARE FACILITIES
    • Through Telemedicine technology and systems like the CDSS, Rural India can share same medical facilities as in urban areas at their doorstep
  • Thank You
    TEAM SCAMPER
    SomyaBhargava
    ShauryaBhushanTyagi
    SonaliAbrol
    SukeshaSajwan