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steps towards better Healthcare in India

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  • 1. Eligibility: Challenge Area:  All participants must be bona fide 1. Energy students in their 3rd /4thyear from Cities consume 75 percent of the world’s energy. Engineering Colleges in India. Approximately 70 million people move into cities every  Team members can be from different year. India’s energy consumption is estimated to grow by Engineering Colleges in India. five percent every year. The transmission and distribution losses in India are over 30 percent of the total energy Instructions: produced. The acute power shortage has resulted in protracted power cuts across the country. At the same  Choose one of the four challenges time, demand for energy in Indian cities is continually listed alongside. rising. How would you shape the future of Energy?  Use this template to articulate your idea to address the challenge you chose. 2. Transportation Transportation is a challenge in Indian cities. It is  Use font Arial 11 pt with 1.25 line insufficient and the quality is inadequate. In addition, city spacing. roads are congested, which slows down travel. With the population of cities continually increasing, the volume of  Your submission must contain the four traffic is only going to rise, further complicating the mandatory sections and must not situation. exceed the page limits for each section. How would you shape the future of Urban Transportation?  Use the References section to mention sources of information used in your 3. Water idea. Less than one half of a percent of water on earth is available as fresh water. Global consumption of water is  If required you may attach necessary doubling every 20 years, more than twice the rate of supporting diagrams in an optional fifth human population growth. 60 percent of the drinking section called Annexure. water in the globe is consumed in cities. In India, an average of 150 liters/person/day of water is consumed in  Save this document with a file name cities. In most areas, water is supplied for only a few <Challenge Area>_<City of hours every day. In addition, only 30 percent of the total College>_<First Name of Primary wastewater is treated. Team Contact>. How would you shape the future of Water Management?  Your entry should be e-mailed to contact.sisl.in@siemens.com 4. Healthcare /abhijit.goldar@siemens.com / 70 percent of India’s population lives in rural areas. azhivannan.r@siemens.com However, over 80 percent of India’s healthcare infrastructure is available in its cities. Moreover, lifestyle  The last date to send your entry is diseases are on the rise in addition to prevailing June 15, 2012. challenges like infant mortality, tuberculosis, and water- borne epidemics.  Good luck. How would you shape the future of Healthcare?Page | 2Saluber Shape Your Future – Youth University Idea Contest
  • 2. Entry Details Challenge Area* Healthcare Title of the proposed Gradus Felicitas Idea/Solution* Team Name* Saluber Primary Contact – Team Member #1 Name* Stevin Wilson Course* B.Tech Biotechnology E-mail* stevinwilson@gmail.com Phone* +919633429249 Year / Semester 5th semester College* National Institute of Technology Calicut Team Member #2 Name* Course* Year / Semester College* Team Member #3 Name* Course* Year / Semester College* *mandatoryPage | 3Saluber Shape Your Future – Youth University Idea Contest
  • 3. Problem Description (Max. 1 page) India is a diverse country with a large number of communities of different races, ethnicity and culture separated by different geographical terrains. So, a single step wouldn’t lead to a significant improvement of healthcare infrastructure and only a combination of areas of strength can address the situation. Following are the major concerns to Indian Healthcare system: Malnutrition 42% of India’s children below the age of three are malnourished, almost twice the statistics of sub-Saharan African region of 28 %. Malnutrition impedes social and cognitive development of a child and these irreversible damages result in lower productivity. High infant mortality rate Approximately 1.72 million children die each year before turning one.A study conducted by the Future Health Systems Consortium in Murshidabad, West Bengal, indicates that barriers to immunization coverage are: adversegeographic location; absent or inadequately trained health workers; and low perceived need for immunization.Infrastructures like hospitals, roads, water and sanitation are lacking in rural areas. of healthcareproviders, poor intra-partum and new-born care, diarrheal diseases and acute respiratory infections, also contribute tothe high infant mortality rate. Diseases Diseases such as dengue fever, hepatitis, tuberculosis, malaria and pneumonia continue to plague India due toincreased resistance to drugs.And in 2011, India finally developed a totally drug-resistant form of tuberculosis.India is ranked 3rd among the countries with the most number of HIV-infected.Indians are also at particularly high risk for atherosclerosis and coronary artery disease. This may be attributed to agenetic predisposition to metabolic syndrome and changes in coronary artery vasodilation. Poor sanitation As more than 122 million households have no toilets and 33% lack access to latrines, over 50% of the population(638 million) defecates in the open.Open-air defecation leads to the spreading of diseases and malnutrition throughparasitic and bacterial infections. Inadequate safe drinking water Access to protected sources of drinking water has improved from 68% of the population in 1990 to 88% in 2008.However, only 26% of the slum population has access to safe drinking waterand 25% of the total population hasdrinking water on their premises.Water-borne diseases cost the economy 73 million working days per year Rural health Rural India contains over 68% of Indias total population with half of it living below poverty line, struggling forbetter and easy access to health care and services.Health issues confronted by the rural people are diverse andmany - from severe malaria to uncontrolled diabetes, from a badly infected wound to cancer. Lifestyle disorders It has been found that the lifestyle diseases like diabetes and hypertension are killing more Indians than any communicable diseases. The findings made by the World Health Organization (WHO) also pointed out that out of 10 deaths in India, eight are due to non-communicable disease (NCDs). Major lifestyle disorders are- cardiovascular diseases, Cancer, Obesity, Liver Cirrhosis, Hypertension, and Diabetes etc.Page | 4Saluber Shape Your Future – Youth University Idea Contest
  • 4. Solution Description (Max. 2 pages) 1. Freebreakfast at schools in addition to existing lunch scheme from Government. 2. Subsidized nutritious food like milk, bread, cereals etc.from government resources for students. 3. Mobile clinic or ambulance with essential equipment onboard; will be a temporaryrelief to area with acute shortage of physicians. 4. Telemedicine, a system modeled in the same way as 911, for geographically isolated regions and for greater privacy. E- medicines through video chatting. Medical apps for mobile phones. SMS query support so as to gain high penetrance. 5. Making water purifiers available free for schools and at a subsidized rate for offices and homes 6. Increased support for Ayurveda medicines and traditional medications. byallotting a fixed amount of land in every panchayat towards having medicinal plant grove given lease to Ayurveda clinics andalso by financial assistance from public-private funding. This has an advantage in Geographically isolated areas as the medicines have minimum side affects (empowering local) 7. Inducting medical records into Aadar UID and give access to only registered physicians for effective treatment by giving the medical history and previous prescriptions of the patient. 8. National awareness on maternity through workshops. Providingtraining on childbirth and pre-natal care to rural traditional medical practitioners reduces the constraint of geography and financial status. 9. Government funded pest control at every panchayat through individuals enrolled in NREGA after giving them a thorough training. 10. Public toilets with automatic flushing and hand wash with automatic sensor taps and distribution of poopoo™ bags in slums. 11. Increased government funding towards healthcare biotechnology and biomedical institutions to devise ways to high output human genome sequencing at an affordable cost so as to make a transition from symptom- driven medication to a gene-driven medication thereby drastically reducing side affect and greatly increase the efficiency. Comprehensive and continuous evaluation of progress so that research doesn’t end due to neglect. 12. Counselors at every school and offices to counter the issue of hypertension 13. Distribute Condoms through Coin Booth (like Soda booth, public weighing machines) so that buyer gets privacy and thereby prevents STDs to a large extent.Page | 5Saluber Shape Your Future – Youth University Idea Contest
  • 5. 14. Public-Private funded workshops and publications on the nutritional facts of local foodstuff along with articles from nutritionist so as to counter diabetes, obesity, blood pressure and other life style disorders. 15. Inspection of farmland for amount of pesticides used and grade farms on its basis so as to encourage organic farming. 16. Encourage private-public funded gyms with an instructor to reduce obesity and related diseases like cardiovascular diseases. Compulsory physical education classes at schools 17. Nationwide Ban chewing tobacco like pan masala(implemented in Kerala). Make the ban on smoking in public places more effective with support of police and public. Increase tax on liquors. 18. Increased support towards regional cancer centres through expansion, facilities, research funding etc. 19. Make it compulsory for Businesses and industries to provide health insurance to all employees even if it results it in a small cut in regular monthly salary. Encourage schools providing insurance to their staff and students by giving them higher preference in government services. 20. Conduct a regular scientific surveys both online and offline by government for the employed to monitor their stress levels and work conditions and grade work places according to the result. Make the workplace with better results to get higher preference in obtaining government services. 21. Compulsory Sex education especially at school and among high-risklow educated population. 22. Inspection for Restaurant and Food places to monitor the use of additives like agin-o-moto and take stringent measures against defaulters. Make it the right of the customer to have a look at the kitchen of restaurants. 23.Waste disposal modelled in the German waste management system. 5 colour coded Trash bins (forpaper wastes, green wastes, plastic wastes, glass wastes and other wastes) at every block. Regular Waste collection by municipality garbage truck. Paper waste  Recycle Green waste  Bio-fertilisers Plastic Wastes  Incineration and road building [7] Glass Wastes Recycle Other wastes  incineration. 24. Dismissal of government employees(Foodinspectors, Public distribution officers, government Food storage centre officers, agriculture officers)from service on being found guilty of corruption and malpractices. 25.Statutory warning on packaged foods with high fat, cholesterol, preservative and additive content.Page | 6Saluber Shape Your Future – Youth University Idea Contest
  • 6. Why do you think your solution will work? (Max. 1 page) A single step cannot lead to a significant improvement of healthcare infrastructure. Malnutrition affects children in their development. The existing mid-day meal scheme at school costs Rs Rs.8814 croreto the central treasury with financial help from state governments. Addition of Free breakfast scheme can cost approx. Rs 9400crore adjusted to inflation. The extra expenditure is just a fraction of Rs 25000 crore we spend on nuclear submarines or the Rs 60000 crore Commonwealth gamesand equivalent to the Rs 9000 crore T3 terminal at Delhi Airport. The approximate cost of a well-equipped mobile clinic is around Rs 12 lakh. So with the help of private-public funding and hospital sponsorship, each village or a taluk can easily afford to have atleast one mobile clinic. The annual cost of maintaining 911 in USA amounts to $ 1.1 billion per year. This drastically comes down in Indian scenario exclusively for medical queries due to lower working cost. Mobile apps can be created free of cost by forming a join venture project students of Premier institutions like IIScs, IITs, NITs etc. Sincetext messaging service rates are negligible, an automated SMS query system as well as free daily health tips can be operated with minimal investment. Moreover public health clubs can be established by compulsory minimal fee per head. BrandedWater purifiers are available at a retail price of Rs 950. Bulk supply for public distribution can bring down the cost substantially to around Rs 800 or less. With a government subsidy of Rs 200, the scheme would cost just Rs 4800 crore (considering 249095869 houses acc. to census 2011)to the treasury and it can be implemented through a five-year plan.Pest Control plans starts from around Rs 400 per house. The actual cost comes down when NREGA volunteers are employed and scheme operated in a non-profit basis. A subsidy of Rs 100 per home for APL and Rs 200/home for BPL amounts to approx. Rs 3600 crore This means we get 20 less F-16 jets which costs $35 million apiece. Public toilets can be built with the existing allocation of fund and poopoo™ bags as well as condoms distributed in slums and public spaces respectively through electronic booths at a considerably lower price compared to its subsequent effects. We already have a sophisticated agriculture department, which inspect and aid farms regularly. So an addition grading of farms on the basis of amount of pesticides used wont hurt the treasury in a considerable way. SinceAadar project is running in full swing, adding employment details and medical records can help in a large way. This wouldn’t cost a penny more than the existing cost of the project. Waste management systemin Germany costs around €30/tonne (Rs 2100/tonne; urban) and €50/tonne (Rs 3500/tonne; rural). There is scope for lower cost in India due to lower working capital requirement, local technology etc.Currently total solid waste generated in India is around 4.2 crore tons annually (3.8crore tons - urban). Even at German cost, this highly efficient eco friendly solution costs a reasonable Rs 9380 crore annually with assured returns in form of lesser disease outbreaks and communicable disease prevalence especially malaria. Ban on pan masala may have a short-term negative effect on the tobacco cultivation and cottage industry, which should be cushioned with government relief. Higher taxation of liquor too will incur loss on treasury. But will prove beneficial in the long run in National happiness index due to more number of secure families and large fall in number of lung and oral cancer as well as liver cirrhosis cases. Funding Research institutes and Hospitals leads direct outputs in the form of superior technology and efficient system. The rest of the changes can be brought forth by legislature and can be accomplished with minimal capital investment. The government can form partnerships with leading publications to create a daily health related article. A strict check must be put in place for smooth functioning of the measures taken. The % of GDP (0.91% vs. 15% in USA)and total expenditure toward healthcare is very low compared to countries to similar stature despite increasing defense budgets. The above-mentioned costs are just a fraction what are spent on jets, cricketetc. each year when more important issues like healthcare and education face neglect.Page | 7Saluber Shape Your Future – Youth University Idea Contest
  • 7. References (Max. 1 page) http://en.wikipedia.org/w/index.php?title=Special:Book&bookcmd=download&collection_id=01661831ae64b6b3& writer=rl&return_to=Healthcare+in+India http://knowledge.wharton.upenn.edu/india/article.cfm?articleid=4675 http://www.umdcipe.org/conferences/policy_exchanges/conf_papers/Papers/1551.pdf http://www.developmentchannel.org/health/healthcare/2584-lifestyle-diseases-major-cause-for-deaths-in-india- who http://ibnlive.in.com/news/programme-against-lifestyle-diseases/256498-60-122.html http://cdf.ifmr.ac.in/wp-content/uploads/2011/03/MDM-Scheme-Brief.pdf http://www.youtube.com/watch?v=eH-lENBHKbw [7] http://icjonline.com/views/POV_S.S.Verma.pdf http://www.defenseindustrydaily.com/india-to-sign-multibillion-dollar-scorpene-sub-contract-updated-01194/ http://en.wikipedia.org/wiki/Midday_Meal_Scheme http://articles.timesofindia.indiatimes.com/2011-05-18/hyderabad/29555483_1_mid-day-meal-cooking-cost- primary-schools http://articles.timesofindia.indiatimes.com/2003-10-08/delhi/27191778_1_mobile-clinic-dwellers-slum http://www.azcentral.com/arizonarepublic/news/articles/2010/03/16/20100316emergency-service-budget- cuts.html censusindia.gov.in/Tables_Published/H-Series/H.../S00-005.pdf http://www.wateraid.org/international/what_we_do/impact_of_our_work/default.asp http://ec.europa.eu/environment/waste/studies/pdf/eucostwaste.pdf urbanindia.nic.in/publicinfo/swm/chap1.pdf research.guilan.ac.ir/cjes/.papers/1377.pdf www.poopoobags.com/Page | 8Saluber Shape Your Future – Youth University Idea Contest
  • 8. Annexure (Optional)Page | 9Saluber Shape Your Future – Youth University Idea Contest
  • 9. Page | 10Saluber Shape Your Future – Youth University Idea Contest

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