1. Nirma University, Institute
of Technology,
Ahmedabad
MANTHAN TOPIC:HEALING
TOUCH
Aditya Bhatt
Aakanksha Agarwal
Charul Jain
Akshay Sharma
Aman Shrivastava

2. Despite 23887 Primary health care centers in rural India, we stand
45th (descending) in Infant Mortality Rate(IMR)

3. Introduction of Technical means to overcome the shortage of
infrastructure and medical workforce
Medical
Diagnostic
Machine
Extensively
detailed
database about
symptoms and
corresponding
medicines
User-Interactive
interface for
easy diagnostics
Cheap entry
fees for the poor
families
Online system
for advanced
diagnostics
24-hour power
supply with
backup battery
butsuspended
when notused
Includes two
types of
diagnosis:
Primary and
Secondary
Medical Diagnostic Machine (MDM)
comes with 3Es!
• Less workforce required
• Cheap for the poor
• Eliminates transportation
costs
Economical
•Computerized and user friendly
software
•Provides accurate results
according to symptoms and
reports
Efficiency
•Utilizes the used equipments
donated by private hospitals
•Installation of eco-friendly power
sources(solar energy, bio-waste
energy)
Ecological

4. Structure of MDM center
MDM
Pharmacy
Center
Translator
Physiologicaltests
(temperaturecheck
etc)
Blood
tests(Malaria,HIV,de
ngue and others)
Vaccinations
Ayush
practitioner
Fill test reports in the
report card
Show report card to translator who fills in required details
for secondary diagnosis
After secondary
diagnosis, take printed
prescription to pharmacy
store
Patient
Before entering, person pays some amount and a token is given to
him
Injections and
first-Aid care
patient

5. • A patientsufferingfrom a disease enters the MDM center.
• He tells the practitionercum translator,sitting at the MDM machine aboutthe anomalies he
is sufferingfrom.
• Primary diagnosis:the person says whateversorrows and sicknesseshe is sufferingfrom,
since the pastfew days.Accordingly,the translatorenters the option for the questionsthe
MDM asks.At the end of this diagnosis,a slip is printed which is handed overto the
patient.This slip tells the patientas to which tests he has to do before he can begin the
secondary diagnosis.With this slip and a report card in hand,the patientgoes to the
differentboothspresentin the centerwhere his temperature check, bp check,blood test,
urine test etc are done.
• Secondary diagnosis:with all the values filled in his report card, ie., afterthe completion of
all the test the MDM had asked for, he goes backto the translatorand hands him the
reportcard.Even afterentering the values,if the MDM is not sure, it ‘ll ask for more tests
otherwise if it can diagnose the disease it‘ll print a prescription from where the person can
go to the pharmacy center,collecthis medicine and leave home.
• Othersevas like vaccinations,injections, ayushpractitioners,firstaid etc will be provided
at the centerwhere the patientneed not use the MDM.
• Low interestloans can be provided to poor families unable to afford healthcare.
• Collaboration betweenthe public sectorand private sectoris required to be enhancedfor
promoting pharmaceuticals.
SERVICES PROVIDED BY MDM CENTER

6. Introducing an entirely new computerized system
includes various steps
• Recruitment of software company to design extensive detailed database which includes
all the information about the prevalent diseases in rural India. The design will also
include user-interactive interface. The same will be responsible for updating the
database.
• Recruitment of hardware company for providing the computerized systems which will be
programmed with the software provided by the software company.
• Regular maintenance of the MDM will also be inspected by hardware company.
IMPLEMENTATION
• Advertisement of the MDM systems through posters and radio stations
• Announcements of the features and advantages of the MDM by Gram Panchayats and
other public meetings.
• Attractive free beneficial scheme for first 6 months.
• Celebrities or inspirational figures can be involved in promotions of the MDM
AWARENESS

7. Reduced manpower(estimated 45%) can be ensured
by application of MDM
MDM would require the assistance of
following members:
Translator:Recruitmentof a person who is
aware of operating the MDM and knows
the locallanguage of the village.
AYUSH practitioner:Personwho is aware
of AYUSH treatment.
Pharmacist:A chemistis required to supply
medicines as prescribed by MDM.
Nurse:Required to give injections and
dressingof wounds.
LaboratoryTechnician: A person is
required who is well acquainted with
carrying outblood testand various tests.
Securityguard: Required to look over the
equipmentsand MDM Center.
Personnel Existing
pattern
Recommen
ded
MDM
Medical
Officer
1 3 NIL
Clerks 1 2 NIL
AYUSH
practitioner
NIL 1 1
Account
Manager
NIL 1 NIL
Pharmacist . 1 2 1
Nurse -
Midwife
1 5 1
Health
Worker
1 1 NIL
Laboratory
Technician
1 2 1

8. Considering the current situation of shortage of PHC centers
and Doctors at PHCS MDM must be set up accordingly

9. Plan B:Mobile solution for enhancing Primary Health
Care
Customer care
Calls fordoctor
Server
Database
Checks foravailable
doctors and practitioners
Retrieved information
ENT General physician pediatricianGynecologist Dermatologist
Provides with info of various doctors

10. Dialdox.com
• Ask the government to sponsor a nationwide number for this 24*7 seva.
• A patient who wants services from the doctor at home can call this number.
• A customer care executive will pick up the call and according to the disease
the patient suffers from, he ‘ll help the patient to connect to nearby doctor and
give guidance accordingly, a healthcare seva similar to justdial.com.
• It is possible to get sponsors for this. Any telephone operator company can
sponsor this and accordingly people can buy more sim cards of that company
since that company will provide low or negligible data rates for connecting to
this dialdox.com doctors.
• A site dialdox.com will consist of a database for all diseases, medicines for
them, doctors for assistance, people can make accounts and do video chatting
with doctors and email them to take assistance. In short, a one stop site for all
people who have the facility of internet. This site will have all doctors of India
registered into it.

11. Cost estimates for implementing MDM
center
MDM cost Infrastructure
Organization
cost
Hardware cost: a simple
database pc with fast
processor and a printer will
and touch monitor will cost
not more than INR 50000.
Software cost: a software
with easy data retrieval and
support fast processor will
cost INR 3000 per MDM.
Construction cost: INR 15-
30 lakhs
Land: can be rented from
government at cheap rental
rates .
Power generator cost INR 1
lakh and yearly fuel cost
INR 20000-30000.
Translator : (night shift,
morning shift) INR 5-7000
per month
Cleaning staff, security and
others INR 5-7000 per
month total.
Funds will be received
from pharmacy
shopkeepers and
pathology labs .
Government help will be
taken for vaccinations.
1)It will be better for the projectto succeedif the money required is used from the 36% of
1.4lakh crore allocated forhealth care by Indian government.
2)The whole projectwill take not more than 32 lakhs in the first yearand nextsuccessive
years will be around 2.5 lakhs per annum

12. References
• WHO survey 2011
• Indian Healthcare by McKinsey and Company
• Annual Report to people on health by Government
of India, Ministry of Health and Family Healthcare
• Statistics issued by the Ministry of statistics and
programme implementation.