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2. Healing Touch: Universalizing
access to quality primary healthcare
A model to fill in the loop holes while strengthenin...
POOR INRASTRUCTURE
LAGGING HELATH
DEVELOPMENT
INDICATORS
OUT OF POCKET
SPENDING
INADEQUATE AND
UNDERUTILIZED HEALTH
FORCE
...
1.Introduction-The worlds largest insurance scheme run
by the government. Run by the ministry of labor and
employment. BPL...
• Should include all citizens of India
below poverty line.
• Rashtriya Swasthiya Bima
• Yojana is a good example.
• Expans...
2.IMPROVING INFRASTRUCTURE
• 1.Encourage private players to set up clinics. Tax exemption to these players. These
clinics ...
3.CREATING ADEQUATE HEALTH FORCE.
Courses can be availed by the rural
people for free or at a very
subsidized rate
The cla...
4. FOSTERING LOCAL INNOVATION IN HEALTHCARE
• Innovations in Healthcare which will bolster achievement of MDG can be done ...
ESTIMATED COST FOR PROGRAMMES
1.Organization
al cost
2.Logistics cost
3.Technology
cost
-Creation of clinics(stationary &
...
TEAM
Chief Controller Manages whole
program.
Training
team.(trains
workers and
professionals
)
Rural
educati
on
manage
men...
References
• (1)-
http://www.mckinsey.com/locations/india/mckinseyonindia/pdf/Executive_Summary_India_Healthcare_Ins
pirin...
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Apothecary

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Apothecary

  1. 1. 2. Healing Touch: Universalizing access to quality primary healthcare A model to fill in the loop holes while strengthening strengths of the system
  2. 2. POOR INRASTRUCTURE LAGGING HELATH DEVELOPMENT INDICATORS OUT OF POCKET SPENDING INADEQUATE AND UNDERUTILIZED HEALTH FORCE 1 2 3 4
  3. 3. 1.Introduction-The worlds largest insurance scheme run by the government. Run by the ministry of labor and employment. BPL and other disadvantaged groups covered. Government pays the premium. Operation done via distributed biometric cards. 2.Positives- 27 states covered,12000 hospitals included. Technology based (Biometric cards issued). 3.Drawbacks- As premiums paid by government the number of claims have increased making scheme unviable in future. Only 10% of BPL families covered. Hospitals performing procedures profitable to them and cherry-picking customers. Existing policies by the Government: A Review 1.Introduction-Run by the Ministry of Health. Formed to improve health delivery in rural areas. Healthcare delivery via trained local residents3called as Accredited Social Health Activists (ASHA). 2.Positives- (2a,2b)- Improvement in healthcare indicators for short time, service at doorsteps via efforts like ASHA. 3.Drawbacks- Later stages of scheme marred by scams, corruption, virtually non functional due to inadequacies of the Panchayat Raj. 01. 02. Ref- 3,4
  4. 4. • Should include all citizens of India below poverty line. • Rashtriya Swasthiya Bima • Yojana is a good example. • Expansion of scope penetration, viability and proper audit needed. Need national insurance plan Increase coverage of RSBY by including private clinics (unorganized sector) which constitutes 90% of healthcare. Also get them registered under The clinical Establishment Act. Process includes authentication of clinic and registration of these clinics. This will also Eliminate quacks. Subsidize clinics, health sectors and pharmacies . Promote local entrepreneurship. To avoid over prescription of drugs and procedures by the hospitals, upload diagnosis and treatment online. Random computer picked cases( like one done in lottery) to be audited each day by expert panel of doctors. This will also create data repository . Increase vaccination, clean water supply awareness etc. Set up better diagnostic centers. Expansion of penetration of scheme (insurance coverage) Prevention is better than cure Audit Encourage formation of new health clinics 1. REDUCING OUT OF POCKET EXPENDITURE
  5. 5. 2.IMPROVING INFRASTRUCTURE • 1.Encourage private players to set up clinics. Tax exemption to these players. These clinics will be equipped with alternative forms of medicines like allopath, ayurveda, unani etc. Treatment for primary ailments should be standardized for various forms of medicines. Standardization and integrating all forms of medicine to be done by an expert panel. At least any one form should be available. This will solve the supply problem. • 2.These clinics will be equipped with mobile pharmacy to reach remotest of places. This mobile clinic shall be present at weekly markets accompanied by a healthcare professional( doctor/pharmacist) 3. Dispensing will be done in fixed standardized containers ( no loose containers) to prevent fraudulent usage. Dispensing should be done via biometric card to ensure better monitoring. Make data on biometric card available online to all. Dispensing done via barcode scanners linked to biometric cards. The system will be identical to the ne used at malls currently.
  6. 6. 3.CREATING ADEQUATE HEALTH FORCE. Courses can be availed by the rural people for free or at a very subsidized rate The clause being that they have to serve in the rural area for a specific period of time after successful completion of the course. (such a system is carried out within army hospitals) Special emphasis on rural health management. Good remuneration Give them a government recognized certificate on basis of experience and merit They will work under doctors and pharmacist. They will report to them. Creation of new colleges in rural areas Empower ASHA workers which re are a part according to the NRHM scheme.
  7. 7. 4. FOSTERING LOCAL INNOVATION IN HEALTHCARE • Innovations in Healthcare which will bolster achievement of MDG can be done by- • Integrating the effort taken by various ministries (e.g. Ministry of Health, ministry of labor and employment etc.) • Expanding scope of Indian Council of Medical Research. Creating separate divisions for rural health research. • Collaboration of all its national centers and discussion on common problems.( e.g. National Institute of Occupational Health, Research in Tuberculosis (NIRT), Epidemiology (NIE), Pathology (NIP), etc) • Integrating the National Innovation council with all these efforts. • Empowering organizations such as the honey bee network which work in exploring novel jugaad solutions to problems. • Integrating college courses in these fields. • Inviting private giants to partner and market innovations on a large scale.
  8. 8. ESTIMATED COST FOR PROGRAMMES 1.Organization al cost 2.Logistics cost 3.Technology cost -Creation of clinics(stationary & mobile) -colleges & institutions -ASHA workers and training - Medicines and diagnostic instruments -IT Hardware cost -IT Software cost -Communication expense -Distribution, authentication of biometric cards, -transport of medicines. -selection of clinics and their registration 500 crore INR 500 crores 100 crores
  9. 9. TEAM Chief Controller Manages whole program. Training team.(trains workers and professionals ) Rural educati on manage ment Team Audit Team and legal team Technol ogical support team Organiz ational team/ Set up team All responsibilities to be relayed and divided according to area.
  10. 10. References • (1)- http://www.mckinsey.com/locations/india/mckinseyonindia/pdf/Executive_Summary_India_Healthcare_Ins piring_pssibilities_and_challenging_journey.pdf • (2a)-Peter Berman and Rajeev Ahuja (2008). "Government health spending in India". Economic and Political Weekly 46. pp. 26–7 • (2b)- Ajay Mahal, Bibek Debroy and Laveesh Bhandari (2010). India Health Report 2010. Business Standard Books. p. 138. ISBN 978-93-8074-000-3 • (3)-http://forbesindia.com/printcontent/34903 • (4)- http://www.napsipag.org/PDF/RUMKI%20BASU.pdf

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