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  1. 1. Team Details Akash Chouksey Ankit Saharan Pranay Chauhan Tuhin Roy Sunil Choudhary
  2. 2. Indicator India USA Brazil China Hospital Bed Density(per 10000 population) 9 31 24 30 Doctor Density(per 10000 population) 6 27 17 14 Hospitals Total expenditure on health as a percentage of GDP 4.1 15.7 8.4 4.3 Govt. expenditure as a percentage of total health expenditure 26.2 45.5 41.6 44.7 Private expenditure as a percentage of total health expenditure 73.8 54.5 58.5 55.3 Health Insurance coverage as a percentage of population 10 83.7 76.4 79.9 Present Healthcare Scenario What the Statistics say?? India rates poorly on even the basic healthcare indicators when benchmarked against not just the developed economies, but also against the other BRIC nations.
  3. 3.  Lack of Infrastructure  Huge Shortage of Hospitals  Dearth of Hospital Beds  Lack of Ambulances  Shortage of Manpower  Shortfall of Primary Doctors,  High No. of Vacancies in positions of Health Workers and Nurses  Lack of Government Funds and Private Investment  Public Sector accounts for merely 26% of total healthcare expenditure  Public Health Spending merely 1% of GDP  Lack of Awareness  Insurance  Lack of information about government healthcare schemes and policies
  4. 4. Infrastructure :  Need to encourage Public-Private Partnership in this sector for improving infrastructure as government spending on health is extremely low.  CSR can be a game-changer : Every company with certain level of business has to invest 2% of its profits for CSR. 20% of this CSR fund should be made mandatory to finance a hospital-cum-medical college in a designated government area. This medical institution will be maintained by the DHA, as per MCI norms. These institutions will run with the primary motive to improve primary healthcare facilities and provide free medical education. There is a need to increase coordination between the government, administration, private sector and NGO’s. For this, one District Healthcare Association(DHA) should be set up which comprises of the above mentioned parties.
  5. 5.  District Health Centres (DHC)will be set-up under the supervision of the DHA. The motive of these DHCs is to monitor all healthcare missions being carried out in the district. Under these centres, the following functions will be carried out:  24X7 Toll-Free Helpline : Helpline number will be set-up connecting every village directly to the DHC.  Medicine Shops to be set-up in every gram panchayat supervised by the DHC, to distribute free/generic medicines.  One Village, One Ambulance : Mandatory for every Gram Panchayat(around 5k population) to maintain one ambulance, which will be available through the helpline number of DHC.  Telemedicine : There is a need to set-up one 24x7call center, maintained by Indian IT companies, which will provide emergency guidance for patients in remote areas.  Grievance Redressal Mechanism : Registration of complaints regarding the healthcare system through the 24x7 toll-free helpline.
  6. 6. Manpower :  Huge shortage of primary healthcare doctors, out of which 74% work in urban areas, which account for only 28% of the population.  Need to raise the standard of medical education and simultaneously decrease the expenditure on medical education and complexity of the entrance process to medical colleges and introduce Personal Interviews in the selection process.  More primary healthcare doctors required,rather than the highly- specialised doctors. Government spends Rs. 1.5cr per doctor coming out of AIIMS, while it spends only Rs. 25 Lacs on a normal MBBS. In the last 30 years, 53% of AIIMS passouts are now practicing abroad. Category Current Required Physicians 757377 1200000 Dental Surgeons 93332 300000
  7. 7.      
  8. 8. Funds :  Public sector plays a small role in healthcare financing. Hence, the private sector has a pivotal role in financing the healthcare expenditure in India, with out-of-pocket expenditure accounting for a disproportionate 90 percent funding of the private expenditure on health.  Therefore, health insurance has a critical role in improving access to healthcare services in India Increasing penetration of medical insurance would also result in an increased demand for quality healthcare services. The coverage of health insurance in India is merely around 10 percent of the total population. Solutions :  Health Insurance Scheme : A National level health insurance policy to provide free health insurance coverage to all people below poverty line, and to link it with Aadhar Card.  The primary motive is to bring health insurance at an equal pedestal with life insurance.  This scheme will be supervised and carried out by Life Insurance Corporation(LIC) of India.  Private Hospital Contribution : DHA will forward some BPL cases to nearby private hospitals and it is the responsibility of private hospitals to contribute 5% of its profits to provide free health facilities in such cases.
  9. 9. Awareness :  Urgent need to create widespread awareness about the necessities and importance of primary healthcare.  Publicity of government policies is not undertaken aggresively, as mostly the advertisements are broadcast on only Doordarshan or some news channels. Solutions :  Better Advertising : Advertisements of government policies will be outsourced to private media houses and ad agencies, and counted as a CSR for these private firms.  Private Channels will be asked to telecast government policy advertisements free of cost, again, as a part of their CSR.  Subsidy for NGOs : NGOs working in the healthcare sector, will be provided subsidies to promote primary healthcare through street plays, health camps, etc.
  10. 10.  Overall Ex-officio Chairman : District Collector  Supervisory Committee consists of 10 members – Chief Medical Officer, 2 members from a prominent local NGO, 3 prominent doctors, 2 representatives of the companies spending their CSR fund in the district, 1 health activist, 1 social activist.
  11. 11. District Health Association(DHA) District Health Centre Swasthya Sanrakshak Yojana 24x7 Helpline One Village, One Ambulance Tele-medicine Grievance Redressal Mechanism Ayushmaan Public-Private Partnership Using CSR for hospital-cum- medical colleges
  12. 12.  Wharton. (2013). Can New Delivery Models Help Fix India's Health Care Woes? Retrieved from ?articleid=4734  Healthcare : Reaching out to the masses, PanIIT Conclave 2010  WHO Country Cooperation Strategy 2012-2017  Balarajan, Y. et al. (2011). Health care and equity in India. Retrieved from 9/