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  1. 1. A Dream of Healthy India Universalizing Access to Primary Health Care Team Details Indian Institute of Technology, Kanpur Arcchit Jain Mohit Kumar Palash Bansal Umed Paliwal Ved Prakash Gupta
  2. 2. Despite progress, India is lagging behind in providing basic health care facilities to its citizens and ranks 112 out of 191 countries in Health Care Systems according to World Health Report, 2000 by WHO and suffers from menaces Indian Health Care Sector struggles from some key issues: ▪ Heavy out of pocket expenditure ▪ Lack of health centers, health professionals and research in medical field ▪ Almost 39 million people enter in poverty due to health expenditure debt ▪ India has 134th rank in HDI out of 187 countries, which is lowest among BRICS countries 86.00 9 5.54 4 79.00 38 6.99 5.1 58.00 23 7.30 8.8 87.9 7.88 5.6 13.8 6.29 9.2 % Out of Pocket Expenditure Beds per 10000 patients HDI*10 % GDP Share (Public+Private) South Africa Russia Brazil China India
  3. 3. Our Solutions Social HealthCare Zones (SHZ) •Establishment of SHZ’s in rural areas, just as SEZ’s to invite private firms in rural – healthcare sector. Weekly Heal – (Saptahik Swastha Suraksha) •Providing HealthCare Facilities to students and teachers in Government Schools Decentralization of HealthCare Management •Shift of Management and Administration from state government to district government Collaboration with National Rural Health Mission and suggested improvements Incentivization through Social Points
  4. 4. Establishment of Social Healthcare Zones (SHZ’s) ▪ The central government should establish Social Healthcare Zones in rural areas, just as SEZ’s, to invite investors and more private firms in rural – healthcare sector. ▪ There is a scheme introduced by National Rural Health Mission in which a health insurance, of upto ₹30,000, is provided to people living below poverty line but there are very few private hospitals who are supporting this facility. Using SHZ we can increase the number of such centers where people just need to show there card and finger-print and avail healthcare facilities for free of cost. ▪ Each SHZ must have a full-fledged generic medical store, to make the people in rural areas have better access to much cheaper and equally efficient, government subsidized generic medicines. o India is the largest exporter of generic medicines. So instead of exporting them, Government should cut down its revenues generated from this and make these medicines available in rural areas through SHZ.
  5. 5. Establishment of Social Healthcare Zones (SHZ’s) The healthcare institutions in SHZ’s would enjoy special benefits such as: 1. Exemption of SHZ Units from the payment of stamp duty and registration fees on the lease/license of plots 2. Low Interest Credit Rates for establishment of healthcare centers in SHZ’s 3. Exemption from payment of Service Tax. 4. Exemption from Central Excise duty on the procurement of capital goods, raw materials, and consumable spares, etc. from the domestic market. In return, the government would impose certain restrictions such as: 1. Instead of prescribing the name of the medicine of a particular company, doctors would have to prescribe just the name of the salt with its dosage and time period. 2. There should be a maximum price for conduction of basic, discretizable tests and analysis like urine tests, blood tests imposed by the government. 3. Many traders become interested in this kind of establishment, so that they can acquire at cheap rates and create a land bank for themselves. So there will be a restriction to become operational within 2 years of acquiring land.
  6. 6. ‘WEEKLY HEAL’ (Saptahik Swastha Suraksha) Providing HealthCare Facilities in Government Schools ▪ Similar to mid-day meals strategy, healthcare facilities should be provided in government schools for the students. ▪ This would not only provide access to healthcare but also reduce the school drop-out rates and improve enrollments. ▪ An MBBS doctor would be made available once a week for medical consulting. ▪ A regular general check-up of students (twice an year) should be made compulsory for all government schools. o The medical data collected from the schools can be used for further analysis and to keep proper track of the students’ health and make suitable policy changes.
  7. 7. Decentralization of health care management •The requirements of every village are different and locals have a better knowledge of those requirements. Imposing several schemes on a single village decreases efficiency and hence only the most required schemes should be imposed. •If state government can allocate funds directly to district administration, then the officials will be much more accountable to people and use and efficiency of fund use will improve significantly Management •Feedback committee consisting of Panchayat Samiti members and Primary school Headmaster would be directly approachable, frequent checks of hospitals will reduce doctor’s and nurse’s absentee from health care center •Presently this work is done by district administration and hence covering so many villages is cumbersome • District administration will form a link with state administration and feedback committee in providing the impact report and requirement report so that the required schemes can be implemented without break and to maximum effect Feedback
  8. 8. Collaboration with NRHM and improvements Medical Training: ASHA workers have to be trained for basic medical procedures such as identifying symptoms of malaria and TB, vaccination and imparting simple health education to children. This will be done with help of students in the nearest medical college who will organize medical camps for ASHA workers. Because of religious superstitions, often people in villages deny vaccination. For such people awareness is very necessary. Collaborating with local NGOs would prove to be very effective in eliminating such superstitions. Taking help from nukkad-natika groups and anganwadi workers will be very effective. As per the recommendations of HLEG, NDRAD should be established to regulate pharmaceuticals and medical devices and provide patients access to safe and cost effective products.
  9. 9. Social Points How To Earn Profits For Company 1) By offering Scholarships for Higher Studies in Medical Sciences 2) By Investing in Health Sector 3) By organizing Health camps such as Blood Donation and AIDS awareness camps 1) Companies with more social points will be preferred for the contract of government projects 2) Companies will earn social goodwill which will improve their sell and revenue Social Points is a measure of social goodwill that can be earned by any company by involving in philanthropic duties
  10. 10. References 1) 2) Pro%202011-2012_Individual%20Project_Bhatt,%20Hema.pdf 3) 4) 5) care-in-India-by-2020-a-call-to-action-2011.pdf 6) Ministry of Health and Family Welfare : 7) HealthCare in India – Vision 2020 8) Annual Report: Government of India, Ministry of Health and Family Welfare: %20People%20on%20Health.pdf 9) Wharton. (2013). Can New Delivery Models Help Fix India's Health Care Woes? Retrieved from: 10)