1. Team Name:
KHIFA’S 5
Farheen Aziz, Nikhil Bhargav,
Qudsia Ahmad, Megha Jha, Ravi
Raj
Manthan Topic: “Healing Touch: Universalising
access to quality primary healthcare
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2. For a country that is touted as the next economic
powerhouse, India’s healthcare scenario paints a far
too dismal picture.
1. Government expenditure is
amongst the lowest in the
world.
2. Private spending comprises
of 86% of India’s total
health expenditure.
3. Appalling shortage of
health workforce at all
levels of health
institutional network,
majority of them ill trained
which adversely affects the
quality of care.
4. Dismal state of health
infrastructure and poor
funding
0
50
100
150
200
250
Govt.
Spending
(% GDP)
IMR MMR Private
Spending
India
Sri Lanka
Brazil
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3. Infrastructural
Constraints
1. Gross mismatch between the number
of HSCs, PHCs, CHCs and the
population covered.
2. For every 10,000 patients there are
less than 7 doctors which is appalling.
3. Lack of transportation.
facilities(ambulances, mobile vans)
4. Lack of availability of essential generic
medicines at the PHCs- improper need
assessment, supply not commensurate
with indent, lack of transparency and
monitory mechanism.
• Increase funding to bridge
infrastructural gaps.
• More investement in custom made low-
cost ambulances, mobile vans and
other economically viable IT solutions
like PDA and exploring the concept of
Remote Diagnosis through mobile
phones.
Bootlenecks in the achievement of an
inclusive and equitable heath regime
Strategic policy interventions to reduce the
ruinous health burden on the community
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4. Educational roadblocks and
environmental issues
Bootlenecks in the achievement of an
inclusive and equitable heath regime
Strategic policy interventions to
reduce the ruinous health
burden on the community
1. Lack of Health Education
and Sensitization.
2. Environment Pollution:
The sordid living
conditions leading to
various diseases.
• Health education made an integral
part of school education at the
primary level.
• Promote sports activities and the
importance of regular exercising.
• Proactive Municipal intervention for
providing safe drinking water and
clean surroundings
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5. Bootlenecks in the achievement of an
inclusive and equitable heath regime
Social Issues
1. Prevalence of superstition, myths
and misconceptions (villagers are
still apprehensive about allopathic
treatment) lack of health
awareness, illiteracy.
2. Problem of quacks in villages.
3. Lifestyle problems
• Use of awareness drives and science
workshops to inculcate a scientific
temperament among the rural masses.
• Taking advantage of the fact that the
villagers repose a huge trust in these
quacks, the quacks should be imparted a
basic training and should be allowed to
function like they do.
• Awareness, healthy eating habits should
be promoted like proper diet, exercising,
through the help of pop culture and mass
media
Strategic policy interventions to reduce
the ruinous health burden on the
community
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6. • Solution and
Manpower shortage
and Skill Deficit
1. Highly understaffed and undertrained
health workforce.
2. There is a high incidence of lifestyle
diseases (Heart disease, hypertension,
diabetes, etc) among the rural masses
earlier associated with the urban
population.
• Motivational training (emphasis on
knowledge, skills and attitudes) should
be provided.
• Need to have visiting neurologists at
the PHCs to address
Bootlenecks in the achievement of an
inclusive and equitable heath regime
Strategic policy interventions to reduce
the ruinous health burden on the
community
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7. Over centralised, non-participatory
healthcare regime, flawed Regulatory
Mechanism and other problems
• Stricter punitive measures if
found quitly of negligence.
• Implementing the concept of
regular Janta Darbar on a larger
scale to address the problem of
corruption at the grassroot level.
• Proper monitoring sytem, social
auditing, proper accounting and
auditing
1. Inexpertise of the bureaucracy and red
tapism leading to wastage,
mismanagement and corruption.
2. Underutilization of ‘discretionary
funds’ at the HSCs and PHCs.
3. Lack of community pariticipation.
4. Poor monitoring and reporting system
leading to gross negligence,
unaccountability, corruption and
inefficiency.
Bootlenecks in the achievement of an
inclusive and equitable heath regime
Strategic policy interventions to
reduce the ruinous health burden on
the community
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10. CHALLENGES MITIGATION
Concept Risk of Social Participation
et al.
• Home-to-home awareness drive
with the help of NGOs through
the use of mass media,
organising nukkad nataks, etc
Unwillingness of Health workforce
to serve in rural setup
• Rotational Posting
• Rural Posting Allowance and
better facilities
• Incentives like negotiable
salary,etc.
Lack of Political will and
bureaucratic resistance.
• Mobilization of pressure groups .
• Education of public opinion.
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11. How the proposed reforms will positively impinge on
the current health scenario: A Projection
Significantly improved health
indicators (IMR, MMR, etc), helping
India reap its demographic dividend
and achieve (MDGs)
Change in behavioral pattern of
the masses through adoption of
healthy, hygienic habits.
Ushering in of a more responsive
bureaucratic regime.
Minimal out of pocket expenditure
bringing down poverty numbers
drastically (nearly 40 million are
thrown into poverty due to out of
pocket expenditure)
Deepening of democracy
through community
participation at the grassroot
level.
Healthy workforce putting GDP
curve on a higher growth
trajectory.
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