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Healing Touch Healthcare for All Using Existing Resources
1. Healing Touch – Healthcare for All
Devicing a system levereging existing
government resources.
Presented by-
Aditya Om
Priyanka Yadav
Rahul Dewanjee
Rajat Shinde
Sejal Agrawal 1
2. India is the largest exporter of generic medicines but
still 60% of all healthcare expenditure are out of pocket.
Expenditure on health is continuously
decreasing per year in the period
2003-10.
Also India’s expenditure is only 3.87%
with respect to other BRICS nation
with 7%.
Characteristics-60% of Indian
population is still not viable to basic
medical facilities.
Hypothesis-Due to marketing costs
the price of medicines increase by
many folds and hence it slips from the
reach of marginal regions of the
society.
2
Fig 1: Analysis of India’s Healthcare expenditure
3. Hypothesis-In India, still, there are
not enough facilities to nurture newly
born kids. Lack of awareness among
rural people regarding preventive
measures leads to high infant
mortality rates.
Characteristics-In 2012, India had a
shortage of 9,148 primary health
centers.
Hypothesis-Due to irregular facilities
provided to Primary Health Center ,
very few employees are interested in
continuing their work.
Characteristics-According to the United
Nations, 75% of India’s health care
infrastructure caters to only 27% of the
population.
Hypothesis-
1.The infrastructure of primary health
centers and community health centers in
rural areas is not upto the mark.Even
some don’t have bed and other basic
facilities.
2.Due to patenting of genes etc ,
monopoly of particular company occurs
thus increasing the price and restricting
R&D in one dimension.
3
India’s rank-150 / 214 countries
Fig 2:comparison of IMR
4. Intended solution -
Establishing medical shops and healthcare
units at small distances.
Recruiting people from various levels to drive
these units.
Including modern telemedicine, helplines
and ambulance facilities.
Advantage
over
existing
system
Wider reach to
patients
Replacement of old-
disordered clinics
Cheap and easily
accessible medical
facilities.
24*7 medical helpline
and inclusion of
Ayurveda and Yoga.
Implementation model
• Opening medical shops and
healthcare units in neglected rural
areas.
• Training ASHA workers & other
medical representatives for
nursing these units.
• Developing a system controlled by
retired dignitaries.
4
5. Implementation-
VIGILANCE TEAM
Keep track of the medicine being distributed i.e their expiry dates, scope
etc. and loyalty of workers towards society.
RECRUITMENT TEAM
Recruit ASHA workers
Recruit unemployed
youth
CENTRAL HEAD
Retired medical representative who will govern the whole system.
Training
unemployed
youths to
distribute
medicines in
medical
centers.
Setting up
medical centers
at each 20 kms.
Combining
whole system
with 24*7
helpline system
and
experts@call
service. 5
6. The proposed system comprises of following volunteers.
Volunteers
• ASHA workers
and other
NGO’s.
Prerequisites
•Zeal and passion
towards serving
the society.
Human capital
required
•Approx 3 in each
primary health
center.
Experienced
persons
• Retired doctors
and medical
representatives.
Prerequisites
• Should be loyal
towards society
.
Number required
• They will be in
executive
positions ie
head of
centralised unit.
Unemployed youth
• They will be given
training to serve
in medical
centers.
Prerequisites
• Basic
knowledge of
medical science.
Number Required
• Approx 2 in primary
medical health
centers.
6
7. 7
Functioning
After recruitment and setting up
of primary units the functioning is
done in following manner-
• Medicines will be supplied to
primary units from government
stock.
• Villagers can access to these
primary units for general purpose
using telemedicine services and in
case of emergencies they can be
directly referred to main medical
center.
• Ambulance taxis can be used to
bring patients from remote and
neglected areas using 24*7
helpline.
• Vigilance commission will
regularly supervise the medicine
stocks and check for the expired
medicines.
Main medical
center
Primary units Primary units
Primary unitsPrimary units
Patients
General
purpose
General
purpose
Emergency case
20 km
8. The Capital Connection-
Recruitment of Accredited Social Health Activists (ASHA’s)
• Perks including salary of each activists- INR 1300.
• No. of activists required – 462000
• Total average investment – INR 1300 * 462000 = INR 60 crore
Recruitment of Unemployed youth to serve in medical centers.
• Salary and other incentives- INR 1300
• Human capital required- 200000
• Total investment to be done- INR 1300 * 200000 = INR 26 crore
Improving infrastructure of existing health centers = INR 1 crore
Implementing schemes like ambulance taxis, and telemedicine services =
INR 1 crore.
Payscale of Central governing heads and vigilance executives = INR 10
lacs + INR 10 lacs = INR 20 lacs. 8
9. Impact and Reach-
Increasing Employment
• The system would be able to
employ directly atleast a
millon people.
• Not much of effort is required
in employing ASHA’s as they
are recruited directly by the
government of India.
Healing touch
• Encouraging use of unorthodox
medicines and practicing
Ayurveda.
• Healing through YOGA.
Trainees
• More than half a million people will
be trained .
To Be Accomplished……
• Low cost medicines will be available
at every medical centers.
• Immediate actions can be taken in
case of emergencies using
Doctors@call and telemedicine
facilities.
• Like Rajasthan, the system needs to
be expanded in whole of the India.
9
10. Unwillingness of doctors to practice in rural
areas, giving up facilities of cities.
• Making such practices compulsory for doctors in the
form of internships.
• Providing special perks to them.
Encouraging Yogic practices in proposed health centers
and primary schools.
Such practices will help in developing kids not only
physically but mentally also .
Promoting unorthodox ayurvedic practices and
spreading awareness about them amongst villagers.
•Using basil leaves, turmeric etc to cure general diseases like
flu, dyssentry, cough and cold etc.
•Also all of pharmaceutical research should be undertaken by
government.
Here’s some challenges that the proposed plan faces
along with their mitigation factors :-
10
11. Lack of awareness about different schemes of
govt. among people.
•Organizing rallies and awareness spreading program .
•Publicity via posters, newspapers, etc .
Making rural villagers trust the generic medicines
(who, till now , used home remedies )
•Showing them the benefits of the available medicines.
Setup of net connectivity to utilize telemedicine.
•Spreading internet awareness and giving training to the
people.
•Providing them with computer facilities.
11
12. Referencopaedia -
12
•WHO Country cooperation Strategy India 2012-17
• Annual Health Strategy.
• Mobile based primary health care system for rural India
• Working paper 1/2009 – PEO planning commission of India
May 2009.
• www.wikipedia.com/health inIndia .htm
•World bank data bank
• National Health Expenditure Projections 2011-2021
• Health department releases Rs 21 crore for ASHA workers -
Times Of India.htm
.