Curative Care Vs Preventive Care Focus on the root cause of health problems is not there Prevention is considered as the only measure for health problems Ignorance Illiteracy ratio is 59.40% in rural areas compared to 80.30% in urban areas Eating Habits Low nutrition value
Children’s workload Work is the primary occupation of 9.4% of girls and 4.2% of boys aged 5 to 14. Almost all girls(84.6%) do household work. Boys activities are much more diversified but household work being relatively frequent(24.6%) Uninvolved School Unable to keep track of school childrenSource: National Council of Applied Economic Research Report
Economic Factors Concentration Of Resources Urban areas constitute major chunk of resources Government Health Facilities Primary health care centre has been developed as a three tier system Inadequate presence of government health facilities in rural regionsSource: Ministry of Health and Family Welfare, Mar 2008 Report
Economic Factors Contd.. Untrained Health Workers Trained manpower is the important prerequisite for health careSource: Ministry of Health and Family Welfare, Mar 2008 Report
Financial Factors Few Public-Private –NGOs Collaboration Absence of public private collaboration leads to the people in rural areas either opting for inefficient and inadequate health facilities of government or expensive but adequate health facilities of private institutions No Community Health Insurance No ready access to money at the time of need Manipulation by money lenders in rural areas Unaffordable Health Care Low income of people in rural areas Commercialization of private medical practice
mHEALTH – HEALTHCARE THROUGH MOBILE Uses of mHealth applications Collecting community and clinical health data Delivery of healthcare information to practitioners and patients Motivations behind using mHealth Large mass, high burden disease prevalence and low health care workforce Lowering information and transaction costs mHealth FrameworkSource: United Nations Foundation and Vodafone Foundation Technology Partnership Report On mHealth
mHealth Value Chain Value Chain Participants Forge strong partnerships across sectors (for-profit, non-profit and public sector). Understanding of the needs and interests of multiple players is required in order to marshal their energy and resources
Health Camp Challenges Limited resources like medical equipments, practitioners Immediate damage control SOLUTION PROPOSED Centralized high density location such as Child (Age 5-15) centric diagnostic Melas/Haat should be leveraged to launch and preventive camps should be health camp facility organized at the local School Level Night Time Camp: Highlight the Cover each and every child importance of preventive methodology Empower faculty to understand through specially designed videos. different medical condition Day Time Camp: NGO can invite guest symptoms. medical practitioners from nearby cities Disperse knowledge about good to provide free consultation along with and cheap eating habits e.g.: free distribution of medicine like folic cheap source of natural vitamins, acid and vitamins to the villager minerals and protein.
Collaborative Efforts Challenges Actors involved currently works independently leading to duplication 1st Level – Panchayat/village level practitioner eg – ayurvedic vedh 2nd Level – Separate Govt. healthcare campaign 3rd Level – Similar cause NGO and community based organizationSOLUTION PROPOSED Collaboration Level A (Short Term) Collaboration Level B (Long Term) 1st Level – Centralized location Prevent any duplication of efforts under single gram panchayat and bring in quality service 2nd Level – Different government NGO can go for adoption of agencies and campaign should pool in village/gram panchayat. common resources Responsibility of end-to-end 3rd Level – Specialized NGOs such health care facility as eye care, maternal and child care Budget approved and financed should setup common facilities like by government (7th plan) medical van to increase the span of Bring in quality and efficiency. coverage.
Long Term Strategy to Combat HealthcareProblems
Preventive Health Services Awareness Campaign – Emphasize on the need of easily available source of various nutrients, vitamins. Free distribution of medicines like folic acid, vitamins and calcium especially for children and pregnant ladies. Cost effectiveness ratio
Improvement in Infrastructure And Services Increase In Resources Equity In Distribution Of Resources Partnership In Quality Health Services PPP Framework Capitalization Of Resources Private Sector EfficienciesSource: MGI India Consumer Model
Empowerment Of Panchayati Raj Institutions Ownership of public delivery system Village Health Committee should be given certified vocational training Develop and deliver village health planOutcome of one of such field based study in Gujarat Ensured better attendance of health care functionaries at the local level. Exerted moral pressure on health staff not to shirk from work. Contributed in improving the supplies of drug and equipment
Community Based Health Insurance The coverage by community health insurance scheme by community organizations is limited to 30 million. Imperative need to involve NGOs and community based organizations as insurance providers and as a third party administrators. Challenges – Propositions Premium Payment - Premium payment should be aligned with the agricultural production season Healthcare Service Access – Insurance company can provide medical van facility in coordination with regional NGO Preventive Model – Insurance companies can concentrate on preventive methodology to reduce premiums in long run
Resource Generation Through Philanthropy Current philanthropic activity framework Donors: Individuals, corporations and governments. Supporting Networks: Philanthropic venture, Red Cross, dedicated funds like the Prime Minister’s National Relief Fund Grass Root NGO: These NGO disburses donations as part of their healthcare activities.
Road Blocks – Proposed Strategy Lower Income Group Involve regional people to increase program penetration The community leader or the Sarpanch can be core committee member of the NGO. Share the success stories of any program undertaken by the NGO Middle Income (400 million people ) Lack of trust in NGO – Highlight the major achievements and initiatives Politically motivated NGO – Promote apolitical image, associate with social figure Lack of transparency - Annual general meeting with open Q&A sessions High net worth individual long term association even without any financial gain will be strategic Corporate Corporate leaders can be represented in the advisory board of NGO NGO can collaborate in the CSR activities of the organizations. Corporate executive can be encouraged to form executive giving circles e.g. – Melinda gates foundation AIDS and Malaria initiatives