Fall of rural Health Infrastructure<br /><ul><li>According to the recent National Rural Health Mission report nearly 8% PHC don't have a doctor while nearly 39% were running without a lab technician and about 17.7% without a pharmacist.
The PHCs are supposed to have one medical officer supported by paramedical staff.
.While not a single PHC of UP's 3,660 PHCs have either a labour room or an operation theatre.
Moreover there is a shortfall of 70.2% specialists at the CHCs.</li></li></ul><li>Rural-Urban imbalance<br />NHA(2004-2005) Report<br /> Government expenditure on family welfare and other heakth services<br />URBAN<br />Expenditure of 92,408 million rupees<br />RURAL<br />Expenditure of 52,970 million rupees<br />
Piramal e-Swasthya<br />VISION<br />To Democratize Healthcare<br />MISSION<br />To provide reliable, high quality and affordable primary healthcare to no-doctors zones of Rural India<br />GOAL<br />To enable services in 100000 villages by 2013<br /><ul><li>An initiative by Ajay G Piramal Foundation and a subsidiary of Piramal Healthcare.
Offers a Scalable and Sustainable breakthrough in healthcare delivery models at rural level.
Developed in partnership with Prof. NitinNohria of Harvard Business Model.
Uses innovative approaches of healthcare delivery like Telemedicine, Clinical decision support systems and village based health entrenpreneurs.</li></li></ul><li>Objectives<br />Piramal e-Swasthya attempts to make affordable healthcare accessible to India’s rural communities using technology through a sustainable and scaleable service model<br /><ul><li>Use of Technology
Sustainable Service Models</li></ul>AFFORDABLE HEALTHCARE<br />
eSwasthya Working Model<br />Local literate women (PiramalSwasthyaSevaks) are recruited undergo a rigorous training programme in which they are trained to collect simple diagnostic information, preventive medicine, first-aid and customer service. <br />These women are given a medical kit, marketing material and a mobile phone. They are then assisted in setting up a tele-clinic (Piramal e-Swasthya Centre) at their own homes.<br />Villagers who feel ill come to the Piramal e-SwasthyaCenter or are visited by the PiramalSwasthyaSevak. After talking to and examining the patient, the health care worker communicates this diagnostic data through a cell-phone to a centralized call centre.<br />At the back end, a call centre worker enters the information provided into a simple e-diagnosis system, which generates an automated response with the recommended prescription and treatment. Doctors manning the call centre also validate this. <br />The total treatment costs between Rs.30 - Rs.50 depending on the medical condition. The Piramal e-Swasthya Centre is also a village level pharmacy stocked with medicines necessary to fill the basic prescriptions recommended by the call centre. If the ailment appears serious, the call centre recommends that the patient visit a secondary or tertiary healthcare facility immediately.<br />The healthcare worker also conducts preventive health workshops, which generate awareness about issues such as sanitation, nutrition and first aid.<br />
Long term scalability & Sustainability</li></li></ul><li>Telemedicine & CDSS<br /><ul><li>This innovation in service removes the distance barrier in rural healthcare through cutting edge technology.
PSS uses mobile to dial up the Nucleus, a telemedicine call centre manned by paramedics & doctors.
Paramedics receive the calls and enter information into web based Clinical Decision Support System(CDSS). This has been developed with TCS.
CDSS is state-of-the-art clinical diagnosis platform that automates the generation of provisional diagnosis and prescription.
Prescription communicated to the PSS over the phone and SMS and she dispenses medicines from the kit provided.</li></li></ul><li>PiramalSwasthyaSahayika(PSS)<br /><ul><li>Promoting Health Entrepreneurship and Woman Empowerment.
PSS recruits and trains and deploys village based women health entrepreneurs, PiramalSwasthyaSahayikas, who enable healthcare access to rural patients.
Empowerment of women under PSS.</li></ul>Global Scale<br /><ul><li>The eSwasthya model of healthcare can be scaled up even on a global platform. The CDSS technology can be used at any level along with telemedicine.</li></ul>Environmental Sustainability<br /><ul><li>The eSwasthya model does not hinder the principle of environment sustainability.</li></li></ul><li>SANDBOX continued<br />New Price – Performance Level<br /><ul><li>eSwasthya provides affordable medical services which range from 30rs to 50rs, depending on the type of treatment.
At this low price quality is also mantained.</li></ul>Transparency in Transactions<br /><ul><li>Under the aegis of Piramal Healthcare, the reputed pharma major, eSwasthya maintains fair accounting practices.</li></ul>Rule of Law – Individual Rights<br /><ul><li>PiramaleSwasthya promotes the lawful practice of medical services.
It helps in eliminating quacks and maintaining the authenticity od healthcare services in rural lands.</li></li></ul><li>Growth<br />
Piramal-AshaModel:Way forward<br /><ul><li>First partnership model that PiramaleSwasthya is launching in 2011.
Objective is to enable Government(NRHM) appointed ASHA Sahyoginis to provide telemedicine services in their villages.
PPP model with district administrations to enable ASHA volunteers work as PSS and leverage benefits of ASHA model an contain its limitations.
Pilot project launched in Churu district aministration, Rajasthan for 100 villages of Tarangpur block.</li></li></ul><li>Benefits of Piramal-ASHA model<br />
Impact<br />RURAL ECONOMIC DEVELOPMENT<br /><ul><li>Wage earners eliminate the loss of daily wages due to time consumed in travelling to cities for treament
Savings from travel costs and high medical fees charged by private players</li></ul>WOMAN EMPOWERMENT<br /><ul><li>Through training of PiramalSwasthyaSahayikas rural women are enabled to earn a living as PSS get 20% of consultation fees</li></ul>QUALITY HEALTHCARE ACCESS IN RURAL AREAS<br /><ul><li>Helps in removing Quackery
Helps in improvement in general levels of health in rural areas</li></ul>BRIDGING THE URBAN-RURAL DIVIDE IN HEALTHCARE FACILITIES<br /><ul><li>Through Telemedicine technology and systems like the CDSS, Rural India can share same medical facilities as in urban areas at their doorstep</li></li></ul><li>Thank You<br />TEAM SCAMPER<br />SomyaBhargava<br />ShauryaBhushanTyagi<br />SonaliAbrol<br />SukeshaSajwan<br />