Session 3: Delivering Population Health Through Innovation and New Models of Care held on 8-9th July 2016, at the Summit on Healthy Populations in the 21st Century organized by Institute of Global Health Innovation, Imperial College London.

1. Creating Healthy
Populations in the 21st Century
- building an inclusive world
Sangita Reddy
Joint Managing Director, Apollo Hospitals

2. AS RESPONSIBLE
CITIZENS OF THIS
WORLD, OUR
LEGACY HAS TO
BE THE
INTRODUCTIONOF
SOCIAL
INITIATIVES THAT
TRANSCEND
BARRIERS AND
BUILD AN
INCLUSIVE
WORLD

3. Total Health, Thavanampalle Mandal, India
TOTAL
COVERAGE
TOTAL
PROTECTION
TOTAL
HEALTHCARE
• Thavanampalle Mandal
in Chittoor district (AP)
• 32 Gram Panchayats
with 195 + habitations
• More than 70,000
people
• Covering all segments
& age groups
INVOLVING
YOUTH
Care
Pathway
EDUCATION
YOGA
NUTRITION
CENTRES
Clean
Water
NCD
SURVEY
MOBILE
CLINIC
TOTAL
HEALTH
Sanitation

4. Diabetes, Hypertensive,
Anemia, Cancer
Colposcopy, PAP Smear,
Ultra-Sound
Aarogyasri &
Foundation
NCDs, TB, & Pregnant
Woman
Population Health
INDICATIVE

5. Total Health
Mobile clinic
Insights 1…
Covers 30,000 people in
21 gram panchayats
30%
Non-
Compliant
40%
Of Diabetic
Unaware

6. Insurance
Scheme
Sense of
Ownership
Participative
Sustainable
Model
Insights 2…

7. Affordable Healthcare

8. INVOLVING
YOUTH
Care
Pathways
EDUCATION
YOGA
NUTRITION
CENTRES
Clean
Water
NCD
SURVEY
MOBILE
CLINIC
TOTAL
HEALTH
Sanitation
Livelihood
for
women
13/13
Anemia program
Sustainable
Model
Alternative
medicine

11. Insights
Total health household
survey of the targeted
70000 + population
Findings NCD and Anemic
17.6% Diabetics
24.7% Hypertensive
28.2% Anemic. 7.5% males and 20.7% females
25324 people screened
18657 Screened for NCDs
Education
16667 people (65.8%) are literates and
8657 people (34.1%) have no formal education
Personal Habits
Alcohol :- 7.9% of males consume and highest in the
age group of 45 to 49 (10.4%)
Tobacco:- 7.6% males and 0.4% women professed that they smoked and
15.2% women chew tobacco. 5.9% of male and 15.6% female both chew
and smoke tobacco
Findings NCD and Anemic
Education
Personal Habits

12. Insights
CANCER
SCREENING
Colposcopy with Acetic Acid staining and capture of images has been
conducted on 1200 women of whom 222 were further recommended to be
examined with a PAP SMEAR
1.2% of women have undergone breast examination. Of them 15 were
investigated further, but none was found to be suffering from Cancer
Oral Cancer Screening has also been started among the women who
were examined for Breast cancer. However no case of malignancy
has been detected to date

13. NCD Package
Covers 15000 people in 47 villages of 9 gram panchayats &
Satellite Clinic II Covers 10000 people in 48 villages of 8 GP
 Screening
 Diagnosis
 Treatment
 Monitoring
Total : 2911 benefitted
Male : 1477
Female : 1246
Children : 188
350 + patients underwent 10 investigations including HbA1C with
six month follow up investigations( PC)
540 Diabetic patients under went HbA1c investigation and are in
continuous follow up
1%
35%
31%
19%
12%
2% 0%
< 5
5 to 6.4
6.5 to 8
8.1 to 10
10.1 to 13
13.1 to 15
15.1 to 18Set up a Designated Microscopic Centre in convergence with
district tuberculosis department to extend sputum afb
examination
68%
32%
Reduced HbA1C
No changes
Analysis on HBA1C report
Satellite Clinics I & II
HbA1C Investigation
Findings
RNTCP
Report

14. Report
Nutrition Centre 250 + women are getting benefitted
3%
4%
15%
16%
17%
19%
22%
4%
Apr-15 6 to 7
7.1 to 8
8.1 to 9
9.1 to 10
10.1 to 11
11.1 to 12
12.1 to 13
13.1 to 15
0%
0%
3%
9%
15%
31%
34%
8%
June-16
6 to 7
7.1 to 8
8.1 to 9
9.1 to 10
10.1 to 11
11.1 to 12
12.1 to 13
13.1 to 15
Geriatric Care
Initiated nutritious food and health care services to geriatric
population for touching the lives of those in the twilight zones

15. 5 potable water plants ---- 25,000 people from 31 habitations
avail the facility
457 families got benefitted in 23 villages and 2000 + students
got benefited from school sanitation
Promotion of l nutritious food through backyard organic kitchen
gardens, 1700 + families got benefit, emphasis on drum stick
and papaya saplings
Potable water
Individual Sanitation
Latrines and school
sanitation
Kitchen Gardens
Livelihoods
Trained more than 350 women in Textile garments, Jute bags
manufacturing and beautician course
67% Self-employed 10% Wage employed the average additional income is
between Rs.2000/- to 5000/-
Report