The document outlines the current challenges facing India's healthcare system, including a growing burden of disease, inadequate healthcare financing, and lack of universal access to services. Key issues include high maternal and under-5 mortality rates, poor health resource distribution, and a significant reliance on an unregulated private sector. It concludes that India's healthcare performance lags behind global standards due to poor governance, insufficient funding, and inequitable resource allocation.

1. Current Healthcare
Challenges In India
Nitesh Gunjan
Pharm MBA
DPSRU, Delhi

2. Contents
• Executive Summary
• Indian Healthcare Overview
• Growth Trend
• Challenges of Indian Healthcare
• Conclusion

3. Executive Summary

4. Executive Summary
Healthcare Market Size
2016
USD 110 Billion
0.9
Hospitals Bed Per Thousand
Population
0.7
Physicians Per Thousand
Population
152326- Number
of Sub centers
184488 – Number of Hospitals
in India
3601 AYUSH Hospitals
Source: WHO, IMH, Deloitte, TechSci Research

5. Indian Healthcare Overview
The Healthcare Market Functions Through Five Segments

6. Healthcare Overview
• Indian Healthcare has become one of largest
sectors both in terms of revenue and employment.
• During 2008-20, the market is expected to record a
CAGR of 17 per cent
• The total industry size is expected to touch USD160
billion by 2017 and USD280 billion by 2020 with
CAGR 22.9
• Government e-Health initiatives like Mother and
Child Tracking System (MCTS) and Facilitation
Centre (MCTFC)

7. Indian Healthcare Growth
Source: https://www.ibef.org/industry/healthcare-india.aspx

8. Indian Healthcare Challenges

9. Challenges
• Mitigating burden of disease
– Infectious
– Chronic degenerative
• Maternal mortality, under-5 mortality,
malnutrition
• Healthcare finance
• Lack of universal access to health care
• Lack of healthcare related resources

10. Burden of Disease
• Infectious diseases
– Poor implantation of public health programs
– Lack of environmental sanitation, safe drinking water,
information and awareness of hygiene and nutrition
– Poor living conditions
• Chronic degenerative diseases
– Lack of access to diagnostics (e.g. pap smear tests)
– Poor diagnosis
– Lack of specialists such as gynecologists

11. Burden of Disease
• Prevalence of non-communicable diseases
– Lack of awareness of diseases such as diabetes and
hypertension.
– Focus is more on communicable diseases such as
tuberculosis and Polio.
• Rise of psychological disorders
– Lack of awareness and understanding

12. Maternal Mortality, Under-5
Mortality, Malnutrition
• Explosive population growth (High birth rates)
• Gender inequality
• Poor education
• Poor nutrition
– Lack of breastfeeding
– Vulnerable to weakness and infection
– Poor immunity
• According to UNICEF, 1.7 million under the age
of 5 years die

13. Healthcare Finance
• High cost of curative medical
services
• Expensive health insurance
• Poor vaccination coverage
• Inappropriate and irrational use of
high tech diagnostics
• Economically poor patient not able
to afford the treatment expense

14. Lack Of Healthcare Related
Resources
• Migration of qualified professionals
• Workforce concentrated in urban areas
• Underinvestment in health care related
infrastructure in certain areas
– Limited opening hours
– Limited availability of drugs
– Poor physical environments
– Poor provider training and knowledge

15. Lack Of Healthcare Related
Resources
• Poor governance of health care sector
– Adequate regulation of public and private sector has
been difficult to achieve
– Implementation of laws and codes is problematic

16. Lack Of Universal Access
• Health services not easily accessible to
rural populations
– Economics of scale achievable only in urban
areas
– Physical distance to facilities is an issue
• Health insurance only covers about one
fifth of the entire population
– Unorganized private sector accounts for
almost 80% of outpatient healthcare

17. Lack Of Universal Access
• Dearth of qualified medical professionals in rural
areas
– Inappropriate drug use

18. Conclusion
• India lags behind in in key healthcare indicators,
Growing Burden of Disease and Disease Mix
• Inadequate and Poor Healthcare Planning (Top
Down)
• Inequitable distribution of resources between
different States as well as Urban Rural settings
• Shortfall of Physical Infrastructure & shortfall of
Trained Manpower (Doctors, Nurses,
Paramedics)

19. Conclusion
• Miniscule Healthcare Budget by Governments
• High Cost of Advanced Treatments
• Low Insurance Penetration
• Unregulated Private Sector (Only 244 hospitals
in India are accredited by NABH)