This document proposes a plan to universalize access to quality primary healthcare in India. It discusses some of the key problems in healthcare access such as poor rural facilities, malnutrition, and high infant mortality. It then outlines a proposed biennial door-to-door health inspection program led by teams consisting of doctors, nurses, and municipal representatives. The program would check sanitation, nutrition, and provide basic medical aid and awareness. Implementing such inspections through a dedicated body in each block could help ensure even underprivileged communities receive quality primary care. Challenges to the plan include funding, staffing, and ensuring standards are uniformly applied.

1. Healing Touch: Universalizing
access to quality primary
healthcare
TEAM CORDINATOR: ESHA PANDEY
TEAM MEMBERS: RISHABH KALKAL
GEETANJALI SHARMA
ISHA CHAWLA
KARTIKEY JOSHI
COLLEGE: DIT,DEHRA DUN

2. What is
universalizing
healthcare?
UHC means that everybody
receives access to needed
healthcare and that people do
not suffer major financial risk
when seeking services. This
definition of “universal”
usually refers to the
population accessing
healthcare, and sometimes it
also refers to the
“comprehensiveness” of
services provided. However,
the scope of healthcare
services varies among
countries.
--World Health Organization

3. SCOPE OF PROBLEMS RELATED TO HEALTHCARE
•Poor access to medical healthcare
facilities in rural areas.
•Malnutrition
•Widespread Diseases
•High Infant Mortality Rate
•Negligence in the quality of
food(horrifying case of children
dying in Bihar because of Mid day
meal)
•Poor attention paid to the health of
women especially in rural areas
•Horrifying number of causalities in
Uttarakhand disaster this year
many of which were due to
unavailability of medical care near
by.
Injuries
17%
Cardiov
ascular
Disease
25%
Cancer
9%
Diabete
s
2%
Chronic
Respirat
ory
Disease
9%
Commu
nicable,
genetic,
nutritio
nal
deficien
cy
30%
Other
chronic
Diseases
8%

4. Causes At Preventive Level
Poor
Sanitation
Polluted
Drinking
Water
Lack of
awareness
Lack Of
education
Population
& poverty

5. Causes At Curative Level

6. Door to door health inspection biennially
Overview Of Proposed Plan
Biennial Health
Inspection
Advantage over
existing system
Implementation
•A team, also consisting of doctors and members from municipality, will go
for a door to door inspection in every village or town falling under a block
•They will keep a check on basics like sanitation and malnutrition etc.
•Such inspection will ensure better health care services to
underprivileged people too
•Inspection will be done biennially
•Inspection should be under a separate body made for each block of a state
• The place and people will be checked against standards set for a good
health

7. Preparing a
team
Implementation Impact
Who should be the members
• 2 Nurses and a doctor to
monitor health of the citizens.
• 2 Municipal members to
monitor sanitation needs.
• 2 teachers to keep track of
data.
• To overcome the shortage of
manpower, women could be
given training for nursing.
Shortfall in manpower in public
sector

8. • There will be formation of a separate
body that will focus on selected core
child-health interventions, including
vaccinations, family planning, oral
rehydration therapy, and other
maternal and child health services
• It will also conduct awareness
programs in the gap to keep people
updated and aware of their rights of
primary health care
• The team will also distribute
multivitamins , iron tablets to
provide for nutrients
• Government will have to invest 2.5%
of GDP in health care services as
opposed to current 1.5%.
Preparing a
team
Implementation Impact
Who will conduct these inspections Financial aid for the program

9. What will we gain from it?
•It will ensure that even
the people living in rural
areas are covered in the
inspection and drugs will
be given to them at very
low subsidy
Ensuring
everyone’s
inspection
•Since the body will also
organize awareness
programs, people will be
then be awake regarding
their rights to primary
health care
Awareness
•Since the inspection is
supposed to be carried
out biennially, results will
be gathered very often to
judge the effectiveness of
program
Providing a
parameter
to judge
How is it better than existing plans?
Preparing a
team
Implementation Impact
•Handling of inspection by a
different body rather than state
government will ensure better
efficiency
Better
coverage
• Unlike current policies where little
heed is paid to the
underprivileged people’s health, it
will ensure cordial involvement
Better
Interaction
with the
mass
• Fresh data biennially will help in
the amendment of presently
effective policies with the
changing scenario
Revised
data
biennially

10. Challenges that we can face...
Corruption at various
levels may lead to
inefficient usage of money
funded for health care
facilities
Providing adequate funds
for the formation and
functioning of this body is
difficult in the times of
economic crisis
Realizing standards for
health and sanitation
Reaching out to every
single door in rural areas
wanting transport
facilities is difficult
Construction of team for
every village poses a
challenge because of
dearth of medical staff

11. PORTABLE HOSPITALS
• Concept of portable hospitals
must be implemented to ensure
timely medical care for the ones
in need
• It could use telemedicine concept
in case of emergencies or when
doctor is not available
What is portable hospital?
Portable Hospitals means
organizing the environment and
basic requirements of a hospital
in a vehicle, van for road
transport and also use
helicopters in case of emergency.
WHY?

12. Other important reforms to be considered..
Bypass or separate pathway for
ambulance, police and fire
brigade vehicles
Booths pertaining to healthcare
must be assembled with every
5th to 10th traffic police booth
Mandatory small sessions on
heath care(
sanitation, nutrition and first
aid) so as to be ready for many
unforeseen situations
Concept of telemedicine
should be implemented to
avail maximum benefit from
technology
Ensuring availability of
nursing staff and doctor in
every village , town and city
in public hospitals and
sector providing better
infrastructure
Food bill should be passed
with amendments like a
proper diet is provided to
people BPL

13. Appendix
• en.wikipedia.org/wiki/Healt
h_in_India‎
• www.literacybridge.org/‎
• mohfw.nic.in/‎
• www.nbr.org/research/activ
ity.aspx?id=298‎
• www.healthcare-in-
india.net/‎
• india.angloinfo.com/health
care/health-system/