Healthcare Ideathon 2020 Finalist team. Team members Protiksha Ukil Swetha Rani Savala Kavya Bangari Sahithya Yamarapu 2017 Batch MBBS, Gandhi medical College, Hyderabad. We wanted to tackle the ongoing pandemic related health concerns. Our ideas involved decreasing spread, improving hygeine, increasing awareness of social distance, reducing taboos about positive patients, increasing connectivity to the available healthcare resources, enhancing quality of healthcare services through receiving feedback and integrating our ideas with the already existing government schemes.

1. The Hope Model
A proposal for an integrated, sustainable
approach to pandemic, epidemic and
endemic disease management
Team members: Protiksha Ukil, Swetha Rani Savala, Y. Sahithya, B. Kavya

2. Problem Statement
We lack an integrated approach to handle all the following
problems:
• Primary healthcare takes a hit during crisis situations such as a pandemic.
• Primary healthcare has always suffered from a deficiency in fund.
• Lack of proper sanitation and increased usage of non-biodegradables for
handling infectious diseases.
• Only 36.69% smartphone penetration in India deters the proper utilisation
of personalised telemedicine services.
• Reduced employment and opportunities.

3. Solution Summary
• Existing Solutions: Telangana Basthi Dawakhanas and Mohalla
clinics in Delhi already serve as role models for handling general
healthcare
• However the current scenario reveals that they aren’t completely
geared to provide same efficiency at pandemic times.
• The current set of proposals builds on top of the existing Mohalla
clinic and Basthi dawakhana model and extends them to all PHCs in
the country and additionally equips them to work well at pandemic
times

4. Solution Details
• Current Mohalla clinics and Basthi Dawakhanas( BD) address the
following aspects:
⚬ One STOP SERVICE catering to 5000-10000 population range
⚬ 3Ds – Doctor, Diagnostics and Drugs
⚬ Reduced out of pocket expenditure
⚬ Converging National Health programmes
⚬ Telemedicine services
• This model lacks the facilities to address highly transmissible
infectious diseases.

5. Solution Details Continued…..
• Proposed additions to the existing initiative for handling
pandemics and epidemics:
⚬ Open OPDs under favorable climatic conditions.
￭ Usage of umbrellas for social distancing among patients following Kerala Model.
￭ A segregation system: suspects and non- suspects
￭ A screening booth for common seasonal diseases, any epidemics or ongoing pandemics
￭ Installation of fans between doctors and patients to decrease aerosol spread.
⚬ Modified Hygiene etiquettes
￭ Installation of foot operated flushes and taps for toilets, handwash dispatch systems, door handles in
collaboration with local SME.
￭ Promotion and usage of disposable and biodegradable articles like banana leaf foot-wear, mugs and
plates in collaboration with local Self Help groups. Banana leaf technology by innovator Adithyaa.
￭ Usage of reusable PPE kits introduced by Delhi IIT.
⚬ A dedicated auto rickshaw service for assisting patients in need. Collection
and transport of samples for diagnosis to secondary and tertiary centers
⚬ Medical students volunteer to spread awareness as part of PSM.
⚬ Broadcasting screens in the waiting area for spreading awareness and
advertisement.
￭ Information about available emergency services and where to avail them from.
￭ Spreading awareness on Seasonal disease and ongoing epidemic precautionary measures.

6. Open OPs
Advantages:
Open Ops (they are at the vicinity of BDs/Mohalla
clinics) can be molded and dynamically modified
according to the
• Specific climate
• Change in prevalence of a disease with season
• Space available
• Area’s population density
• Available resources.

7. Modified hygiene etiquettes
Advantages:

8. Senior citizen diagnostic support at home
Advantages:
• Better disease Surveillance in
the locality
• Availability of Diagnostic
services at home which could
benefit the elderly population.
• Lower capital required than a
larger vehicle.
• Can travel through clumsy and
crowded areas as well.

9. Estimated cost
Requirements Quantity Cost Per Capita Total
Capital Investment
Shade 1 1 60,000
Broadcasting setup 1 7000 7000
PPE kits 4 1500 6000
Fans 2 3000 6000
Emergency booth setup 1 3000 3000
Foot operated soap dispenser 1 50 50
Foot operated door handle 2 40 80
Foot operated flush 1 60 60
Foot operated water tap 2 50 100
Miscellaneous N/A N/A 3000
Total 85290
Operational Costs
Transportation services 2 15,000 30,000
Human resources 2 variable ~20,000
Banana leaf splippers 50 3 3900
Banana leaf mugs 25 1.5 975
Maintainace N/A N/A 5000
Total 39,875
TOTAL 1,25,165

10. Feasibility
• Lack of budget to be addressed by using a Public-Private Partnership model
⚬ Capital expense
￭ Partial leverage using the Mohalla clinic/ BDs / PHCs’ available infrastructure
￭ New infrastructure to be funded under Corporate Social Responsibility schemes
⚬ Operational Expenses to be funded by corporates like FMCG and Pharmaceutical
companies.
⚬ Human Resource
￭ Existing Medical officers and staff nurses
￭ New recruits to be sponsored by corporates
￭ Medical students volunteer for an internship as part of PSM.
• Usage of Made in India technologies like Banana leaf technology and PPE kit
from Delhi IIT for all such clinics
• Inclusion of local SMEs and SHGs for manufacture and maintenance of
accessories like footwear, mugs, foot operated systems increase the local
employment scope.
• The idea can be reached universally without the dependence on technology.

11. Market Value
• The overall solution creates a win-win model for the
public, Government and corporates in the following way:
⚬ The common people get access to better and safer healthcare
facilities even during a pandemic.
⚬ The financial load on the Government for healthcare gets shared
with corporates
⚬ Return of investment for the corporates is achieved by:
￭ Broadcasting targeted advertisements
￭ Inviting advertisements from Pharmaceutical companies.

12. Thank you!