The document proposes a centralized registry to universalize access to quality primary healthcare in India. It outlines the current problems with healthcare access and affordability in India. The proposed solution is a centralized registry that maintains a database of patients, medical facilities, community workers and more. It would act as a facilitator to connect people to existing government health schemes and improve access to affordable generic medicines. The registry would be supported by initiatives like an online doctors' forum, mobile health apps, and organizational structure.

1. Healing Touch:
Universalizing access to quality
primary healthcare
Team INCUBATORS
Himanshu Garg
Himani Puri
Nitigya Goel
Riya Gupta
Varun Chaudhary
College : Sri Guru Gobind Singh College of Commerce, Delhi University
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HELPING HANDS :
ENSURING RIGHT TO MEDICAL HELP

2. India accounts for the largest number of maternal deaths in the world.
79% of the children between the age of 6-35 months, and more than
50% of women, are anaemic
Out of the 6,39,729 doctors registered in India, only 67,576 are in the
public sector.
Nearly 67% of the population in India do not have access to essential
medicines.
United Nations calculations show that India’s spending on public health
provision, as a share of GDP is the 18th lowest in the world.
Half of the population still relies on old methods of treatment through
daimaa instead of doctors due to high cost
And what's surprising is that
The situation is arguably getting worse faster than it's getting better.
THE PROBLEM Helping Hands

3. Whose data will be maintained in registry
Patients / people in
general
Hospitals/clinics Community health
workers/NGOs
Medical colleges Panchayats
What details will be maintained in the registry
• Name
• Age
• Sex
• Contact no.
• Address
• Blood group
• Health
Insurance(if any)
• Medical history
• Registered
name
• Contact
• Location
• Specialisation
• No. of beds
• Timings
• Locality
• No. of
volunteers
• Medical
expertise of
volunteers
• On going
programmes
• Contact details
• Locality
• Specialisation
• No of interns
• Field trips
• Contact
details
• Name of
the village
• Population
of village
How to get registered
• Online through Government web site created specifically for
this purpose
• Via telephones (to reach extreme rural areas of the country)
We will create a Registry
containing Centralised database maintained by the Government
After registration a unique ID will be assigned to every individual for future reference
Proposed Solution Helping Hands

4. Registered person / Panchayats reports a
problem to the registry via mail or over
the phone
The registry forwards the problem to
authorities of concerned government
schemes.
•When any registered woman in any rural area gets pregnant , the Registry
will inform aanganwadi scheme authorities for the further regular check ups
and medication.
•If any registered person living Below Poverty Line wants to get health
insurance , registry can help him contact Rashtriya Swasthya Bima
Yojana(RSBY)
•If any Panchayat calls to report that there is no clinic in their village , the
problem will be forwarded to National Rural Health Mission (NRHM)
Examples
IMPACT
• Benefit the aggrieved party (providing them a platform to get heard)
• Help in effective implementation of the Government schemes
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Role of Registry as a Facilitator

5. Helping Hands
Ensuring availability and affordability
of medicines.
 Generic medicines will be supplied to the registered Panchayats and/or
community health workers on credit.
 These medicines will then be made available to the poor after consultancy from
nearest clinics/mobile apps(discussed later).
 Panchayats will sell these medicines at reasonable prices.
 Stock of medicines will be Reimbursed at the end of every month after collecting
the proceeds of previous month’s sale .
 The database will be maintained and updated by the registry .
This will help inIMPACT
• Easy availability of low priced generic medicines.
• Since medicines are supplied on credit, no financial burden on Panchayats as the
payments will be made only after receiving proceeds from patients.
• Medical aid will be within financial reach of every individual

6. Doctors Forum
IMPACT
• Inexperienced doctors/Dai ammas will get relevant specialised solutions.
• Medical expertise will reach every corner of the country even in remote areas.
• Nationwide Access to medical research and studies.
Development
of an Online
Portal
• The IT team will
develop online forum
just like Yahoo
answers to provide a
platform for rural and
urban area doctors to
interact
Posting/asking
a query
• Any registered doctor
can post a medical
query regarding a
particular patient or
science in general on the
forum
Posting the
solutions
• Experienced doctors
with knowledge in
particular field will
then post answers to
the query.
For extreme rural areas, doctors can call the registry to get the problem updated on forum
and the solution to the problem will be communicated to them through a phone call.
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7. M-Health
Mobile phone based systems will be developed in order to improve health
surveillance, facilitate referrals and improve overall care.
Application Area Examples
Education & Awareness Disease prevention, health promotion
Point-of-Care Support & Diagnostics Support in diagnostics and clinical care
Disease & Epidemic Outbreak Surveillance Real-time tracking of cases of infectious
diseases
PROJECT AIM APPROACH
Integrated Disease
Surveillance and Response
(eIDSR) system
To improve containment and
eventual prevention of
disease outbreaks
Immediate notification alerts
for pandemic prone diseases
such as dysentery, chicken pox,
rabies and measles in their
area as they arise.
One of the systems that can be developed
Application areas in which M-health can be introduced
With doctor patient ratio as low as 1:1700 in some areas, mobile services will help in extension of
primary health care services.
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8. Top Management
Department/Policy
makers
Information
Technology
department
Website development
team
(team of 15
professionals)
Mobile app
development team
(team of 15
professionals )
Communication/Call
center
(1 centres per state
working 24*7)
Pharmaceuticals
(Generic medicines)
department
Procurement team
(team of 3 managers
at central level for
policy framework)
Sales and Distribution
team
(team of 5 managers
at central level for
policy framework
4 supervisors managing 5 teams of 5
members each per state
Estimated funding required for 1st year when only 3 states are targeted(MARKET TESTING)
Technological
cost
(IT hardware and
Personnel)
Logistics cost
(state and regional teams of
pharmaceutical dept. )
Communication/call
centres
(hardware and personnel)
Total
(expenses
for 1st year)
Up to 1 crore • Supervisors 20 lakhs per state=60 lakhs
• Teams 10 lakh per team = 1.5 crores
• Total Aprox 2 crores
Call centres max 1 crore
For 3 states total 3 crores 5 crores
(Aprox)
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Organizational Structure needed for
implementation

9. Execution Timeline
Focused
development in
MP, UP, Bihar-
being the most
underdevelope
d states.
The
benefits of
registry
extended
to whole of
east India
The range of
registry will
extend to
North India
and east India
completely
with opening
of centralized
call centers.
The services
will have
covered more
than 75% of
the country by
now , including
whole of west
India
Whole of India will
be covered and
connected through
various call centers
and the accurate
database will be
maintained.
More than 5 lakhs
villages will be
served
YEAR 1
YEAR 10
YEAR 5
YEAR 4
YEAR 2
Within 10 years of incorporation the registry will
cover whole of India ensuring right to medical
care to over at least 60 crores Indians across both
rural and urban Areas
After recruitments and departmentalisation,
Promotion will be done for the registry through
social media like News channels, Radio and in
Government hospitals and registration process
will begin.
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10. Networking
• 3,14,000 primary health centers.
• 47,300 hospitals
• 408 Medical colleges
• 60,00,000 people in India and
• Panchayats all across the country
will be brought together
Availability and
affordability of
medicines
• Medicines will be made available in more than 6lac villages.
• Awareness about low priced Generic Medicines at levels
never expected before
Other
advantages
• Creation of Job opportunities (in call centers and IT team)
• Innovative approach using modern techniques like mobile
apps and internet
• Improving skills of doctors in rural areas(through doctor
forums) at negligible costs
• Acts as a complementary scheme to the existing models
IMPACT / Benefits to society
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11. Potential Challenges Preventive Measures
Inefficiency may creep because of several
levels of bureaucracy.
• Establishing proper authority -
responsibility relationships.
• Conducting timely performance appraisal
Problem of implementation and data main-
enhance due to large scale
(case in point - Adhaar cards)
• Using high security devices
• Maintenance by highly professional IT
technicians.
Indifferent approach of people due lack of
awareness of its advantages.
• Communicating benefits through News
channels, Radios etc.
• Awareness campaigns can be organised
(if need be)
Unavailability of generic medicine retailers. • Inclusion of Panchayats in distribution
network to ensure availability
• Sale of generic medicines in hospitals
may be started
Difficulty in implementation of M-Health
programmes due to lack of internet
connectivity
• Designing offline mobile apps
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12. Appendix
 HEALTH CARE IN INDIA - VISION 2020 Prospectus by R. Srinivisan
 National Family Health Survey (NFHS) Reports by NRHM
 Supportive Supervision of Frontline Workers and Service Providers:
Consultation Report by UNICEF
 Healthcare in India : Emerging market report 2007 by
PricewaterhouseCoopers
 Annual Report – Ministry of health and Family Welfare
 High level expert group report on universal health coverage for India
 Economic survey 2012
 Census of India
 World bank data bank
References
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