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Josephites
1. Manthan topic: 2. Universalizing access
to quality primary healthcare
Revolutionizing rural healthcare by training and employing
housewives as healthcare practitioners
Team details:
1) Sachin Bhat
2) Vignesh Shekhar
3) Subhash Saravanan
4) Mohamed Zeeshan
5) Vamsi Krishna
College: St joseph’s college of engineering, chennai
Email: svb0866@gmail.com
Team name: Josephites
2. 50% of all villagers have no access to
healthcare providers.
Current Indian population
1. Current population of India (2011) is 1.241
billion.
2. Nearly 70% of the population lives in
villages which is about 0.8687 billion
3. 50% of villagers have no access to health
care which is about 434 million
Unemployment rate of
rural women in India.
1. Between 2009 and 2012, women's
employment dropped from 18% to 16%.
2. Women in rural areas have no
opportunities to earn income to improve
their status of living.
3. While women unemployment is increasing
in rural regions, it is decreasing in urban
regions.
3. Medical workforce of India
India is lagging in number of physicians per 1000 patients which
is less than the world average. This is due to the large population
and less number of qualified doctors.
4. The Solution is the women of rural
India
• Even if we consider 30 % of the women in a
village are literate, it is a considerable
workforce. They can be trained as a certified
medical practitioner and employed in there
villages.
• Basic medical help to people can be provided
by the trained practitioners in a government
aided clinic.
• Basic medical help includes vaccination, eye
checkups, treating wounds, aiding child birth,
female health checkups, AIDS/STD testing,
blood testing , dental checkups, Emergency
first aid, prescribing antibiotics and drugs for
common diseases.
• In addition to that, a Doctor can be
employed to take care of a number of
villages who will look into advanced cases
and keep travelling to and fro between
villages assigned to him.
• The income from government will also help
the families of the housewife – Medical
practitioner .
5. Implementation of the solution
Implementation
steps
1. Identify talented and literate
housewives of the village
2. Encourage her and her family
to take part in the campaign.
3. Train the Housewives.
4. Build basic government
clinics and a steady supply of
medical requirements.
The government on has admitted to
low health allocation, which is the
major driver for high infant and
maternal mortality rates. By it's own
admission, India has the lowest
health spending as a proportion of
gross domestic product (GDP), with
the overall number looking a little
better due to the contribution by the
private sector. This should be
changed and the expenditure on
Healthcare must be improved.
6. Impact of the solution
Criteria to measure the impact of the
solution.
• By improving the percentage of villages having access
to basic primary healthcare by opening government
clinics and employing the women of rural India.
• Decreasing the child mortality rate and maternal
death rate by at least 60 % in the next 10 years.
• India ranks 52 in maternal mortality rate (MMR). This
is a very bad ranking and even countries like Nepal
and Bhutan have better maternal mortality than
India.
• MMR has a direct impact on infant mortality Babies
whose mothers die during the first 6 weeks of their
lives are far more likely to die in the first two years of
life than babies whose mothers survive.
• In the next census conducted regarding MMR and
CMR by National Rural Health Mission, the success
of the program can be measured.
Immediate impact of the
solution.
1. Development of villages, as a healthy
villagers will favor development of
villages.
2. Steady income to families of the
housewife-nurse
3. Decreased maternal and child mortality
rate.
4. Villagers will have access to primary
healthcare.
5. Healthy children will directly help India
develop when they grow up.
7. Sustainability and monitoring
Sustainability of the solution:
• The program should be fully supported by
government. While the India spends $43
per head, counterparts in Sri Lanka invest
$87, China spends $155 and Thailand over
six times at $261 per head on healthcare.
• we spend 4.1% of our GDP on health the
fact is that 70% of it is from people’s own
pockets or private spending meaning that
the government spends barely 1% on
health.
• India will be fourth biggest defence
spender by 2020, which is unnecessary
when we cant even provide our villages
with basic healthcare.
monitoring mechanisms:
1. A separate department must be setup by
Ministry of Health & Family Welfare for
recruiting and construction of the
healthcare centres.
2. Frequent inspection on the functionality
of the centers must be carried out, as
well as the steady supply of medical
goods must be ensured.
3. Recruitment of the medical practitioner
must not be take-up by the old
employment department, but Ministry of
Labour and Employment must create a
separate specialized body for it.
4. This will ensure that the program runs
smoothly and there will be vigorous
recruitment of the rural women.
8. Challenge Factors
Legal challenges
Medical practitioners other than doctors are not legally able
to prescribe drugs and medicines.
Technology
challenges
1. Logistics of the medical goods to rural areas is difficult.
2. Electricity to run the apparatus will be a problem as there
wont be 24/7 supply of electricity.
Environmental
challenges
Elimination of used cotton, blood, and other surgery wastes
will be difficult.
9. Means to mitigate the identified
challenges
Legal challenges
A new law must be amended to allow the housewife-medical
practitioners to legally prescribe basic drugs and antibiotics.
Including basic procedures like stitches and administration of
substances like adrenaline and Epinephrine in case of
emergency.
Technology
challenges
One medical supply Stock point, must be built for all the
villages in a particular area and vehicles must be provided for
logistics.
Environmental
challenges
Incinerators must be provided in the stock points for the
elimination of needles and other medical wastes.
10. Financial Challenges
An enormous amount of private capital will be required in the coming years to
enhance and expand India’s healthcare infrastructure to meet the needs of a growing
population. Currently India has approximately 860 beds per million population. This is
only one-fifth of the world average, which is 3,960, according to the World Health
Organization. It is estimated that 450,000 additional hospital beds will be required by
2010—an investment estimated at $25.7 billion. The government is expected to
contribute only 15-20% of the total, providing an enormous opportunity for private
players to fill the gap.
