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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 allvillagers 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 ofIndia 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 isthe 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 thesolution 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 thesolution 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 Sustainabilityof 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 Medicalpractitioners 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 mitigatethe 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 enormousamount 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.
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