GENESIS

TEAM DETAILS

Team Coordinator- Karan Gujral Team Name- GENESIS

OTHER TEAM MEMBERS

Mridul Bhattacharyya Vishal Budhiraja

Govind Singh Vivek Agarwal

CURRENT SITUATION OF PRIMARY HEALTHCARE IN INDIA

800 million people live in 6,36,000 Indian Villages

66% of rural Indians do not have access to the critical

medicines

31% of the population travels more than 30 kms to seek healthcare in rural India

8% primary health centers do not have

Doctors

39% PHCs do not have lab technicians

18% PHCs do not have a pharmacist

India spends less than 0.1% in publicly

funded medicines

60% of all health care expenditure is

out of pocket

75% of India’s health care infrastructure caters to only

27% of the population

Indian healthcare expenditure forms

3.87% of GDP compared to 7.2% of

rest of the BRICS countries

India ranks 150 out of 214 countries in terms of infant

mortality rates (per 1000 births)

India had a shortfall of 9,148 primary health

centers

A network of Nurses/ANMs managed by Information System to provide primary healthcare to all in rural India

4 LEVELS – Grass Root, District, State and Centre

Panchayat Jurisdiction is the grass root level Nurses/ANMs At Grass Root Level A panel of 10 doctors at the district level

Public Health information System (PHIS) – a computerized health care data communication system

PHIS handled by Government School Teachers

Centralized control while decentralized operations

Primary Health care access to all The problem of shortage of

DOCTORS in India is resolved to a great extent

Low set up and maintenance cost Easy implementation Inbuilt control mechanism Proper utilization of government

infrastructure and available human resource

Model for implementing the mechanism

Administrative body

PHIS handled by professionals

Administrative body

PHIS handled by professionals

Panel of 10 Doctors to guide the Nurses /ANMs

Additional doctors from public and private healthcare centers on nominal fee

PHIS handled by professionals

2 Nurses/ANMs for treatment of general diseases, stitches, dressing

Medicine storage at Panchayat Aawas

PHIS handled by School Teachers

Awareness programs by NGOs with active participation of school children (especially classes 11th and 12th)

CENTRAL LEVEL

STATE LEVEL

DISTRICT LEVEL

GRASS ROOT LEVEL

Implementation of the model

GRASS ROOT LEVEL

Nurses/ ANMs will treat general diseases, put stitches and do dressingNurses/ANMs will take out medicines from the stock and write down the

quantity taken out on the quantity sheetOne Government Primary School Teacher will compile the quantity sheet

once a week and send the stock information to the district level through PHISIn case the Nurses/ANMs need help, the Panel of doctors would be

informed immediately through PHIS

DISTRICT LEVEL

STATE LEVEL

CENTRAL LEVEL

Doctors will be sent to grass root level in case of requirement either from thepanel or from public and private health care centersStock reports for medicines required in high quantity will be sent to state level

through PHISSmall and emergency purchases to be done at district level itself

Bulk medicine purchases to be done at the state levelMonthly reports to be send to the central level through PHIS

Performance analysisCentralized control

Requirements for the mechanism

HUMAN/ PHYSICAL RESOURCE• Nurses/ANMs

2,60,000

• Doctors

6,710

• School Teachers

1,30,000

• Other Staff

3,355

• Computer Systems

1,31,400

• Technology and Maintenance

FINANCIAL RESOURCE• Rs 3,120 cr pa

• Rs 402.6 cr pa

• Nil

• Rs 40.26 cr pa

• Rs 197.1 cr pa

• Rs 78.84 cr pa

TOTAL = 3,838.8cr

The programme can be funded by the government which has a budgetary allocation of Rs 3,00,018 cr for health care from 2012-2017 (12th 5 year plan).

IMPACT AND REACH

BENEFICIARIES AWARENESSDEMOGRAPHIC

DIVIDEND

Over 800 million Indians living in rural areas will get access

to quality primary health care

By 2026 India will have the largest youth population. This

programme would make the entire youth

population healthy resulting in better

productivity, efficiency and effectiveness.

Thus, making India a super power.

The active participation of school children

would make them as well as the society aware of various

health related issues

• Weekly updated financial and operational reports through PHIS

Corruption

• Procurement of cost-effective Generic medicines

Supply of medicines

• Job enlargement to include PHIS

Convincing school authority

• Awareness programmes with the help of NGOs gram panchayat.

Securing cooperation of village heads

• MITIGATIONS

CHALLENGES

APPENDIX

References

• www.changemakers.com/healthbiz/entries/new-entry-41

• www.tradingeconomics.com/india/rural-population-growth-annual-percent-wb-data.html

• en.wikipedia.org/Primary_health_centre

• 12th Five Year Plan (2012-2017), by The Planning Commission of India

• Forbes India Article on Healthcare and Sanitation in Rural India