Health Rural

8/3/2019 Health Rural

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Healthcare Centre inRural Market.

Presented By :Rishabh Mehra 111/10Astha Bansal 171/10Sakshi Mishra 157/10

Tarun Goel 167/10Shobik Das Gupta 17/10

Sonal Darra 35/10


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I ndian Scenario..

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70 % of Indias population live in rural areas

In 2 002 Investment in healthcare was only 0.9% of the total GDP whereas WHO recommended 5% of GDP for health. Health budgets of the Central government actually declined from Rs 45.09 crore

in 1996-97 to only Rs 7.3 crore in 2 001-0 2 .

80 % of the health care is Urban-centric.

The current Doctor population ratio is 1:1800

The formal healthcare system reaches only about 50 percent of the totalpopulation

Nearly 31 percent of India s population travel more than 30

kilometers seeking health care in rural India.


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Urban vs Rural Healthcare

Busin e ss Da ily from THE HINDU gro up of pub licat ionsFriday, Se p 08, 2006

Medical facilities in India are going hi-tech.There is a continuing flight of doctors and paramedical staff from the country, seeking greener pastures abroad.Indians constitute a substantial percentage of medicalprofessionals - 38 %of practicing doctors in the US are of

Indian origin.Heart patients from the US and the UK now travel to Indiaand undergo a surgery for the equivalent of $6,000 against$30,000 in their home country.India is emerging a major player in the international healthindustry.

but !!!!!!!! >>>>>>

A ccor din g to a n A rt icle by

Health-care in the country has improved quite dramatically, but remainsurban-centric. Time, the Government focused more on Rural India.


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..but Ironically all this is confined to theURBAN areas.

No doubt, tremendous progress has been made -in 1951, there was one medical facility for a population of 4,98,000. -in 1981, there was one for every 11,914 people. -in2 001, one centre covered 6,087 citizens.

But considering the limited facilities available in a sub-

centre, quality health-care remains a mirage for much of Rural India. Compare this with the hospital (both publicand private) beds available in the urban areas.

-in 1951, there was one bed for every 3,081 of thepopulation.

-in1981, This improved to one bed for every 1,199 people. -in 2 004 one for 1,1 2 4 person.

At current morbidity levels in the country, one be d forslightly over o ne tho us and popu lat ion is nomea n ach ieveme n t.


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.. Reasons ??

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L ack of investment in health care in rural areas

L ow penetration of healthcare services

Inadequate medical facilities in rural areas

Problem of retaining doctors in rural areas specially the specialist doctors

Rural & remote areas continue to suffer from absence of qualityhealthcare services

Lack of specialist doctors in the rural sector.

Even the local villagers who study medicine prefer to work in the city.


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How to achieve it ??This has three basic components:

Accessibility,

Affordability,Accountability.

2 -step system divided according to the popu lat ion of the v illage s :The villages where population is between 5,000 to 10,000.

The establishment of small clinics is a must, for small diseases. These clinics can organize camps in different small villages.

Population above 10,000 people. Small Ho spi tal s . More complex diseases can be cured and villagers can be admitted. There should be a specialist visiting from the city to take care of the more

complicated cases and performing complicated operations.The small hospitals would take the load off the work of the district

hospitals by 30% which goes out of bed.

The need is also to improve the part icip at ion of the p rivate sector inthe rural areas, which can attract new blood.

The Fundin g for health care p rogram s should also increase in the rural

sector.


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The ma n who d el iver s health care toru ral I ndi a - Dr Bhagwati P Agrawal

We know Dr Bhagwati P Agrawal (founder and executivedirector of Sustainable Innovations and erstwhile World Bankand United Nations Development Programme consultant)

launched A aka sh Ga nga to harve st dome st ic ra inwater toalleviate the perennial shortage of drinking water in India.

Along with his seed money provider and entrepreneur AtulJain, Agrawal is at it again..

This time, Agrawal (who worked to commercialise innovationsfor more than three decades at Fortune 100 companies andentrepreneurial ventures)

He has just launched A rogya Ghar -- A mo bi le k iosk-

base d clinics to del iver health care to r u ral v illage s and u rban slum s in Indi a.

He worked on the project in partnership of the Indian Instituteof Health Management Research and the Birla Institute of Technology and Science, Pilani.


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What does he has to say ??How we im p leme n t it ? Brin g Me dic al Knowle dge to the v illage s . High e duc ate d Girls wo u ld go door to door.


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Cisco and Apollo Hospitals to Further ExtendHealthcare Reach to Rural Parts of India

Health care providers face manychallenges in the delivery of health careservices In rural areas.Over the last decade, Apollo Hospitals,Asia s largest health care provider, and viathe Apollo Telemedicine NetworkingFoundation, has met some of these issuesin an organized and cost eff icie n t ma nn er.Apollo Hospitals and Cisco announced an

alliance to help transform health carethrough in format ion a nd comm unic at ions technology ( ICT).


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The joint initiative is aimed tohelp by accelerating access toaffordable and high-qualityhealth care via the CiscoHealthPresenceTM ExtendedReach technology.

You could hear their heart beatclear as a bell and he could easilydo a visual inspection, said onecolleague who attended thedemo.The integration of Cisco s desktop

based HealthPresence ExtendedReach technology with ApolloHospital s Medintegra will nowfor the first time make available auser friendly, cost effective tele-medicine solution.


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VOL UNTEERS FO R RURAL INDIA

Health Proje ctMany people in rural areas of India do not have access to basic health carefacilities, and also lack awareness about health.

Volun teer s A ct ivit ie sAs a volunteer in a health project, your duties will depend on your qualificationsand knowledge.Qualified doctors and nurses can perform full day-to-day treatment of variousdiseases, counseling and testing and teach patients about first aid and prevention.

Medical students work under the supervision of qualified medical personnel.

Proje ct Q ual if icat ions Both student nurses and doctors are welcome in this project.Volunteers will work in local hospitals and clinics.Therefore, they must have certification as a health professional, medical student,doctor or nurse


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Reha bi litat ion Proje ct.The goal of these projects is to experiment and conduct research for sustainable development through organic

farming, training program and alternative traditional medicines.If you choose a conservation project you will learn about rural development, Indian traditional medicines andpractices, organic farming and more.Volun teer s A ct ivit ie sNon-formal and adult literacy education programs, field visits, research and documentation work, trainingprograms.Proje ct Sk ills Req ui re dThere are no specific skills or qualifications required.

At least 18 years old and should have knowledge of spoken English

Enviro nme n tal Proje ct sOur interns help in community development, health, H IV/AIDs awareness, prevention and rehabilitation,conservation, women's and children's issuesVolun teer s A ct ivit ie sreports and proposals.


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People First Educational Charitable Trust

The Health project works in 1 2 villages working with mainlywomen and young mothers in the field of preventative healthcare.Surveys have shown this project is achieving a greatimprovement in the health of local children and youngmothers paticulary.The project is collabrating technically with UN ICEF Patna inhelping to develop the Intergrated Management of Neo Nataland Childhood illnesses ( IMNCHI) model of child health acrossthe district.Project staff are UN ICEF approved state level trainers.


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Khus h iyo n Ki Dol iIt s an interesting initiative by a multinationalcorporation to go into the heartland.

Khushiyon Ki Doli is a rural marketing initiativeof Hindustan Unilever Limited (HU L). In three states Uttar Pradesh, Andhra Pradesh and Maharashtra.

Here s what we could unearth about the project:1. Kh us h iyo n Ki Dol i

Khushiyon Ki Doli is the first m u lt i-b ra nd ru ral e ngageme n t module started byHUL," said Krishnan Sundaram, marketing manager premium fabric wash.

"In both scale and depth, it will be the largest such activity ever undertaken." During the year, 14 million consumers in 35,000 villages have been set as the

target for contact, with the aid of Ogilvy Outreach.

2. A ccor din g to HU L, "The main objective of the campaign is to reach out to media dark villages with

HUL brand messages." The way they re going about it is to change the attitude of the rural audience to

inculcate goo d hyg ie ne It involves various per sonal care a nd home care b ra nds of HUL including Wheel,

Surf Excel, Fair & Lovely, Sunsilk, Vim, Lifebuoy and Close Up.


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3 . The p ro ce ss of mak in g con ta ct A ware ne ss

Consu mer E ngageme n t Reta il

There are four set of dolis or palkis beingmoved all around the village.

In the urban people hardly look at the commercials. The secommer cial s have e nc ha n te d the r u ral lot.4. Marketer sAwareness about com p any s b ra nds in media-dark villagesCo st-eff icie n t rural activation moduleGreater engagement by blending technology

with traditional symbolism5 . A d age nci e sGreater scope of work for rural marketing divisionsChance to explore ideas in communication,such as customised TVCs for rural audience


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Ru ral Health Care in Indi a Tea che s DukeStud e n t a bou t the Effe ct ive ne ss of Comm uni tyDevelo pme n t o n Health

Duke Senior Anant Agarwalla is convinced there areinfinite possibilities of a bottom-up approach toimprove the health of villagers in rural communities

He completed a su mmer f iel d work p roje ct , funded by the Duke GlobalHealth Institute, in the heart of Maharashtra, India where he assessedthe work of the Jamkhed Com p rehe nsi ve R u ral Health Proje ct ( CRHP).The 2 0-year-old has worked in impoverished communities in the past,and says he was drawn to CRHP for its sustainable, comprehensivemodel of community empowerment, especially among the poor andmarginalized.The Jamkhed model examines the root caus e s of dis ea se by focusingon p overty re duc t io n , nu tr it ion , sani tat ion , e duc at ion and socialeq u al ity.For n early 40 year s, the project has impacted hundreds of thousands of people in rural Maharashtra.Its success is evident by the health challenges that exist in Jamkhed,

which are largely related to sanitation and non-communicable chronicdiseases like diabetes and hypertension.


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GVL brings health care to rural IndiaGVL Co-Founder, Prof. Dhrubes Biswas from Indian Instituteof Technology, Kharagpur has a burning desire to createsustainable and scalable services to the billion of people at

the bottom of the pyramid.The " Living Lab Health Care Delivery Model , founded in2 009 brings health services and insurance to the large andneglected market.Through an entrepreneurial hub and spoke kiosk model,

Prof. Biswas and the Society of Social Entrepreneurs at IIThave already set up 10 kiosks in West Bengal and have thegoal of expanding to thousands in the near future.


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Multi-centric approach to Rural HealthCare in India

Manoj Patel is the Director, Smt. MK Sanghvi Medical andEducational Complex, Vadodara.The Indian government and some NGO s have expressed theirconcern over this and wish to reach out and helpAccording to them health care include individuals, the societyand the environment.Primary Health care in a rural setting can be optimized

through an educative m u lt i-ce n tr ic p rogramme .Leadership comes from the community with guidance fromhealth care teams, various government agencies and non-governmental agencies working together in the region in amassive cooperative venture.What is called for is a planned objective, well aligned by thenation, state and region so that wastage through needlessduplication and repetition is avoided and optimal utilization of the sacred resources is assured.Perceiving Rural Health, Perceiving 1: Dr. M L DhawaleFor this there a multi-layered team: The Physician, theMedical Social Worker, the Multi-purpose Health Worker andthe Community Health Volunteer need to work together toachieve the objectives.


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Conclusion..Development in the field of Telemedicine.Greater participation of the government in the health infrastructure.Imparting knowledge to the rural population.Promoting work of NGOs and Volunteers.Taking Brands to rural population,making them aware.Making Medical Equipments to the Rural Healthhcare.Develop and implement national standards for examination by whichdoctors, nurses and pharmacists are able to practice and get employment.Encourage business schools to develop executive training programmes inhealthcare, which will effectively reduce the talent gap for leadership in thisarea.

The government should appoint a commission which makesrecommendations for the healthcare system and monitors its performance.Develop partnerships between the public and private sectors that designnewer ways to deliver healthcare.


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Health Rural

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