Pentaminds

Healing Touch – Healthcare for All

Devicing a system levereging existing government resources.

Presented by- Aditya Om

Priyanka Yadav

Rahul Dewanjee

Rajat Shinde

Sejal Agrawal 1

India is the largest exporter of generic medicines but

still 60% of all healthcare expenditure are out of pocket.

Expenditure on health is continuously decreasing per year in the period 2003-10.

Also India’s expenditure is only 3.87% with respect to other BRICS nation with 7%.

Characteristics-60% of Indian population is still not viable to basic medical facilities.

Hypothesis-Due to marketing costs the price of medicines increase by many folds and hence it slips from the reach of marginal regions of the society.

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Fig 1: Analysis of India’s Healthcare expenditure

Hypothesis-In India, still, there are not enough facilities to nurture newly born kids. Lack of awareness among rural people regarding preventive measures leads to high infant mortality rates.

Characteristics-In 2012, India had a shortage of 9,148 primary health centers.

Hypothesis-Due to irregular facilities provided to Primary Health Center , very few employees are interested in continuing their work.

Characteristics-According to the United Nations, 75% of India’s health care infrastructure caters to only 27% of the population.

Hypothesis-

1.The infrastructure of primary health centers and community health centers in rural areas is not upto the mark.Even some don’t have bed and other basic facilities.

2.Due to patenting of genes etc , monopoly of particular company occurs thus increasing the price and restricting R&D in one dimension.

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India’s rank-150 / 214 countries

Fig 2:comparison of IMR

Intended solution -

Establishing medical shops and healthcare units at small distances.

Recruiting people from various levels to drive these units.

Including modern telemedicine, helplines and ambulance facilities.

Advantage over

existing system

Wider reach to patients

Replacement of old-disordered clinics

Cheap and easily accessible medical

facilities.

24*7 medical helpline and inclusion of

Ayurveda and Yoga.

Implementation model

• Opening medical shops and healthcare units in neglected rural areas.

• Training ASHA workers & other medical representatives for nursing these units.

• Developing a system controlled by retired dignitaries.

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Implementation-

VIGILANCE TEAM

Keep track of the medicine being distributed i.e their expiry dates, scope etc. and loyalty of workers towards society.

RECRUITMENT TEAM

Recruit ASHA workers Recruit unemployed

youth

CENTRAL HEAD

Retired medical representative who will govern the whole system.

Training unemployed

youths to distribute

medicines in medical centers.

Setting up medical centers at each 20 kms.

Combining whole system

with 24*7 helpline system

and experts@call

service. 5

The proposed system comprises of following volunteers. Volunteers

• ASHA workers and other NGO’s.

Prerequisites

• Zeal and passion towards serving the society.

Human capital required

• Approx 3 in each primary health center.

Experienced persons

• Retired doctors and medical representatives.

Prerequisites

• Should be loyal towards society .

Number required

• They will be in executive positions ie head of centralised unit.

Unemployed youth

• They will be given training to serve in medical centers.

Prerequisites

• Basic knowledge of medical science.

Number Required

• Approx 2 in primary medical health centers.

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Functioning

After recruitment and setting up of primary units the functioning is done in following manner- • Medicines will be supplied to primary units from government stock. • Villagers can access to these primary units for general purpose using telemedicine services and in case of emergencies they can be directly referred to main medical center. • Ambulance taxis can be used to bring patients from remote and neglected areas using 24*7 helpline. • Vigilance commission will regularly supervise the medicine stocks and check for the expired medicines.

Main medical

center

Primary units Primary units

Primary units Primary units

Patients General purpose

General purpose

Emergency case

20 km

The Capital Connection-

Recruitment of Accredited Social Health Activists (ASHA’s)

• Perks including salary of each activists- INR 1300. • No. of activists required – 462000

• Total average investment – INR 1300 * 462000 = INR 60 crore

Recruitment of Unemployed youth to serve in medical centers.

• Salary and other incentives- INR 1300 • Human capital required- 200000

• Total investment to be done- INR 1300 * 200000 = INR 26 crore

Improving infrastructure of existing health centers = INR 1 crore

Implementing schemes like ambulance taxis, and telemedicine services =

INR 1 crore.

Payscale of Central governing heads and vigilance executives = INR 10

lacs + INR 10 lacs = INR 20 lacs.

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Impact and Reach-

Increasing Employment

• The system would be able to employ directly atleast a millon people.

• Not much of effort is required in employing ASHA’s as they are recruited directly by the government of India.

Healing touch

• Encouraging use of unorthodox medicines and practicing Ayurveda.

• Healing through YOGA.

Trainees • More than half a million people will

be trained .

To Be Accomplished……

• Low cost medicines will be available at every medical centers.

• Immediate actions can be taken in case of emergencies using Doctors@call and telemedicine facilities.

• Like Rajasthan, the system needs to be expanded in whole of the India.

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Unwillingness of doctors to practice in rural areas, giving up facilities of cities.

• Making such practices compulsory for doctors in the form of internships.

• Providing special perks to them.

Encouraging Yogic practices in proposed health centers and primary schools.

Such practices will help in developing kids not only physically but mentally also .

Promoting unorthodox ayurvedic practices and spreading awareness about them amongst villagers.

• Using basil leaves, turmeric etc to cure general diseases like flu, dyssentry, cough and cold etc.

• Also all of pharmaceutical research should be undertaken by government.

Here’s some challenges that the proposed plan faces along with their mitigation factors :-

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Lack of awareness about different schemes of govt. among people.

•Organizing rallies and awareness spreading program .

•Publicity via posters, newspapers, etc .

Making rural villagers trust the generic medicines (who, till now , used home remedies )

•Showing them the benefits of the available medicines.

Setup of net connectivity to utilize telemedicine.

•Spreading internet awareness and giving training to the people.

•Providing them with computer facilities.

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Referencopaedia -

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•WHO Country cooperation Strategy India 2012-17 • Annual Health Strategy. • Mobile based primary health care system for rural India • Working paper 1/2009 – PEO planning commission of India May 2009. • www.wikipedia.com/health inIndia .htm •World bank data bank • National Health Expenditure Projections 2011-2021 • Health department releases Rs 21 crore for ASHA workers - Times Of India.htm

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