1 RMadhok (India) 2part

8/6/2019 1 RMadhok (India) 2part

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Reduction in IMR and MMR

Universal access to essentials like womenand child health, water, sanitation, immunisation

Prevention and control of communicable andnon-communicable diseases

Integrated primary care

Population stabilisation incl gender balance

Revitalise local health traditions

Health promotion

National Rural Health MissionNational Rural Health Mission


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ample evidence of a dysfunctional, non- performing public health system. The situation varies across the country and in some parts of the country it functions very well. I think on an average, it does not function well and there are some

parts where it is really functioning incredibly badly

Montek Singh Ahluwalia

Dy Chairman, Planning Commission


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Established in 1981 in Mumbai

Now, a leader in Indian Referral Laboratory Market, processing over 5million samples per year and its 25 th year of existence

The fastest growing pathology chain in India with 10 state of the artclinical laboratories across the countryThe only Indian pathology chain with a direct international presence inDubai- UAE, Mahe -Seychelles, Colombo Sri Lanka, Bahrain

Presence in 12 5 towns and cities with more than 2 50 collections centersacross the country catering to more than 3000 laboratories, hospitals,nursing homes and more than 10,000 consultants all across India.

Ex clusive alliance with two 1500 bedded hospitals for conductingClinical Trails and Research - Sri Ramachandra Medical College andResearch Institute (Deemed University) Chennai and M.S. RamaiahMedical College and Research Institute (A joint venture for SMO)


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1983First super-spec ialtyco rporate h ospital in I ndia ApolloHospitals,Ch ennai S tarted w ith 150 Beds; today has

700+ b eds

SM ALLSTEP TOW ARDS ABIGSM ALLSTEP TOW ARDS ABIG

REVOLUTIONREVOLUTION

20 Ow ned hospitals,20 Assoc iate hospitals and over 30 c linic sOver 6800 b eds, 14 C ardiac Institutes,6

Onc ology Institutes


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Medical Tourism to IndiaMedical Tourism to India

Currently worth $333 million, additional revenueof $2.2 billion expected by 2012c150,000 medical tourists in 2003Potential to attract 1 million tourists per annum -

US$ 5 billionA Heart Surgery in the US costs US$ 30,000while it costs US$ 6,000. Bone marrow transplantin the US costs US$ 2, 50,000 while it is US$

26,000 in India, CII points outIndia is unique as it offers holistic medicinalservices, with yoga, meditation, ayurveda,allopathy, and other systems of medicines


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National Workshop on HealthInsurance: 24 Sep 200 5

Central State Corporate Personal Total

Primary care 4.3 5.6 0.8 48 58.7

Inpatient 0.9 8.4 2.5 27 38.8

Non service 0.9 1.6 na na 2.5

TOTAL 6.1 15.6 3.3 75 100


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Doctor, do you think I need an MRI? Doctor, do you think I need an MRI?


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Self-reported assessment of medicalpractices

A spects of Practice

Fee-splitting practicesOver-prescription of drugsOver-prescription of diagnosticsInadequate sterilization of medical equipmentInadequate measures of disposal of wasteInadequate fulfilment of standards

Inappropriate use of medical technologyBreakdown of trust in doctor-patient relationshipInadequate information given to patientsLack of accessibility during emergencies

Prevelance High

2425

14123154

141512


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The Baby DoomThe Baby Doombyby

Kavery NambisanKavery NambisanThe couple sitting opposite me in theclinic are young and wealthy. She isthree months into her third pregnancy and wants to know the sex of theunborn baby. Their two bright-eyed daughters aged four and two are

playing outside. I explain. It is against the law; the number of girls in our country is dwindling; all-girl familiesare often high achievers. Thehusband's patience begins to wear thin. They leave my clinic with thefrown of those who will not come back

to me. I find out later that the woman"miscarried" in Bangalore.


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ObjectivesObjectives

Context: general and healthEmerging health care trends

Critique of aboveSuggestions for the way forward


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E merging trends in health care inE merging trends in health care inIndiaIndia


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P overty and Social OpportunityP overty and Social OpportunityYet even a hundred Bangalores and

Hyderabads w ill not, on their own, solve Indias tenac ious poverty and deep-seated inequality.The very poor in India get a small and basic ally indirec t share of the c ake that information tec hnology and related developments generate. The removal of extreme poverty,c alls for more partic ipatory growth on a wide basis, whic h is not easy to ac hieve ac ross the same barriers of illiterac y, ill

health, unc ompleted land reforms and other sour c es of severe soc ietal inequality. The proc ess of ec onomic advanc e c annot be divor c ed from the c ultivation and enhanc ement of soc ial opportunities over a broad front.


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India Shinning

India is shining ok for the glossy magazines,but if you just go outside Bangalore you will seethat everything about India shining is refuted [In the villages] alcoholism is rife and femaieinfacticide and crime are rising. You have tobribe to get electricity, water. Yes, the middleand upper classes are taking off, but the 700million who are left behind, all they see is gloomand darkness and despair. They are born to fulfiltheir destiny and have to live this way and diethis way. The only thing that shines for them is

the sun, and it is hot and unbearable and toomany of them die of heatstroke.


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Health Care in India: summaryHealth Care in India: summaryassessmentassessment

SafetyTimeliness

EffectivenessEfficiencyEquitablePatient Centeredness

B asic health care is a privilege not a right


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Health Care in India: summaryHealth Care in India: summaryassessmentassessment

BU T..

Reasons to be optimistic


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Defining TrendsDefining Trends

Indian Economy is GLOBALISING

Indian Politics is REGIONALISING

Indian Society is LOCALISING

These are mutually reinforcing and positive trends..


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Objec tivesObjec tives

Context: general and healthEmerging health care trends

Critique of aboveSuggestions for the way forward


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Areas for collaborationAreas for collaboration

WIIIFM ( W hat I s I n I t F or M e) Test

Philanthropy

Money

Curiousity


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Need

Need

S upply

Supply

IndiaIndia

S painS pain


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Areas for collaborationAreas for collaboration

Intellectual capital:policymaking/insurance/management/IT

Workforce: Clinical and non-clinical

Goods/manufacturing: Equipment/Medicines

Infrastructure: Population base for R & D/PHsystem

Documents

1 RMadhok (India) 2part