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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