Team Name:- Infinite innovators

India’s primary health care needs to reinvent itselfIndeed human life is very precious and man is ready to spend an entire fortune over it, but only who have a fortune. Those who do not have thus die a very painful and agonizing death. The primary objective of every government is to provide inexpensive and instant health care services to the nation. Unfortunately this in not the case with India which has a huge number of deaths annually due to medical The objective of this presentation is to provide innovative solutions on inexpensive and speedy medical treatment to those in need. The target of this presentation is the middle and lower class society who cannot avail the world class medical facilities due to lack of monetary backing and hence die a very painful death.Primary health care, abbreviated as "PHC", has been defined as "essential health care based on practical, scientifically sound and socially acceptable methods and technology, made universally accessible to individuals and families in the community.The ultimate goal of primary health care is better health for all. The WHO has identified five key elements to achieving that goal1.reducing exclusion and social disparities in health (universal coverage reforms);2.organizing health services around people's needs and expectations (service delivery reforms);3.integrating health into all sectors (public policy reforms);4.pursuing collaborative models of policy dialogue (leadership reforms); and5.increasing stakeholder participation.

MAIN CAUSES :-1. Illiteracy

2.Population explosion3.Low union medical budget(1.4% of GDP)

4.Pollution5.Lenient rules of Medical council of India

6.High cost of medicines and other equipments7. Low income of consumers

8. Less number of honest & educated doctors 9. Lack of healthcare infrastructure and

medical boards

What stops India in universalizing primary health care systems ? Prime Minister Manmohan Singh announced the government would work towards providing Universal Health Coverage (UHC) for all. As intents go, it is as noble as it gets. This, because the operative word here is ‘universal’.

Due to lack of primary education, people face troubles in their daily life regarding food and other necessities to remain healthy.

Being the 2nd highest populated country , the management of universalization of India’s health system is not easy.

To bring a reformation in the medical healthcare system of India, we need a bigger purse . Though we are the 3rd in the world in terms of finance we are investing 1.4% of our GDP for medical purposes. 373.3 billion (US$5.9 billion) was allocated for Ministry of Health & Family Welfare in the financial year 2014.

For degradation of quality of Indian’s health , the main cause is pollution. Research tells that Indians have a 30% weaker lungs

than Europeans.

The rules of MCI are also not strict compared to other developed countries. In UK , the number of permanent license cancellations are 42,68 & 73 in the years 2008,2009 & 2010 whereas in India there are no such cancellations in last 5 years.

The income of the citizens are not too good to afford all types of medical facilities .

The cost of medicines and medical facilities are quite high due to several levels of sales and marketing and imposement of

taxes.

Being a highly populated country , there are less number of educated doctors . There are some selfish and doctors who are bribed easily .

Due to less adequate finance , development of more medical infrastructures ,hospitals and other functionaries are far from

sight.

Innovation that can lead to universalization of PHCs

PROMOTION OF GENERIC MEDICINES - India is the world’s single largest producer of the generic medicine with a 20% market share. But in India people have to buy the branded drugs because there are very less generic drug outlets in the country .

More effective monitoring national health programs - There have been a number of programs of the government towards achieving inclusive health care such as National Rural Health Mission, Rashtriya Swastya Bima Yojana, Rajiv Gandhi CrecheScheme for Children of Working Mothers (0-6 years old), Janani SurakshaYojana, Janani Suraksha Karyakram, Integrated Child Protection Scheme, Support for Training and Employment of Women, Rashtriya Mahila Kosh, etc. We require innovative management reforms within health delivery systems. There is a need to restructure the health programs such as Integrated Child Development Scheme (ICDS). It focuses mainly on children in the age group of 3 to 6 years who actually attend Anganwadis, whereas the greatest need for nutritional support is in the age group of 0-3 years.

Government has to spend more on infrastructure development of the

health sector. More number of hospitals should be constructed Medical camps should be done . Polio booths should be incremented in the country. The vaccines & medicines should be given to the poor people in EMI plans. The government should give

anti oxidants to all people in the form of pills. Ambulances should be introduced in villages. .

STRICTER AND MORE EFFECTIVE MEDICAL COUNCIL - They should not spare any doctor with their license if they are found guilty by any means . The rules for accreditation for medical colleges should be severe and thoroughly checked when they give accreditation . A group of doctors should give surprise visits to all government hospitals. They should educate the people by sending their representatives to different corners of India . The other medical staffs like nurses should have the basic education. The system of ‘Walking Doctors’ should be introduced to reach the mass.

HELPING NGO’S - NGO’s should not encouraged to build more medical free check up camps in the remote corners of villages which are far from minimum

health services. They should keep on making people aware of the recent medical advancements and what to do and what not to. NGO’s can educate them by

giving leaflets on family planning , nearest hospitals address etc.

COMMUNITY PARTICIPATION- The effectiveness of a health care system is also affected by the ability of the community itself to participate in designing and implementing delivery of services. The opportunity to design and manage such delivery provides empowerment to the community as well as better access, accountability, and transparency.

LET’S SEE SOME MORE INNOVATIVE WAYS TO UNIVERSALIZE PHC

Implementation:-

1. In case of promotion in Generic Medicine in India Govt. should give more money in the fund to promote the companies & give low cost medicine to all people.

2. Health service society of the rural areas have to direct contact with the state Govt. to organize a regular health care program to aware the people.

3. Family member of patient & hospital authority have to take a serious step on any type of misguide from the doctor.

4. NGOs & other health helping societies have to start new steps like “mid-day meal”; they have to provide “anti-oxidant” in the form of chocolate to children.

5. We have to organize rallies & awareness programs in the remote villages.

6. We have to take help of political parties for the up-gradation of the quality of food & medicines.

A Greater Mix of Providers for Preventive, Primary CareThe law's emphasis on primary care will have cascading effects on several clinical occupations. "Physicians can't be trained overnight, so healthcare employers will leverage their MDs with nurse practitioners and physician assistants," Roehrig says.

"Everything will be pushed so that everyone is performing right up to their education level." Along with these licensed providers, demand for medical assistants will see a boost, he adds.

Outlook for Pharmacists and Diagnostic Technicians

Pharmacy is also likely to gain jobs under health reform, though the interplay of supply and demand is complex. The reform measure's emphasis on primary care is also likely to boost jobs for diagnostic technicians, among other allied-health

occupations..

Community Health Initiatives Will Jump-Start Healthcare Jobs

The demand for healthcare professionals created by the addition of indians to insurance rolls is likely to be the biggest labor-market effect of the new law, but it won't be the first.

Volume of patients:As most premedical students enter medicine with noble intentions, the expected influx of newly insured patients—and thus patient volume—into the existing healthcare system could provide important opportunities for clinical training and exposure.On the other hand, for medical students and residents, a substantial increase in patient volume can have an unintended effect on education, supervision, and ultimately, the quality of patient care. The volume of newly insured patients has largely overwhelmed physicians in Massachusetts, for example, where health insurance has been compulsory since 2006.

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IMPROVEMENT IN HEALTH-The better the PHCs the health of the people will be better. PHCs improve accessibility and utilisationof services, address the social determinants of health inequities and improve health outcomes by the implementation of comprehensive interventions through sectoral and intersectoral collaboration, empowerment of individuals, social mobilisation and community participation .promotion of generic medicines will decrease sell of branded ones which are more costlier .

DECREASED BUDGET IN OTHER SECTORS

More investment in medical fields can result as a barrier in other Developments. This can lead the country to borrow money from other countries and International

Bank. Government earning will

CAN LEAD TO A CHAOS OR A POLITICAL INSTABILITY

This reformation can lead a hectic situation in the country . The

rallies , marches or protests can lead to a chaos in the country

which can lead to a bad administrative situations.

Advantages of caste system in case of study and job prevent to get us good doctors.

Under marriage problem in society :Marriage before legal age causes teenage pregnancy & negative effects on both baby and mother's health .

One of the most important fact is corruption in our country mainly in private hospital and medical collages.

In India mostly in rural area , the government do not permit building a hospital or such health related activity .

There are a lot of superstitions and blind beliefs in people in India . Some people still prefer their village services than hospitals.

TO PALLIATE THE CHALLENGES

We should eliminate the system of reservation of seats on the basis of castes

for the medical entrance exams.

We should make the villagers realize the negative effects of availing their own

methods other than proper professional hospital checkups by showing video clips

, photos and other forms of communications.

Corruption should not be encouraged . It can be checked by imposing heavy fines ,

introduction of CCTV cameras , much more income tax raids etc.

If there are less adequate funds for building a hospital, we can promote medical

camps , medical centers , health checkup booths.

Use of both male and female condoms , IUDs should be promoted and highly

available in all shops . Families should be more serious about their members

whereabouts. Under age pregnancy should be stopped by proper contraceptives and

governmental abortion facilities.

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