Healing Touch: Universalizing Access to Quality Primary Healthcare– ISB: Laina Emmanuel, Komal Vasudev, Guneet Singh, Manvendra Singh Raghav,Harkabir Singh Jandu

Manthan Topic:Healing Touch Universalizing access to quality primary healthcare

NAVJEEVAN- CARE FOR LIFE

Healing Touch: Universalizing Access to Quality Primary Healthcare– ISB: Laina Emmanuel, Komal Vasudev, Guneet Singh, Manvendra Singh Raghav,Harkabir Singh Jandu

Access to healthcare in India, particularly in rural area is extremely challenging. Often, due to lack of access to healthcare services patients do not seek medical attention on minor symptoms until the disease has advanced to a life-threatening stage requiring more expensive and super specialist care. In fact, at the primary level the non availability of healthcare incentives people to seek medical consultation from unregistered medical practitioners and compromise with substandard medical care resulting in misdiagnosis and improper treatment.

The major challenges in Indian primary care are from due to following reasons:• Lack of medical infrastructure

Healing Touch: Universalizing Access to Quality Primary Healthcare– ISB: Laina Emmanuel, Komal Vasudev, Guneet Singh, Manvendra Singh Raghav,Harkabir Singh Jandu

• Insufficient investments in Healthcare

Healing Touch: Universalizing Access to Quality Primary Healthcare– ISB: Laina Emmanuel, Komal Vasudev, Guneet Singh, Manvendra Singh Raghav,Harkabir Singh Jandu

Leading to disproportionate one out of pocket expenes for Healthcare.

Healing Touch: Universalizing Access to Quality Primary Healthcare– ISB: Laina Emmanuel, Komal Vasudev, Guneet Singh, Manvendra Singh Raghav,Harkabir Singh Jandu

The other major challenges for providing universal Healthcare:

•Although, bed density is significantly lower than the WHO guideline the under-utilisationof existing resources further compounds the problem

• Health workforce remains is inadequate and un-willing to work in rural towns and villages. The total number of doctors and nurses is lower than the WHO benchmark of 2.5 doctors per 1,000 population and most medical practitioners are concentrated in major cities.

Healing Touch: Universalizing Access to Quality Primary Healthcare– ISB: Laina Emmanuel, Komal Vasudev, Guneet Singh, Manvendra Singh Raghav,Harkabir Singh Jandu

The rapid increase has put tremendous pressure on the existing rural healthcare Infrastructure.

Healing Touch: Universalizing Access to Quality Primary Healthcare– ISB: Laina Emmanuel, Komal Vasudev, Guneet Singh, Manvendra Singh Raghav,Harkabir Singh Jandu

The following solutions will help patients meet the cost of healthcare:

•Government sponsored social health insurance programs.

• Cover for out-patient spend.

• Non-communicable diseases.

•Public private partnerships sponsored social insurance programs and increasing

awareness of health insurance

• Improving the efficiency and efficacy for PHC (primary health centers) and CHC

(community health centers).

Healing Touch: Universalizing Access to Quality Primary Healthcare– ISB: Laina Emmanuel, Komal Vasudev, Guneet Singh, Manvendra Singh Raghav,Harkabir Singh Jandu

Rural population coverage by SCs Average 5,624 against the norm of 3,000-5,000Rural population coverage by PHCs Average 34,876 against the norm of 20,000-30,000Rural population coverage by CHCs Average 173,235 against the norm of 80,000-120,000Source: Ministry of Health & Family Welfare, Government of India

As on March 2011, there were 148,124 sub-centers, 23,887 PHCs and 4,809 CHCs.

Healing Touch: Universalizing Access to Quality Primary Healthcare– ISB: Laina Emmanuel, Komal Vasudev, Guneet Singh, Manvendra Singh Raghav,Harkabir Singh Jandu

SOLUTION TO SPREAD HEALTHCARE AWARENESS

1. INVEST in Business model innovation. Corporate channel will require nodules within their network.2. Maintain PROFITABILITY and ROIC. In the existing facilities through greater operational efficiency and optimization of capital. 3. COLLABORATE with other stakeholders in ‘public-private-partnership’ to plug leaks in patient funnel.

Healing Touch: Universalizing Access to Quality Primary Healthcare– ISB: Laina Emmanuel, Komal Vasudev, Guneet Singh, Manvendra Singh Raghav,Harkabir Singh Jandu

Challenges Ahead…

Financing of healthcare …..

Healthcare sector to be prepared to deal withevolving integrated healthcare delivery systemstechnological innovationsan increasingly complex regulatory environmentrestructuring of workincreased focus on preventive careimproving efficiency in healthcare facilities and the quality of the healthcareprovidedmanaging finances including modernization, expansion plans and brandextensionsoptimizing efficiency of a variety of interrelated services (e.g. those rangingfrom inpatient care to outpatient follow-up care)managing the growing aspirations of doctors (compensation, revenuesharing, high-end equipment, specialized courses etc.)High turnover of para medical staff including nursesSocial ‘Marketing’

Healing Touch: Universalizing Access to Quality Primary Healthcare– ISB: Laina Emmanuel, Komal Vasudev, Guneet Singh, Manvendra Singh Raghav,Harkabir Singh Jandu

Educate healthy life style

Abstinence from tobacco use

Regular physical exercise

Balanced nutritious diet rich in vegetables

and fruits, and low in fats and refined sugar

Avoidance of pre and extramarital sex

Yoga and meditation

Avoidance of alcohol and substance abuse

Healing Touch: Universalizing Access to Quality Primary Healthcare– ISB: Laina Emmanuel, Komal Vasudev, Guneet Singh, Manvendra Singh Raghav,Harkabir Singh Jandu

References:

• HEALTH CARE IN INDIA - VISION 2020, R. Srinivisan

• India Healthcare: Inspiring possibilities, challenging journey, McKinsey & Company

•PRIMARY HEALTH CARE IN INDIA, Somnath Roy

•Healing Touch: Universalizing access to quality primary healthcare, Manthan Event