Healing Touch: Universalizing access to quality primary

healthcare

TEAM CORDINATOR: ESHA PANDEY

TEAM MEMBERS: RISHABH KALKALGEETANJALI SHARMAISHA CHAWLAKARTIKEY JOSHI

COLLEGE: DIT,DEHRA DUN

What is universalizing healthcare?

UHC means that everybody receives access to needed healthcare and that people do not suffer major financial risk when seeking services. This definition of “universal” usually refers to the population accessing healthcare, and sometimes it also refers to the “comprehensiveness” of services provided. However, the scope of healthcare services varies among countries.

--World Health Organization

SCOPE OF PROBLEMS RELATED TO HEALTHCARE

•Poor access to medical healthcare facilities in rural areas.

•Malnutrition

•Widespread Diseases

•High Infant Mortality Rate

•Negligence in the quality of food(horrifying case of children dying in Bihar because of Mid day meal)

•Poor attention paid to the health of women especially in rural areas

•Horrifying number of causalities in Uttarakhand disaster this year many of which were due to unavailability of medical care near by.

Injuries17%

Cardiovascular Disease

25%

Cancer9%

Diabetes

2%

Chronic Respirat

ory Disease

9%

Communicable,genetic,nutritio

nal deficien

cy30%

Other chronic

Diseases8%

Causes At Preventive Level

Poor Sanitation

Polluted Drinking Water

Lack of awareness

Lack Of education

Population & poverty

Causes At Curative Level

Door to door health inspection biennially

Overview Of Proposed Plan

Biennial Health Inspection

Advantage over existing system

Implementation

•A team, also consisting of doctors and members from municipality, will go for a door to door inspection in every village or town falling under a block•They will keep a check on basics like sanitation and malnutrition etc.

•Such inspection will ensure better health care services to underprivileged people too

•Inspection will be done biennially•Inspection should be under a separate body made for each block of a state• The place and people will be checked against standards set for a good health

Preparing a team

Implementation Impact

Who should be the members

• 2 Nurses and a doctor to monitor health of the citizens.

• 2 Municipal members to monitor sanitation needs.

• 2 teachers to keep track of data.

• To overcome the shortage of manpower, women could be given training for nursing.

Shortfall in manpower in public sector

• There will be formation of a separate body that will focus on selected core child-health interventions, including vaccinations, family planning, oral rehydration therapy, and other maternal and child health services

• It will also conduct awareness programs in the gap to keep people updated and aware of their rights of primary health care

• The team will also distribute multivitamins , iron tablets to provide for nutrients

• Government will have to invest 2.5% of GDP in health care services as opposed to current 1.5%.

Preparing a team

Implementation Impact

Who will conduct these inspections Financial aid for the program

What will we gain from it?

• It will ensure that even the people living in rural areas are covered in the inspection and drugs will be given to them at very low subsidy

Ensuring everyone’s inspection

• Since the body will also organize awareness programs, people will be then be awake regarding their rights to primary health care

Awareness

• Since the inspection is supposed to be carried out biennially, results will be gathered very often to judge the effectiveness of program

Providing a parameter

to judge

How is it better than existing plans?

Preparing a team

Implementation Impact

• Handling of inspection by a different body rather than state government will ensure better efficiency

Better coverage

• Unlike current policies where little heed is paid to the underprivileged people’s health, it will ensure cordial involvement

Better Interaction

with the mass

• Fresh data biennially will help in the amendment of presently effective policies with the changing scenario

Revised data

biennially

Challenges that we can face...

Corruption at various levels may lead to

inefficient usage of money funded for health care

facilities

Providing adequate funds for the formation and

functioning of this body is difficult in the times of

economic crisis

Realizing standards for health and sanitation

Reaching out to every single door in rural areas

wanting transport facilities is difficult

Construction of team for every village poses a challenge because of

dearth of medical staff

PORTABLE HOSPITALS

• Concept of portable hospitals must be implemented to ensure timely medical care for the ones in need

• It could use telemedicine concept in case of emergencies or when doctor is not available

What is portable hospital?

Portable Hospitals means organizing the environment and basic requirements of a hospital in a vehicle, van for road transport and also use helicopters in case of emergency.

WHY?

Other important reforms to be considered..

Bypass or separate pathway for ambulance, police and fire

brigade vehicles

Booths pertaining to healthcare must be assembled with every 5th to 10th traffic police booth

Mandatory small sessions on heath care(

sanitation, nutrition and first aid) so as to be ready for many

unforeseen situations

Concept of telemedicine should be implemented to

avail maximum benefit from technology

Ensuring availability of nursing staff and doctor in every village , town and city

in public hospitals and sector providing better

infrastructure

Food bill should be passed with amendments like a

proper diet is provided to people BPL

Appendix

• en.wikipedia.org/wiki/Health_in_India‎

• www.literacybridge.org/‎

• mohfw.nic.in/‎

• www.nbr.org/research/activity.aspx?id=298‎

• www.healthcare-in-india.net/‎

• india.angloinfo.com/healthcare/health-system/