khifas5
TRANSCRIPT
Team Name: KHIFA’S 5 Farheen Aziz, Nikhil Bhargav, Qudsia Ahmad, Megha Jha, Ravi Raj
Manthan Topic: “Healing Touch: Universalising access to quality primary healthcare
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For a country that is touted as the next economic
powerhouse, India’s healthcare scenario paints a far
too dismal picture.
1. Government expenditure is amongst the lowest in the world.
2. Private spending comprises of 86% of India’s total health expenditure.
3. Appalling shortage of health workforce at all levels of health institutional network, majority of them ill trained which adversely affects the quality of care.
4. Dismal state of health infrastructure and poor funding
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50
100
150
200
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Govt.Spending(% GDP)
IMR MMR PrivateSpending
India
Sri Lanka
Brazil
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Infrastructural Constraints
1. Gross mismatch between the number of HSCs, PHCs, CHCs and the population covered.
2. For every 10,000 patients there are less than 7 doctors which is appalling.
3. Lack of transportation. facilities(ambulances, mobile vans)
4. Lack of availability of essential generic medicines at the PHCs- improper need assessment, supply not commensurate with indent, lack of transparency and monitory mechanism.
• Increase funding to bridge infrastructural gaps.
• More investement in custom made low-
cost ambulances, mobile vans and other economically viable IT solutions like PDA and exploring the concept of Remote Diagnosis through mobile phones.
Bootlenecks in the achievement of an inclusive and equitable heath regime
Strategic policy interventions to reduce the ruinous health burden on the community
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Educational roadblocks and environmental issues
Bootlenecks in the achievement of an inclusive and equitable heath regime
Strategic policy interventions to reduce the ruinous health burden on the community
1. Lack of Health Education and Sensitization.
2. Environment Pollution: The sordid living conditions leading to various diseases.
• Health education made an integral part of school education at the primary level.
• Promote sports activities and the importance of regular exercising.
• Proactive Municipal intervention for providing safe drinking water and clean surroundings
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Bootlenecks in the achievement of an inclusive and equitable heath regime
Social Issues
1. Prevalence of superstition, myths and misconceptions (villagers are still apprehensive about allopathic treatment) lack of health awareness, illiteracy.
2. Problem of quacks in villages. 3. Lifestyle problems
• Use of awareness drives and science workshops to inculcate a scientific temperament among the rural masses.
• Taking advantage of the fact that the villagers repose a huge trust in these quacks, the quacks should be imparted a basic training and should be allowed to function like they do.
• Awareness, healthy eating habits should be promoted like proper diet, exercising, through the help of pop culture and mass media
Strategic policy interventions to reduce the ruinous health burden on the community
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• Solution and
Manpower shortage and Skill Deficit
1. Highly understaffed and undertrained health workforce.
2. There is a high incidence of lifestyle diseases (Heart disease, hypertension, diabetes, etc) among the rural masses earlier associated with the urban population.
• Motivational training (emphasis on knowledge, skills and attitudes) should be provided.
• Need to have visiting neurologists at the PHCs to address
Bootlenecks in the achievement of an inclusive and equitable heath regime
Strategic policy interventions to reduce the ruinous health burden on the community
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Over centralised, non-participatory healthcare regime, flawed Regulatory
Mechanism and other problems
• Stricter punitive measures if found quitly of negligence.
• Implementing the concept of
regular Janta Darbar on a larger scale to address the problem of corruption at the grassroot level.
• Proper monitoring sytem, social auditing, proper accounting and auditing
1. Inexpertise of the bureaucracy and red tapism leading to wastage, mismanagement and corruption.
2. Underutilization of ‘discretionary funds’ at the HSCs and PHCs.
3. Lack of community pariticipation. 4. Poor monitoring and reporting system
leading to gross negligence, unaccountability, corruption and inefficiency.
Bootlenecks in the achievement of an inclusive and equitable heath regime
Strategic policy interventions to reduce the ruinous health burden on the community
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STAKEHOLDERS
LOCAL GOVT.
BODIES PUBLIC
GOVT. AGENCIES DONORS
NGO’s, Civil
Society, etc
PRIVATE FUNDERS
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MOBILIZATION OF
RESOURCES
Attracting donations
from public by providing tax
benefits.
Funding from Private
Corporate Hospitals on the
lines of Corporate Social
Responsibility (CSR)
Community funding on
the model of Kerala NNPC
Government spending: Increase
GDP share to at least 6%
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CHALLENGES MITIGATION
Concept Risk of Social Participation et al.
• Home-to-home awareness drive with the help of NGOs through the use of mass media, organising nukkad nataks, etc
Unwillingness of Health workforce to serve in rural setup
• Rotational Posting • Rural Posting Allowance and
better facilities • Incentives like negotiable
salary,etc.
Lack of Political will and bureaucratic resistance.
• Mobilization of pressure groups . • Education of public opinion.
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How the proposed reforms will positively impinge on
the current health scenario: A Projection
Significantly improved health indicators (IMR, MMR, etc), helping India reap its demographic dividend and achieve (MDGs)
Change in behavioral pattern of the masses through adoption of healthy, hygienic habits.
Ushering in of a more responsive bureaucratic regime.
Minimal out of pocket expenditure bringing down poverty numbers drastically (nearly 40 million are thrown into poverty due to out of pocket expenditure)
Deepening of democracy through community participation at the grassroot level.
Healthy workforce putting GDP curve on a higher growth trajectory.
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Reference
http://nrhmrajasthan.nic.in/HealthFacalities.htm
http://articles.timesofindia.indiatimes.com/2013-02-27/pre-budget/37329890_1_12th-plan-public-health-allocation
http://health.india.com/diseases-conditions/what-ails-indias-healthcare-system/
http://knowledge.wharton.upenn.edu/india/article.cfm?articleid=4734
http://indiabudget.nic.in/ub2013-14/bh/bh1.pdf
http://articles.timesofindia.indiatimes.com/2013-02-27/pre-budget/37329890_1_12th-plan-public-health-allocation
http://www.indianexpress.com/news/untrained-or-trained-errors-mark-rural-healthcare/1049296/
http://www.indiahealthprogress.in/reports-and-papers/primary-healthcare-needs-top-priority
http://articles.timesofindia.indiatimes.com/2013-07-11/lucknow/40513268_1_patient-medical-university-doctors
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3093249/
Economic Survey, 2013
www.indianexpress.com/news/healthcare
data.worldbank.org/indicator
De.Geyndt, Willy, Managing the quality of health care in developing countries, 1995
Crossing the quality chasm: a new health system for the 21st century-2001
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