: Universalizing access to

quality primary healthcare

Syed Adil Ali Mohammad Tahir Rishabh Singh Ghazala Arshad Sidhika Varshney

₹ 111का समाधान

0

100

200

300

India Global

Adult Mortality rate per 1000 population

Male Female

0

100

200

300

India Global

Prevalence of Tuberculosis

India Global

• 350 million Indians have no access to

Healthcare.• Our country has 1,48,124 sub centers which

work at the grass root level to cater the citizen

of 6.5 lacs villages in India.

• Quality health professionals are so far from

villages that often people die before reaching

there.

Life Expectancy at birth

(years)

65

Under-five mortality rate

(per 1000 life births)

61

Contraceptive use among

married women(15-49

years old)

54.8%

The Right To Health: Governments must generate conditions in

which everyone can be as healthy as possible.

• The ratio of hospital beds to people is

9:10,000.

• Lack of awareness about healthcare among

the people.

• India suffers a shortfall of 26 lacs health

workers.

• 6.5 physicians per 10000 of population

• Lack of Awareness about healthcare among

the people.

• Dearth of the qualified doctors.

• We are proposing a system which

will reduce the dependency on

physician and health workers.

• Our solution follow “ Prevention is

better than cure”, that’s why our

solution will create awareness among

the rural people about health and

hygiene.

CAUSE REASON FOR SELECTION

Healthcare has a great importance in United Nations, 8 Millennium

Development Goals that rates a country to encourage social and economic

development and India is lagging behind in achieving it

Technology –

AWARENESS VIRTUAL DOCTOR

Showing monthly movies through projector.

Introducing short clips after every 30

minutes of the movie.

Clips will have health awareness campaigns

e.g. HIV awareness etc.

In future several ad campaigns can be

used to motivate the people for

education and other important issues.

In future this system can be made more user

friendly by incorporating the technologies

like touch screen, speech recognition etc.

Facility of video conferencing at the time of

emergency with a skilled doctor.

Have all the details of the Diseases, first aid

and suitable medicines.

This setup acts like a doctor virtually.

Existing Alternative

System puts the pressure on the government to appoint unqualified

doctors in the rural areas .

System depends on the physician and health workers.

Limited number of physician are there which cannot be increase.

Government have launched several healthcare ad campaigns on television

but they are not easily accessible to 70% of population (rural).

Proposed Solution

This system will independently work and help like a actual doctor

Our solution takes these awareness

campaigns directly to the rural

population.

This system will reduce the dependency on the transfer of patients at the time of

emergency .

This system can be very much effective at the time of crisis especially natural

disasters.

Infrastructure

Internet Connection

Trained health worker

Awareness campaign

Hardware Software

• Infrastructure: The proposed solution

will utilize the currently functioning

1,48,124 government sub centers.

• Hardware Requirement: Nominal

computer system, projector and a screen.

• Software: Software can be developed

either by a private firm or can be taken

as a government project.

• Internet Connection: It will be required in case of video conferencing between

the sub center’s health worker and the qualified physician (in case of emergency).

• Trained Health Worker: A health worker has to be trained to use the computer.

• Awareness Campaign: Health awareness ad campaigns which can be shown to

the rural people.

• We need an infrastructure to implement our

system. Besides creating a new place, We are

utilizing the currently established sub centers for

that purpose. One sub center has connectivity to 4

villages and covers a radial distance of

approximately 2.59 kilometers.

• The sub centers will have a computer with a virtual

doctor software ,sufficient medicines and equipped

with internet facility.

• Solution will require one person to operate the

computer. We have to train a Health worker with

basic computer skills.

• Four Time in a month (one time for each

village) a Bollywood/ regional movie will

run on through projector and screen . After

each interval of 30 minutes awareness ad

campaign clip will be shown to the people.

SUB CENTER

Villages Villages

VillagesVillages

Video Conferencing

Software development

cost per person per month

= $4000

Development time, At max

6 month, 10 person :

cost=$240000

Total development cost

(Max): ₹ 1 crore 60 lacs

(one time investment)

Cost of projector per sub

center= ₹ 4700

Total cost for all sub

center = ₹ 70 crore

After 1 time investment

scheme cost = ₹ 1200

Hardware cost =

₹ 20000

Total Hardware

cost = ₹ 296

crore

The

Government has

already included

in its scheme to

setup a

computer at

every sub center

under the

NRHM scheme

Total one

time cost =

₹ 515 crore

Including

the cost of

person

operating

the system i.e. ₹ 10000

₹ 111का समाधान

The mitochondria of the solution is the

software whose cost at each sub center will

be ₹1 crore 60 lacs / 148124 = ₹ 111

(approx.)

99.04

99.955

0.06

0.45

98

98.5

99

99.5

100

100.5

101

Total tax revenue GDP allocated for

health

Money left Money used by the solution

• From GDP the money allocated

to health is 1.26 trillion

• Total tax revenue generated by

the government in the country is

₹ 932439.88 crore.

•The 0.06 % of the tax revenue

will amount to ₹ 560 crore

whereas 0.45%of the allocated

GDP will amount to ₹ 567 crore.

•The NRHM scheme alone costed

the Government a sum of ₹ 500

crores in Assam itself.

•As we can notice that the cost of

scheme is much less compared to

the other national level scheme,

hence this scheme can also be

implemented by parallel state

governments.

• The relevance and importance of the project lies in the fact that these areas are hard-to-reach due to

poor connectivity through transport facilities and have very limited telecommunications infrastructure.

The lack of these and other basic services makes it difficult for medical personnel to reach out to rural

areas.

• There are countries that have already used such programs (Telehealth and FreeMD are examples of

such technological endeavors). Even countries like Zambia which is placed on 182nd spot by WHO in

health systems have been adopting virtual doctors compared to us being placed at 112nd position.

• It may help people with long-term health conditions such as diabetes, tuberculosis, heart failure and

chronic obstructive pulmonary disease.

• Our Solution is not restricted to rural areas. The same or its part can be implemented in government

hospitals in cities where efficient health care facilities are unavailable.

• The solution has a very simple mechanism which allows it to be easily implemented on increasing

demand in near future.

• The issues of sustainability are very closely related to the success or failure of explicitly demonstrating

positive outcomes. This is because sustainability of projects like these lies in their adoption and

expansion by the government of the day.

• For monitoring purpose a register should be maintained at each sub center containing the details of the

patients examined.

CHALLENGES

People have a fear to come to

the doctor or health center

Electricity Shortage

Skilled man power shortage

Clips of health related problems and their cure in

between of the monthly movies will gradually create

awareness among the people.

An additional subject can be introduced in the

government nursing college . They can easily operate

the device

Although government is trying hard to provide

electricity to every sub centre in case of any problem

we have to rely on generators.

Connectivity Challenge

Currently many villages of India do not have access to

internet . We can overcome this challenge as BSNL has

launched a project in which the company has planned

to provide internet service in all the villages by 2014.

Maintenance We can overcome this challenge by contacting private

companies in case any machine needs any form of

maintenance.

• Millennium Development Indicators• World Health Organization India Data• Internet to All villages Till 2014• GDP of India• Rural Health Care System in India• Software Development Cost• Tax Revenue in India• Telehealth• FreeMD• Virtual Doctor Project