India Experience

1
India Experience
2
Health Sector Covers

• Hospitals
• Clinics
• Nursing Homes
• Civil Infrastructure
• Doctors
• Paramedical Staff
• Medicines/Drugs
• Equipments Devices
• Chemist Shops
• Maintenance

3
Issues

• Limited Public Resources
• Plan Outlay For Health During 3rd Plan 1961-66
  was only 2.6, Reduced To 1.4 In 1997-2002
• Now, Government Spending Is 0.9 of GDP

• Poor quality of services through public health
  infrastructure
• Sub centres, PHCs, CHCs, district hospitals
  tertiary hospitals
• Doctors, paramedical staff
• Medicines, devices and equipments
• Monitoring eg TB
• Poor maintenance
• Poor accessibility (distance) and affordability
  (including transportation)

4
Issues contd ..

• Conflict of interest of different systems of
  medicine
• Allopathy
• Ayurvedha
• Siddha
• Unani
• Homeopathy

• Disease burden
• Diarrhoea leading cause of child deaths 19.2
  children below the 3 years of age suffer from
  diarrhoea
• 35 of infants are not fully immunised 90 in
  Bihar, 81 in UP
• TB cases 85 lakhs 2 lakhs die each year
• HIV/AIDS cases 51 lakhs
• Cancer 75 lakhs diagnosed each year
• Cardiovascular diseases 3.8 crores
• Diabetic patients 3.3. Crores 50,000 loose
  their legs
• Mental disorders 6.5 to 7 crores

5
Disease Burden - India contd ..
6
Potential interventions
Pre-natal diagnostic techniques (PNDT) Act,
amended in Feb 2003

• Prohibits and disclosure of sex of the foetus
• Prohibits advertisements
• Punishable with imprisonment and fine

7
National rural health mission (NRHM), 2005

• Give more powers to the village councils
• Availability and accessibility of quality
  healthcare especially for the rural people,
  poor, women and children
• To cover 3,00,000 villages
• To revitalise local health traditions ISM,
  AYUSH
• Success depends on alertness of civil society
• Golden triangle partnership mission to develop
  drugs for 13 specific diseases
• National health programmes TB, leprosy,
  HIV/AIDS, etc.

8
Some ICT experiences

• E-health cards Sirsa, Haryana

• Info-kiosk n-Logue Aravind Eye Hospital,
  Madurai

• Telemedicine

• Ek Duniya Sawal Jawab IVRS technique
  Drishtee, Haryana and Bihar Tarahaat, UP and MP

• Phone-in radio programmes Aravis, Gurgaon,
  Haryana

• Dgroups Pro-poor hiv/aids strategies
  www.dgroups.org/groups/hiv-aids

9
What MSPs can do?

• Interface with governments, NGOs/CSOs and
  community through multi-stakeholder partnership
  model (MSP)
• Disease surveillance and monitoring
• Facilitate in sourcing content from the society
  (pull)
• Disseminate content (push) from NGOs/CSOs,
  Govt., to the community
• Capacity building
• Assess community needs, then develop/use
  suitable tools