Health Care in Gujarat

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Health Care in Gujarat investment
Opportunities!!!

• Dr. Amarjit Singh
• Principal Secretary FW, Commissioner Health
• Government of Gujarat

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Gujarat Snapshot
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Manpower and Education
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Medical Infrastructure in Gujarat (Map)
Manpower Statistics
Medical Colleges
MBBS 13 (6 Govt. 7 Private) Homeopathic
13 Ayurvedic 9 Dental 12 ( 5 Govt. 7
Private) Physiotherapy 17 Pharmacy - 50
Key Education Centres

• Institute of Kidney Disease and Research Centre
  (IKDRC)
• Gujarat Cancer Research Institute ( GCRI)
• U.N. Mehta Cardiology Research Institute
• B.J. Medical College Ahmedabad
• Gujarat Ayurvedic University , Jamnagar
• Pramukh Swami Medical College , Karamsad Anand
• Nathiba Hargovindas Lalbhai Medical College,
  Ahmedabad
• Surat Municipal Institute of Medical Education
  Research

Source Department of Health, Government of
Gujarat
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Facilitating Good Health
No. of Registered Doctors (2006) 39,734
No. of Registered Nurses (2006) 16,816
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Drivers of growth of Indian healthcare
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International healthcare expenditure perspective
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Unmet Need
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Healthcare Infrastructure need in India
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Total Hospital beds
1.1 million additional beds required
At 1.9 bed per 000 population, India would be at
75 of current Chinese ratio and at 50 of the
level of Brazil Korea
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LEADING MAJOR CATEGORIES OF DEATHS 2006
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AGE GROUP WISE DISTRIBUTION OF SOME SELECTED
CAUSES OF DEATH 2006
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Why Gujarat????
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RNTCP
Excellent achievements in National programs in
RNTCP, Leprosy, IDSP, School health Program
NLEP
500 hours reconstructive surgery camp at Vadodara
NVBDCP
NBCP
All Suture-less surgery
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Quality Assurance through Accreditation of
hospitals
Each district has a QAG with a clear mandate for
steering QA programme interventions
Quality Assurance Group (QAG)
Quality Improvement Programme (QIP)

• 8 Civil Hospitals
• 1 Teaching Hospital
• 6 laboratories of All Govt.
• teaching hospitals

National Accreditation Board for Hospitals and
Health Care Providers (NABH)
National Accreditation Board for Testing and
Caliberation Laboratories (NABL)
Investment Information and Credit Rating Agency
of India (ICRA) Limited has graded six hospitals
under the grading agencys pioneering services of
Grading Healthcare Institutions in India. One
medical college hospital District Hospital
Ahmedabad , Vadodara, Surat, Mehsana,
Gandhinagar, Sola, Godhara and Junagadh
Source Department of Health, Government Of
Gujarat
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Hospital Management Information System (HMIS)

• HMIS project was conceptualized by the department
  of Health Family Welfare, Govt. of Gujarat
• Objective To ensure the quality health using
  Information and Communication Technology (ICT)
  as the tool to provide
• standard clinical diagnostic tools,
  hospital management tools and integration of
  management information at the state level to
  ensure online review monitoring
• Aim Management of vital patient records,
  analysis of the critical health related data so
  as to provide an updated planning policy tool
  towards provision of quality heath services
• Assists the doctors and medical staff to improve
  health services with readily reference patient
  data, work flow enabled less-paper process and
  parameterized alarms and triggers during patient
  treatment cycle

Current status of HMIS
project is as follows
Regular data entry for programs at blocks under
DHIS, RIMS CRS
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Public Private Partnerships (PPP)

• Shamlaji Hospital located in tribal area of
  Sabarkantha district of Gujarat is managed by All
  India Movement for Seva

• 5 CHCs (Malav, Shamlaji, Rajsitapur, Mota
  Phospholiya, Golagandi) and PHC (Chansad) being
  run by Community based Organisations

• 108 grant in aid Hospitals

• Centre for Health, Education, Training and
  Nutrition Awareness (CHETNA) has been actively
  supporting a total of 21 mother NGOs working
  effectively to implement Reproductive and Child
  Program (RCH)

• PPP for Delievery Services under Chiranjivi
  Yojna

• Sarva Swastha Abhiyan (SSA , an NGO dedicated to
  taking quality healthcare to inaccessible areas)
  has opened 10 centres in the five predominantly
  tribal areas of Idar, Prantij, Bardoli, Hansot
  and Mundra that will be connected through
  telemedicine to the super speciality hospitals at
  Ahmedabad, Nadiad, Vadodara and Surat

• Wockhardt Hospitals Group (WHG), along with the
  Government of Gujarat will conduct and manage
  the 275-bed Palanpur Civil General Hospital

• Hyderabad-based Emergency Medical Research
  Institute (EMRI) with the Gujarat government will
  take care of road and fire accident victims on a
  24-hour basis through the year by just dialing 108

• Indian Institute of Public Health with Public
  Health Foundation of India

Source Department of Health Government of
Gujarat
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Private Players in Gujarat (PPP)
IKDRC
Civil Hospital
EMRI
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Players in Gujarat
CIVIL HOSPITAL
Source Industry Analysis
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Players in Gujarat
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MOUs signed

• EMRI (Ambulance 108)
• PHFI foundation
• Swasthya Bima Yojana
• Chiranjeevi Yojana (with private gynecologists)

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Expansion Projects
Source Industry Analysis
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Mix of population and health care spending by
income segment
Rs. 69,000 cr
Rs. 27,000 cr
Rs. 42,000 cr
1001 bn
Rich
Middle Class
Poor
Annual per capita income Rs. 5 Lakh Annual
per capita income of Rs. 2 to 5 lakh Source
Morbidity and treatment of Ailments , NSSO1998,
Mckinsey Analysis analysis
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Current Health Insurance Scenario India
Low penetration of Insurance and Low Govt.
expenditure in India . . . Has resulted in high
Out-of-Pocket spend
Source Business World (India) Oct 2007
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Key markets Health spend Trend
Health Insurance Market
of Total Health Spend
Source National Health Accounts, WHO
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Special Economic Zones The Hidden Opportunity
For a sector specific zone a hospital with
minimum bed strength of 25 is stipulated. 100
beds for a multi product special economic zone.
Source Technopak Healthcare Outlook
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Also Gujarat excels in

• Cardiology
• Cardiothoracic surgery
• Joint replacement
• Orthopedic surgery
• Gastroenterology
• Ophthalmology
• Transplants

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India-Rising Incomes
Maximum rise in income 2000 to 10000 US per annum
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Favorable destination
Best Hospital facilities
Favourable Tourist Destination
Medical Tourism
Technology Infra structure
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Medical Tourists visiting India, 2000-2006
Source Technopak Healthcare Outlook
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Medical Tourism

• A recent study by the New York-based consulting
  firm, McKinsey, found that medical tourism could
  bring over 2 billion a year to India by 2012.
• India has the potential to attract 1 million
  tourists per annum, which could contribute up to
  US 5 billion to the economy.
• (CII  August 16, 2004)
• Subcontractors provide services to the
  overburdened medical care systems in western
  countries.

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Medical Tourism
Gujarats medical expertise and the strength
of its facilities are better than those of some
of the South East Asian Nations and Gujarat
hospitals are trying to do a lot more hard
selling abroad. They are seeking to achieve this
by measures such as Creating centre of
excellence in respective fields, Developing a
Network, Customised packages available and
Quality stamp through accreditation from global
certification agencies such as JCI
Source Industry Analysis, Gujarat Infrastructure
Development Board (GIDB),
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Cost Benefits in Gujarat
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Investment in GujaratWin Win!!!
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Cause for attraction

• United States
• At a quarter or sometimes even a 10th of the cost
  at home
• Canada
• Frustrated by long waiting times
• Great Britain
• Can't wait for National Health Service
• Can't afford to private practice
• For others
• A chance to combine a tropical vacation with
  elective or plastic surgery.

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Source Analysis by the Rockfeller Institute of
Government for State Tax Revenue
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Health Insurance coverage of the Nonelderly
population 2001 2005
Source Health Insurance coverage in America
Kalper Commission on Medicaid uninsured
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Investment Opportunities
HEALTHY GUJARAT!!!
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Connecting Further.
Health Family Welfare Department, Govt. of
Gujarat
http//www.gujhealth.gov.in
Dr. Amarjit Singh - Commissioner of Health,
Medical Services, Medical Education and Research
cohealth_at_gujarat.gov.in Mob 9825037421