Team scamper piramal swasthya
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Transcript of Team scamper piramal swasthya
INNOVATION VPiramal e-Swasthya
General Health Condition in IndiaIn 2002 investment in healthcare was only 0.9% of the total GDP. In 2003 the patients treated for malaria were 1.65 million, for leprosy there were 2.4 million people and there were 214 cases of polio. In 2001 India received $1,705 million as aid for the healthcare programs which were only 2% of the total healthcare expenditure by the government. But most of this money go into urban areas and only a small amount is used by the rural areas
Insufficient expenditure on healthcare
HEALTH CARE EXPENDITURE
Pharmaceutical DrugsHealth Services
75%
25%
Inadequate human resource
Density of Doctors per 1000
Density of nurses per 1000
0
5
10
15
20
25
30
GlobalIndiaSouth east asia region
14
6 5
28
1113
Fall of rural Health Infrastructure According to the recent National Rural Health
Mission report nearly 8% PHC don't have a
doctor while nearly 39% were running without a
lab technician and about 17.7% without a
pharmacist.
The PHCs are supposed to have one medical
officer supported by paramedical staff.
.While not a single PHC of UP's 3,660 PHCs have
either a labour room or an operation theatre.
The number stands at 208 labour rooms (13%)
Moreover there is a shortfall of 70.2% specialists
at the CHCs.
Rural-Urban imbalanceNHA(2004-2005) Report Government expenditure on family welfare and
other heakth services
RURALExpenditure
of 52,970 million rupees
URBANExpenditure of 92,408 million
rupees
Piramal e-SwasthyaVISIONTo Democratize Healthcare
MISSIONTo provide reliable, high quality and affordable primary healthcare to no-doctors zones of Rural India
GOALTo enable services in 100000 villages by 2013
An initiative by Ajay G Piramal Foundation and a subsidiary of Piramal Healthcare. Inception in 2008Offers a Scalable and Sustainable breakthrough in healthcare delivery models at rural level.Developed in partnership with Prof. Nitin Nohria of Harvard Business Model.Uses innovative approaches of healthcare delivery like Telemedicine, Clinical decision support systems and village based health entrenpreneurs.
ObjectivesPiramal e-Swasthya attempts to make affordable healthcare accessible to India’s rural communities using technology through a sustainable and scaleable service model
AFFORDABLE HEALTHCARE
oUse of TechnologyoSustainable Service Models
eSwasthya Working ModelLocal literate women (Piramal Swasthya Sevaks) are recruited undergo a rigorous training programme in which they are trained to collect simple diagnostic information, preventive medicine, first-aid and customer service.
These women are given a medical kit, marketing material and a mobile phone. They are then assisted in setting up a tele-clinic (Piramal e-Swasthya Centre) at their own homes.
Villagers who feel ill come to the Piramal e-Swasthya Center or are visited by the Piramal Swasthya Sevak. After talking to and examining the patient, the health care worker communicates this diagnostic data through a cell-phone to a centralized call centre.
At the back end, a call centre worker enters the information provided into a simple e-diagnosis system, which generates an automated response with the recommended prescription and treatment. Doctors manning the call centre also validate this.
The total treatment costs between Rs.30 - Rs.50 depending on the medical condition. The Piramal e-Swasthya Centre is also a village level pharmacy stocked with medicines necessary to fill the basic prescriptions recommended by the call centre. If the ailment appears serious, the call centre recommends that the patient visit a secondary or tertiary healthcare facility immediately.
The healthcare worker also conducts preventive health workshops, which generate awareness about issues such as sanitation, nutrition and first aid.
Working Model
Approving doctors
Differentiation
Parameter Quack Pvt Clinic E-swasthya
Treatment of time Immediate Delayed ImmediatePractitioner Qualification Unknown Doctor Doctor+CDSS
Treatment Quality Questionable High High
Medicine Quality LowPharmacy Dependent High
Patient Care None Low High
Cost of ServiceAffordable to high High Affordable
Loss of time Minimal High Minimal
Strengths & Challenges of the Program
STRENGTHS
Quality treatment at doorstepEasier Access to a doctorNo spurious drugsHigh Quality treatment at affordable ratesStrong social impact by giving employabilityLong term scalability & Sustainability
Infrastructure issues in rural areasUnavailability of skilled human resource at remote areasRecruitment of PSS is a long drawn processLow MarginsLow income for PSS
CHALLENGES
Telemedicine & CDSSThis innovation in service removes the distance
barrier in rural healthcare through cutting edge
technology.
PSS uses mobile to dial up the Nucleus, a
telemedicine call centre manned by paramedics &
doctors.
Paramedics receive the calls and enter information
into web based Clinical Decision Support
System(CDSS). This has been developed with TCS.
CDSS is state-of-the-art clinical diagnosis platform
that automates the generation of provisional diagnosis
and prescription.
Doctors review CDSS generated diagnosis.
Prescription communicated to the PSS over the
phone and SMS and she dispenses medicines from the
kit provided.
Piramal Swasthya Sahayika(PSS)
Promoting Health Entrepreneurship and Woman Empowerment.PSS recruits and trains and deploys village based women health entrepreneurs, Piramal Swasthya Sahayikas, who enable healthcare access to rural patients.eSwasthya centre is set up in her own homePSS undergoes a 5 day training programme on how to conduct basic health service, use digital equipment, handle mobile usage, accounts and counsel patients.PSS gets 20% of the consultation fees.A field supervisor appointed by Piramal oversees the PSS
Sandbox
eSwasthya -Sandbox
Global Scale
The eSwasthya model of
healthcare can be scaled up
even on a global platform.
The CDSS technology can be
used at any level along with
telemedicine.
Social Equity Focus
Eradicates the distance
between good and reliable
healthcare and rural
patients.
Makes access to
healthcare affordable
Healthier rural population
Empowerment of women
under PSS.Environmental SustainabilityThe eSwasthya model does not hinder the principle of
environment sustainability.
Transparency in TransactionsUnder the aegis of Piramal Healthcare, the reputed pharma major, eSwasthya maintains fair accounting practices.
New Price – Performance LeveleSwasthya provides affordable medical services which range from 30rs to 50rs, depending on the type of treatment.At this low price quality is also mantained.
Rule of Law – Individual RightsPiramal eSwasthya promotes the lawful practice of medical services.It helps in eliminating quacks and maintaining the authenticity od healthcare services in rural lands.
SANDBOX continued
Growth
2008Starts pilot and operational formats across villages of Rajasthan and Tamil nadu
2009Awarded ISO 9001:2008 Certification for its Quality Manageme-nt Systems
2011>eSwasthya steps into first phase of scaling up and will design models in partnership with government, NGO and private players>Given treatment to over 40,00 patients, trained 200 health workers,employed 150+ people and continues to operate in 50 villages
Piramal-Asha Model:Way forwardFirst partnership model that Piramal eSwasthya is
launching in 2011.
Objective is to enable Government(NRHM) appointed
ASHA Sahyoginis to provide telemedicine services in their
villages.
PPP model with district administrations to enable ASHA
volunteers work as PSS and leverage benefits of ASHA
model an contain its limitations.
Pilot project launched in Churu district aministration,
Rajasthan for 100 villages of Tarangpur block.
Benefits of Piramal-ASHA modelBENEFITS TO eSWASTHHYA• Overnight
scaling upto lakh villages with multiple PSS options in each
• Reduction in manpower requirement and infrastructure
• Government indemnification against legal issues
BENEFITS TO VILLAGE• Availability of
quality medicne at doorstep
• Access to qualified doctor
• Realistic first service point for all Piramal Care needs within villageB
BENEFITS TO ASHA/GOVT.• Load on govt.
infrastructure reduces.
• Operational management expertise from private players
• Potential to abolish quackery
Impact
QUALITY HEALTHCARE ACCESS IN RURAL AREASHelps in removing QuackeryHelps in improvement in general levels of health in rural areas
RURAL ECONOMIC DEVELOPMENTWage earners eliminate the loss of daily wages due to time consumed in travelling to cities for treamentSavings from travel costs and high medical fees charged by private players
WOMAN EMPOWERMENTThrough training of PiramalSwasthya Sahayikas rural women are enabled to earn a living as PSS get 20% of consultation fees
BRIDGING THE URBAN-RURAL DIVIDE IN HEALTHCARE FACILITIESThrough Telemedicine technology and systems like the CDSS, Rural India can share same medical facilities as in urban areas at their doorstep
Thank You
TEAM SCAMPERSomya BhargavaShaurya Bhushan TyagiSonali AbrolSukesha Sajwan