The document proposes solutions to address India's high disease burden and issues with access to affordable healthcare. It suggests opening 5000 new primary health centers in rural India, setting up generic drug stores, and implementing technology like electronic data interchange. This would help increase access to healthcare, lower costs through generic drugs, and improve monitoring. The solution aims to benefit 75% of the Indian population and reduce poverty due to health costs. Key challenges include funding, technological limitations, and gaining public support for taxes to fund the system.

1. Healing Touch
Universalizing access to quality
primary healthcare.
SIBM,Bengaluru
1.Khush Agarwal
2. Neesha Munshi
3. Pallav Prasad
4. Pooja Kanjani
5. Ragvendra Muttagi

2. India accounts for 21% of the
world’s global burden of
disease.
WHO says 3.2% Indians
will fall bellow the poverty line will
because
of high of high medical bills.
39 million Indians are
pushed to poverty because of ill
health every year.
Around 30%in rural India didn’t
go for any treatment for financial
constrains.
SCOPE OF PROBLEM

3. High
Population
GDP spent on
healthcare - low
Lack of health
Awareness
Environmental
degradation
Low budget due to
developing economy
Lack of skill
and knowledge
Coalition
Government
State Govt.
Partnership
No Financial
Feasibility
Lack of IT
penetration
Brain Drain
Expensive
medical education
Lack of
awareness
Laws not implemented
properly
Lack of quality
On job skill
Cause And Effect Diagram
Lack of
Primary
quality
health
Political
Instability
High Litigation
expense
LegalEducationalTechnological
PoliticalEconomicalSocial
Low Per Capita
Income

4. Reasons for selecting the
cause
Health care is the
backbone of any economy
. A healthy nation is
progressive and leads to
optimum utilization of
people resources.
This is one issue which is
not given due importance
despite of high level of
materiality attached to it.
It pertains to almost 75%
of the Indian population
and hence has an
immense scope
This is one issue where
there is need (demand)
and some money (supply)
, but both remains unmet
. It calls for introspection
as to where things are
going wrong . The
suspicions revolves
around intermediaries,
delivery mechanism, lack
of intent and henceforth
has a huge scope of
innovation.

5. Proposed Solution
2. Setting up a retail chain of generic drug store
along with mandate usage of generic medicines, if
possible, in government hospitals at least. Using
government dispensaries and hospitals for
maintaining inventory for the drugs and distribution
thereof. Creating awareness as to usage of generic
drugs by the government and private players. The
entire distribution channel could be outsourced to a
private player pioneer in distribution network.
3. Implementation of technology at
each step in the form of Hub and Spoke
model on EDI(Electronic data
Interchange) where a central monitory
system would be taking care
of all the movements of the generic
drug and will account for all the services
delivered.
1. Opening up of new 5000
Primary Health Centers in
rural India. Selection of
location for pilot project
based upon the percentage
of rural population in that
particular state, intention of
the state government and its
participation level.(We have
selected Bihar ,intention of
state government to
implement healthcare
measures(highest allocation
in terms of growth on
healthcare as a percentage of
GDP)

6. AFFORDABILITY
ACCESSABILITY
HEALTH
OPENING OF HOSPITALS
GENERIC DRUGSTORES
TECHNOLOGICAL
UPGRADATION
TELESERVICES
STRUCTURED CUSTOMER
DATABASE
SANITATION
EMERGENCY AMBULANCE
AADHAR CARD
CORE
PRODUCT
ACTUAL PRODUCT
AUGMENTED PRODUCT
PRODUCT CONCEPT

7. Usage of AADHAR card as the means for
identification and delivery of services.
Using EDI to maintain , sustain the overall
delivery and monitaring mechanism.
Improvement of ASHA workers mechanism on following grounds
a. Decreasing attrition by compensation benefits, motivation and
recognition in the society.
b. Job allocation and clear identification of roles in terms of administrative
and service provider.
c. On job training to save time and improving on the job skills overall.
d. Careful , clear and transparent selection mechanism for the ASHA
workers and clear hierarchy to be identified and transmitted.
To penetrate to the desired level it is
necessary to have a trio partnership of NGO s
, private and government.
Value
Additions

8. Hospitals
Secondary Health Care Centre
Dispensaries
Aasha Employee
Every Individual
Implementation Of The Solution
CSR by
Hospitals
CSR In
Hospitals
Up gradation
Of Hospitals
Vaccination
Awareness
Screening
Centres
Preventive
Measures
Upgradation of
already existing ones
Trained
Nurses
Emergency
Help 24 X 7
Generic
Medicines

9. Criteria to measure the
impact of the solution
There are 123109 PHC to cater to 50% of villagers ,
an increase in 5000 PHC efficiently can cater to
another 20% along with improving the current
PHC available to work more efficiently.
36% of the unspent fund could be spend on
opening hospitals and the generic medicine
distribution system.
Improving the current Hospital Beds to people
ratio from 9:10000 to 900:10000 by new and
optimum utilization
Scalability of the
solution
To test market it couple of districts of a state and
then replicating the successful model in a planned
way in 3 phases on the basis of investment
amount required in particular project.
Phase 1 (Investment of less than 25 lacs)Phase 2
(25 lacs upto 1 Crore)Phase 3 (1 crore and above)
The phase might not be sequential it would be
more "need based "and depend on location to
location.
Impact of the solution

10. Sustainability of the
solution
Random Audit along with compulsory audit at
the viable location hierarchy of distribution
and health services to curb the corruption and
unwanted bottlenecks.
Setting up a highly flexible department to take
quick decisions regarding the day to day
operations .
Appropriate
Monitoring mechanisms
As mentioned before, AADHAR card would be
the primary source of database creation and
management along with the existing ASHA
database . Any service provided or generic
medicine sold would go through the database
and recorded for accountability and
monitoring purpose.
With a central EDI system in place it would be
easy to analyze the efficacy of the
implemented solution and replicate it in the
other regions with required modifications.
Impact of the solution

11. Challenges
The first major problem would be fund
generation and regular infusion of capital.
The proposed solution assumes
mandatory CSR@2% by private hospitals
and Cess @0.5% on all direct and indirect
taxes which might not be well taken by
the society and taxpayers.
Opening up of 5000
efficient PHC is itself a
challenge and a
humungous task.
Financial viability of technological
advancement in the deepest parts
of India in absence of internet
penetration and skill shortage.
Such high spending by government and
increase in participation by private players
would lead to skepticism from political and
social aspects .
Mitigating factors
Phased implementation of compulsory CSR on
the basis of turnover by hospitals
No Cess on necessities , balance it out with
luxuries. The funds need to be earmarked for
the purpose asked for
Government infrastructure company along with
private partnership would implement on the
basis of transparent tender process and fast track
completion goal
It is very important to propose a Time
Bound Feasible Solution in front of
parliament as well as Public
AAKASH tablets could be used with temporary
and then later on permanent ISP help for setting
up networks, Help
from BSNL
Skill development through basic training
Computerization at major junctions rather than at
every place

12. 1.http://www.who.int/gho/countries/ind.pdf
2. http://www.who.int/gho/countries/ind.pdf
3. A critical review of National Rural Health Mission in India – ISPUB
4. http://www.who.int/gho/countries/ind.pdf
5. http://www.livemint.com/Companies/vaAHnd8ULMWgGoXuT4sS1L/V
aatsalya-Healthcare--The-hinterlands-doctor.html
6. http://healthcare.financialexpress.com/201012/market08.shtml
7. NRHM,2005 A transmogrification or façade, Research Paper.
8.World health organization data
9.NRHM health statistics information portal
Appendix