1. Healing Touch: Universalizing
Access To Quality Primary
Healthcare
Team Details
1. Swami Yogesh
2. Phad Rohit
3. Bharti Sandip
4. Kharosekar Chaitanya
5. Chame Gajanan
College: Govt College Of
Engineering,Pune.

2. Current HealthCare Situation of India:
• Lack of integration of sanitation,hygiene,nutrition and
drinking water issues.
• Govt’s pu li spending on health is 0.9% of GDP.
• Hospitalized Indian spend on an average 57% of their annual
expenditure
• Only 10% Indians have some form of health insurance
• Lack of coordination and integration in healthcare.
• Over 40% of hospitalized Indians sell assets to cover
expenses.
• Over 25% of hospitalized Indians fall below poverty line
because of hospital expenses.
• Lack of efficiency,accountibility,effectiveness in Govt health
schemes.
Healthy citizens are the greatest asset any country can have.

3. 0
10
20
30
40
without
Doctor
Without
lab
technician
without
pharmasist
Public Health Service In Rural Area(In PHCs)%
0
5
10
15
20
25
30
35
Infant Mortality Rate
80
19.6
Rich
Poor
Middle
0.4
Rich Poor Gap (In %)
0
200
400
600
800
1000
1200
Per Capita Expenditure On Health(In $)

4. Proposed Solution: Health Card Scheme
IDEOLOGY
• One scheme covering all citizens
• Universalizing health data
• Health card for easy access to healthcare
• Inclusive participation of citizen
BASIC FEATURES
• Electronic health card assigned to every citizen
• It will be read by barcode reader system
• All his/her primary medical credentials and medical history
would be associated with it
• One Primary health center for each village in rural areas.
And One Village Hospital for adjacent five health centers.
• Process can be made online ,so that medical information
related to patient can accessed anywhere in the country.
• Strengthening capacities for data collection, assessment and
review for evidence based planning, monitoring and
supervision.

5. Primary
Health
Center 4
District Hospital
Taluka Hospital
Village Hospital One Medical Practitioner
& One intern & Staff
Medical Practitioners
additional facilities &
Equipments
Medical Specialists &
Advanced Equipments
Primary
Health
Center 3
Primary
Health
Center 2
Primary
Health
Center 5
Primary
Health
Center 1 Doctor,Health Activist,
ASHA
Govt District hospital plus
private allied hospitals,ICU
Centers,Blood Banks
X-ray,Sonography tests,CT
scans
Sugar,Blood testing,Beds
for patients
First aid,generic
medicines,AntiVenom etc
PROPOSED HEALTH CARE HIERARCHY

6. Mechanism Of Implementation
HEALTH CARD SCHEME HEALTH INSURANCE
• Families paying health insurance will get
electronic health card.
• Distribution of health card will be
monitored by district collector.
• Inclusion of Primary database eg blood
group,HB,weight,height in health card.
• Each time patient visits PHCs, his
medical history will be updated
accordingly. Eg prescription, disease etc.
• Management of this huge health
database will be online and managed by
private software institute.
• Govt will collect Rs 50 per family per
month as health insurance.
• Collected by grampanchayat and
deposited to health ministry.
• Free treatment and operation in any
village, taluka or district hospital.
• Patients who needs severe operations
will be operated free of cost in Govt
allied private hospitals. Govt will use
collected health insurance money in
these cases.
Special Advantage
• Prevention of child foeticide : Each time mother comes for check up about her pregnancy, doctors
can monitor her monthly progress. And this can be continued until baby borns.
• Monitoring of epidemiology : Some diseases are more common in certain geographic areas, among
people with certain genetic or socioeconomic characteristics, or at different times of the year.
So according to data available doctors can predict about disease, their causes and advice accordingly to
maintain hygienic environment to concern areas.

7. Primary Health Center(PHC)
• One Health Activist and ASHA(Accredited Social Health Activist) currently working
under NRHM to help medical official.
Medical Official in PHC :
 Responsible for implementation of all Govt schemes under PHC.
 All Primary healthcare and treatment in village.
 Accountable to Grampanchayat &Answerable to higher authority
 Submit health progress of village.
 Will recommend cases under health insurance to specialised hospitals
Health Activist:
 Permanent employee of Government.
 Should be Bachelor of science
 Should be trained by Govt to provide primary treatment.
 Can handle primary health issues in villages by himself and can provide first aid
treatment for critical cases.(e.g. Wounds during minor accidents, minor
diseases)
 Regular health check-up of primary school students.
 Should spread social awareness regarding sanitation, health consciousness etc.

8. Resources & Consumptions
• Human resources required:
Considering existing system only additional health activist will require in each PHCs.
This will helpful for local employment.
Expenditure on Infrastructure development:
• Expenditure Share-> 70:30 Center:State
• Total no of villages in India=6,38,000 that is 6,38,000 PHCs
• Salary of Health activists : 5000*6.38lack =319 Crore
• Technical Infrastructure(Computer,internet access,databse
management): 1000 Crores
• Considering existing infrastructure expenditure may reduce
Financial Management :
• Average families per village=400
• Total money collected per village =400*50=20,000 Rs
• Total money collected in India per month = 1276 Crore Total
money collected
• This money will be used in Health Insurance.

9. Long Term Objectives
Quantitative Qualitative
• Maternal Mortality Rate 100
per 1,00,000 live births .
• Infant Mortality Rate 30 per
1000 live births.
• Total Fertility Rate 2.1
• GRAM SWACHHATA
competitions at district
level.
• Expenditure on health
development to 5% of GDP
• Increase in HDI(Human
Development Index).
• Health consciousness through Primary
education.
• Total sanitation Programs.
• To Make PHC’s a ounta le to pu li .
• Provide more facilities to medical
officials serving in rural areas.
• Develop better transportation facilities
to connect villages to nearest
hospitals.
• Formulation of transparent policies for
deployment of Human Resources for
health.

10. Impact Of Scheme
Criteria To Measure Impact:
• Maternal Mortality Rate
• Infant Mortality Rate
• Total Fertility Rate
• Nutritional Balance
Scalability:
• Integration with other Govt schemes
such as Midday Meal,NRHM,FSB.
• Autonomy to local medical officials
to improve scheme according to
local conditions
• Develop Technical infrastructure
Sustainability:
• Compulsory internship in rural areas
• Increase confidence and awareness
in citizens about Govt health
schemes.
• Coordination and integration in
health care hierarchy.
• Health officials will discuss health
schemes in Gramsabha.
Monitoring Mechanism:
• Make PHCs accountable to committee
under district collector and district
health officer
• Committee will submit monthly
monitored report to health ministry.
• Regular visits of specialist and expert
medical officials to PHCs

11. Challenges:
• Need of strong technical infrastructure
• Active participation of villages
• Transparency in insurance schemes
• Technical Education to health activist
• Inclusion of expertise of private multispecialty hospital
• Efficiency in distribution of health card
Concept Risks:
• Corruption in management of insurance money
• Malpractices in insurance scheme
• Possibility of health activist to join private hospitals after
being trained by Govt
• Database loss
Some Remedies:
• Regular audits by independent committees
• In lusion of NGO’s and College students to spread
awareness
• Social activities such as street plays, NSS camps in rural
areas.
• Permanent bonds for health activist.

12. References
• NRHM(National Rural Health Mission)
• www.censusindia.gov.in
• www.mciindia.org
• www.mohfw.nic.in
• http://www.indexmundi.com/India/infant_mortality
_rate.html
• http://planningcommission.gov.in/plans/planrel/12t
hplan/pdf/vol_3.pdf