Challenges of Universal Health provision Urban – Rural Divide Statistics Current state of Healthcare in India Change in consumer mindset Milestones in Independent India Way Forward in Health care

1. INDIA : TOWARDS UNIVERSAL
HEALTH COVERAGE
DEVESH SHUKLA
APARNA .N
SWIKAR
HARSHAD
HEMANTH

2. AGENDA:
1. Challenges of Universal Health provision
2. Urban – Rural Divide Statistics
3. Current state of Healthcare in India
4. Change in consumer mindset
5. Milestones in Independent India
6. Way Forward in Health care

3. 1.CHALLENGES OF UNIVERSAL HEALTH
PROVISION
• Underinvestment in Healthcare and poor governance.
4.2% of national GDP towards healthcare wherein USA
has 18% spending.
• Emphasis on allopathic health systems and low incentives for AYUSH
medical systems.
• Privatization and less participation of qualified practitioners in public
health care system.
• Lack of quality health care in rural area which is now dominated by
informal medical practitioners and registered medical practitioners.
• Low proportion of women workforce in health care which affects
women’s access to health care.

4. CHALLENGES Contd
• Migration of doctors leading to capacity issues in quality health care,
research and faculty development
1,00,000 Indian doctors work in USA and UK.
• Lack of Effective payment mechanisms where 70% of spending are out of
pocket .
According to World Bank and National Commission’s report on
micro economics, only 5% of Indians are covered by health policies.
• Medical colleges curriculum emphasizes clinical education and practice
rather than public health care.

5. 2. STATISTICS
11.8
42
Number of Healthcare
workers per 10,000
Rural Urban
70
30
Private vs public
Private Public
6.5
0.5
Number of women in heath
care per 10,000
Urban Rural

6. 3.CURRENT STATE OF HELATH CARE IN INDIA

7. 4.CHANGE IN CONSUMER MINDSET

8. 5.MILESTONES IN INDEPENDANT INDIA
Primary Health centre - 1952
Family
Planning -
1952
National
Health
programs -
1957
National Health
Policy -1982 &
2002
NHRM - 2005
Public Health
Foundation of
India - 2006

9. 6.WAY FORWARD IN HEALTHCARE – bridging
rural divide
Increase investments in health care for improving medical
infrastructure in
rural areas.
To increase the attractiveness of rural PHC by incentivizing
practitioners and improving medical infrastructure in rural areas.
Providing training and certification to informal practitioners to bring
them to mainstream.
Identifying ambassadors for healthcare region wise.
BRIDGING RURAL URBAN DIVIDE

10. Bridging rural divide - Contd
Medical extension workers and medical camps in rural areas to
educate people on preventive and social medicines.
Use technology and IT in healthcare to overcome access barriers
in remote areas and engage patients. Focus investments on India-
specific solutions.
This would boost the standard of living for doctors in rural India.
Rural medical colleges which is dedicated to serve the rural
population to be formed in every state.

11. WAY FORWARD IN HEALTHCARE – Women
participation
Increase the awareness of the critical role gender plays in health
systems.
Make the governance system more gender responsive.
Establish coaching and mentoring programs for women leaders.
WOMEN PARTICIPATON ENHANCEMENT

12. WAY FORWARD IN HEALTH CARE –
Governmental interventions
The government must set clear health priorities, clarify roles and
establish enabling incentives and regulations for stakeholders.
Rejuvenate AYUSH (Ayurveda, yoga and naturopathy, unani, siddha
and homeopathy) and encourage private investment in education.
Improve the talent quality using a clear roadmap for governance
and continuing medical education (CME) for professionals.
Drive insurance adoption and reduce out-of-pocket expenses by
rolling out a universal healthcare-coverage scheme for essential
care. Provide government support for disadvantaged populations,
such as the elderly and low-income deciles
OVERALL IMPROVEMENTS