1. MANTHAN TOPIC : HEALING TOUCH
Strengthening primary health care system to provide cost
effective services
Team details
Shilpi Agrawal
Aakriti Batra
Nikita sahay
Krutika Kumari
Chetna Shahi
( Vellore Institute of Technology, Vellore)

2. Ineffective Primary health care systems leading to exponential
rise in mortality rate
Alarming status of primary health centers
A. Absenteeism in staff and lack of skilled doctors
• It becomes very difficult to monitor the appointed staff regularly due to remote locations.
• Doctors are not motivated to go and settle in these remote areas due to lack of basic
facilities like education, connectivity etc.
B. Poor quality of diagnostic instruments and other medical aid does not reach all the PHCs
• Due to lack of connectivity
C. Lack of awareness among people
• Due to demographic and geographic constraints it becomes difficult to make people aware
of the benefits of the on going primary health services.

3. Collaboration of public and private sectors to implement cost
effective primary health services
Implementation
Model
Advantages over
existing system
• Extremely low cost and fungible primary health centers
• PHCs controlled by interns and graduate medical students working under the supervision of retired
doctors doing the part time job.
• Requirements of all the employers will be funded by the public sector and other facilities by the
private sector.
• BPL people will free avail medical services. Other will be treated at minimum possible cost.
• Network of volunteers from the respective locality for awareness program (to minimize the
communication barrier and increase employment).
• Providing training to nurses from same locality in government medical institutes.
• Collaboration of the two sectors in such a way that public sector provides financial help
whereas private sector looks after the services.
•Primary health services are accessible in minimal cost.
Primary health
centers run by skilled
/ retired doctors

4. We build a network of doctors and volunteers among
professionals, retired, graduate students and localites
Retired skilled Interns /
Graduate
Localites
Reason for
volunteering
• Ample spare time
• Long and distinguished
work experience
• Opportunity to work in
paid voluntary
engagements
• Have required skills
• Can deliver required
training through work
experience
•Free during weekends
• Provides employment
• Enhancing their
training skills
• Increasing
opportunities to get into
reputed institutes for
higher studies.
• Exposure to real time
situations.
• Nurses trained by
reputed institutes
• Provides employment
Potential skills
provided
• Deal with critical
situations
• Guidance
• Exposure to new
diagnostic instruments
• Provides assistance • Bridge the
communication gap

5. Doctors will be recruited through online and offline channel
Need of skill assessment
• Number of doctors will
be appointed depending
on the requirement of
each block.
• Direct recruitment of
local specialized doctors.
• Making it compulsory
for every student in the
medical institutes to
provide services as an
intern.
Recruitment of
volunteers
• Direct recruitment
from NGOs.
• Direct recruitment of
the volunteers based on
their exposure to the
services needed.
• Local nurses will be
trained by the nearby
medical institutes.
Awareness Building
• Media and Offline
campaigning will be used
for volunteer and
doctors’ recruitment.
• Using posters and
banners in widely used
places.
Recruitment
Management and
mapping
Implementation

6. Key elements of implementation plan and design to make it
reasonable and easily accessible
Service delivery model
• Working period
interns  6 months
Skilled  minimum 1 yr
Retired  flexible
Localites  flexible
• Venue
PHCs in every 10 km
• New technology based
diagnostic instruments
and medical aid.
Awareness by
volunteers
• Generic medicines
Making people aware of
the generic medicines
• Treatment at minimal
cost.
• Spreading the
importance of
cleanliness, proper
sanitation, balanced diet.
Corporate support
• Corporate support for
the program for the
forthcoming with quality
of graduates being
produced.
• Private sector will
support to implement
new schemes
Recruitment Management Implementation

7. We will have an organizing team at district and state level
Chief Controller
Recruitment
team
Coordination
team
Out reach /
media team
Finance Team Awareness team
City controller City Controller Regional
controller
Regional
controller

8. The scheme will require INR of 5 crores per establishment annually

9. The program will be able to impact approximately 30 crore people every year.
Impact and reach
Volunteer network Skills imparted
Placement support
•Trained nurses
• primary health
education
• equipped with
diagnostic
instruments
Approximately
• 1000 mentors
• 10 000 qualified
doctors
• 20,000 interns
• 2 lacs volunteers
• Placement support by
inviting firms who can
utilize the skill sets and
enhance them
• Traineeship for
students

10. The model of public cum private sector faces some challenges
Challenges and risks
• Corruption is the basic challenge for all schemes
• Government of corporate do not see the viability of funding this model
• Unemployed students do not see the value of these type of schemes
Implementation challenges
• Difficulty in integrating with government infrastructure and institutions.
• Curriculum design and fit to industry needs some massive effort.