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India Should
Become Hub Of
Medical Technology
“
“
C
ountry has made great strides in many spheres including healthcare but more needs
to be done to ensure that quality healthcare and education are accessible to all
citizens, especially those living in the rural areas and remote parts of the country.
There is also a need to develop low-cost diagnostic treatment and rehabilitative services.
President Ram Nath Kovind laid thrust on developing low-cost diagnostic treatment and
rehabilitative services to provide affordable healthcare to people and said India should
become a hub of medical technology.The country has made great strides in many spheres
including healthcare but more needs to be done to ensure that quality healthcare and
education are accessible to all citizens, especially those living in the rural areas and remote
parts of the country."There is also a need to develop low-cost diagnostic treatment and
rehabilitative services. it is important that India starts making its own equipment that not
only serves to provide affordable healthcare but also sets up India as a medical technology
hub as part of the Make in India initiative.
The government has also focused on extending the reach of Ayurveda, Yoga, and
Naturopathy, Unani, Siddha, as well as Homeopathy; known together as 'AYUSH'. Always
try to maintain the highest level of ethical standards and professionalism for the entire
career. All doctors and nursing graduates will do well to remember that the community
around them looks up to them, and they will have to maintain the nobility of the profession.
There is a rise in demand for professional caregivers in the country and healthcare
institutions should consider developing short-term training courses for them. The change in
lifestyle has raised the demand for professional caregivers and healthcare institutions
should cater to them. "In India, families take care of our elders in their old age. However, with
changing lifestyles the demand for professional caregivers to take care of the elderly is on
the rise. These care-givers, who need not be trained nurses, would certainly benefit from
basic training in geriatric care. Our nursing training institutions can consider developing
short training programs for such care-givers.
Ram Nath Kovind
President of India
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A
t a time when Universal Health Coverage has become the new buzzword of healthcare in
India since Ayushman Bharat, the National Health Profile 2019 throws up sobering
figures. Between 2009-10 and 2018-19, India’s public health spend as a percentage of
GDP went up by just 0.16 percentage points from 1.12% to 1.28% of GDP, and remains a far cry
from the 2.5% GDP health spend that has been India’s target for some years now. The cost of
treatment has been on rise in India and it has led to inequity in access to health care services.
India spends only 1.28% of its GDP (2017-18 BE) as public expenditure on health. Per capita
public expenditure on health in nominal terms has gone up from Rs 621 in 2009-10 to Rs 1,657
in 2017-18. Compare this with the average total medical expenditure per childbirth in a public
hospital: Rs 1,587 in a rural area and Rs 2,117 in an urban area. Based on Health Survey (71st
round) conducted by NSSO, average medical expenditure incurred during hospital stay during
January 2013-June 2014 was Rs 14,935 for rural and Rs 24,436 in urban India.
Universal Health Coverage, according to the World Health Organization, means that “all people
and communities can use the promotive, preventive, curative, rehabilitative and palliative
health services they need, of sufficient quality to be effective, while also ensuring that the use of
these services does not expose the user to financial hardship.” The three objectives are: equity
in access to health services; quality of health services should be good enough to improve the
health of those receiving them; people should be protected against financial-risk, ensuring that
the cost of using services does not put people at risk of financial harm.
Ayushman Bharat does very little for primary healthcare. It has been announced that 1.5 lakh
health and wellness centres will be set up, partly to deal with primary healthcare issues
including NCDs – but, given the budgetary allocation of less than Rs 1 lakh per centre, this looks
more like a very minor upgrading of the existing sub-centres and/or primary healthcare centres
(PHCs). Similar and sometimes more ambitious upgrading, including the provision of some free
medicines, has been attempted by a number of states in the past; but, for the most part, there
has been no reversal of the trend towards wholesale exit from public healthcare, especially in
North India.
There is now a substantial body of work that documents that, in many states, more than three-
quarters of visits to primary care centres are to private providers – even though most of these
providers have no medical qualification whatsoever. This is in part because the sub-centres are
open intermittently and unpredictably, and doctors and nurses are often missing from the PHCs.
In part, it may also reflect the lackadaisical attitude of doctors in the public system; Das, et al.
(2016) report that doctors in the public sector, while well qualified, spend very little time with the
patient and do not make much use of their superior training – except when they are acting as
private physicians, when they perform much better. It seems unlikely that small investments in
these sub-centres and PHCs will change all that; the patients will probably continue to stay
away, and therefore using these as the basis of outreach for NCDs and other public health
interventions probably has limited potential. The obvious alternative is to make use of the
informal providers who do have access to the patient population. It should certainly be
recognized that they have the potential to be a public health hazard, especially because they
abuse antibiotics and steroids – which contributes to rising resistance.
HEALTHCARE IS
SERIOUS BUSINESS
Satya Brahma
Chairman & Editor-In-Chief
Pharma Leaders Group
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The National Medical Commission is a far-reaching reform in this
space and seeks to correct the prevalent problems. It contains
multiple reforms that curb avenues of corruption and boost
transparency.It will ensure transparency, accountability and
quality in the governance of medical education in the country. It
aims to lessen the burden on students, increase the number of
medical seats and reduce the cost of medical education. This means
more talented youth can take up medicine as a profession and this
will help us increase the number of medical professionals.
Narendra Modi
Prime Minister of India
“ “
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W
e are also working to ensure that there is at least one
medical college between every 3 districts. With rising
awareness about healthcare, rising incomes and a
greater focus on aspirational goals among people, we will
need thousands and thousands of doctors to fulfil the demand,
especially in rural and urban areas. The NMC seeks to address
these issues for a better outcome for all stakeholders. You
must have also read that the academic year 2019-20 will see
the biggest addition of medical seats in government colleges in
a single year with the creation of around 2 dozen new
government medical colleges. Our road map is clear -- a
transparent, accessible and affordable medical education
system leading to better healthcare outcomes. In the last four
years, our government has given a new direction to public
healthcare. The government's efforts are to strengthen the
health infrastructure in Tier 2 and Tier 3 cities, similar to what
has been built in big cities.Better healthcare facilities are being
created for New India, where there are best hospitals, more
beds, better facilities, excellent doctors. A healthy nation is
created only from a healthy family factors. A healthy nation is
created only from a healthy family and a healthy society.India
has taken historic steps to ensure universal health.
The country is focusing on four main pillars of universal
health—preventive health, affordable healthcare, supply side
interventions and mission mode intervention, with an
increased awareness about cleanliness, possibility of saving
hundreds of thousands of lives has also increased.Addressing
a high-level meeting on Universal Health Coverage in New
York, Prime Minister Narendra Modi said that his government
having a clear focus on health has taken historic steps to
ensure affordable health for all. “We have launched the world's
largest health insurance scheme Ayushman Bharat for
ensuring quality universal health services for all. The summit
was held for launching new efforts to provide access for all to
affordable, inclusive and resilient health systems. “World
welfare begins with people's welfare, and health is an
important component of it. And in line with this global principle,
India is laying great emphasis on health," said Modi.
“India has adopted a multi-sectoral approach towards the
health sector. The country is focusing on four main pillars of
universal health. These are preventive health, affordable
healthcare, supply side interventions and mission mode
intervention," he said. Modi said his government's preventive
healthcare has important areas of preventive healthcare which
are Yoga and Ayurveda. He said that he has recently launched
Fit India Movement. “With the help of these systems, we can
control lifestyle diseases such as diabetes, blood pressure,
depression etc," said Modi.Mentioning about Clean India
Campaign, Modi said that with an increased awareness about
cleanliness, possibility of saving hundreds of thousands of
lives has also increased.
“In yet another step towards preventive healthcare, we have
planned more than 125,000 wellness centres. We are also
paying attention on immunization. Along with introducing new
vaccines, we have also reached out to areas difficult to reach in
our vaccination programmes," he said.
Emphasizing on the second pillar of healthcare - affordability,
the prime minister said that Ayushman Bharat is a historic step
in this direction. “Ayushman Bharat is being implemented
successfully. Under this scheme, 500 million poor, have been
given the facility of free treatment worth up to Rs5,00,000
every year. The government has also opened more than 5000
public medicine centres (Jan Aushadhi Kendra), more than
800 varieties of medicines are available at affordable prices,"
said Modi.“In our efforts to ensure affordable healthcare, we
have slashed the cost of stents by 80% and cut down the cost
of knee implants by 50 to 70%. Hundreds of thousands of
people are also taking advantage of the free dialysis services
provided by the government," he said.
On the supply side, Modi said, India's focus has been on
establishment of modern institutions for quality medical
education. Modi also mentioned about national nutrition
campaign and other new programmes for improving the health
of women and children. Modi said that the his government has
also increased the seats in medical colleges for improvement
in health resources.He stated that while the United Nations
has set a deadline of 2030 in its Sustainable Development
Goals, for ending the tuberculosis epidemic, the target year
that India has set for itself to end TB is 2025. “With holistic
healthcare and for making healthy body, mind and
environment, our government has started a campaign against
diseases spread due to air pollution and through animals,"
Modi said. "Access to not just a disease-free life, but to a
healthy life is the right of all people, and for this the
responsibility is on the government and social institutions to
prepare and provide requires services. Under this
responsibility, by way of Ayurveda, Yoga and telemedicine,
India is increasing access to affordable healthcare to many
countries, especially toAfrican countries.
After Ayushman Bharat, Centre to launch healthcare scheme
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Brand India
Growth Story
for middle class soon.There is no such health care scheme for
the middle class in the country and this is the reason the
Narendra Modi led government wants to come up with this new
scheme.
The Centre is set to launch a health care scheme for the middle
class soon, according to sources quoted by Zee News. The
scheme will be similar to 'Ayushman Bharat' which is a
government-sponsored scheme that was launched in 2018.
NitiAyog has already developed a report for the scheme calling
it a 'Health system for new India'. According to the think tank,
there is no such health care scheme for the middle class in the
country and this is the reason the Narendra Modi led
government wants to come up with this new scheme.
The scheme aims to reach at least 50% of the country's middle
class. Moreover, if the plan is successfully implemented, then
the beneficiaries can avail excellent health services by just
paying a premium of Rs 200-300.
The NITI Aayog report said that people belonging to this
section can easily afford their health care expenditures.Almost
40% of the poor have already been covered under Ayushman
Bharat. Under this scheme, the government plans to open 1.5
lakh health and wellness centres by 2022. These centres will
be equipped to treat numerous diseases, including blood
pressure, diabetes, cancer, and old-age illnesses.
On Monday, NITIAayog vice-chairman Rajiv Kumar released a
report titled ‘Health System for a New India: Building Blocks-
Potential Pathways to Reform.’ Commenting on the report,
NITI Aayog Health Adviser Alok Kumar said that it has been
prepared with an aim to devise a roadmap to set up a health
system for those from the middle class. "So, nearly 50% are
still not covered under any public healthcare system and the
idea is to pool their risk assets which will cater to the health
care needs of the middle class," Kumar said.
The report was released in the presence of Bill Gates,
Microsoft co-founder and co-founder of the Bill and Melinda
Gates Foundation.Addressing the event, Gates said that India
has a bright future because of its young population. The
world's richest man added that human capital of any country is
the sum total of its healthcare, educational and nutritional
investment for its citizens.
‘Ayushman Bharat Working To Identify Those Left Out’
About 70% Indians rely on private healthcare for their health
needs and bear out of pocket costs, which plunged 55 million
people into poverty in 2012.
India has earlier tried out national insurance models such as
the Rashtriya Swasthya Bima Yojana (RSBY) that started in
2008, aiming to cover hospitalisation expenses upto Rs
30,000 for families below the poverty line. Its overall
performance was poor and the scheme failed to reduce
impoverishment.
In September 2018, Prime Minister Narendra Modi launched
the ambitious Ayushman Bharat Pradhan Mantri Jan Arogya
Yojana (AB-PMJAY), the National Health Protection Scheme,
in Ranchi, Jharkhand. The scheme that subsumed RSBY
provided an insurance cover of Rs 5 lakh to 100 million ‘poor
and vulnerable’families identified by the socio-economic caste
census (SECC) of 2011.
More than a year later, we spoke with Indu Bhushan, the chief
executive officer of AB-PMJAY and the National Health
Authority (NHA), which is responsible for implementing the
scheme.
“We have gone beyond RSBY,” said Bhushan, sitting in his
seventh floor NHA office on New Delhi’s Janpath. By
December 2, 2019, PMJAY has covered over 6.8 million
hospitalisations worth Rs 7,160 crore and has issued over 67
million e-cards to beneficiaries, according to PMJAY website
and NHA. It is present in all but four states--Odisha,Telangana,
West Bengal and New Delhi.
Pointing to the large screen showing the PMJAY dashboard,
Bhushan said two-thirds of the hospitalisations were in private
hospitals and for tertiary care. “So we are taking care of
problems like catastrophic expenditure,” Bhushan said. “We
have spent Rs 8,000 crore, but the savings to people is Rs
15,000 crore.”
Bhushan, 58, is a former Indian Administrative Service officer,
Rajasthan Cadre where he worked for nine years, before
moving to the World Bank as a senior economist in 1994. He
holds a doctorate in health economics and a masters in health
sciences from Johns Hopkins University, USA apart from
degrees from Indian Institute of Technology (IIT)-Banaras
Hindu University and IIT Delhi. Before his current role, he
served as Director General, East Asia, Asian Development
Bank.
Edited excerpts from the interview:
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How has the first year of PMJAY been? What has been
working, and what has not?
In the first year, the momentum has been quite good and we
are quite pleased with the way the scheme has rolled out. We
have to expand it; there is huge disparity amongst the states,
because some states have started the scheme for the first
time. When you have to create an ecosystem to start a new
scheme, it takes time. This is what is happening in Uttar
Pradesh (UP) and Bihar. Also, these states have poorer
infrastructure to provide services.
The portability feature has proved to be quite handy.
[Portability allows patients seek healthcare in any empanelled
hospital anywhere in the country]. For example, 10,000 people
have gone outside UP to Uttarakhand--most of them to
RishikeshAIIMS [All India Institute of Medical Sciences]. Many
people are going to Delhi. Similarly, Bihar is sending people
outside because they don't have health infrastructure.
In terms of recipient states, Delhi is the national healthcare
provider and Gujarat and Maharashtra are other recipients in
bigger states.
[Since September 2019, 50,544 of the 6.8 million
hospitalisations (0.7%) involved the use of the portability
feature, according to figures shared by the NHA with
IndiaSpend.]
We need to improve the performance of the scheme in the
green-field states. We need to work on awareness generation
and strengthen the supply of services in these states. For that
we are working with NITIAayog [the Centre’s policy think-tank]
to understand how we can provide incentives for new hospitals
to come out in these places. In some cases, for states which
are far away like North-East and some of the islands like
Andaman and Lakswadweep, we are working to provide
transport cost to the mainland--because it is the major cost
component in these places.
We are trying to improve awareness in general, as well as
provision and quality of services. We are also trying to get more
and more hospitals on board.
We have now also revised our packages. Earlier, some
providers had indicated that rates were low and so we are
working on that. Our aim is to get all the big hospitals to our
scheme.
To ensure quality of services, we are working with the
department of health research at ICMR [Indian Council of
Medical Research] to develop standard treatment workflow.
Our ITsystems will ensure that those workflows are followed.
Does this take care of unnecessary treatments that happen in
the private sector? Around 3,000 cases of fraud worth Rs 4.5
crore were discovered during audits, said AB-PMJAY annual
report 2019.
We are building some checks and balances--like in hip
replacement, we are putting in place boards that will examine
whether those procedures are required. We are also working
on cancer care so that the right amount of treatment is given--
not over or under treatment. If the person needs
chemotherapy, radiation, or surgery, that should be decided by
qualified treatment provider. Similarly in cardiovascular
disease, we have a system where they could scrutinise
whether the person needs a stent or if the hospital has
prescribed a stent to earn money.
Next is the detection and prevention of fraud and abuse. For
that we are strengthening our IT system and when we find
some patterns [of malpractice and fraud], we come down
heavily on that.
Every week we share with states, the potential fraud cases
based on our analysis of the data. We are also finalising a
company which will help us with forensic analysis and big data
analysis and give us alerts that we can share with states. We
are developing the capacity with the states so that they could
do it themselves. Finally, we are improving our IT system and
have come up with a tool called ‘Zero’, which will be more
robust, more user-friendly, more secure and interoperable.
We provide those triggers, and many of the fraud cases have
been detected. Till now, 300 hospitals have been suspended,
we have claimed the money back and FIRs [first information
reports] have been launched.
At an event in November 2019, Alok Kumar, senior advisor to
Niti Aayog, spoke about a plan for health systems to cater to
the middle class--which is currently not covered in any
scheme. Are there any plans to broaden this pool of
beneficiaries?
We are only one year old and right now we have to consolidate
what we are doing before expanding. Our aim is to strengthen
the ecosystem for providing services for health insurance.
Also, our database is very old. It is a 2011 database so we have
to clean it up and exactly identify the people still left out and
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National Medical Commission bill to be biggest reform.The
bill would replace the 63-year-old Medical Council of India
(MCI) with the commission to reform the medical education
sector.It also seeks to repeal the Indian Medical Council Act
1956, stating that the council that was set up was corrupt.A
holistic vision of health incorporating the ancient Indian
wisdom with focus on spirituality is the need of the hour
Author is Union Minister of Health & Family Welfare, Govt. of
India and also a former Advisor to World Health Organization
Dr. Harsh Vardhan
Union Minister of Health &
Family Welfare, Govt. of India
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Genuine concerns over the National Medical Commission Bill
have been addressed and the legislation will be one of the
biggest reforms, Union minister Harsh Vardhan said in Lok
Sabha on Monday. The bill would replace the 63-year-old
Medical Council of India (MCI) with the commission to reform
the medical education sector.It also seeks to repeal the Indian
Medical Council Act 1956, stating that the council that was set
up was corrupt. It has been alleged that the process by which
the MCI regulated medical colleges was flawed.Moving the bill
for consideration in Lok Sabha, Vardhan said it seeks to put in
place a new structure to tackle challenges in the medical
education sector. Asserting that the bill is a pro-poor
legislation, he said it would bring not only government seats
but also 50 per cent of all private seats within the reach of
meritorious students belonging to economically weaker
sections.
The Minister of Health and Family Welfare sought to assure
that genuine concerns of the Indian MedicalAssociation (IMA)
have been addressed."When history will be written... it (bill)
will go down as one of the biggest reforms.
Among others, the bill has the provision for making national
standards in medical education uniform by proposing that the
final year MBBS exam be treated as an entrance test for PG
and a screening test for students who graduate in medicine
from foreign countries. This exam would be called the National
Exit Test (NEXT). 'NEXT' would ensure that the NMC moves
away from a system of repeated inspections of infrastructure
and to focus on outcomes rather than processes, Vardhan
said. "Accordingly, yearly inspections have been done away
with. This is expected to do away with Inspection Raj and
foster addition of UG and PG seats in the country," he added.
Providing healthcare to its citizens in 21st century has become
the most daunting task for all nations. Hardly had we scored
success in dealing with old and established diseases that we
are now confronted with a very complex set of diseases due to
changing life styles and environmental factors. According to
the W.H.O. constitution "Health is a state of complete physical,
mental and social well-being and not merely the absence of
disease or infirmity." What is health? The governments as well
as many among us do not work towards keeping health issues
high on our agenda as health is taken for granted. ? All
religious personalities and leading lights have spoken on
health emphasizing its value. Thomas Jefferson once said
"There is only one wealth and that is health". Gandhi Ji always
reminded his audience of the value of health and he himself
vigorously pursued a disciplined life in pursuit of health. His life
is an example that depicts how one could stay healthy by
observing simple rules enunciated by our sages.
Understanding the factors that undermine health and
anticipating the outcomes that would follow given lack of
commitment to the health, is an emerging new concept. Our
ancestors figured out that physical health can only be
reinforced by strengthening psychological and spiritual health.
Controlling the mind by sanitizing the thoughts can help us
maintain physical body in a healthy state. Healthcare systems
in many parts of the world today are in turmoil as concluded by
the World Health Organization (W.H.O.) Emulating American
model the governments in many parts of the world are on a
privatization spree making healthcare a luxury for vast
segments of society. Also, the Governments in developed and
developing countries alike are finding it difficult to help attain
the goal of 'Health for all'.
Despite repeated assertions and tall claims about our
achievements in the field of health such as a raise in life
expectancy (current figure for male is 64 years, and for female
68 years) and elimination of small pox, polio myelitis and so
on, the fact is that the health scenario in India continues to
remain grim. This is a direct consequence of ignoring health
and education ever since independence. The World Health
Organization (WHO) admitted in the beginning of 21st Century
that healthcare systems in most countries lay in shambles.
Widespread poverty and illiteracy (India's current literacy is
pegged at 62% for adults) makes the goal of providing
universal healthcare extremely challenging. An educated and
literate populace is easy to deal with in matters of health,
education and advancing preventive healthcare, which results
in higher prevalence of safe motherhood, lower infant mortality
and lower birth rate. The characteristics of this poor state of the
health of the nation can also be attributed to a poor allocation
for health (3.3 per cent in first five years plan, 3 per cent in
second plan, and currently it is about 4.1 % of GDP. New
Zealand spends 10.1% of its GDP, OECD 9.5% and Nepal
5.5%) despite the ruling government's acceptance of Bhore
Committee report which advocated a 10 per cent allocation for
health. The low allocation coupled with neglect of our own
indigenous system of medicine as well as preventive,
promotional, rehabilitative, and public health and a
disproportionate stress on curative and tertiary healthcare,
has today left our healthcare system in a blind alley.
Our planners consistently ignored the ancient wisdom which
laid enormous stress on hygiene, cleanliness and sanitation.
The foundations and principles of modern day healthcare are
well enshrined in our scriptures. Thousands of years ago our
sages expanded and propagated a holistic vision of health
enunciating a concept of health well beyond physical, mental
and social wellbeing to embody emotional and spiritual
wellbeing. Modern scientists have failed to appreciate that our
noble fore-fathers with far less material possessions could
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generate energy and vitality to protect their physical and
mental health by practicing spirituality whereas the people of
developed and rich countries today remain highly stressed
and in poor health despite much affluence and wealth. This
phenomenon of stress has recorded unprecedented growth in
last few years in consequence to switch over to a market
based economy, which has caused widespread joblessness,
reduced social security and an ever-impending fear of
securing meaningful employment. I think alleviation of stress
is one of the most formidable tasks confronting the healers
today and modern medicine's purely technical and mundane
approach will be of little help in this regard.
Our health planners overlooked the age-old Indian wisdom to
promote borrowed ideas and promoted only one system of
medicine, the so-called modern medicine, which itself has
failed to ensure availability of healthcare to everyone in most
affluent nations despite a whopping increase in health sector
spending. In the new millennium, there is a paradigm shift in
developed countries and a new approach that underscores
integration of holistic approach and lays more stress on family
medicine, is being promoted. Due to misplaced priorities in
health sector in India, while a handful minority can claim to
have world-class healthcare, millions of Indians do not have
access to any healthcare at all let alone primary healthcare. It
may look strange and paradoxical but the fact remains that the
role and responsibility for ensuring health for everyone is more
dependent on what action and policies other ministries adopt
than the health ministry alone. Availability of safe drinking
water must be ensured by civic authorities as also safe
disposal of human excreta, and hazardous wastes and
provision of sanitation is a must. Food and agriculture ministry
should guarantee affordable food grains meeting the
nutritional requirements. Urban transport ministry can provide
means of safe public transport to reduce levels of air pollution
as well as injuries and accidents, which account for substantial
morbidity and mortality in all developed and newly
industrializing countries. The environment ministry should
ensure a safe and healthy environment by preventing and
controlling pollution of air, water and soil by formulating
standards and their proper enforcement. The housing ministry
should make available dwellings for all. The role of health
ministry should largely be focused on ensuring highest
standards of public health and preventing diseases as nearly
80 percent ailments are amenable to prevention. Promoting
healthy lifestyle and healthy behaviors should be encouraged.
Community participation and involvement remains the
backbone of any good healthcare system. The emerging
challenge of Non Communicable Diseases has to be met head
on with focus on creating healthy work places.
The successive governments at the centre never recognized
health as a means to achieve human development but treated
it as a minor government department that needed some
allocation simply because it was there. Policy makers,
planners, healthcare providers today have to make good for
past misses. Serious challenges lie ahead as on one hand
expectations of people continue to rise due to technological
breakthroughs and availability of new modalities for diagnosis
and cure, and on the other prohibitive cost makes these
inaccessible for much of the population even in developed
countries. Hopes were raised by World Health Organization by
formulating a strategy of 'Health forAll' by year 2000. Now that
the year 2014 has come, the goal remains elusive with new
threats emerging such as AIDS, Tobacco-related illnesses,
drug abuse, resurgence of old infectious diseases and above
all work related and environmental illnesses. However, the
intervening period gave us time to analyze the constraints and
impediments to achieving this goal. In my own assessment the
goal of health for all is laudable and the approach of attaining it
goes through 'primary healthcare route'. We need to have a
broader, more comprehensive and integrated approach which
should recognize and make use of our age old wisdom,
practices and societal beliefs. Ancient Indians were known to
enjoy long and healthy lives when no technologies existed.
Whatever they said or thought has proved to be correct no
matter, which scientific scale one uses. That eating less is
associated with a longer life was a fact known to them (Alp
Bhuktam Bahu Bhuktam - one who eats less enjoys food for a
long time).
Their biggest observation was that vegetarian food
consumption is associated with a longer life and lesser
affliction by degenerative diseases. This fact is now
universally accepted and even scientists approve this fact.
The recent data indicating that red meat consumption is
associated with higher incidence of heart disease and cancer
goes to support their observation.
Current Health Indicators
Let us first see where do we stand today and what are our
achievements? After Independence the life expectancy of an
Indian (life expectancy denotes the average number of years a
new-born child is expected to live under current mortality
conditions) has risen from 32 years at that time to 65 years. ;
the maternal mortality at present is 178 /100,000 live births
(2011-2012) which is still too high; the death rate from
27.4/1000 population has dropped to 8/1000 population
(2012) in last decade and infant mortality rate has declined
from 146/1000 live birth at the time of independence to
42/1000 (2012) live births in last decade. An interesting fact is
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that though these figures represent the national averages
there is a wide inter-state variability and some states like
Kerala are way ahead whereas states like Bihar and Madhya
Pradesh which lag behind. Again, though infant mortality has
registered a drop; problem of malnutrition has not been solved
and remains a matter of grave concern. India, has one of the
highest incidence of low birth weight, nearly 7.5 million low-
birth weight babies annually – the highest for any country. It
is now universally acknowledged that poverty is harbinger of
poor health and without a reasonable socio-economic
development health for all cannot be achieved. Yet the 'human
development report, published in the last decade' places the
overall prevalence of poverty in India at 38 per cent, i.e., about
350 million, which is an unacceptably high figure. "As per
NSSO report based on the survey conducted by it in July 2004-
June 2005, the average per capita calorie in-take at all India
level in rural areas is 2,047 kilo calories as compared to 2,153
kilo calories based on the results of similar survey undertaken
during July 1993-June 1994," More alarmingly, the poor
nutritional state resulting from this insufficient calories intake is
far more prevalent in pre-school children, which might have
serious effect on their physical and mental development. In
women, prevalence of anemia during pregnancy is as high as
87.5 percent with 13 percent recording severe anemia, which
has profound implications for the health of new-born. Similarly
potable water, disposal of waste, sewerage system and clean
toilets are available to few. Besides, there are other distortions
like three doctors to one nurse whereas there should be three
nurses for one doctor, lack of adequate numbers of public
health specialists, epidemiologists, pathologists and
radiologists.Above all the world's first nation to launch a family
planning programme way back in 1952 has miserably failed in
meeting the targets thanks to the corruption perpetrated by the
governments in power.
CurrentTrends
Recent research indicates that role of lifestyle and
environment is perhaps more profound in securing human
health than was previously thought. Interestingly, our
ancestors always knew this secret as is evidenced by their
great penchant for cleanliness, environmental sanitation and
food hygiene. Indian system of medicine invariably
recommended alteration in diet and food habits in all cases of
illness. The concept of biodiversity was propagated and one
was exhorted to show compassion to all living beings and even
trees. Isa Upnishad clearly states ' Isa Vasya Midam Sarvam
Yat Kinch Jagtyam Jagat ('God dwells in all and everything
whatever is present in this universe'. To promote social
wellbeing and harmony they enunciated the concept of '
Vashudhev Kutumbukam' The world is a family. If everyone is
a family member where is the room for discord and how can
there be isolation and alienation?
We now recognize that many ailments result due to an
unhealthy lifestyle and many disorders are related to poor
nutrition, alcohol abuse, smoking and the stress. What is not
frankly accepted is that many of these diseases are the results
of a society that alienates people from themselves and each
other. Modern medicine is unable to provide solutions to this.
Identifying the need for social answers to disease is also an
important part of the solution. If healing of people is to be really
achieved, spiritual dimension of care is basically important. A
decidedly more humane and healing approach is required
which stresses promotion of body's self-healing powers as
was preached and practiced by our ancient systems.Aserious
effort is required to explain the strength of spiritual aspects of
healing to modern practitioners and it calls for a new approach
so that healthcare providers inculcate and adopt this.
Current trends in medicine are stressing a concept of
healthcare based on 'quality of life' and this dimension is
assuming increasing importance in healthcare. This becomes
particularly relevant as the life expectancy increases and
people start living longer. In fact, this concept was first put forth
in our scriptures, which maintained that not only we live to 100
years, but also have our vision; hearing and other sensory and
motor functions intact. Prof. O. Boyle of Ireland says that
illnesses, diseases and their management can significantly
influence areas such as functioning, mobility, mood, life
satisfaction, sexuality, cognition and ability to fulfill
occupational, social and family roles. The emerging quality of
life construct may be viewed as paradigm shift in outcome
measurement since it shifts the focus of attention from
symptoms to functioning. This holistic approach more clearly
establishes the patient as the centre of attention and
subsumes many of the traditional measures of outcome.
Quality of life assessment is particularly relevant to aging
populations both for healthy elderly and for those who develop
chronic diseases where maintenance of quality of life rather
than cure may be the primary goal of treatment.
Futuristic Vision of Health for all
During my tenure as health minister, my ministry accorded
high priority to the neglected public health system. Right at the
outset we prioritized our activities, prepared an action plan to
address the distortions that I talked about above. We
encouraged community participation and involvement
beginning from the launching of 'polio eradication programme'
and continued till end. I felt people do get motivated and
enthused if they are communicated the message of health
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unambiguously.
The Delhi government was the first one to take an initiative for
the 'Rational Use of Essential Drugs'. The programme was so
successful that it has now been adopted by dozen states in
India. The WHO has recognized it as 'Delhi Model' and is being
propagated and implemented in many countries of the world
with the guidance and support of India WHO programme for
Rational Use of Essential drugs. We were very concerned
about ' tobacco related illness' and despite much opposition a
bill was passed in Delhi as ' the Delhi prohibition of smoking
and non-smokers health protectionAct 1996'. This inspired the
promulgation of The Cigarettes and Other Tobacco Products
(Prohibition of Advertisement and Regulation of Trade and
Commerce, Production, Supply and Distribution) Act, 2003
(COTPA), the principal comprehensive law governing tobacco
control in India. The Act was passed before India became a
party to the WHO Framework Convention on Tobacco Control.
In 2004, the Ministry of Health and Family Welfare exercised
the powers granted to it in Section 31 of COTPA by
promulgating a first set of rules, which, with respect to smoke
free and tobacco advertising issues, have been stayed by
court order or superseded. With respect to general
enforcement of COTPA, G.S.R. 1866(E) lists certain officers
who are authorized to carry out the entry, search, and seizure
provisions of theAct.
Continuing with our mission to prevent diseases due to
environment and occupation and protect environment a centre
for occupational and environmental Health in Lok Nayak
Hospital and MaulanaAzad Medical College was set up which
came to be acknowledged internationally. We launched
campaigns on 'Matri Surksha Programme (safe motherhood)'
to strengthen reproductive health, ' Cancer Control
Programme', 'Cataract Free Delhi Programme' and 'Shravan-
ShaktiAbhiyan '(for deafness affecting old and rehabilitation of
elderly deaf). We were able to enact ' Delhi Physiotherapy and
Occupational Therapy Bill' and ' Delhi Artificial Insemination
Act'. To promote holistic vision of medicine 100 acres of land
was earmarked for setting up in half area a hospital based on
Naturopathy and drugless therapy. In the remaining half, an
Ayurvedic Medical College along with a hospital and research
center was to be established. Medicinal herbs were to be
grown in this area.
A 'Healthy City Project' was also started in trans-Yamuna
locality, ' Hepatitis B Immunization Programme' was taken up
and we established a 'Delhi Research Center for Modernized
Promotion of Ayurvedic (the Indian system of medicine)'. To
strengthen health education we carried over the concept of
health to schools and introduced ' Compulsory Yoga and
Positive Health Education' in schools and also initiated a value
based calendar to promote and inculcate moral values among
children at a tender age.
However, I have to honestly admit that much remains to be
accomplished. I am for promoting the 'Human Face' of
medicine and considerable effort is needed to inculcate these
virtues among our budding physicians. They need to be
reminded what our ancient sages propagated 'na atmartham
napi kamartham atha bhuta-dayam prati | vartate yah
cikitsayam sa sarvam ativartate ' The translation means 'A
physician should not offer his services motivated by
commercial considerations, but should do so out of his
inherent, unadulterated love for humanity.
The Hippocratic Oath has lost meaning today as a significant
number of physicians are becoming bereft of compassion and
remain preoccupied with the pursuit of material possessions. I
strongly feel this to be the biggest challenge as to how we
change the mind-set of our healers so that poor and needy do
not feel unwanted.
A major and the most important task in my view remains
educating the politicians, decision makers and those who to
enable them to grasp the importance of health. A restructuring
and reorganization of health ministry has become a
compelling indispensability. For the reasons enumerated
above, sub-departments of health may have to be contrived in
all ministries for better inter sect oral coordination and for
emphasizing on them the exigency to initiate appropriate
actions to aid health ministry. They should become equal
partners in health promotion movement and preventing
illness. Secondly, the allocation for health should be
augmented from present levels to more realistic levels. Let
health be a concern of one and all.
Anew and integrated holistic system of medicine is the need of
the hour, which should incorporate the best of all systems
including Ayurveda, Siddha, Yoga, Naturopathy, Homeopathy
and our other ancient systems. These systems and their
practitioners have served and healed the mankind for
millennia and they cannot be ignored and dumped as
unscientific and irrational. Integration of these systems may
help contain fast rising cost of medicine. Students can pursue
postgraduate medical qualification in any system such as
Homeopathy, modern medicine or Ayurveda and should be
able to practice the way they like.
In the medical curriculum for first few years all systems such as
Ayurveda, Homeopathy and Naturopathy may be taught and
at the end of this term students can choose whichever option
they like. We cannot afford to ignore the wisdom and sayings
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of our great ancestors who selflessly served the mankind and
handed down to us a code of conduct on nutrition, daily habits,
spirituality and strengthening the moral values to delay and
forestall onset of ageing and illness.
Organizations and associations like chambers of commerce
and industry, Rotary and Lions International with branches all
over, and numerous social and philanthropic organizations
representing important groups of citizens may be roped in to
building a strong movement of 'health for all'. They may be
motivated to divert part of their energy and resources to take
up health issues and become active partners in the endeavour
of preventing illness and promotion of health. They may be
urged to wholeheartedly support government initiatives on
positive health and rehabilitation and care of disabled.
In my view, two other aspects which have profound impact of
health and human development that require urgent
consideration are involvement of students in a massive way to
communicate and disseminate message of positive health
among masses and encouraging every individual's
participation for positive health. Students can donate some of
their leisure time and vacations towards this altruistic goal of
positive health. This will also enable them to acquire a health
conscious attitude early in life. Individual potential may be
harnessed by sensitizing him towards health.Atotal attitudinal
transformation of people in thought, action and belief based on
our ancient culture is required to make health a meaningful
and purposeful concept so that everyone regards himself as
guardian and defender of environment and health.Armed with
healthy and hygienic habits and a positive frame of mind he
can be groomed to performing one good act a day that should
help in community development and acquisition of a proactive
health culture, i.e., he can plant a sapling in front of his house
or in neighbourhood, exhort people to work towards improving
their immediate ambiance. Individuals may be encouraged to
assume responsibility for their own health by shedding
negative habits like tobacco, alcohol, other substance abuse
and adopting a positive behaviour by 'undertaking regular
physical and Yogic exercises, going to bed early and waking
up early; this brings a person in contact with cosmic energy of
the rising sun and may ensure restoration and proper
functioning of endocrinal system.
People may be persuaded to consuming a balanced, nutritive
and vegetarian diet as recommended by our ancestors (Hit
Bhug, Mit Bhug, Kal Bhug; Eating what is beneficial, in small
quantity and at proper time), paying attention to food and
kitchen sanitation, hygiene practiced by the cook, and
disposing off the wastes properly, offering leftovers to other
living creatures, worshipping plants and trees, showing care
and compassion to one and all as advocated in our scriptures.
This only would make health a successful movement.
Before I conclude I would like to highlight certain emerging
areas where urgent action is required. Food Safety, Product
Safety, and Injury Prevention and Control are areas not well
appreciated by health policy makers and healthcare providers.
The disease burden on account of traumatic injuries whether
due to traffic, or at home or at work or recreation is
unacceptably high and needs urgent steps to reverse the
rising trend.
The Herbal medicines, their cultivation, and export are another
important area that needs to be promoted. These have
provided relief to people in India for thousands of years. Such
a policy of promotion would generate earnings and
employment and would provide affordable alternative
treatment to those who are unable to access modern
healthcare facilities.
The immunizations have enabled us to get rid of the scourge of
small pox, diphtheria and other communicable diseases. The
time is ripe to further expand the programme to include
immunization against Hepatitis B, Hemophilus influenzae, and
many other vaccine preventable diseases. Such immunization
initiatives require commitment of the corporate world that
should come forward to play a proactive role in propagating
prevention. Gates Foundation in USA has taken a lead by
donating large sums for this cause in the developing world.
Strategies in existence for population control shall have to be
reviewed extensively. Disincentives and incentives linked to
population control and small family norm shall have to be
introduced at every step and everywhere in life of an
individual. Literacy programme, particularly for women shall
require dynamic improvements and strengthening. Law shall
have to be enacted for all elected people from panchayat to
parliament to bar entry of those who disrespect small family
norm. A debate must start in the country for enacting a law for
the common man to restrict his family size.
Finally, the problems of health remains inseparably linked to
socio-economic development. The poverty angle has to be
tackled at war footing. Health for all as part of sustainable
development can only materialize if poverty levels are brought
down.
I may conclude by reiterating that health is a complex subject
but there has been a better understanding of the factors that
determine health in last few decades. Government and
ministry of health alone cannot and will not succeed in
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achieving the goal of ' health for all' unless every single person
and every organization is galvanized to become a part to this
concept and idea.
VISION FORANEW MILLENNIUM HEALTH
• Evolving a sound and workable health policy based
on the assessment and evaluation of the achievements and
failures of last 50 years; there is an urgent need to gather data
on determinants of health as well as finding out the leading
causes of morbidity and mortality,
• Poverty elimination and socio-economic
development is integral to attainment of Health for all.
• The new policy should focus on disease prevention,
disease control, and eradication, promotion of positive health
and protection by encouraging safety at all places including
leisure and sports
• Linking attainment of health and healthy
environment with socio-economic development
• Programme to reduce inequity and economic
disparity
• Full-fledged cabinet minister to head health ministry
• Separate minister for Indian and other systems of
medicine targeting positive health promotion
• Establishing a separate division of environmental
health
• Step up budget to at least 10% in health as well as
education
• Setting up Sub departments of health in all ministries
• Health & education may be placed on the top of the
agenda of the government (not only in speeches & pre poll
promises)
• Vaccines against all vaccine preventable diseases to
be made available to all children in the country
• To capitalize on the success of polio eradication
programme and harness the experiences for maximizing
gains from national health programmes envisaged in future
• Launching a major offensive against major killers like
tobacco, tuberculosis, malaria,AIDS and others
• Making all employees from top to bottom healthy by
creating safe and healthy work places,
• Working towards reducing the incidence of Non
Communicable Diseases (Cancer, Hypertension, Diabetes
and COPD)
• Formulating a plan for involving talents and energies
of all non- governmental organizations for creating a health
movement in the country to attain goals set by national health
policy
• Preventing duplicity of efforts of NGO's working in
health sector to ensure proper and meticulous assignment of
roles, responsibility and demarcation of geographical region
• Revising the curricula of medical education to make it
more adept to solving existing national health problems, -
environment and health issues such as air pollution related
morbidity
• Relocating and reorienting medical research to
investigate gene -environment interaction and identifying the
aetiology rather than the treatment of an illness, i.e., we delay
the progression of a disease rather than looking for the
treatment
• Vulnerable groups like Women, Elderly & Children
receive maximum attention in policy of the Government.
• Utilizing the ancient Indian wisdom that has
withstood all scientific experimentation and scrutiny in our
health decision making
• Encouraging and educating people to adopt healthy
lifestyles
• Yoga & meditation centres in all the districts-so that
everyone has access
• Every school, office, building to be utilized for
propagating and providing yoga & meditation facilities
• Massive positive health education through schools &
all places including radio, T.V., offices, rail, buses and every
public outlet
• Privatization of health services to an extent that it
does not promote inequities
• New cost effective and affordable technologies to be
available in health sector to all without discrimination
• Population control to become a big movement
-Effective family planning programme
-Need for law for effectively controlling population
-Law for all elected members from panchayat to parliament to
pursue small family norm
• Better planned healthy cities continuously working
for health movement
• Well-managed urban environment
• Promotion of health by educating people to follow
traditional Indian lifestyle to avail the benefits of positive health
culture such as proper nutrition, yogic exercises, meditation,
vegetarianism etc.
• Education of people about alcohol, tobacco and drug
abuse as well as threat of unsafe sexual behaviour
• Provision of safe drinking water to all to eliminate
water borne diseases which are entirely preventable.
• Strengthening of sanitation by properly disposing all
categories of hazardous wastes such as human excreta,
hospital waste, toxic industrial waste and hazardous domestic
waste
• Promoting environment and eco-friendly
technologies producing minimum waste,
• Promoting food safety, product safety, traffic safety,
home safety and safety at workplace
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• Providing safe, efficient, affordable and easily
accessible urban transport system-to save time, prevent
exposure to pollution, eliminating probability of accidents and
injuries
• Ensuring healthy housing to everyone
• Promoting health at work place
• Cleaner technologies and cleaner fuels for curbing
Air Pollution
• Curbing water pollution by preventing discharge of
toxic and hazardous effluents into rivers and water streams
• Curbing soil contamination by encouraging judicious
use of pesticides, banning toxic pesticides and licensing sale
of hazardous pesticides,
• Promoting eco-friendly and bio-degradable
consumer products,-discouraging use of plastics/polythene-
encouraging use of earthen pots and banana leaves for daily
use,
• Organization systems for disaster management
• Efficiency of existing health infrastructure and its
proper utilization should be increased
• Healthcare system should reach everyone and be
people friendly
• Provision of health insurance services through
Indian companies. Insurance premium for poor to be provided
by the government.
• Curbing exploitative strategies of pharmaceuticals
and medical technology manufacturers,
• Essential drug policies to be implemented in the
government and private sector vigorously- priority to be given
to remove obstructions and barriers created by the vested
interests,
• Business organization and citizens to participate
actively in health sector movement in a big way
• Institutional mechanism to coordinate all activities
connected with the conservation, sustainable use and
propagation of medicinal plants
• Ayurvedic and alternative medicines- promote
standardization, quality control and sustained research
• Invest in woman's health and development to
eliminate gender discrimination and disparity
• Ensure universal access to quality healthcare
• Mobilize financial resources for health and promote
their effective use
• Ensure adequate and complete nutrition at
affordable cost
• Advocate intensively for health
• Uphold and enforce medical ethics
• Strengthen epidemiological surveillance and health
information gathering
• Strengthen healthcare for elderly
• Public Health needs to be strengthened by
immunizations, community participation, providing clean
drinking water and better disposal of waste
• Health professionals and experts are marginalized
since independence; Indian medical services can be set up
which is a need of the hour
• Introducing innovative strategy and a new system of
healthcare delivery that is cost effective, humane, people
friendly, and responding to the people's needs
• A cooperative system of healthcare that is neither
governmental nor private, not for profit but owned and
managed by the community
• To look upon resource allocation for health as an
investment rather than an expenditure
• To reassert, redefine and link attainment of health to
human development and human rights
• To incorporate health in all important decision
making at the highest level
• To modernize and upgrade existing archaic
healthcare delivery system so that it is able to deliver,
• To incorporate the component of quality in healthcare
delivery, accountability, to project the human face of medicine
• Review and strengthen health systems management
• Reviewing and strengthening total health systems
management and inculcating TQM- Total Quality
Management
• Reviewing existing purchase and procurement
systems for equipment, drugs, materials, and other healthcare
delivery supplies
• Reviewing and strengthening total health systems
management and inculcating TQM- Total Quality
Management
• Revising the curricula of medical education to make it
more adept to solving existing national health problems, -
environment and health issues such as air pollution and
chemical exposure related outcomes
• Better planned healthy cities continuously working
for health movement
• Well managed urban environment
• Providing & improving quality of primary, secondary
and tertiary care in ISM & H.
• Drawing up a list of essential drugs in ISM & H and
initiating steps to improve their availability at affordable cost to
everyone.
• Completion of pharmacopoeia of all systems of ISM
& H medicines
• Educational improvement for ISM & H
• Separate entrance examinations for ISM & H
• Preparation of standard text books on various
subjects in ISM & H
• Providing knowledge in Sanskrit/Urdu/Arabic in ISM
• Facility for practical work in ISM to be strengthened
• Preserving and promoting cultivation and utilization
of medicinal herbs and plants through "herbal revolution”
• Providing complimentary system of healthcare to
patients in the hospitals
• Ensuring adequate budgetary allocation for ISM & H
system
• The colleges of ISM & H should be involved in the
national and state healthcare programmes by incorporating
appropriate changes in their structure, mandate and
programmes
• Centres of excellence in Ayurveda, Unani should be
developed to provide healthcare to the people of the country
and health tourists coming from abroad.
• Swasth Bharat-Samarth Bharat is only possible
through the Swadeshi approach to development and ensuring
that this sector is not controlled by the multinational
corporations of the allopathic drugs and hospital industry.
• Our Bharatiya systems of healthcare shall be the
main stay of our healthcare system and therefore their
infrastructure shall be proportionately strengthened to be at
par with that of Western allopathic system in next five years.
• Wherever some space is available in or around our
healthcare institutions, the practitioners of ISM should be
encouraged to set up herbal gardens not only for educating
people to identify and use medicinal plants but also use fresh
medicinal plant preparations in their practice.
• The Healthcare Education should not only be
restricted to the present day practices of allopathy, instead
emphasis should be on 'Swasth Vritta' Dinacharya and
Rituchary related knowledge in as much as it can be related to
present day life-style, such IEC(information, education &
communication) literature should be prepared in regional
languages
STRENGTHEN & PROPAGATE THROUGHALL CHANNELS
INDIAN WAYOF LIFE WHICH HOLDSTHE KEY
• Harmony with nature
• Moderation in life
• Self-discipline of body, mind and soul
• AAHAR, NIDRA, BRAHMCHARYA deserve
emphasis
• Promote Positive HealthAttitude
• Be a Vegetarian
• Abstain fromAlcohol
• Abstain fromTobacco
• Control over Desires
• Observe Celibacy
• Ability to Forgive
• Cleanliness of Body and Soul
• Unity of Spirit with God throughYoga
Asia’s Most Analytical News Media in Healthcare Communications
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TRUSTTRUST
THE POWER BRAND
12th Annual Pharmaceutical Leadership Summit &
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Our Mission: To be world leader in recognizing, honoring and
fostering innovation and innovators in the field of healthcare &
pharmaceuticals to create, support making a positive impact in the
world. across the globe have complete unanimity inPharma Leaders™
believing that being recognized with the title of Pharma Leaders™
Awards is one of the highest accolades & testimony of achievement a
company or a executive can receive in the name of innovation and
business success. Awards honor excellence inPharma Leaders™
healthcare innovations, spirit of entrepreneurship and innovation.
Since 1991, the Awards have recognized andPharma Leaders™
honored some of the tallest leaders in the healthcare, pharmaceutical
businessleadersintheworld.
Satya Brahma
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BRAND INDIABRAND INDIA
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Saturday, 21st December 2019, hotel sahara star,Mumbai, India
Dr.Anoop Misra
Consultant Endrocrinologist
Late Mr. I.A.Modi
Chairman, Cadila Pharmaceu cals Ltd.
Mr. Binish H. Chudgar
Managing Director, Intas Pharmaceu cals Ltd
Late Dr. Parvinder Singh
Chairman, Ranbaxy Limited.
Dr. Kamal K Sharma
Vice Chairman, Lupin Ltd.
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Dr. Hrishikesh D. Pai
Founder & CEO Director, Bloom IVF Group
India's Only Dedicated Celebration
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& Brand Transformation.
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Leadership Summit & Business
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2019
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Dr. Suresh H Advani
Director,Medical Oncology, Jaslok Hospital
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Chairman, Cipla Ltd.
Mr. Kewal Handa
Promoter Director, Salus Lifecare.
Mr. Suresh Kare
Chairman, Indoco Remedies Ltd.
Dr. D.B.Gupta
Chairman, Lupin Ltd.
Late Dr. Anji Redy
Chairman, Dr. Redys Labs Ltd.
Dr. Ajit.V.Dangi
President, Danseen Consul ng.
Mr. Samprada Singh
Chairman, Almem Labs Ltd.
Dr. Ashok Rajgopal
Orthopedic Surgeon
.
India's Only Dedicated Celebration
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2019
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ICONIC RECIPIENTS OF PHARMA LEADERS AWARDS
Dr. Mukesh Batra
Chairman, Dr. Batras
Mr. D.C.Jain
Chairman, Akums Drugs & Pharmaceu cals Ltd.
Dr. Sanjeev Kanoria
Chairman, Advina Healthcare
Mr. Vivek Mohan
Abbo Limited
Dr. Huzaifa Khorakiwala
Chairman, Wockhardt Limited.
Dr. Himadri Sen
Research Scien st
Pharma
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Of Excellence In Healthcare Innovation,
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HEALTHCARE INNOVATIONS
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12th
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Leadership Summit & Business
Leadership Awards
2019
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LEADERS
POWERBRAND
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2019
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Saturday, 21st December 2019, hotel sahara star,Mumbai, India
ICONIC RECIPIENTS OF PHARMA LEADERS AWARDS
Dr. Sudhanshu Bha acharya
Cardiologist
Dr. Kishore Kumar
Chairman, Cloudnine Hospital
Pharma
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Chairman, PSRI Heart Ins tute
Dr. Ramakant Panda
Chairman, Asean Heart Ins tute
Mr. Tapan Ray
Director General, OPPI
Prof. Dr. Nandkishore Shamrao Laud
Founder, Dr Laud Clinic
Dr. Shasank R Joshi
Consul ng Endocrinologist
Prof. (Dr.) D. S. Rana
Consultant Nephrologist
Mr.C L.Rathi,
MD, Advanced Enzyme Technologies Ltd
India's Only Dedicated Celebration
Of Excellence In Healthcare Innovation,
Pharmaceutical & Medical Excellence
& Brand Transformation.
Asia’s Most Analytical News Media in Healthcare Communications
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Pharma LeadersPharma LeadersTM
HEALTHCARE INNOVATIONS
BEYOND THE HEADLINES
12th
Pharmaceutical
Leadership Summit & Business
Leadership Awards
2019
TM
Annual
TM
PHARMA
LEADERS
POWERBRAND
AWARDS
2019
WHERE MEETSHEALTHCARE
WITH INNOVATIONS!
INDIA’S NO 1HEALTHCARE
AWARDS
Saturday, 21st December 2019, hotel sahara star,Mumbai, India
ICONIC RECIPIENTS OF PHARMA LEADERS AWARDS
Dr. V. Mohan
Chairman, Dr. Mohan’s Diabetes
Dr. Manoj Khanna
Hair Transplant Surgeon
Dr Deepak K Jumani
Sexual Health Physician & Counselor,My Best Doctor Clinic
Dr. Kaushal Pandey
Cardiologist
Dr. Debraj Shome & Dr. Rinky Kapoor
Directors, The Athes c Clinic
Pharma
Leaders
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Prof. Rajendra Pratap Gupta
Healthcare Policy Expert
Dr. Alok Roy
Chairman, MEDICA Super specialty Hospital
Mr.Rajiv Nath
Jt.MD, Hindustan Syringes & Medical Devices Ltd
Dr. Nandita P.Palshetkar,
Prof of Obstetrics and Gynaecology,Dr. D.Y. Pa l Medical College
India's Only Dedicated Celebration
Of Excellence In Healthcare Innovation,
Pharmaceutical & Medical Excellence
& Brand Transformation.
Asia’s Most Analytical News Media in Healthcare Communications
www.pharmaleaders.tv
Pharma LeadersPharma LeadersTM
HEALTHCARE INNOVATIONS
BEYOND THE HEADLINES
12th
Pharmaceutical
Leadership Summit & Business
Leadership Awards
2019
TM
Annual
TM
PHARMA
LEADERS
POWERBRAND
AWARDS
2019
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WITH INNOVATIONS!
INDIA’S NO 1HEALTHCARE
AWARDS
Saturday, 21st December 2019, hotel sahara star,Mumbai, India
ICONIC RECIPIENTS OF PHARMA LEADERS AWARDS

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Pharma Leaders 2019 - Healthcare Innovations - Beyond The Headlines

  • 1. India Should Become Hub Of Medical Technology “ “ C ountry has made great strides in many spheres including healthcare but more needs to be done to ensure that quality healthcare and education are accessible to all citizens, especially those living in the rural areas and remote parts of the country. There is also a need to develop low-cost diagnostic treatment and rehabilitative services. President Ram Nath Kovind laid thrust on developing low-cost diagnostic treatment and rehabilitative services to provide affordable healthcare to people and said India should become a hub of medical technology.The country has made great strides in many spheres including healthcare but more needs to be done to ensure that quality healthcare and education are accessible to all citizens, especially those living in the rural areas and remote parts of the country."There is also a need to develop low-cost diagnostic treatment and rehabilitative services. it is important that India starts making its own equipment that not only serves to provide affordable healthcare but also sets up India as a medical technology hub as part of the Make in India initiative. The government has also focused on extending the reach of Ayurveda, Yoga, and Naturopathy, Unani, Siddha, as well as Homeopathy; known together as 'AYUSH'. Always try to maintain the highest level of ethical standards and professionalism for the entire career. All doctors and nursing graduates will do well to remember that the community around them looks up to them, and they will have to maintain the nobility of the profession. There is a rise in demand for professional caregivers in the country and healthcare institutions should consider developing short-term training courses for them. The change in lifestyle has raised the demand for professional caregivers and healthcare institutions should cater to them. "In India, families take care of our elders in their old age. However, with changing lifestyles the demand for professional caregivers to take care of the elderly is on the rise. These care-givers, who need not be trained nurses, would certainly benefit from basic training in geriatric care. Our nursing training institutions can consider developing short training programs for such care-givers. Ram Nath Kovind President of India Asia’s Most Analytical News Media in Healthcare Communications www.pharmaleaders.tv Pharma LeadersPharma LeadersTM HEALTHCARE INNOVATIONS BEYOND THE HEADLINES PHARMA LEADERS POWERBRAND AWARDS 2019 WHERE MEETSHEALTHCARE WITH INNOVATIONS! INDIA’S NO 1HEALTHCARE AWARDS 12 th Pharmaceutical Leadership Summit & Business Leadership Awards 2019 TM Annual TM Saturday, 21st December 2019, hotel sahara star,Mumbai, India
  • 2. A t a time when Universal Health Coverage has become the new buzzword of healthcare in India since Ayushman Bharat, the National Health Profile 2019 throws up sobering figures. Between 2009-10 and 2018-19, India’s public health spend as a percentage of GDP went up by just 0.16 percentage points from 1.12% to 1.28% of GDP, and remains a far cry from the 2.5% GDP health spend that has been India’s target for some years now. The cost of treatment has been on rise in India and it has led to inequity in access to health care services. India spends only 1.28% of its GDP (2017-18 BE) as public expenditure on health. Per capita public expenditure on health in nominal terms has gone up from Rs 621 in 2009-10 to Rs 1,657 in 2017-18. Compare this with the average total medical expenditure per childbirth in a public hospital: Rs 1,587 in a rural area and Rs 2,117 in an urban area. Based on Health Survey (71st round) conducted by NSSO, average medical expenditure incurred during hospital stay during January 2013-June 2014 was Rs 14,935 for rural and Rs 24,436 in urban India. Universal Health Coverage, according to the World Health Organization, means that “all people and communities can use the promotive, preventive, curative, rehabilitative and palliative health services they need, of sufficient quality to be effective, while also ensuring that the use of these services does not expose the user to financial hardship.” The three objectives are: equity in access to health services; quality of health services should be good enough to improve the health of those receiving them; people should be protected against financial-risk, ensuring that the cost of using services does not put people at risk of financial harm. Ayushman Bharat does very little for primary healthcare. It has been announced that 1.5 lakh health and wellness centres will be set up, partly to deal with primary healthcare issues including NCDs – but, given the budgetary allocation of less than Rs 1 lakh per centre, this looks more like a very minor upgrading of the existing sub-centres and/or primary healthcare centres (PHCs). Similar and sometimes more ambitious upgrading, including the provision of some free medicines, has been attempted by a number of states in the past; but, for the most part, there has been no reversal of the trend towards wholesale exit from public healthcare, especially in North India. There is now a substantial body of work that documents that, in many states, more than three- quarters of visits to primary care centres are to private providers – even though most of these providers have no medical qualification whatsoever. This is in part because the sub-centres are open intermittently and unpredictably, and doctors and nurses are often missing from the PHCs. In part, it may also reflect the lackadaisical attitude of doctors in the public system; Das, et al. (2016) report that doctors in the public sector, while well qualified, spend very little time with the patient and do not make much use of their superior training – except when they are acting as private physicians, when they perform much better. It seems unlikely that small investments in these sub-centres and PHCs will change all that; the patients will probably continue to stay away, and therefore using these as the basis of outreach for NCDs and other public health interventions probably has limited potential. The obvious alternative is to make use of the informal providers who do have access to the patient population. It should certainly be recognized that they have the potential to be a public health hazard, especially because they abuse antibiotics and steroids – which contributes to rising resistance. HEALTHCARE IS SERIOUS BUSINESS Satya Brahma Chairman & Editor-In-Chief Pharma Leaders Group
  • 3. Asia’s Most Analytical News Media in Healthcare Communications www.pharmaleaders.tv Pharma LeadersPharma LeadersTM The National Medical Commission is a far-reaching reform in this space and seeks to correct the prevalent problems. It contains multiple reforms that curb avenues of corruption and boost transparency.It will ensure transparency, accountability and quality in the governance of medical education in the country. It aims to lessen the burden on students, increase the number of medical seats and reduce the cost of medical education. This means more talented youth can take up medicine as a profession and this will help us increase the number of medical professionals. Narendra Modi Prime Minister of India “ “ Asia’s Most Analytical News Media in Healthcare Communications www.pharmaleaders.tv Pharma LeadersPharma LeadersTM HEALTHCARE INNOVATIONS BEYOND THE HEADLINES PHARMA LEADERS POWERBRAND AWARDS 2019 WHERE MEETSHEALTHCARE WITH INNOVATIONS! INDIA’S NO 1HEALTHCARE AWARDS 12 th Pharmaceutical Leadership Summit & Business Leadership Awards 2019 TM Annual TM Saturday, 21st December 2019, hotel sahara star,Mumbai, India
  • 4. W e are also working to ensure that there is at least one medical college between every 3 districts. With rising awareness about healthcare, rising incomes and a greater focus on aspirational goals among people, we will need thousands and thousands of doctors to fulfil the demand, especially in rural and urban areas. The NMC seeks to address these issues for a better outcome for all stakeholders. You must have also read that the academic year 2019-20 will see the biggest addition of medical seats in government colleges in a single year with the creation of around 2 dozen new government medical colleges. Our road map is clear -- a transparent, accessible and affordable medical education system leading to better healthcare outcomes. In the last four years, our government has given a new direction to public healthcare. The government's efforts are to strengthen the health infrastructure in Tier 2 and Tier 3 cities, similar to what has been built in big cities.Better healthcare facilities are being created for New India, where there are best hospitals, more beds, better facilities, excellent doctors. A healthy nation is created only from a healthy family factors. A healthy nation is created only from a healthy family and a healthy society.India has taken historic steps to ensure universal health. The country is focusing on four main pillars of universal health—preventive health, affordable healthcare, supply side interventions and mission mode intervention, with an increased awareness about cleanliness, possibility of saving hundreds of thousands of lives has also increased.Addressing a high-level meeting on Universal Health Coverage in New York, Prime Minister Narendra Modi said that his government having a clear focus on health has taken historic steps to ensure affordable health for all. “We have launched the world's largest health insurance scheme Ayushman Bharat for ensuring quality universal health services for all. The summit was held for launching new efforts to provide access for all to affordable, inclusive and resilient health systems. “World welfare begins with people's welfare, and health is an important component of it. And in line with this global principle, India is laying great emphasis on health," said Modi. “India has adopted a multi-sectoral approach towards the health sector. The country is focusing on four main pillars of universal health. These are preventive health, affordable healthcare, supply side interventions and mission mode intervention," he said. Modi said his government's preventive healthcare has important areas of preventive healthcare which are Yoga and Ayurveda. He said that he has recently launched Fit India Movement. “With the help of these systems, we can control lifestyle diseases such as diabetes, blood pressure, depression etc," said Modi.Mentioning about Clean India Campaign, Modi said that with an increased awareness about cleanliness, possibility of saving hundreds of thousands of lives has also increased. “In yet another step towards preventive healthcare, we have planned more than 125,000 wellness centres. We are also paying attention on immunization. Along with introducing new vaccines, we have also reached out to areas difficult to reach in our vaccination programmes," he said. Emphasizing on the second pillar of healthcare - affordability, the prime minister said that Ayushman Bharat is a historic step in this direction. “Ayushman Bharat is being implemented successfully. Under this scheme, 500 million poor, have been given the facility of free treatment worth up to Rs5,00,000 every year. The government has also opened more than 5000 public medicine centres (Jan Aushadhi Kendra), more than 800 varieties of medicines are available at affordable prices," said Modi.“In our efforts to ensure affordable healthcare, we have slashed the cost of stents by 80% and cut down the cost of knee implants by 50 to 70%. Hundreds of thousands of people are also taking advantage of the free dialysis services provided by the government," he said. On the supply side, Modi said, India's focus has been on establishment of modern institutions for quality medical education. Modi also mentioned about national nutrition campaign and other new programmes for improving the health of women and children. Modi said that the his government has also increased the seats in medical colleges for improvement in health resources.He stated that while the United Nations has set a deadline of 2030 in its Sustainable Development Goals, for ending the tuberculosis epidemic, the target year that India has set for itself to end TB is 2025. “With holistic healthcare and for making healthy body, mind and environment, our government has started a campaign against diseases spread due to air pollution and through animals," Modi said. "Access to not just a disease-free life, but to a healthy life is the right of all people, and for this the responsibility is on the government and social institutions to prepare and provide requires services. Under this responsibility, by way of Ayurveda, Yoga and telemedicine, India is increasing access to affordable healthcare to many countries, especially toAfrican countries. After Ayushman Bharat, Centre to launch healthcare scheme Asia’s Most Analytical News Media in Healthcare Communications www.pharmaleaders.tv Pharma LeadersPharma LeadersTM Asia’s Most Analytical News Media in Healthcare Communications www.pharmaleaders.tv Pharma LeadersPharma LeadersTM HEALTHCARE INNOVATIONS BEYOND THE HEADLINES PHARMA LEADERS POWERBRAND AWARDS 2019 WHERE MEETSHEALTHCARE WITH INNOVATIONS! INDIA’S NO 1HEALTHCARE AWARDS 12 th Pharmaceutical Leadership Summit & Business Leadership Awards 2019 TM Annual TM Saturday, 21st December 2019, hotel sahara star,Mumbai, India Brand India Growth Story
  • 5. for middle class soon.There is no such health care scheme for the middle class in the country and this is the reason the Narendra Modi led government wants to come up with this new scheme. The Centre is set to launch a health care scheme for the middle class soon, according to sources quoted by Zee News. The scheme will be similar to 'Ayushman Bharat' which is a government-sponsored scheme that was launched in 2018. NitiAyog has already developed a report for the scheme calling it a 'Health system for new India'. According to the think tank, there is no such health care scheme for the middle class in the country and this is the reason the Narendra Modi led government wants to come up with this new scheme. The scheme aims to reach at least 50% of the country's middle class. Moreover, if the plan is successfully implemented, then the beneficiaries can avail excellent health services by just paying a premium of Rs 200-300. The NITI Aayog report said that people belonging to this section can easily afford their health care expenditures.Almost 40% of the poor have already been covered under Ayushman Bharat. Under this scheme, the government plans to open 1.5 lakh health and wellness centres by 2022. These centres will be equipped to treat numerous diseases, including blood pressure, diabetes, cancer, and old-age illnesses. On Monday, NITIAayog vice-chairman Rajiv Kumar released a report titled ‘Health System for a New India: Building Blocks- Potential Pathways to Reform.’ Commenting on the report, NITI Aayog Health Adviser Alok Kumar said that it has been prepared with an aim to devise a roadmap to set up a health system for those from the middle class. "So, nearly 50% are still not covered under any public healthcare system and the idea is to pool their risk assets which will cater to the health care needs of the middle class," Kumar said. The report was released in the presence of Bill Gates, Microsoft co-founder and co-founder of the Bill and Melinda Gates Foundation.Addressing the event, Gates said that India has a bright future because of its young population. The world's richest man added that human capital of any country is the sum total of its healthcare, educational and nutritional investment for its citizens. ‘Ayushman Bharat Working To Identify Those Left Out’ About 70% Indians rely on private healthcare for their health needs and bear out of pocket costs, which plunged 55 million people into poverty in 2012. India has earlier tried out national insurance models such as the Rashtriya Swasthya Bima Yojana (RSBY) that started in 2008, aiming to cover hospitalisation expenses upto Rs 30,000 for families below the poverty line. Its overall performance was poor and the scheme failed to reduce impoverishment. In September 2018, Prime Minister Narendra Modi launched the ambitious Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY), the National Health Protection Scheme, in Ranchi, Jharkhand. The scheme that subsumed RSBY provided an insurance cover of Rs 5 lakh to 100 million ‘poor and vulnerable’families identified by the socio-economic caste census (SECC) of 2011. More than a year later, we spoke with Indu Bhushan, the chief executive officer of AB-PMJAY and the National Health Authority (NHA), which is responsible for implementing the scheme. “We have gone beyond RSBY,” said Bhushan, sitting in his seventh floor NHA office on New Delhi’s Janpath. By December 2, 2019, PMJAY has covered over 6.8 million hospitalisations worth Rs 7,160 crore and has issued over 67 million e-cards to beneficiaries, according to PMJAY website and NHA. It is present in all but four states--Odisha,Telangana, West Bengal and New Delhi. Pointing to the large screen showing the PMJAY dashboard, Bhushan said two-thirds of the hospitalisations were in private hospitals and for tertiary care. “So we are taking care of problems like catastrophic expenditure,” Bhushan said. “We have spent Rs 8,000 crore, but the savings to people is Rs 15,000 crore.” Bhushan, 58, is a former Indian Administrative Service officer, Rajasthan Cadre where he worked for nine years, before moving to the World Bank as a senior economist in 1994. He holds a doctorate in health economics and a masters in health sciences from Johns Hopkins University, USA apart from degrees from Indian Institute of Technology (IIT)-Banaras Hindu University and IIT Delhi. Before his current role, he served as Director General, East Asia, Asian Development Bank. Edited excerpts from the interview: Asia’s Most Analytical News Media in Healthcare Communications www.pharmaleaders.tv Pharma LeadersPharma LeadersTM Asia’s Most Analytical News Media in Healthcare Communications www.pharmaleaders.tv Pharma LeadersPharma LeadersTM HEALTHCARE INNOVATIONS BEYOND THE HEADLINES PHARMA LEADERS POWERBRAND AWARDS 2019 WHERE MEETSHEALTHCARE WITH INNOVATIONS! INDIA’S NO 1HEALTHCARE AWARDS 12 th Pharmaceutical Leadership Summit & Business Leadership Awards 2019 TM Annual TM Saturday, 21st December 2019, hotel sahara star,Mumbai, India
  • 6. How has the first year of PMJAY been? What has been working, and what has not? In the first year, the momentum has been quite good and we are quite pleased with the way the scheme has rolled out. We have to expand it; there is huge disparity amongst the states, because some states have started the scheme for the first time. When you have to create an ecosystem to start a new scheme, it takes time. This is what is happening in Uttar Pradesh (UP) and Bihar. Also, these states have poorer infrastructure to provide services. The portability feature has proved to be quite handy. [Portability allows patients seek healthcare in any empanelled hospital anywhere in the country]. For example, 10,000 people have gone outside UP to Uttarakhand--most of them to RishikeshAIIMS [All India Institute of Medical Sciences]. Many people are going to Delhi. Similarly, Bihar is sending people outside because they don't have health infrastructure. In terms of recipient states, Delhi is the national healthcare provider and Gujarat and Maharashtra are other recipients in bigger states. [Since September 2019, 50,544 of the 6.8 million hospitalisations (0.7%) involved the use of the portability feature, according to figures shared by the NHA with IndiaSpend.] We need to improve the performance of the scheme in the green-field states. We need to work on awareness generation and strengthen the supply of services in these states. For that we are working with NITIAayog [the Centre’s policy think-tank] to understand how we can provide incentives for new hospitals to come out in these places. In some cases, for states which are far away like North-East and some of the islands like Andaman and Lakswadweep, we are working to provide transport cost to the mainland--because it is the major cost component in these places. We are trying to improve awareness in general, as well as provision and quality of services. We are also trying to get more and more hospitals on board. We have now also revised our packages. Earlier, some providers had indicated that rates were low and so we are working on that. Our aim is to get all the big hospitals to our scheme. To ensure quality of services, we are working with the department of health research at ICMR [Indian Council of Medical Research] to develop standard treatment workflow. Our ITsystems will ensure that those workflows are followed. Does this take care of unnecessary treatments that happen in the private sector? Around 3,000 cases of fraud worth Rs 4.5 crore were discovered during audits, said AB-PMJAY annual report 2019. We are building some checks and balances--like in hip replacement, we are putting in place boards that will examine whether those procedures are required. We are also working on cancer care so that the right amount of treatment is given-- not over or under treatment. If the person needs chemotherapy, radiation, or surgery, that should be decided by qualified treatment provider. Similarly in cardiovascular disease, we have a system where they could scrutinise whether the person needs a stent or if the hospital has prescribed a stent to earn money. Next is the detection and prevention of fraud and abuse. For that we are strengthening our IT system and when we find some patterns [of malpractice and fraud], we come down heavily on that. Every week we share with states, the potential fraud cases based on our analysis of the data. We are also finalising a company which will help us with forensic analysis and big data analysis and give us alerts that we can share with states. We are developing the capacity with the states so that they could do it themselves. Finally, we are improving our IT system and have come up with a tool called ‘Zero’, which will be more robust, more user-friendly, more secure and interoperable. We provide those triggers, and many of the fraud cases have been detected. Till now, 300 hospitals have been suspended, we have claimed the money back and FIRs [first information reports] have been launched. At an event in November 2019, Alok Kumar, senior advisor to Niti Aayog, spoke about a plan for health systems to cater to the middle class--which is currently not covered in any scheme. Are there any plans to broaden this pool of beneficiaries? We are only one year old and right now we have to consolidate what we are doing before expanding. Our aim is to strengthen the ecosystem for providing services for health insurance. Also, our database is very old. It is a 2011 database so we have to clean it up and exactly identify the people still left out and Asia’s Most Analytical News Media in Healthcare Communications www.pharmaleaders.tv Pharma LeadersPharma LeadersTM Asia’s Most Analytical News Media in Healthcare Communications www.pharmaleaders.tv Pharma LeadersPharma LeadersTM HEALTHCARE INNOVATIONS BEYOND THE HEADLINES PHARMA LEADERS POWERBRAND AWARDS 2019 WHERE MEETSHEALTHCARE WITH INNOVATIONS! INDIA’S NO 1HEALTHCARE AWARDS 12 th Pharmaceutical Leadership Summit & Business Leadership Awards 2019 TM Annual TM Saturday, 21st December 2019, hotel sahara star,Mumbai, India
  • 7. Asia’s Most Analytical News Media in Healthcare Communications www.pharmaleaders.tv Pharma LeadersPharma LeadersTM Asia’s Most Analytical News Media in Healthcare Communications www.pharmaleaders.tv Pharma LeadersPharma LeadersTM HEALTHCARE INNOVATIONS BEYOND THE HEADLINES PHARMA LEADERS POWERBRAND AWARDS 2019 WHERE MEETSHEALTHCARE WITH INNOVATIONS! INDIA’S NO 1HEALTHCARE AWARDS 12 th Pharmaceutical Leadership Summit & Business Leadership Awards 2019 TM Annual TM Saturday, 21st December 2019, hotel sahara star,Mumbai, India National Medical Commission bill to be biggest reform.The bill would replace the 63-year-old Medical Council of India (MCI) with the commission to reform the medical education sector.It also seeks to repeal the Indian Medical Council Act 1956, stating that the council that was set up was corrupt.A holistic vision of health incorporating the ancient Indian wisdom with focus on spirituality is the need of the hour Author is Union Minister of Health & Family Welfare, Govt. of India and also a former Advisor to World Health Organization Dr. Harsh Vardhan Union Minister of Health & Family Welfare, Govt. of India “ “
  • 8. Asia’s Most Analytical News Media in Healthcare Communications www.pharmaleaders.tv Pharma LeadersPharma LeadersTM Asia’s Most Analytical News Media in Healthcare Communications www.pharmaleaders.tv Pharma LeadersPharma LeadersTM HEALTHCARE INNOVATIONS BEYOND THE HEADLINES PHARMA LEADERS POWERBRAND AWARDS 2019 WHERE MEETSHEALTHCARE WITH INNOVATIONS! INDIA’S NO 1HEALTHCARE AWARDS 12 th Pharmaceutical Leadership Summit & Business Leadership Awards 2019 TM Annual TM Saturday, 21st December 2019, hotel sahara star,Mumbai, India Genuine concerns over the National Medical Commission Bill have been addressed and the legislation will be one of the biggest reforms, Union minister Harsh Vardhan said in Lok Sabha on Monday. The bill would replace the 63-year-old Medical Council of India (MCI) with the commission to reform the medical education sector.It also seeks to repeal the Indian Medical Council Act 1956, stating that the council that was set up was corrupt. It has been alleged that the process by which the MCI regulated medical colleges was flawed.Moving the bill for consideration in Lok Sabha, Vardhan said it seeks to put in place a new structure to tackle challenges in the medical education sector. Asserting that the bill is a pro-poor legislation, he said it would bring not only government seats but also 50 per cent of all private seats within the reach of meritorious students belonging to economically weaker sections. The Minister of Health and Family Welfare sought to assure that genuine concerns of the Indian MedicalAssociation (IMA) have been addressed."When history will be written... it (bill) will go down as one of the biggest reforms. Among others, the bill has the provision for making national standards in medical education uniform by proposing that the final year MBBS exam be treated as an entrance test for PG and a screening test for students who graduate in medicine from foreign countries. This exam would be called the National Exit Test (NEXT). 'NEXT' would ensure that the NMC moves away from a system of repeated inspections of infrastructure and to focus on outcomes rather than processes, Vardhan said. "Accordingly, yearly inspections have been done away with. This is expected to do away with Inspection Raj and foster addition of UG and PG seats in the country," he added. Providing healthcare to its citizens in 21st century has become the most daunting task for all nations. Hardly had we scored success in dealing with old and established diseases that we are now confronted with a very complex set of diseases due to changing life styles and environmental factors. According to the W.H.O. constitution "Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity." What is health? The governments as well as many among us do not work towards keeping health issues high on our agenda as health is taken for granted. ? All religious personalities and leading lights have spoken on health emphasizing its value. Thomas Jefferson once said "There is only one wealth and that is health". Gandhi Ji always reminded his audience of the value of health and he himself vigorously pursued a disciplined life in pursuit of health. His life is an example that depicts how one could stay healthy by observing simple rules enunciated by our sages. Understanding the factors that undermine health and anticipating the outcomes that would follow given lack of commitment to the health, is an emerging new concept. Our ancestors figured out that physical health can only be reinforced by strengthening psychological and spiritual health. Controlling the mind by sanitizing the thoughts can help us maintain physical body in a healthy state. Healthcare systems in many parts of the world today are in turmoil as concluded by the World Health Organization (W.H.O.) Emulating American model the governments in many parts of the world are on a privatization spree making healthcare a luxury for vast segments of society. Also, the Governments in developed and developing countries alike are finding it difficult to help attain the goal of 'Health for all'. Despite repeated assertions and tall claims about our achievements in the field of health such as a raise in life expectancy (current figure for male is 64 years, and for female 68 years) and elimination of small pox, polio myelitis and so on, the fact is that the health scenario in India continues to remain grim. This is a direct consequence of ignoring health and education ever since independence. The World Health Organization (WHO) admitted in the beginning of 21st Century that healthcare systems in most countries lay in shambles. Widespread poverty and illiteracy (India's current literacy is pegged at 62% for adults) makes the goal of providing universal healthcare extremely challenging. An educated and literate populace is easy to deal with in matters of health, education and advancing preventive healthcare, which results in higher prevalence of safe motherhood, lower infant mortality and lower birth rate. The characteristics of this poor state of the health of the nation can also be attributed to a poor allocation for health (3.3 per cent in first five years plan, 3 per cent in second plan, and currently it is about 4.1 % of GDP. New Zealand spends 10.1% of its GDP, OECD 9.5% and Nepal 5.5%) despite the ruling government's acceptance of Bhore Committee report which advocated a 10 per cent allocation for health. The low allocation coupled with neglect of our own indigenous system of medicine as well as preventive, promotional, rehabilitative, and public health and a disproportionate stress on curative and tertiary healthcare, has today left our healthcare system in a blind alley. Our planners consistently ignored the ancient wisdom which laid enormous stress on hygiene, cleanliness and sanitation. The foundations and principles of modern day healthcare are well enshrined in our scriptures. Thousands of years ago our sages expanded and propagated a holistic vision of health enunciating a concept of health well beyond physical, mental and social wellbeing to embody emotional and spiritual wellbeing. Modern scientists have failed to appreciate that our noble fore-fathers with far less material possessions could
  • 9. Asia’s Most Analytical News Media in Healthcare Communications www.pharmaleaders.tv Pharma LeadersPharma LeadersTM Asia’s Most Analytical News Media in Healthcare Communications www.pharmaleaders.tv Pharma LeadersPharma LeadersTM HEALTHCARE INNOVATIONS BEYOND THE HEADLINES PHARMA LEADERS POWERBRAND AWARDS 2019 WHERE MEETSHEALTHCARE WITH INNOVATIONS! INDIA’S NO 1HEALTHCARE AWARDS 12 th Pharmaceutical Leadership Summit & Business Leadership Awards 2019 TM Annual TM Saturday, 21st December 2019, hotel sahara star,Mumbai, India generate energy and vitality to protect their physical and mental health by practicing spirituality whereas the people of developed and rich countries today remain highly stressed and in poor health despite much affluence and wealth. This phenomenon of stress has recorded unprecedented growth in last few years in consequence to switch over to a market based economy, which has caused widespread joblessness, reduced social security and an ever-impending fear of securing meaningful employment. I think alleviation of stress is one of the most formidable tasks confronting the healers today and modern medicine's purely technical and mundane approach will be of little help in this regard. Our health planners overlooked the age-old Indian wisdom to promote borrowed ideas and promoted only one system of medicine, the so-called modern medicine, which itself has failed to ensure availability of healthcare to everyone in most affluent nations despite a whopping increase in health sector spending. In the new millennium, there is a paradigm shift in developed countries and a new approach that underscores integration of holistic approach and lays more stress on family medicine, is being promoted. Due to misplaced priorities in health sector in India, while a handful minority can claim to have world-class healthcare, millions of Indians do not have access to any healthcare at all let alone primary healthcare. It may look strange and paradoxical but the fact remains that the role and responsibility for ensuring health for everyone is more dependent on what action and policies other ministries adopt than the health ministry alone. Availability of safe drinking water must be ensured by civic authorities as also safe disposal of human excreta, and hazardous wastes and provision of sanitation is a must. Food and agriculture ministry should guarantee affordable food grains meeting the nutritional requirements. Urban transport ministry can provide means of safe public transport to reduce levels of air pollution as well as injuries and accidents, which account for substantial morbidity and mortality in all developed and newly industrializing countries. The environment ministry should ensure a safe and healthy environment by preventing and controlling pollution of air, water and soil by formulating standards and their proper enforcement. The housing ministry should make available dwellings for all. The role of health ministry should largely be focused on ensuring highest standards of public health and preventing diseases as nearly 80 percent ailments are amenable to prevention. Promoting healthy lifestyle and healthy behaviors should be encouraged. Community participation and involvement remains the backbone of any good healthcare system. The emerging challenge of Non Communicable Diseases has to be met head on with focus on creating healthy work places. The successive governments at the centre never recognized health as a means to achieve human development but treated it as a minor government department that needed some allocation simply because it was there. Policy makers, planners, healthcare providers today have to make good for past misses. Serious challenges lie ahead as on one hand expectations of people continue to rise due to technological breakthroughs and availability of new modalities for diagnosis and cure, and on the other prohibitive cost makes these inaccessible for much of the population even in developed countries. Hopes were raised by World Health Organization by formulating a strategy of 'Health forAll' by year 2000. Now that the year 2014 has come, the goal remains elusive with new threats emerging such as AIDS, Tobacco-related illnesses, drug abuse, resurgence of old infectious diseases and above all work related and environmental illnesses. However, the intervening period gave us time to analyze the constraints and impediments to achieving this goal. In my own assessment the goal of health for all is laudable and the approach of attaining it goes through 'primary healthcare route'. We need to have a broader, more comprehensive and integrated approach which should recognize and make use of our age old wisdom, practices and societal beliefs. Ancient Indians were known to enjoy long and healthy lives when no technologies existed. Whatever they said or thought has proved to be correct no matter, which scientific scale one uses. That eating less is associated with a longer life was a fact known to them (Alp Bhuktam Bahu Bhuktam - one who eats less enjoys food for a long time). Their biggest observation was that vegetarian food consumption is associated with a longer life and lesser affliction by degenerative diseases. This fact is now universally accepted and even scientists approve this fact. The recent data indicating that red meat consumption is associated with higher incidence of heart disease and cancer goes to support their observation. Current Health Indicators Let us first see where do we stand today and what are our achievements? After Independence the life expectancy of an Indian (life expectancy denotes the average number of years a new-born child is expected to live under current mortality conditions) has risen from 32 years at that time to 65 years. ; the maternal mortality at present is 178 /100,000 live births (2011-2012) which is still too high; the death rate from 27.4/1000 population has dropped to 8/1000 population (2012) in last decade and infant mortality rate has declined from 146/1000 live birth at the time of independence to 42/1000 (2012) live births in last decade. An interesting fact is
  • 10. Asia’s Most Analytical News Media in Healthcare Communications www.pharmaleaders.tv Pharma LeadersPharma LeadersTM Asia’s Most Analytical News Media in Healthcare Communications www.pharmaleaders.tv Pharma LeadersPharma LeadersTM HEALTHCARE INNOVATIONS BEYOND THE HEADLINES PHARMA LEADERS POWERBRAND AWARDS 2019 WHERE MEETSHEALTHCARE WITH INNOVATIONS! INDIA’S NO 1HEALTHCARE AWARDS 12 th Pharmaceutical Leadership Summit & Business Leadership Awards 2019 TM Annual TM Saturday, 21st December 2019, hotel sahara star,Mumbai, India that though these figures represent the national averages there is a wide inter-state variability and some states like Kerala are way ahead whereas states like Bihar and Madhya Pradesh which lag behind. Again, though infant mortality has registered a drop; problem of malnutrition has not been solved and remains a matter of grave concern. India, has one of the highest incidence of low birth weight, nearly 7.5 million low- birth weight babies annually – the highest for any country. It is now universally acknowledged that poverty is harbinger of poor health and without a reasonable socio-economic development health for all cannot be achieved. Yet the 'human development report, published in the last decade' places the overall prevalence of poverty in India at 38 per cent, i.e., about 350 million, which is an unacceptably high figure. "As per NSSO report based on the survey conducted by it in July 2004- June 2005, the average per capita calorie in-take at all India level in rural areas is 2,047 kilo calories as compared to 2,153 kilo calories based on the results of similar survey undertaken during July 1993-June 1994," More alarmingly, the poor nutritional state resulting from this insufficient calories intake is far more prevalent in pre-school children, which might have serious effect on their physical and mental development. In women, prevalence of anemia during pregnancy is as high as 87.5 percent with 13 percent recording severe anemia, which has profound implications for the health of new-born. Similarly potable water, disposal of waste, sewerage system and clean toilets are available to few. Besides, there are other distortions like three doctors to one nurse whereas there should be three nurses for one doctor, lack of adequate numbers of public health specialists, epidemiologists, pathologists and radiologists.Above all the world's first nation to launch a family planning programme way back in 1952 has miserably failed in meeting the targets thanks to the corruption perpetrated by the governments in power. CurrentTrends Recent research indicates that role of lifestyle and environment is perhaps more profound in securing human health than was previously thought. Interestingly, our ancestors always knew this secret as is evidenced by their great penchant for cleanliness, environmental sanitation and food hygiene. Indian system of medicine invariably recommended alteration in diet and food habits in all cases of illness. The concept of biodiversity was propagated and one was exhorted to show compassion to all living beings and even trees. Isa Upnishad clearly states ' Isa Vasya Midam Sarvam Yat Kinch Jagtyam Jagat ('God dwells in all and everything whatever is present in this universe'. To promote social wellbeing and harmony they enunciated the concept of ' Vashudhev Kutumbukam' The world is a family. If everyone is a family member where is the room for discord and how can there be isolation and alienation? We now recognize that many ailments result due to an unhealthy lifestyle and many disorders are related to poor nutrition, alcohol abuse, smoking and the stress. What is not frankly accepted is that many of these diseases are the results of a society that alienates people from themselves and each other. Modern medicine is unable to provide solutions to this. Identifying the need for social answers to disease is also an important part of the solution. If healing of people is to be really achieved, spiritual dimension of care is basically important. A decidedly more humane and healing approach is required which stresses promotion of body's self-healing powers as was preached and practiced by our ancient systems.Aserious effort is required to explain the strength of spiritual aspects of healing to modern practitioners and it calls for a new approach so that healthcare providers inculcate and adopt this. Current trends in medicine are stressing a concept of healthcare based on 'quality of life' and this dimension is assuming increasing importance in healthcare. This becomes particularly relevant as the life expectancy increases and people start living longer. In fact, this concept was first put forth in our scriptures, which maintained that not only we live to 100 years, but also have our vision; hearing and other sensory and motor functions intact. Prof. O. Boyle of Ireland says that illnesses, diseases and their management can significantly influence areas such as functioning, mobility, mood, life satisfaction, sexuality, cognition and ability to fulfill occupational, social and family roles. The emerging quality of life construct may be viewed as paradigm shift in outcome measurement since it shifts the focus of attention from symptoms to functioning. This holistic approach more clearly establishes the patient as the centre of attention and subsumes many of the traditional measures of outcome. Quality of life assessment is particularly relevant to aging populations both for healthy elderly and for those who develop chronic diseases where maintenance of quality of life rather than cure may be the primary goal of treatment. Futuristic Vision of Health for all During my tenure as health minister, my ministry accorded high priority to the neglected public health system. Right at the outset we prioritized our activities, prepared an action plan to address the distortions that I talked about above. We encouraged community participation and involvement beginning from the launching of 'polio eradication programme' and continued till end. I felt people do get motivated and enthused if they are communicated the message of health
  • 11. Asia’s Most Analytical News Media in Healthcare Communications www.pharmaleaders.tv Pharma LeadersPharma LeadersTM Asia’s Most Analytical News Media in Healthcare Communications www.pharmaleaders.tv Pharma LeadersPharma LeadersTM HEALTHCARE INNOVATIONS BEYOND THE HEADLINES PHARMA LEADERS POWERBRAND AWARDS 2019 WHERE MEETSHEALTHCARE WITH INNOVATIONS! INDIA’S NO 1HEALTHCARE AWARDS 12 th Pharmaceutical Leadership Summit & Business Leadership Awards 2019 TM Annual TM Saturday, 21st December 2019, hotel sahara star,Mumbai, India unambiguously. The Delhi government was the first one to take an initiative for the 'Rational Use of Essential Drugs'. The programme was so successful that it has now been adopted by dozen states in India. The WHO has recognized it as 'Delhi Model' and is being propagated and implemented in many countries of the world with the guidance and support of India WHO programme for Rational Use of Essential drugs. We were very concerned about ' tobacco related illness' and despite much opposition a bill was passed in Delhi as ' the Delhi prohibition of smoking and non-smokers health protectionAct 1996'. This inspired the promulgation of The Cigarettes and Other Tobacco Products (Prohibition of Advertisement and Regulation of Trade and Commerce, Production, Supply and Distribution) Act, 2003 (COTPA), the principal comprehensive law governing tobacco control in India. The Act was passed before India became a party to the WHO Framework Convention on Tobacco Control. In 2004, the Ministry of Health and Family Welfare exercised the powers granted to it in Section 31 of COTPA by promulgating a first set of rules, which, with respect to smoke free and tobacco advertising issues, have been stayed by court order or superseded. With respect to general enforcement of COTPA, G.S.R. 1866(E) lists certain officers who are authorized to carry out the entry, search, and seizure provisions of theAct. Continuing with our mission to prevent diseases due to environment and occupation and protect environment a centre for occupational and environmental Health in Lok Nayak Hospital and MaulanaAzad Medical College was set up which came to be acknowledged internationally. We launched campaigns on 'Matri Surksha Programme (safe motherhood)' to strengthen reproductive health, ' Cancer Control Programme', 'Cataract Free Delhi Programme' and 'Shravan- ShaktiAbhiyan '(for deafness affecting old and rehabilitation of elderly deaf). We were able to enact ' Delhi Physiotherapy and Occupational Therapy Bill' and ' Delhi Artificial Insemination Act'. To promote holistic vision of medicine 100 acres of land was earmarked for setting up in half area a hospital based on Naturopathy and drugless therapy. In the remaining half, an Ayurvedic Medical College along with a hospital and research center was to be established. Medicinal herbs were to be grown in this area. A 'Healthy City Project' was also started in trans-Yamuna locality, ' Hepatitis B Immunization Programme' was taken up and we established a 'Delhi Research Center for Modernized Promotion of Ayurvedic (the Indian system of medicine)'. To strengthen health education we carried over the concept of health to schools and introduced ' Compulsory Yoga and Positive Health Education' in schools and also initiated a value based calendar to promote and inculcate moral values among children at a tender age. However, I have to honestly admit that much remains to be accomplished. I am for promoting the 'Human Face' of medicine and considerable effort is needed to inculcate these virtues among our budding physicians. They need to be reminded what our ancient sages propagated 'na atmartham napi kamartham atha bhuta-dayam prati | vartate yah cikitsayam sa sarvam ativartate ' The translation means 'A physician should not offer his services motivated by commercial considerations, but should do so out of his inherent, unadulterated love for humanity. The Hippocratic Oath has lost meaning today as a significant number of physicians are becoming bereft of compassion and remain preoccupied with the pursuit of material possessions. I strongly feel this to be the biggest challenge as to how we change the mind-set of our healers so that poor and needy do not feel unwanted. A major and the most important task in my view remains educating the politicians, decision makers and those who to enable them to grasp the importance of health. A restructuring and reorganization of health ministry has become a compelling indispensability. For the reasons enumerated above, sub-departments of health may have to be contrived in all ministries for better inter sect oral coordination and for emphasizing on them the exigency to initiate appropriate actions to aid health ministry. They should become equal partners in health promotion movement and preventing illness. Secondly, the allocation for health should be augmented from present levels to more realistic levels. Let health be a concern of one and all. Anew and integrated holistic system of medicine is the need of the hour, which should incorporate the best of all systems including Ayurveda, Siddha, Yoga, Naturopathy, Homeopathy and our other ancient systems. These systems and their practitioners have served and healed the mankind for millennia and they cannot be ignored and dumped as unscientific and irrational. Integration of these systems may help contain fast rising cost of medicine. Students can pursue postgraduate medical qualification in any system such as Homeopathy, modern medicine or Ayurveda and should be able to practice the way they like. In the medical curriculum for first few years all systems such as Ayurveda, Homeopathy and Naturopathy may be taught and at the end of this term students can choose whichever option they like. We cannot afford to ignore the wisdom and sayings
  • 12. Asia’s Most Analytical News Media in Healthcare Communications www.pharmaleaders.tv Pharma LeadersPharma LeadersTM Asia’s Most Analytical News Media in Healthcare Communications www.pharmaleaders.tv Pharma LeadersPharma LeadersTM HEALTHCARE INNOVATIONS BEYOND THE HEADLINES PHARMA LEADERS POWERBRAND AWARDS 2019 WHERE MEETSHEALTHCARE WITH INNOVATIONS! INDIA’S NO 1HEALTHCARE AWARDS 12 th Pharmaceutical Leadership Summit & Business Leadership Awards 2019 TM Annual TM Saturday, 21st December 2019, hotel sahara star,Mumbai, India of our great ancestors who selflessly served the mankind and handed down to us a code of conduct on nutrition, daily habits, spirituality and strengthening the moral values to delay and forestall onset of ageing and illness. Organizations and associations like chambers of commerce and industry, Rotary and Lions International with branches all over, and numerous social and philanthropic organizations representing important groups of citizens may be roped in to building a strong movement of 'health for all'. They may be motivated to divert part of their energy and resources to take up health issues and become active partners in the endeavour of preventing illness and promotion of health. They may be urged to wholeheartedly support government initiatives on positive health and rehabilitation and care of disabled. In my view, two other aspects which have profound impact of health and human development that require urgent consideration are involvement of students in a massive way to communicate and disseminate message of positive health among masses and encouraging every individual's participation for positive health. Students can donate some of their leisure time and vacations towards this altruistic goal of positive health. This will also enable them to acquire a health conscious attitude early in life. Individual potential may be harnessed by sensitizing him towards health.Atotal attitudinal transformation of people in thought, action and belief based on our ancient culture is required to make health a meaningful and purposeful concept so that everyone regards himself as guardian and defender of environment and health.Armed with healthy and hygienic habits and a positive frame of mind he can be groomed to performing one good act a day that should help in community development and acquisition of a proactive health culture, i.e., he can plant a sapling in front of his house or in neighbourhood, exhort people to work towards improving their immediate ambiance. Individuals may be encouraged to assume responsibility for their own health by shedding negative habits like tobacco, alcohol, other substance abuse and adopting a positive behaviour by 'undertaking regular physical and Yogic exercises, going to bed early and waking up early; this brings a person in contact with cosmic energy of the rising sun and may ensure restoration and proper functioning of endocrinal system. People may be persuaded to consuming a balanced, nutritive and vegetarian diet as recommended by our ancestors (Hit Bhug, Mit Bhug, Kal Bhug; Eating what is beneficial, in small quantity and at proper time), paying attention to food and kitchen sanitation, hygiene practiced by the cook, and disposing off the wastes properly, offering leftovers to other living creatures, worshipping plants and trees, showing care and compassion to one and all as advocated in our scriptures. This only would make health a successful movement. Before I conclude I would like to highlight certain emerging areas where urgent action is required. Food Safety, Product Safety, and Injury Prevention and Control are areas not well appreciated by health policy makers and healthcare providers. The disease burden on account of traumatic injuries whether due to traffic, or at home or at work or recreation is unacceptably high and needs urgent steps to reverse the rising trend. The Herbal medicines, their cultivation, and export are another important area that needs to be promoted. These have provided relief to people in India for thousands of years. Such a policy of promotion would generate earnings and employment and would provide affordable alternative treatment to those who are unable to access modern healthcare facilities. The immunizations have enabled us to get rid of the scourge of small pox, diphtheria and other communicable diseases. The time is ripe to further expand the programme to include immunization against Hepatitis B, Hemophilus influenzae, and many other vaccine preventable diseases. Such immunization initiatives require commitment of the corporate world that should come forward to play a proactive role in propagating prevention. Gates Foundation in USA has taken a lead by donating large sums for this cause in the developing world. Strategies in existence for population control shall have to be reviewed extensively. Disincentives and incentives linked to population control and small family norm shall have to be introduced at every step and everywhere in life of an individual. Literacy programme, particularly for women shall require dynamic improvements and strengthening. Law shall have to be enacted for all elected people from panchayat to parliament to bar entry of those who disrespect small family norm. A debate must start in the country for enacting a law for the common man to restrict his family size. Finally, the problems of health remains inseparably linked to socio-economic development. The poverty angle has to be tackled at war footing. Health for all as part of sustainable development can only materialize if poverty levels are brought down. I may conclude by reiterating that health is a complex subject but there has been a better understanding of the factors that determine health in last few decades. Government and ministry of health alone cannot and will not succeed in
  • 13. Asia’s Most Analytical News Media in Healthcare Communications www.pharmaleaders.tv Pharma LeadersPharma LeadersTM Asia’s Most Analytical News Media in Healthcare Communications www.pharmaleaders.tv Pharma LeadersPharma LeadersTM HEALTHCARE INNOVATIONS BEYOND THE HEADLINES PHARMA LEADERS POWERBRAND AWARDS 2019 WHERE MEETSHEALTHCARE WITH INNOVATIONS! INDIA’S NO 1HEALTHCARE AWARDS 12 th Pharmaceutical Leadership Summit & Business Leadership Awards 2019 TM Annual TM Saturday, 21st December 2019, hotel sahara star,Mumbai, India achieving the goal of ' health for all' unless every single person and every organization is galvanized to become a part to this concept and idea. VISION FORANEW MILLENNIUM HEALTH • Evolving a sound and workable health policy based on the assessment and evaluation of the achievements and failures of last 50 years; there is an urgent need to gather data on determinants of health as well as finding out the leading causes of morbidity and mortality, • Poverty elimination and socio-economic development is integral to attainment of Health for all. • The new policy should focus on disease prevention, disease control, and eradication, promotion of positive health and protection by encouraging safety at all places including leisure and sports • Linking attainment of health and healthy environment with socio-economic development • Programme to reduce inequity and economic disparity • Full-fledged cabinet minister to head health ministry • Separate minister for Indian and other systems of medicine targeting positive health promotion • Establishing a separate division of environmental health • Step up budget to at least 10% in health as well as education • Setting up Sub departments of health in all ministries • Health & education may be placed on the top of the agenda of the government (not only in speeches & pre poll promises) • Vaccines against all vaccine preventable diseases to be made available to all children in the country • To capitalize on the success of polio eradication programme and harness the experiences for maximizing gains from national health programmes envisaged in future • Launching a major offensive against major killers like tobacco, tuberculosis, malaria,AIDS and others • Making all employees from top to bottom healthy by creating safe and healthy work places, • Working towards reducing the incidence of Non Communicable Diseases (Cancer, Hypertension, Diabetes and COPD) • Formulating a plan for involving talents and energies of all non- governmental organizations for creating a health movement in the country to attain goals set by national health policy • Preventing duplicity of efforts of NGO's working in health sector to ensure proper and meticulous assignment of roles, responsibility and demarcation of geographical region • Revising the curricula of medical education to make it more adept to solving existing national health problems, - environment and health issues such as air pollution related morbidity • Relocating and reorienting medical research to investigate gene -environment interaction and identifying the aetiology rather than the treatment of an illness, i.e., we delay the progression of a disease rather than looking for the treatment • Vulnerable groups like Women, Elderly & Children receive maximum attention in policy of the Government. • Utilizing the ancient Indian wisdom that has withstood all scientific experimentation and scrutiny in our health decision making • Encouraging and educating people to adopt healthy lifestyles • Yoga & meditation centres in all the districts-so that everyone has access • Every school, office, building to be utilized for propagating and providing yoga & meditation facilities • Massive positive health education through schools & all places including radio, T.V., offices, rail, buses and every public outlet • Privatization of health services to an extent that it does not promote inequities • New cost effective and affordable technologies to be available in health sector to all without discrimination • Population control to become a big movement -Effective family planning programme -Need for law for effectively controlling population -Law for all elected members from panchayat to parliament to pursue small family norm • Better planned healthy cities continuously working for health movement • Well-managed urban environment • Promotion of health by educating people to follow traditional Indian lifestyle to avail the benefits of positive health culture such as proper nutrition, yogic exercises, meditation, vegetarianism etc. • Education of people about alcohol, tobacco and drug abuse as well as threat of unsafe sexual behaviour • Provision of safe drinking water to all to eliminate water borne diseases which are entirely preventable. • Strengthening of sanitation by properly disposing all categories of hazardous wastes such as human excreta, hospital waste, toxic industrial waste and hazardous domestic waste • Promoting environment and eco-friendly technologies producing minimum waste, • Promoting food safety, product safety, traffic safety, home safety and safety at workplace
  • 14. Asia’s Most Analytical News Media in Healthcare Communications www.pharmaleaders.tv Pharma LeadersPharma LeadersTM Asia’s Most Analytical News Media in Healthcare Communications www.pharmaleaders.tv Pharma LeadersPharma LeadersTM HEALTHCARE INNOVATIONS BEYOND THE HEADLINES PHARMA LEADERS POWERBRAND AWARDS 2019 WHERE MEETSHEALTHCARE WITH INNOVATIONS! INDIA’S NO 1HEALTHCARE AWARDS 12 th Pharmaceutical Leadership Summit & Business Leadership Awards 2019 TM Annual TM Saturday, 21st December 2019, hotel sahara star,Mumbai, India • Providing safe, efficient, affordable and easily accessible urban transport system-to save time, prevent exposure to pollution, eliminating probability of accidents and injuries • Ensuring healthy housing to everyone • Promoting health at work place • Cleaner technologies and cleaner fuels for curbing Air Pollution • Curbing water pollution by preventing discharge of toxic and hazardous effluents into rivers and water streams • Curbing soil contamination by encouraging judicious use of pesticides, banning toxic pesticides and licensing sale of hazardous pesticides, • Promoting eco-friendly and bio-degradable consumer products,-discouraging use of plastics/polythene- encouraging use of earthen pots and banana leaves for daily use, • Organization systems for disaster management • Efficiency of existing health infrastructure and its proper utilization should be increased • Healthcare system should reach everyone and be people friendly • Provision of health insurance services through Indian companies. Insurance premium for poor to be provided by the government. • Curbing exploitative strategies of pharmaceuticals and medical technology manufacturers, • Essential drug policies to be implemented in the government and private sector vigorously- priority to be given to remove obstructions and barriers created by the vested interests, • Business organization and citizens to participate actively in health sector movement in a big way • Institutional mechanism to coordinate all activities connected with the conservation, sustainable use and propagation of medicinal plants • Ayurvedic and alternative medicines- promote standardization, quality control and sustained research • Invest in woman's health and development to eliminate gender discrimination and disparity • Ensure universal access to quality healthcare • Mobilize financial resources for health and promote their effective use • Ensure adequate and complete nutrition at affordable cost • Advocate intensively for health • Uphold and enforce medical ethics • Strengthen epidemiological surveillance and health information gathering • Strengthen healthcare for elderly • Public Health needs to be strengthened by immunizations, community participation, providing clean drinking water and better disposal of waste • Health professionals and experts are marginalized since independence; Indian medical services can be set up which is a need of the hour • Introducing innovative strategy and a new system of healthcare delivery that is cost effective, humane, people friendly, and responding to the people's needs • A cooperative system of healthcare that is neither governmental nor private, not for profit but owned and managed by the community • To look upon resource allocation for health as an investment rather than an expenditure • To reassert, redefine and link attainment of health to human development and human rights • To incorporate health in all important decision making at the highest level • To modernize and upgrade existing archaic healthcare delivery system so that it is able to deliver, • To incorporate the component of quality in healthcare delivery, accountability, to project the human face of medicine • Review and strengthen health systems management • Reviewing and strengthening total health systems management and inculcating TQM- Total Quality Management • Reviewing existing purchase and procurement systems for equipment, drugs, materials, and other healthcare delivery supplies • Reviewing and strengthening total health systems management and inculcating TQM- Total Quality Management • Revising the curricula of medical education to make it more adept to solving existing national health problems, - environment and health issues such as air pollution and chemical exposure related outcomes • Better planned healthy cities continuously working for health movement • Well managed urban environment • Providing & improving quality of primary, secondary and tertiary care in ISM & H. • Drawing up a list of essential drugs in ISM & H and initiating steps to improve their availability at affordable cost to everyone. • Completion of pharmacopoeia of all systems of ISM & H medicines • Educational improvement for ISM & H • Separate entrance examinations for ISM & H • Preparation of standard text books on various subjects in ISM & H • Providing knowledge in Sanskrit/Urdu/Arabic in ISM • Facility for practical work in ISM to be strengthened
  • 15. • Preserving and promoting cultivation and utilization of medicinal herbs and plants through "herbal revolution” • Providing complimentary system of healthcare to patients in the hospitals • Ensuring adequate budgetary allocation for ISM & H system • The colleges of ISM & H should be involved in the national and state healthcare programmes by incorporating appropriate changes in their structure, mandate and programmes • Centres of excellence in Ayurveda, Unani should be developed to provide healthcare to the people of the country and health tourists coming from abroad. • Swasth Bharat-Samarth Bharat is only possible through the Swadeshi approach to development and ensuring that this sector is not controlled by the multinational corporations of the allopathic drugs and hospital industry. • Our Bharatiya systems of healthcare shall be the main stay of our healthcare system and therefore their infrastructure shall be proportionately strengthened to be at par with that of Western allopathic system in next five years. • Wherever some space is available in or around our healthcare institutions, the practitioners of ISM should be encouraged to set up herbal gardens not only for educating people to identify and use medicinal plants but also use fresh medicinal plant preparations in their practice. • The Healthcare Education should not only be restricted to the present day practices of allopathy, instead emphasis should be on 'Swasth Vritta' Dinacharya and Rituchary related knowledge in as much as it can be related to present day life-style, such IEC(information, education & communication) literature should be prepared in regional languages STRENGTHEN & PROPAGATE THROUGHALL CHANNELS INDIAN WAYOF LIFE WHICH HOLDSTHE KEY • Harmony with nature • Moderation in life • Self-discipline of body, mind and soul • AAHAR, NIDRA, BRAHMCHARYA deserve emphasis • Promote Positive HealthAttitude • Be a Vegetarian • Abstain fromAlcohol • Abstain fromTobacco • Control over Desires • Observe Celibacy • Ability to Forgive • Cleanliness of Body and Soul • Unity of Spirit with God throughYoga Asia’s Most Analytical News Media in Healthcare Communications www.pharmaleaders.tv Pharma LeadersPharma LeadersTM Asia’s Most Analytical News Media in Healthcare Communications www.pharmaleaders.tv Pharma LeadersPharma LeadersTM HEALTHCARE INNOVATIONS BEYOND THE HEADLINES PHARMA LEADERS POWERBRAND AWARDS 2019 WHERE MEETSHEALTHCARE WITH INNOVATIONS! INDIA’S NO 1HEALTHCARE AWARDS 12 th Pharmaceutical Leadership Summit & Business Leadership Awards 2019 TM Annual TM Saturday, 21st December 2019, hotel sahara star,Mumbai, India
  • 16. TRUSTTRUST THE POWER BRAND 12th Annual Pharmaceutical Leadership Summit & Pharmaleaders Business Leadership Awards 2019 Our Mission: To be world leader in recognizing, honoring and fostering innovation and innovators in the field of healthcare & pharmaceuticals to create, support making a positive impact in the world. across the globe have complete unanimity inPharma Leaders™ believing that being recognized with the title of Pharma Leaders™ Awards is one of the highest accolades & testimony of achievement a company or a executive can receive in the name of innovation and business success. Awards honor excellence inPharma Leaders™ healthcare innovations, spirit of entrepreneurship and innovation. Since 1991, the Awards have recognized andPharma Leaders™ honored some of the tallest leaders in the healthcare, pharmaceutical businessleadersintheworld. Satya Brahma Founder Chairman@Pharmaleaders Group BRAND INDIABRAND INDIA www.pharmaleaders2019.in Asia’s Most Analytical News Media in Healthcare Communications www.pharmaleaders.tv Pharma LeadersPharma LeadersTM India’s No 1 Power Brand in Healthcare Awards India's Only Dedicated Celebration Of Excellence In Healthcare Innovation, Pharmaceutical & Medical Excellence & Brand Transformation. Asia’s Most Analytical News Media in Healthcare Communications www.pharmaleaders.tv Pharma LeadersPharma LeadersTM HEALTHCARE INNOVATIONS BEYOND THE HEADLINES 12th Pharmaceutical Leadership Summit & Business Leadership Awards 2019 TM Annual TM PHARMA LEADERS POWERBRAND AWARDS 2019 WHERE MEETSHEALTHCARE WITH INNOVATIONS! INDIA’S NO 1HEALTHCARE AWARDS Saturday, 21st December 2019, hotel sahara star,Mumbai, India
  • 17. Dr.Anoop Misra Consultant Endrocrinologist Late Mr. I.A.Modi Chairman, Cadila Pharmaceu cals Ltd. Mr. Binish H. Chudgar Managing Director, Intas Pharmaceu cals Ltd Late Dr. Parvinder Singh Chairman, Ranbaxy Limited. Dr. Kamal K Sharma Vice Chairman, Lupin Ltd. Pharma Leaders BRAND SUPER ICONIC RECIPIENTS OF PHARMA LEADERS AWARDS Dr. Hrishikesh D. Pai Founder & CEO Director, Bloom IVF Group India's Only Dedicated Celebration Of Excellence In Healthcare Innovation, Pharmaceutical & Medical Excellence & Brand Transformation. Asia’s Most Analytical News Media in Healthcare Communications www.pharmaleaders.tv Pharma LeadersPharma LeadersTM HEALTHCARE INNOVATIONS BEYOND THE HEADLINES 12th Pharmaceutical Leadership Summit & Business Leadership Awards 2019 TM Annual TM PHARMA LEADERS POWERBRAND AWARDS 2019 WHERE MEETSHEALTHCARE WITH INNOVATIONS! INDIA’S NO 1HEALTHCARE AWARDS Saturday, 21st December 2019, hotel sahara star,Mumbai, India Dr. Suresh H Advani Director,Medical Oncology, Jaslok Hospital
  • 18. Pharma Leaders BRAND SUPER Dr. Yusuf K. Hamied Chairman, Cipla Ltd. Mr. Kewal Handa Promoter Director, Salus Lifecare. Mr. Suresh Kare Chairman, Indoco Remedies Ltd. Dr. D.B.Gupta Chairman, Lupin Ltd. Late Dr. Anji Redy Chairman, Dr. Redys Labs Ltd. Dr. Ajit.V.Dangi President, Danseen Consul ng. Mr. Samprada Singh Chairman, Almem Labs Ltd. Dr. Ashok Rajgopal Orthopedic Surgeon . India's Only Dedicated Celebration Of Excellence In Healthcare Innovation, Pharmaceutical & Medical Excellence & Brand Transformation. Asia’s Most Analytical News Media in Healthcare Communications www.pharmaleaders.tv Pharma LeadersPharma LeadersTM HEALTHCARE INNOVATIONS BEYOND THE HEADLINES 12th Pharmaceutical Leadership Summit & Business Leadership Awards 2019 TM Annual TM PHARMA LEADERS POWERBRAND AWARDS 2019 WHERE MEETSHEALTHCARE WITH INNOVATIONS! INDIA’S NO 1HEALTHCARE AWARDS Saturday, 21st December 2019, hotel sahara star,Mumbai, India ICONIC RECIPIENTS OF PHARMA LEADERS AWARDS
  • 19. Dr. Mukesh Batra Chairman, Dr. Batras Mr. D.C.Jain Chairman, Akums Drugs & Pharmaceu cals Ltd. Dr. Sanjeev Kanoria Chairman, Advina Healthcare Mr. Vivek Mohan Abbo Limited Dr. Huzaifa Khorakiwala Chairman, Wockhardt Limited. Dr. Himadri Sen Research Scien st Pharma Leaders BRAND SUPER India's Only Dedicated Celebration Of Excellence In Healthcare Innovation, Pharmaceutical & Medical Excellence & Brand Transformation. Asia’s Most Analytical News Media in Healthcare Communications www.pharmaleaders.tv Pharma LeadersPharma LeadersTM HEALTHCARE INNOVATIONS BEYOND THE HEADLINES 12th Pharmaceutical Leadership Summit & Business Leadership Awards 2019 TM Annual TM PHARMA LEADERS POWERBRAND AWARDS 2019 WHERE MEETSHEALTHCARE WITH INNOVATIONS! INDIA’S NO 1HEALTHCARE AWARDS Saturday, 21st December 2019, hotel sahara star,Mumbai, India ICONIC RECIPIENTS OF PHARMA LEADERS AWARDS
  • 20. Dr. Sudhanshu Bha acharya Cardiologist Dr. Kishore Kumar Chairman, Cloudnine Hospital Pharma Leaders BRAND SUPER Dr. Tarlochan Singh Kler Chairman, PSRI Heart Ins tute Dr. Ramakant Panda Chairman, Asean Heart Ins tute Mr. Tapan Ray Director General, OPPI Prof. Dr. Nandkishore Shamrao Laud Founder, Dr Laud Clinic Dr. Shasank R Joshi Consul ng Endocrinologist Prof. (Dr.) D. S. Rana Consultant Nephrologist Mr.C L.Rathi, MD, Advanced Enzyme Technologies Ltd India's Only Dedicated Celebration Of Excellence In Healthcare Innovation, Pharmaceutical & Medical Excellence & Brand Transformation. Asia’s Most Analytical News Media in Healthcare Communications www.pharmaleaders.tv Pharma LeadersPharma LeadersTM HEALTHCARE INNOVATIONS BEYOND THE HEADLINES 12th Pharmaceutical Leadership Summit & Business Leadership Awards 2019 TM Annual TM PHARMA LEADERS POWERBRAND AWARDS 2019 WHERE MEETSHEALTHCARE WITH INNOVATIONS! INDIA’S NO 1HEALTHCARE AWARDS Saturday, 21st December 2019, hotel sahara star,Mumbai, India ICONIC RECIPIENTS OF PHARMA LEADERS AWARDS
  • 21. Dr. V. Mohan Chairman, Dr. Mohan’s Diabetes Dr. Manoj Khanna Hair Transplant Surgeon Dr Deepak K Jumani Sexual Health Physician & Counselor,My Best Doctor Clinic Dr. Kaushal Pandey Cardiologist Dr. Debraj Shome & Dr. Rinky Kapoor Directors, The Athes c Clinic Pharma Leaders BRAND SUPER Prof. Rajendra Pratap Gupta Healthcare Policy Expert Dr. Alok Roy Chairman, MEDICA Super specialty Hospital Mr.Rajiv Nath Jt.MD, Hindustan Syringes & Medical Devices Ltd Dr. Nandita P.Palshetkar, Prof of Obstetrics and Gynaecology,Dr. D.Y. Pa l Medical College India's Only Dedicated Celebration Of Excellence In Healthcare Innovation, Pharmaceutical & Medical Excellence & Brand Transformation. Asia’s Most Analytical News Media in Healthcare Communications www.pharmaleaders.tv Pharma LeadersPharma LeadersTM HEALTHCARE INNOVATIONS BEYOND THE HEADLINES 12th Pharmaceutical Leadership Summit & Business Leadership Awards 2019 TM Annual TM PHARMA LEADERS POWERBRAND AWARDS 2019 WHERE MEETSHEALTHCARE WITH INNOVATIONS! INDIA’S NO 1HEALTHCARE AWARDS Saturday, 21st December 2019, hotel sahara star,Mumbai, India ICONIC RECIPIENTS OF PHARMA LEADERS AWARDS