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Parishram case study 1
1. Parishram Case Study 1 : Develop the long term strategy to combat the
health care problems of underprivileged people
Presented By:
Team: Active Y
Shanu Singh
Vijay Grover
NITIE, Mumbai
3. Curative Care Vs Preventive Care
Focus on the root cause of health problems is not there
Prevention is considered as the only measure for health problems
Ignorance
Illiteracy ratio is 59.40% in rural areas compared to 80.30% in urban areas
Eating Habits
Low nutrition value
4. Children’s workload
Work is the primary occupation of 9.4% of girls and 4.2% of boys aged 5 to 14.
Almost all girls(84.6%) do household work. Boys activities are much more diversified but
household work being relatively frequent(24.6%)
Uninvolved School
Unable to keep track of school children
Source: National Council of Applied Economic Research Report
5. Economic Factors
Concentration Of Resources
Urban areas constitute major chunk of resources
Government Health Facilities
Primary health care centre has been developed as a three tier system
Inadequate presence of government health facilities in rural regions
Source: Ministry of Health and Family Welfare, Mar 2008 Report
6. Economic Factors Contd..
Untrained Health Workers
Trained manpower is the important prerequisite for health care
Source: Ministry of Health and Family Welfare, Mar 2008 Report
7. Financial Factors
Few Public-Private –NGOs Collaboration
Absence of public private collaboration leads to the people in rural areas either opting
for inefficient and inadequate health facilities of government or expensive but adequate
health facilities of private institutions
No Community Health Insurance
No ready access to money at the time of need
Manipulation by money lenders in rural areas
Unaffordable Health Care
Low income of people in rural areas
Commercialization of private medical practice
9. mHEALTH – HEALTHCARE THROUGH MOBILE
Uses of mHealth applications
Collecting community and clinical health data
Delivery of healthcare information to practitioners and patients
Motivations behind using mHealth
Large mass, high burden disease prevalence and low health care workforce
Lowering information and transaction costs
mHealth Framework
Source: United Nations Foundation and Vodafone Foundation Technology Partnership Report On mHealth
10. mHealth Value Chain
Value Chain Participants
Forge strong partnerships across sectors (for-profit, non-profit and public sector).
Understanding of the needs and interests of multiple players is required in order to
marshal their energy and resources
11. Health Camp
Challenges
Limited resources like medical equipments, practitioners
Immediate damage control
SOLUTION PROPOSED
Centralized high density location such as Child (Age 5-15) centric diagnostic
Melas/Haat should be leveraged to launch and preventive camps should be
health camp facility organized at the local School Level
Night Time Camp: Highlight the Cover each and every child
importance of preventive methodology Empower faculty to understand
through specially designed videos. different medical condition
Day Time Camp: NGO can invite guest symptoms.
medical practitioners from nearby cities Disperse knowledge about good
to provide free consultation along with and cheap eating habits e.g.:
free distribution of medicine like folic cheap source of natural vitamins,
acid and vitamins to the villager minerals and protein.
12. Collaborative Efforts
Challenges
Actors involved currently works independently leading to duplication
1st Level – Panchayat/village level practitioner eg – ayurvedic vedh
2nd Level – Separate Govt. healthcare campaign
3rd Level – Similar cause NGO and community based organization
SOLUTION PROPOSED
Collaboration Level A (Short Term) Collaboration Level B (Long Term)
1st Level – Centralized location Prevent any duplication of efforts
under single gram panchayat and bring in quality service
2nd Level – Different government NGO can go for adoption of
agencies and campaign should pool in village/gram panchayat.
common resources Responsibility of end-to-end
3rd Level – Specialized NGOs such health care facility
as eye care, maternal and child care Budget approved and financed
should setup common facilities like by government (7th plan)
medical van to increase the span of Bring in quality and efficiency.
coverage.
14. Preventive Health Services
Awareness Campaign – Emphasize on the need of easily available source
of various nutrients, vitamins.
Free distribution of medicines like folic acid, vitamins and calcium
especially for children and pregnant ladies.
Cost effectiveness ratio
15. Improvement in Infrastructure And Services
Increase In Resources
Equity In Distribution Of Resources
Partnership In Quality Health Services
PPP Framework
Capitalization Of Resources
Private Sector Efficiencies
Source: MGI India Consumer Model
16. Empowerment Of Panchayati Raj Institutions
Ownership of public delivery system
Village Health Committee should be given certified vocational training
Develop and deliver village health plan
Outcome of one of such field based study in Gujarat
Ensured better attendance of health care functionaries at the local level.
Exerted moral pressure on health staff not to shirk from work.
Contributed in improving the supplies of drug and equipment
17. Community Based Health Insurance
The coverage by community health insurance scheme by community
organizations is limited to 30 million.
Imperative need to involve NGOs and community based organizations as
insurance providers and as a third party administrators.
Challenges – Propositions
Premium Payment - Premium payment should be aligned with the agricultural
production season
Healthcare Service Access – Insurance company can provide medical van facility in
coordination with regional NGO
Preventive Model – Insurance companies can concentrate on preventive methodology
to reduce premiums in long run
18. Resource Generation Through Philanthropy
Current philanthropic activity framework
Donors: Individuals, corporations and governments.
Supporting Networks: Philanthropic venture, Red Cross, dedicated funds like the
Prime Minister’s National Relief Fund
Grass Root NGO: These NGO disburses donations as part of their healthcare
activities.
20. Road Blocks – Proposed Strategy
Lower Income Group
Involve regional people to increase program penetration
The community leader or the Sarpanch can be core committee member of the NGO.
Share the success stories of any program undertaken by the NGO
Middle Income (400 million people )
Lack of trust in NGO – Highlight the major achievements and initiatives
Politically motivated NGO – Promote apolitical image, associate with social figure
Lack of transparency - Annual general meeting with open Q&A sessions
High net worth individual
long term association even without any financial gain will be strategic
Corporate
Corporate leaders can be represented in the advisory board of NGO
NGO can collaborate in the CSR activities of the organizations.
Corporate executive can be encouraged to form executive giving circles e.g. – Melinda
gates foundation AIDS and Malaria initiatives