1. A Dream of Healthy India
Universalizing Access to Primary
Health Care
Team Details
Indian Institute of Technology, Kanpur
Arcchit Jain Mohit Kumar
Palash Bansal Umed Paliwal
Ved Prakash Gupta

2. Despite progress, India is lagging behind in providing basic health care facilities to its
citizens and ranks 112 out of 191 countries in Health Care Systems according to
World Health Report, 2000 by WHO and suffers from menaces
Indian Health Care Sector
struggles from some key issues:
▪ Heavy out of pocket
expenditure
▪ Lack of health centers, health
professionals and research in
medical field
▪ Almost 39 million people enter
in poverty due to health
expenditure debt
▪ India has 134th rank in HDI out
of 187 countries, which is
lowest among BRICS countries
86.00
9
5.54
4
79.00
38
6.99
5.1
58.00
23
7.30
8.8
87.9
7.88
5.6
13.8
6.29
9.2
% Out of
Pocket
Expenditure
Beds per 10000
patients
HDI*10
% GDP Share
(Public+Private)
South Africa
Russia
Brazil
China
India

3. Our Solutions
Social HealthCare Zones (SHZ)
•Establishment of SHZ’s in rural areas, just as SEZ’s to invite private firms in rural – healthcare sector.
Weekly Heal – (Saptahik Swastha Suraksha)
•Providing HealthCare Facilities to students and teachers in Government Schools
Decentralization of HealthCare Management
•Shift of Management and Administration from state government to district government
Collaboration with National Rural Health Mission and suggested improvements
Incentivization through Social Points

4. Establishment of Social Healthcare Zones (SHZ’s)
▪ The central government should establish Social Healthcare Zones in rural areas, just as SEZ’s, to invite
investors and more private firms in rural – healthcare sector.
▪ There is a scheme introduced by National Rural Health Mission in which a health insurance, of upto
₹30,000, is provided to people living below poverty line but there are very few private hospitals who are
supporting this facility. Using SHZ we can increase the number of such centers where people just need to
show there card and finger-print and avail healthcare facilities for free of cost.
▪ Each SHZ must have a full-fledged generic medical store, to make the people in rural areas have better
access to much cheaper and equally efficient, government subsidized generic medicines.
o India is the largest exporter of generic medicines. So instead of exporting them, Government should
cut down its revenues generated from this and make these medicines available in rural areas through
SHZ.

5. Establishment of Social Healthcare Zones (SHZ’s)
The healthcare institutions in SHZ’s would enjoy
special benefits such as:
1. Exemption of SHZ Units from the payment of stamp
duty and registration fees on the lease/license of
plots
2. Low Interest Credit Rates for establishment of
healthcare centers in SHZ’s
3. Exemption from payment of Service Tax.
4. Exemption from Central Excise duty on the
procurement of capital goods, raw materials, and
consumable spares, etc. from the domestic
market.
In return, the government would impose certain
restrictions such as:
1. Instead of prescribing the name of the medicine
of a particular company, doctors would have to
prescribe just the name of the salt with its
dosage and time period.
2. There should be a maximum price for
conduction of basic, discretizable tests and
analysis like urine tests, blood tests imposed by
the government.
3. Many traders become interested in this kind of
establishment, so that they can acquire at cheap
rates and create a land bank for themselves. So
there will be a restriction to become operational
within 2 years of acquiring land.

6. ‘WEEKLY HEAL’ (Saptahik Swastha Suraksha)
Providing HealthCare Facilities in Government Schools
▪ Similar to mid-day meals strategy, healthcare facilities should be provided in government schools for the
students.
▪ This would not only provide access to healthcare but also reduce the school drop-out rates and improve
enrollments.
▪ An MBBS doctor would be made available once a week for medical consulting.
▪ A regular general check-up of students (twice an year) should be made compulsory for all government
schools.
o The medical data collected from the schools can be used for further analysis and to keep proper track
of the students’ health and make suitable policy changes.

7. Decentralization of health care management
•The requirements of every village are different and locals have a better knowledge of
those requirements. Imposing several schemes on a single village decreases efficiency
and hence only the most required schemes should be imposed.
•If state government can allocate funds directly to district administration, then the officials
will be much more accountable to people and use and efficiency of fund use will improve
significantly
Management
•Feedback committee consisting of Panchayat Samiti members and Primary school
Headmaster would be directly approachable, frequent checks of hospitals will reduce
doctor’s and nurse’s absentee from health care center
•Presently this work is done by district administration and hence covering so many villages
is cumbersome
• District administration will form a link with state administration and feedback committee
in providing the impact report and requirement report so that the required schemes can
be implemented without break and to maximum effect
Feedback

8. Collaboration with NRHM and improvements
Medical Training: ASHA workers have to be trained for basic medical procedures
such as identifying symptoms of malaria and TB, vaccination and imparting simple
health education to children. This will be done with help of students in the nearest
medical college who will organize medical camps for ASHA workers.
Because of religious superstitions, often people in villages deny vaccination. For
such people awareness is very necessary. Collaborating with local NGOs would
prove to be very effective in eliminating such superstitions. Taking help from
nukkad-natika groups and anganwadi workers will be very effective.
As per the recommendations of HLEG, NDRAD should be established to regulate
pharmaceuticals and medical devices and provide patients access to safe and cost
effective products.

9. Social Points
How To Earn Profits For Company
1) By offering Scholarships for Higher
Studies in Medical Sciences
2) By Investing in Health Sector
3) By organizing Health camps such as
Blood Donation and AIDS awareness
camps
1) Companies with more social points
will be preferred for the contract of
government projects
2) Companies will earn social goodwill
which will improve their sell and
revenue
Social Points is a measure of social goodwill that can be earned by any company by
involving in philanthropic duties

10. References
1) http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3093249/
2) http://cooperation.epfl.ch/files/content/sites/cooperation/files/MaDePro%202013/MaDe
Pro%202011-2012_Individual%20Project_Bhatt,%20Hema.pdf
3) http://data.worldbank.org/indicator
4) http://economics.mit.edu/files/5172
5) http://cghr.org/wordpress/wp-content/uploads/Towards-achievement-of-universal-health-
care-in-India-by-2020-a-call-to-action-2011.pdf
6) Ministry of Health and Family Welfare : https://nrhm-mis.nic.in/
7) HealthCare in India – Vision 2020
http://planningcommission.nic.in/reports/genrep/bkpap2020/26_bg2020.pdf
8) Annual Report: Government of India, Ministry of Health and Family Welfare:
http://mohfw.nic.in/WriteReadData/l892s/6960144509Annual%20Report%20to%20the
%20People%20on%20Health.pdf
9) Wharton. (2013). Can New Delivery Models Help Fix India's Health Care Woes? Retrieved
from: http://knowledge.wharton.upenn.edu/india/article.cfm?articleid=4734
10) http://indiancag.org/manthan/research-documents/access-quality-primary-healthcare.pdf