Jan Rugnalay aims at providing the people of rural India the healthcare facility at minimum or free of cost depending upon the condition. Vision: To have a society that is full of energy, health and well-being. Goals: • To provide quality and cost-effective diagnosis. • To provide quality medical consultation. • To provide quality and cost-effective healthcare service. • To provide mass treatment for common problems and health awareness through health camps.

1. Jana Rugnalay
Under Guidance of
Prof. Balaji Ramadurai
Dr. D.K.Shinde Dr. B.E.Narkhede
VJTI Project Management, Mumbai1 25-11-2017
Sagar Sonawane (172200008)
sagar.sonawane72@gmail.com
8898177960
Deepak Soni (172200016)
dps3792@gmail.com
99678 87388
Abhishek Uniyal (172200033)
abhiuniyal20@gmail.com
7906648694
Pradnyesh Sangvikar (172200003)
pradnyeshsangvikar@gmail.com
9819367338
Talha Shaikh (172200028)
tlsk.civil@gmail.com
8421518702
Priyanka Dusane (172201037)
pdusane95@gmail.com
8356971854
Presented By:
1

2. Healthcare Challenges in India
Poor
Health
Long wait times Unmotivated interns
Lacking
Nutrition
Practitioners
Untrained Staff Personal choices
Exiting
Conditions
Reach not close
Healthcare Challenges in India
Quality FactorsSafety
Drawbacks
Technology lag
Lack of discipline
Costly treatment
Neglect Preventive
measures
Proper Healthcare
facilities
People outreach
Attacks on Doctors
Harassment of Patients
Socio economic
Demographic
Geographic
2

3. Current Healthcare Situation
-35
-40
-65
-39-40
-30
-22
-91
-100
-90
-80
-70
-60
-50
-40
-30
-20
-10
0
Uttarakhand
Madhya
Pradesh Jharkhand Bihar
% shortfall in PHC and CHC
PHC CHC
510
570
370
430
250
200
220
300
223 232
146 149
0
100
200
300
400
500
600
Uttarakhand Madhya
Pradesh
Jharkhand Bihar
Rural Health
Infant Mortality Maternal Mortality
Malnutrition
(* Per thousand)
PHC – Primary Health Centre
CHC – Community Health Centre3

4. Aim Vision
The most truthful way
to serve God is to
serve the poorest
man.
• Provide the people of rural India and poor
the Healthcare facility at minimum or free
of cost.
• Prevention of diseases and other medical
conditions through awareness and
vaccines.
• To have a society that is
full of energy, health and
well-being.
4

5. Scope
Levels
1st Level
2nd Level
3rd Level
AADHAR Linked
EPR
Generic Medicine
Refills for
Chronic Patients
Transportation
Centre and Patient
Telemedicine
Reference to
Specialist Doctors
Employee
Motivation
Incentives on
Success Points
Inculcating
Family Planning
& Contraceptives
ideas
Suggesting
Nutrition Plans
*EPR – Electronic Patient Record
5

6. Initiation and Planning
First Level - MHT
• Hospital reaches via MOBILE HEALTH TEAM.
• Dedicated Village Health worker/ ASHA/KIRAN.
• First aid, Primary Health check up, Health education etc.
• Referral to PHC.
Second Level -
PHC
• PRIMARY HEALTH CENTER.
• Semi Advanced treatment, accident mitigation, training ASHA, Maternal treatment, etc.
• Allied health professionals, Specialists, Blood tests, Diagnostics, Tele medicine, Electronic Patient Recording, Generic drugs.
• Contacts of Rotary or Lions Club.
Third Level – Multi
specialty Hospital;
• Tied up with Major Hospital
• Advanced Medical investigation and treatment
• After treatment Support through PHC.
6

7. EXECUTION
Project Plan
• Estimate Project Work Load .
• Identify Elaborate & document the requirements.
• Possible stakeholders, and stake holder register preparation.
Healthcare Work
• Passionate Medical Experts Hunt, Making more Contacts.
• Govt. programs support look out, viz /Jan Aushadhi Yojna, NRHM Programs Rashtriya Swastha Bima Yojna etc..
• Outreach accessibility, Marketing prospects.
Mobile Vehicle Unit
• Vehicles from the Competitive contractors on time bond basis.
• Timely Upgradation, and user friendly making.
• Outreach accessibility, Marketing prospects, emergency preparedness
• National Mobile Medical Units (NMMUs) – initiative of Govt.
PHC
•Land Acquisition and clearances.
•PHC requires a 2-3 storey building.
•Identifying stake holders.
•Use solar panels and diesel generators for redundancy.
7

8. Quality
Tele-Medicine Centres
Accessible & Affordable
setup providing diagnostics
and consultation; operational
with minimal infrastructure
and skill set
Pharmacies
Making quality medicine and health
products available via JAN AUSHADHI
PROGRAMME, which focuses on
Generic Medicines.
Diagnostic Labs
Provide access to quality
diagnostics for a larger
population
Hospitals
Enhanced reach to
remote areas; referrals to speciality
Centres
Mobile Health Workers
Portable solution to enhance reach
and capabilities of ASHA/
VHWs/KIRAN, enabling monitoring of
various health
indices and epidemics
Doctors
Qualified doctors provide
consultation to patients
remotely
8

9. Technology in Healthcare
Telemedicine
• Improve Healthcare quality.
• Expand access to affordable
care.
• Time saving and ca
• Tie up with GE Healthcare
or Siemens in this regard.
Generic Medicine Store
• Generic medicine store can
be registered through
www.Janaaushadhi.gov.in
• Store will be located inside
hospital body.
• Beneficial for poor people as
medicines will be available at
low cost.
Electronic Patient Record
• Clinical documentation
improvement.
• Records shared through
network, thereby maintaining
the secrecy.
• Records of Patients can be
access from anywhere from
the world.
Online Medicine
Distribution
• Order taken Through
Website or Telephone.
• Delivered to door.
• Some times some medicines
are not available on local
medical store.
• Generic medicines will be
easily available to remote
areas.

10. RURAL
Healthcare
Pre Feasibility
analysis
Selection Of
site
Project Plan
Viable
constraints
Risks and
SWOT
PHC
Construction
Land and
Clearances
Design and
layout
Infrastructure
Development
Mobile Units
Team
Deployment
Recruitment
and training
Out reach
access
Educating
community
Commissioning
Quality control
analysis
Quality
treatment
Marketing
aspect
Data Analysis
Customer
Interface
10

11. Phitoragarh – A Start for Jana Ruganalya
Area (Sq. km.) - 721,859 , in Uttarakhand
Total Population - 522,181
Urban (%) - 8.90 Rural (%) - 91.10
1675 Villages, 3 towns.
People often go to Dehradun (485KM) for quality Healthcare.
11

12. Capital Expenditure
Sr.
no.
Description of Work
Area in
sq.ft
Rate ₹
Amount ₹
(in Lakhs)
1.
Civil Works: Area requirement for 25 bedded hospital is 10,000 sq.ft Rate @ INR 1000 sq.ft.
@ INR 1000 sq.ft.
10,000 1000 100
2. Site Development 20,000 700 140
3. Medical Equipment 100
4. Medical & Non-Medical Furniture, Signage etc. 15
5. Ambulance & Automobiles 40
Total 395
6. Contingency @ 10% 39.5
Total Project Cost 434.5
12

13. Operating Expenditure
Sr. no. Description
₹ per Annum
(in Lakhs)
1. Employee and staff salaries 30
2. Building maintenance and utilities 5
3. Worker supplies and patient care supplies 1
4. Diagnostic and therapeutic supplies and medications 10
5. Ambulance & Automobiles maintenance 1
6. Total 47
13

14. CASH FLOW DIAGRAM
*Figures in Lakhs
Inflation Rate = 4% per annum
Initial capital = ₹ 434.5 lakhs
Operating cost per year = ₹ 45 lakhs
1 2 3 4 50
434.5
48.8 50.8 52.86 54.98 57.18
14

15. Sources of Funding
Funds
Corporate social
responsibility
Organising fund raising
events
Funding agencies Government schemes
Placing donation boxes
Raising through social
media
Online donations through
website
Cause related marketing
15

16. Contributions
• Infrastructure and renovation
• Free or Concessional rate medicines
• Subsidized food and other consumables
• Medical equipment, professional and
consultation fees
CSR
• National Rural Health Mission
• National TB/ Cancer Control Program
• Jan Aushadi Yojna, Swacch Bharath Abhiyaan.
• Rajiv Gandhi Jeevan Dayi Arogya Yojna
Government
schemes
• Charitable donations which includes cash,
real estate, motor vehicles, securities,
clothing and other assets or services.
• Temple Trust Money.
Others
80%
15%
5%
CSR
Funding agencies
others
21%
60%
19%
CSR
Funding agencies
Others
16

17. 17
Risk Register
ID NO RISK IDENTIFICATION PROBABLITY IMPACT SCALE
PRIORITY
(PROBABLITY*
IMPACT SCALE)
MITIGATION RESPONSE
1 People may give less attention due to low
due to low cost and easily available
available service
Very likely Extreme High The aim and objective be clearly
clearly defined to the people and
and trust must be earned by
organizing programs in various
various places in rural area
2 Biohazardous waste may harm the health Very likely Extreme High Proper incineration, encapsulation
3 Contagious and infectious diseases may
diseases may harm the workers and
and other patients
Moderate Extreme High Proper sanitation cleanliness should
should be maintained and proper
proper sterilization and disinfection
disinfection should be maintained
maintained with equipment
4 Violent Incidents like assault harassment
harassment case may happen with
with patients and medical professionals
professionals also
Rare Extreme Moderate Proper policy should be made and
made and strict action should be
be taken to prevent further problem
5 Electronically recorded hospital data may
data may be stolen by hackers
Rare Trivial Low IT cell should be maintained to
to monitor this problem

18. • Treatment of critical
diseases
• Growth of NPO
• Setting a Qualitative
Example
• Opposition from Private
Clinics
• Presumption about
Private Hospitals
• Safety Aspect
• Attrition
• Travelling
• Huge dependency on Funds
• Lack of Awareness &
Superstition
• Language barrier
• Governmental support,
Companies interest
• Employment generation
• Quality service reaches to
the people
STRENGTHS WEAKNESS
OPPORTUNITIESTHREATS
SWOT Analysis
18

19. Future Scope
 Accessibility at Rural Level can be further Enhanced.
 Inclusion of Concept of Barefoot Doctors at later stage.
 Future Growth of the program in various rural areas.
 Fusion of Technology and Medicine at Rural stage will be a big game changer.
 Disaster Relief can be provided.
 Development of Paramedics in Local Areas.
 Training People near the Highway Area to give CPR in Case of Accidents.
19

20. Thank You
Questions
20