April 2018
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Pre-requisites of Sustainable Healthcare

Dr. Damodar Bachani, Deputy Commissioner (NCD)- Ministry of Health & FW

Pre-requisites of Sustainable Healthcare

1.Improve access to healthcare
2.Capacity Building for Healthcare
3.Maintain quality of healthcare
4.Reduce operating costs & OOP expenditure
5.Effective control of common diseases through effective monitoring & surveillance systems

Improving Access to Healthcare

•Tele-medicine is one of the best options for delivering healthcare for rural & geographically distant populations

National Rural Telemedicine Network (NRTN)

Tele-consultation, Tele-follow-ups and m-health applications

Level-1: Sub-Centres, Primary Health Centres/ Community Health Centres connected to a District Hospital

Level-2: District Hospital connected to a State Hospital / National Super Specialty Hospital/Medical Colleges

Level-3: State Hospital/ National Super Specialty Hospital/ Medical College connected to each other

Level-M: Mobile Telemedicine Units covering few villages connected to nearest PHC / CHC or directly to District Hospital

Capacity Building for HealthcareTele-education•Facility based learning
•Webinars for CME
•Capacity Building of health team

National Knowledge NetworkMentoring by specialistsUse of General Telemedicine Grid or through Specific Disease Networks (Oncology, Heart Disease, Diabetes) etc.
Maintain Quality of HealthcareInformation Management•Hospital management system for better efficiency
•Electronic health records (using Aadhar)
•e-referral systemService Delivery•Electronic prescriptions
•e-procurement  & logistic management
•mTechnology for public awareness
•e-dispensing of medicines
•Follow-up services
•Optimal utilization of specialists

Online Medical Supply

Drugs & Vaccines Distribution Management System (DVDMS)

§DVDMS is a web based Supply Chain Management System developed by CDAC towards adapting technology to improve supply chain of the drugs, sutures and surgical items
§Tamil Nadu, Rajasthan, Karnataka, Gujarat, Maharashtra, Assam, Punjab, Madhya Pradesh and Chhattisgarh have implemented IT backed Drugs & Logistic Management Systems across the State.
§Support for operationalizing the software is also provided to States who wish to avail funding for its implementation under National Health Mission
§Under NHM, financial assistance is provided for provision of free generic/essential drugs to those who access public health facilities.

Reduce operating costs & Out-of-pocket expenses

•Reduction of costs on laboratory tests & drugs
•Less number of visits to higher levels of care
•Reduction in travel & other indirect costs (loss of wages, food, stay etc.)
•Reduction in costs on managing complications

Effective Control of common diseases through effective monitoring & surveillance systems

•Currently around 1.79 lakh health facilities are reporting data every month through HMIS
•Ease of accessibility & use of data
•Better monitoring and evaluation of health programs
•Provide inputs to health policy formulation & interventions
•Improved capability of data reporting and analysis
•Supporting Epidemiological & Disease surveillance

Performance 2013-14


•2.90 Crore pregnant women registered for Ante Natal Care
•2.18 Crore pregnant women received three ANC check-ups
•2.32 Crore pregnant women received 100 Iron Folic Acid tablets
•2.12 Crore live births

Population Control

•43.04 Lakh sterilizations conducted
•51.99 Lakh IUCD insertions

Medical Services provided

•104.97 Crore outpatient consultations
•4.89 Crore patients admitted
•36.05 Lakh major operations
•71.2 Lakh minor operations
•4.95 Crore Haemoglobin tests done