Tagged: mhealth

Time to start the work on the new National Health Policy


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 Rajendra Pratap Gupta

President & Member

Board of Directors

October 27, 2013

Shri Keshav Desiraju

Secretary to the Government of India

Ministry of Health & Family Welfare

Nirman Bhawan, New Delhi – 110108.

 

Reference: Need for a National Health Policy – NHP

Dear Shri Keshav ji,

I am writing on behalf of the Disease Management Association of India – The Population Health Improvement Alliance. We have been proactively taking up issues with regards to healthcare policy & reforms in India.

On February 01, 2013, when you were appointed as the Health Secretary, people involved with the health sector felt happy that the nation had got its best health secretary!  Expectations are running high!

This communiqué is about the need for setting up a team to draft the National Health Policy. Since the last National Health Policy was drafted more than 10 years ago in 2002, a lot of things have changed, like;

  • NRHM was launched in 2005 as a flagship program focused on rural health
  • RSBY was launched
  • Pandemic outbreaks like H1N1 (Swine Flu) have been a surprise and have shaken the world
  • Rise of MDR – T.B.
  • Increase in the incidence of chronic diseases & the issues related to child health
  • Occupational hazards
  • High IMR/MMR & MDGs deadline approaching in 2015

Besides, a lot of other developments have taken place, like;

  • UID –Aadhaar number for the entire population have been initiated
  • Emergence of mHealth & telemedicine
  • Newer technological interventions for diagnostics and treatment
  • Emergence of Big Data Analytics
  • Also that, India is focusing on transitioning the healthcare system to Universal Coverage
  • Emergence of innovative concepts, like Disease Management, ACOs (Accountable Care Organizations), HMOs (Health Management Organizations)  & Meaningful use.
  • Emergence of the prominent role of civil society organizations in healthcare delivery
  • Role of social media

The 12th five year plan has often been referred to as the plan for health, and I believe, that it is the right time to set up a committee to draft the new National Health Policy by 2015. Even if the committee is set up in early 2014, it will take at least a year to do the survey and complete the policy and so, most likely, the NHP would be tabled by 2015 and would cover a period of next 10 years (2015-2025).

We are sure that you will consider our request seriously and initiate the process for the new National Health Policy

With best wishes and with warm regards

Sd/-

Rajendra Pratap Gupta

CC:

Dr.Manmohan Singh, Prime Minister, Government of India.

Shri. Ghulam Nabi Azad, Union Minister for Health & Family Welfare

Dr.Syeda Hameed, Member, Planning Commission, Government of India

Chairperson, UPA

Presidents of all the National Political Parties

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Healthcare policies for a political party


On 5th April, 2013,  was invited to lead the discussions on a healthcare policy meeting of a fast emerging political party

The following discussion points i put forth for the kind consideration of the committee ;

Three key components for reform:

Systems

Service

Staff

Key challenges :

longevity of life

Expenses as budgetary allocation

Timely and quality interventions

Preventive promotive and curative health care

Child health

Chronic diseases

Rural health

Technological interventions

Role of pharmacists and nurses

Private community  partnership-sector

Outcomes with patient satisfaction

Health is not a standalone topic

Four pillars of public health . Hygiene , water , sanitation and nutrition

Protocols & treatment guidelines

Soft skills

Tax on unhealthy products and foods

Challenge is huge country , diverse population , demographics and poor infrastructure .

Why doctors don’t go to rural india ? Poor infrastructure for families and staying locally  coupled with no infrastructure for operations in rural

Several solutions few execution is the problem

Following inputs were given in the format the party needed ( Point wise );

Primary care :

1. Rural healthcare centres be accessible 24 X 7 using technology – Health Helplines

2. Mobile applications on phones connected to ASHA workers etc

3. Clinic on Ambulance model

4. 75 % of the funding of healthcare should go to Primary care

Refer the article on primary care

Child Health 

1. Incorporate health in school curriculum from class IV onwards

2. Pictorial charts and audio-visual films to teach hygiene and health

3. Health parameters be reported in annual and six monthly report cards

4. Junk foods be banned in and around school premises

5. Calorific and nutritional value be written on every packaged food items in relation to RDCA

6. 3 % of the curriculum marks be allocated to health of the student

7. Health & Hygiene be included in school curriculum as an exam based paper from class 4th onwards

Health IT 

1. All programs must be backed by an IT backbone

2. Mobile health record ( PHR ) as an alternative to electronic health record be linked to Aadhaar card

3. Reporting , surveillance and monitoring all programs through live data reporting at the taluka, district and national level

4. Standards and protocols for  all the treatments be issued , so that the AAM AADMI is not fleeced by unscrupulous people in the name of healthcare / treatment

5. All village sub centres be connected via telemedicine and mobile healthcare

6. At least 2 % of the healthcare budgets be spent on Healthcare IT

Chronic diseases 

1. Mass screenings be made available through pharmacies across the nation for diabetes , hypertension & obesity

2. Disease Management Programs be launched for all chronic diseases

3. mobile health be used for chronic disease management

4. Those with habits of smoking and drinking should have a higher co-pay to seek universal healthcare benefits ,  so that the healthy should not subsidise the ‘irresponsible’ sick people

5. Companies spending on wellness should be given incentives

Public health :

1. Focus on healths should be centred on wellness and not just on treatment

2. 75 % of the health budget should be spent on prevention and promotion

3. Corporate and five-star hospitals in urban india / metros should be taxed (levied  5% surcharge )  to subsidise the healthcare delivery in rural India

4. Set up the epidemiological data

We should change the slogan from ‘Health for all’ to ‘All for Health’