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INTERNATIONAL ROUNDTABLE:Work-site Health Promotion in INDIADr. Vishal MarwahFounder and Physician LeaderVISHWAS

www.vishwas.org.in

Hello my friends from across the globe! I am Dr. Vishal Marwah. I am sorry I could not make it to the conference, but I send my best wishes! Dr. Vishal MarwahFounder and Physician LeaderVISHWAS

Key discussion pointsINDIA demographics and cultural diversityBurden of disease Drivers of WSHPPrograms and successesFuture trends and challenges Strategic vision for WSHP in India

3INDIA - Demographics1.2 Billion people (as of 2012)Life expectancy 67 yearsPopulation growth rate 1.3% Urban/Rural 30/70 %Health expenditure 2.3 % GDPTotal GDP $ 1.9 trillion

One country or many?!

CULTURAL DIVERSITY

Diversity in food and lifestyles

Cultural hallmarksHigh Power distance (especially in workplace)The society is collectivist (vs individualist)More affective than reasoningEnglish is widely used across the organized sector Religion and tradition have strong influence on work-place cultureMulti-ethnic, multi-cultural setting requires customized intervention design

Burden of disease Epidemiologic transition

Chronic diseases a time-bomb waiting to explodeBy 2020..World capital of DiabetesWorld capital of Heart Disease

Diversity of Workforce

Unorganized SectorOrganized Industrial SectorOrganized Service Sector

Health coachOccupational Health PhysicianEvolution of WSHP Managers

Toxicology and Environment healthErgonomicsFactories ActOccupational healthSafety and ComplianceDisability managementRehabilitationHealth promotionCounselingMotivationBehavioral medicineHealth program planningHealth policyInsurance and benefits

1950s 2000s2000s future

Drivers of WSHP WSHP VendorsLobby groups WSHP ConsortiumsGovernment initiative

The early adopters and facilitators

Does WSHP make business sense in INDIA?Group insurance premiums set to increase by 30-50% in 2012-13 Medical costs inflating Cost offering health insurance to employees < cost of offering WSHP

CONCLUSION: Managing health care costs/insurance premiums CANNOT BE the sole value proposition for WSHP

Challenges to WSHP to INDIALack of policy framework to support WSHPPaucity of health promotion professionalsFocus primarily on occupational healthLack of organized playersCultural diversity a challenge for program developmentWeak knowledge and research baseNot yet a priority for many companies

OPPORTUNITIESA market still evolvingA great unmet need for health promotionInsurance premiums on the riseHealth being seen as human capitalFirst movers advantage

Strategic Vision for WSHP in INDIACreate a knowledge base and policy framework

Create a Human resource base

Create organizational capacity for delivery of services

About VISHWASVISHWAS is a model of Physician Leadership seeks to reorient physicians towards family medicine and place them in community settings where they will assume leadership for a variety of health promotion programs

www.vishwas.org.in

Thank you!Contact: Dr. Vishal Marwahmarwahvishal10@gmail.comwww.vishwas.org.in