-
7/30/2019 Making access to healthcare a reality - Aman Gupta
1/12
Making access tohealthcare a reality
Ind
ia
HealthProgressRole of stakeholders in ensuringthe continuum of
healthcare
New Delhi
3 November 2012
Knowledge PartnerSupported by
-
7/30/2019 Making access to healthcare a reality - Aman Gupta
2/12
IndiaHealth
Progress
CONTINUUM TO ENSURE ACCESS
TO HEALTHCAREpresented byAman Gupta
Principal Advisor
India Health Progress
-
7/30/2019 Making access to healthcare a reality - Aman Gupta
3/12
India
HealthProgress
Continuum of access to healthcare
Ensuring availability and access to required resourcesand
infrastructure in the healthcare lifecycle for an
individual
Continuum of access to healthcare requires collaborativeaction
from every stakeholder attached to healthcaredelivery
-
7/30/2019 Making access to healthcare a reality - Aman Gupta
4/12
India
HealthProgress
The stakeholders involved
Diagnosticcentres
PatientGroups
CHWNursing andMedical Staff
Healthcareservice
providers
DoctorsInsurance
sectorPharmaindustry
Industrybodies
NGOs
AcademiaGovt. State
& Centre
Media
NB: this is only an indication of the various stakeholders
involved in the human lifecycle toensure healthcare delivery
-
7/30/2019 Making access to healthcare a reality - Aman Gupta
5/12
India
HealthProgress
Why is health system reform needed?
18% of all episodes in rural areas and 10% in urban areas
received no healthcare at all
12% of people living in rural areas and 1% in urban areas had no
access to ahealth facility
28% of rural residents and 20% of urban residents had no funds
for healthcare Over 40% of hospitalised persons had to borrow money
or sell assets to pay
for their care
Over 35% of hospitalised persons fell below the poverty line
because ofhospital expenses
Over 2.2% of the population may be impoverished because of
hospital expenses The majority of the citizens who did not access
the health system were from the
lowest income quintiles
Source: NSSO 2006
-
7/30/2019 Making access to healthcare a reality - Aman Gupta
6/12
India
HealthProgress
Access to healthcare lifecycle
Infrastructure
HumanResources
Financeoptions
Drugavailability
-
7/30/2019 Making access to healthcare a reality - Aman Gupta
7/12India
HealthProgress
Challenges
Infrastructure
HumanResources
Financeoptions
Drugavailability
Issues Lack of proper / basic infrastructure:
issues related to potable water,
sanitation, housing, availability of
basic resources
Availability and access to primarycare centres
Access to diagnostic centres Inadequate delivery systems
Inadequate PHCsSome solutions
Govt to encourage PPP Strengthening public services Focus on
preventive measures
-
7/30/2019 Making access to healthcare a reality - Aman Gupta
8/12India
HealthProgress
Challenges
Infrastructure
HumanResources
Financeoptions
Drugavailability
Issues Limited number of health
professionals
Under-representation of women inhealthcare (barely 34%)
Limited abilities for preliminarydiagnosis
Limited number of CHWs Distance to nearest PHC Distance to
nearest GPSome solutions Augmenting healthcare personnel Increasing
the number of medical
and nursing colleges
Incentives for personnel willing totravel to rural parts
-
7/30/2019 Making access to healthcare a reality - Aman Gupta
9/12Ind
ia
HealthProgress
Challenges
Infrastructure
HumanResources
Financeoptions
Drugavailability
Issues Availability of easy finance Insurance options Awareness
to government schemes Slow implementation of RSBY
Exclusion of OPD drugs Current schemes do not cover outpatient
care, lab diagnostics
Some solutions Enhanced penetration of universal
health insurance schemes, extending
their mandate to include medicines Increased public expenditure
Effective utilization of available funds
-
7/30/2019 Making access to healthcare a reality - Aman Gupta
10/12Ind
ia
HealthProgress
Challenges
Infrastructure
HumanResources
Financeoptions
Drugavailability
Issues Irregular supplies Poor delivery channels Low consumer
awarenessSome solutions Improving distribution channels Easy
availability of branded and
generics
Extending Jan Aushudhi to PHCs
-
7/30/2019 Making access to healthcare a reality - Aman Gupta
11/12Ind
ia
HealthProgress
What role does each stakeholder play?
Diagnosticcentres
PatientGroups
CWHNursing andMedical Staff
Healthcareservice
providers
DoctorsInsurance
sectorPharmaindustry
Industrybodies
NGOs
AcademiaGovt. State
& Centre
Media
NB: this is only an indication of the various stakeholders
involved in the human lifecycle toensure healthcare delivery
-
7/30/2019 Making access to healthcare a reality - Aman Gupta
12/12
Making access tohealthcare a reality
Ind
ia
HealthProgressRole of stakeholders in ensuringthe continuum of
healthcare
New Delhi
3 November 2012
Knowledge PartnerSupported by
