Image by drneelesh via Flickr
New Delhi: The National Rural Health Mission (NRHM) International Advisory Panel Chairperson Jeffrey Sachs has called upon India to implement IT based health delivery system in the country.
The Columbia University Professor, while praising India’s effort for closing gap on the health mission under the Millennium Development Goals (MDG) with the other countries, however, said that the country needs to make more investment in the sector. “India should step up the budgetary allocation in health sector to four to five per cent of the GDP,” Sachs said adding that a higher investment in the health sector will give great social returns.
Calling the NRHM as one of the most remarkable achievements in public health sector, he said that India’s dramatic improvement in the health sector have been made possible due to enhanced partnership between the centre, state and local units.
Sachs, who is also the advisor to UN Secretary General Ban Ki Moon, said that the increase in institutional delivery and drop in mortality is especially impressive.
Arguing for an IT-based health delivery system, Sachs added that India can serve as a role model for other countries in the health sector.Having travelled to a few Indian states, he also said that there is, however, a need for more human resources and logistical support.
He was speaking with the media after a meeting with the Union Health and Family Welfare Minister Anbumani Ramadoss and the senior officials of the Ministry for the fifth meeting of the Panel in New Delhi on Tuesday. The advisory panel meeting was also attended by Health Ministers of three African countries— Kenyan Minister for Medical Services Peter Anyag ‘Nyong’ O, Malawi Minister of Health Khumbo Kachali, and Rawanda’s Minister of Health Rechard Sezibera
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Just back from the Meditel 2008, the fifth International conference on Medical informatics and Telemedicine. The theme of the conference this year was “ICT for Medical Education and Research” and there were some pretty sharp presentations in Medical e.learning. Hopefully, as promised, most of the presentations would be available on the MCSI website soon.
The few presentations i thoroughly enjoyed included,
- E-Learning- Current trends in India- by Dr.Balasubramanyam, Prof. and head, Dept. of Anatomy, SJMC, Bangalore.
- Improving Healthcare via Transparent monitoring- Mr.Bill Thies, MIT and Microsoft ( use of microchip within pill boxes to monitor compliance in National health programs like DOTS India.)
- World”s first prepaid service for Doctors consultation from any Phone- by Mr.Sunil Kulkarni, Group President, Oxigen Services (India) Pvt. Ltd.( a beautiful concept to allow pre-paying for telephonic medical consultations)
There were a number of other interesting ones, like this Virtual conference using Webex services, via a lowly Tata Indicom plug2surf device !!
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We know that wider adoption of healthcare information technology (HIT) results in better patient care. Here, in India, most medical students learn to use HIT after they start working as Doctors. Many medical students use the net to study, at a personal level, but institutional use of IT in Indian Medical colleges and associated hospitals is very low.
But here is a study with a very different perspective regarding HIT.
“About 80 percent of the 328 Vanderbilt graduates who participated in the study were working in an environment with less IT. According to the study, they reported “feeling less able to practice safe patient care, to utilize evidence at the point of care, to work efficiently, to share and communicate information and to work effectively within the local system.”
Used to IT support in decision making, Medical students were left flabbergasted when they had to provide healthcare from Knowledge. Definitely not a very good sign.
Read the study on Healthcareitnews here.
RAKSHA (Registered society for knowledge and health activities) is a Rajasthan based non-profit organization working for democratization of knowledge and health. It is headed by 1)Dr.Neelesh Bhandari, a Armed forces Medical College passout, a pathologist, post graduate in Human Rights and a medical multimedia consultant. Dr.Neelesh has more than ten years of experience in public health administration, of which about Eight years is in Rajasthan Public service commission. 2) Dr. Preeti Lodha, a psychiatrist and health rights activist with more than ten years of experience in public health administration, of which about Eight years is in Rajasthan Public service commission. Additionally, Dr. Preeti has previous experience of One year as a Project Manager in Operation Veerni. ( A maternal and child health project run by Apollo Rajdadiji Hospital, Jodhpur with international assistance).
The Swasthya Beema Yogana is an ambitious programme meant to provide cashless health care services to the poor in Rajasthan and India.
-Health Raksha Campaign, Rajasthan-
- The main aims of the Project-
1) Creating New multimedia/video content for public awareness
2) Displaying multimedia content at important rural junctions using Audio-visual equipment and via local cable and news channels.Permanent IEC Boards ( 4 feet by 2 feet) to be erected at more than one thousand sites.
3) Explaining the benefits of the scheme to Doctors and health workers.
4) Screening BPL families and referring appropriate cases to public hospitals.
5) Collect data on baseline health status and scheme usage trends amongst the BPL families.
- Broadly, the project would consist of
1) Four vehicles, armed with Audio-visual equipment ( Television and CD player) to be leased for One year.
2) Each vehicle manned by one driver, one paramedical staff and one Technician, ie 3 personnel.( Total Twelve employees in four vehicles). Supervision over Four vehicles by Two doctors ( Dr.Neelesh Bhandari,Pathologist and Dr.Preeti Lodha, Psychiatrist).
3) Each vehicle entrusted with carrying out IEC activities in Six ( or seven) Districts.( Total 25 districts)
4) Each vehicle makes a minimum of twenty (20) visits per month.( Total approx. One thousand visits over 25 districts in one year) These visits would be prefixed in consultation with local authorities and would consist of rural junctions with high BPL population/attendees ( like Tehsil offices, hospitals, panchayat bhawan, Bus stops, subordinate courts etc.)
5) Dr.Neelesh Bhandari and Dr.Preeti Lodha to make regular monthly visits to various district hospitals, CHCs etc. to give multimedia presentations on the Scheme to the medical and paramedical staff. These visits shall coincide with monthly block/CHC meetings and achieve the dual purpose of training and sensitization of health workers and Doctors. All District hospitals and medical staff at CHCs in all 25 districts to be covered over one year.
1) For this campaign original video content shall be produced . Promotional content shot in TV studios ( Surya Cine vision, Mumbai and MEdRC, Hyderabad), Interviews with BPL families and officials on site, health education videos and other such content shall be produced. RAKSHA expects to produce original video content of Tens of hours over One year. All intellectual property rights to the multimedia content will be equally shared between RAKSHA and Controlling agency / ICICI Lombard.All the content shall be branded and provided to local cable channels, TV stations and also published on our youtube channel on medical education.
2) Each visit shall be recorded via Still photographs which shall be posted on a dedicated Flickr channel created for this purpose.Copies of photographs shall be distributed to all the local newspapers. Close to five thousand photographs ( Five photographs per visit X approx. 1000 visits) shall be published on the internet.
3) All the events shall be chronicled ( updated every three days) on a new blogspot/wordpress blog created for this purpose.
Such extensive self publication via youtube, blogs and Flickr.com shall also assist in Remote Monitoring of the campaign by state and central authorities at ICICI Lombard.
- During each visit by the mobile team, the activities carried out would include
1) Set up the TV and the CD player
2) Give short talks on the Bima Yojana to the gathering
3) Distribute pamphlets and other brochures.
4) Provide OTC medication only to BPL families. This will be done primarily to attract the Target audience.The seriously ill amongst these families to be referred to nearby hospitals with instructions to avail the Bima Yojana. Data regarding total number of patients seen and referred to be conveyed monthly to ICICI Lombard.
This is the skeleton sketch of the proposed Project to conduct IEC and other Promotional activities in the state of Rajasthan over one year. Initially, the four vehicles shall concentrate on the four districts of Jhalawad, Rajsamand, Barmer and Bikaner ( as recommended by you). Later, all the remaining districts shall be covered in equal proportions during the year. RAKSHA shall operate locally in conjunction with public health authorities and local NGOs like Bharat Vikas Parishad., Manav sewa sansthan and others.RAKSHA shall strive to create new partnerships with national and international organizations by using United Nations platforms like solution exchange.to furthur extend the reach of this campaign.
Copies of all the multimedia content along with analysis of before-after data accumulated over the year shall be handed over to Controlling agency / ICICI Lombard at the end of the year.
Kindly email me for receiving a detailed project report. If approved, RAKSHA can initiate the project from the First of January, 2009.
My blogs and original widgets ecosystem
www.neeleshbhandari.blogspot.com
www.netvibes.com/drneelesh
My slides
www.slideshare.net/drneelesh
My presentations
www.authorstream.com/User-Presentations/drneelesh/
My videos
www.youtube.com/medicaleducation
Chief Mentor- RAKSHA
Registered society for knowledge and health activities.
c/o Suncity Hospital and Research Center, Paota, Jodhpur 342006
Phone- 02912701970
Email- neeleshbhandari@gmail.com, onlineraksha@gmail.com