1. Inaccessibility to quality primary healthcare
Introducing Right to Health
Team Details
Team Co-ordinator: Aakash Mittal
Member 1:
Member 2:
Member 3:
Member 4:
Ketan Kumar Giri
Pavuluri Bhavana
Swati Chouksey
Jagadana Seetha Manisha

2. • Every Second Child in India
is malnutritioned.
• Only 43.5% youngs are
immunized.
• Only 25% villages in India
have a Visiting doctor.
Characteristic Features of Primary Health in
India:
A. Medical Expenditure makingpeoplepoor:
• Families of 25% of all hospitalized individuals fall below
poverty line because of hospital expenses.
• Inference: Efficient medical facilities in India are very
costly.
C. Infrastructural Shortfall:
• Around 70% people tend to use private medical sector
more frequently than the public sector.
• Inference: Public Health Services in India are qualitatively
deteriorating.
B. Preference to Private HealthServices:
• Lack of around 9000 healthcentres in India.
• Inference:InsufficientHealthExpenditure.
We are still far behind.. inspite of all the
efforts and investments by the Government

3. Assuring accessibility of Primary Health
by incorporating Public – Private Partnership
Obliging private hospitals and nursing homes to provide medical
help to economically inefficient people.
Provision of mandatory inclusion of generic drugs along with the
existing branded versions to provide affordable medicines to all.
Enhancing the quality and quantity of medical workforce.
Introduction of modern communication systems and
computerization of conventional pen and paper work for easy
access to medical facilities in remote areas .

4. Involvement of Private Sector to secure
Primary Health Services
Enlistment & Online
Database Creation
Management &
Functioning
Implementation
• Survey of each and every
district will be done.
• Regional mapping will be
on the basis of population
density.
• Online server with
enlistment of Hospital
details.
• Identification of
financially deficient
citizens via ration cards
and Aadhar Cards.
• Appointment of Chief
Medical Officers & Block
Medical Officers as
incharge Personnel of the
policy.
• Each expenditure for the
treatment of identified
citizens will be uploaded
on the online server.
• Appointment of Hospital
Representatives as an
answerable authority to
the government.
• Widespread promotion
and campaigning through
mass media for awaring
people.
• Aanganbaadi workers &
ASHA workers will be
appointed as promotion
ambassadors in remote
areas.
• Tie ups with NGO s and
other vendors for funding
and campaigning.

5. Health Department
& Health Insurance
Central & Regional
Governments
Private & Public
Providers
Population and
Employers
Patients
160
Contributions
and premiums
240
Taxes
280
Reimbursement
125
3rd party
reimbursement
255
Subsidies
120
Fees (including
co-payments) 235
Flowchart depicting the flow of funds in the proposed plan

6. Increasing the affordability by introducing generic
medicines on a large scale in Indian Markets
Planning and
Organising
Publicity and Marketing
Controlling and
Directing
• Enlistment of those
medicines which have their
generic version and assuring
bio-equivalence of generic
drug to innovator product.
• Ensuring the availability &
production of pre-existing
generic drugs for the home
market.
• Pre-planned structure for
the production of generic
version of that drugs which
are scheduled to lose their
patent protection over next
few years.
• Compulsory licensing and
government use orders to
enable supply of more
affordable generic drugs
throughout the market.
• Establishment of display
boards in medical shops
depicting details of medicines
having their generic version.
• Encouraging private medical
practitioners to prescribe
generic medicines .
• Eliminating distribution of
counterfeit medicines as a
substitute for genuine
medicine.
• Ensuring FDA (Food and
Drug Administration)
approved generic medicines in
market to confirm
pharmaceutical equivalence.
The money saved here can be
utilized for the private
hospital funding, health
insurance etc..

7. Touching the untouched through Technology
The presence of public health care should take care of both , the ability
to pay and to process information on the quality of health care.
Reaching the Remote People:
 Establishment of mobile diagnostic clinic with facilities like X-rays,
Pathology Lab (for blood and urine tests) and eco cardiogram.
 Utilising the existing broadband and e-panchayat centers for access to
complicated medical facilities through telecommunication.
Management:
Appointment of ASHA workers as incharge personnels for a particular
village.
 Ensuring scheduled visit of mobile vans and urgent redressal of the
needy.
Well developed GPS (Global Positioning System) and mapping of the
particular region for quick response to emergency.

8. Building the manpower to
perfection
Quantitative Enhancement:
 Minimizing the steep variation in Doctor-Patient ratio as we move from
urban to rural area and bringing uniformity.
 Check on migration of doctors.
 Infrastructural Development
 Increasing the pharmacy and nursing personnels.
Qualitative Enhancement:
 Strict prohibition on donation based admissions to medical colleges.
 Compulsory rural posting for at least a period of two years for the newly
passed out doctors.
 Strict terms and conditions for the approval of medical colleges by Medical
Council of India(MCI).
 Mentorship by reputed medical colleges to emerging ones.

9. The public-private partnership policy faces some challenges
and risks
Obstacles to the policy
• Government may be reluctant in funding
this model at this extent.
• Huge reluctance in accepting generic
medicine as an alternative to the branded
ones.
Hurdles on the way
Execution Difficulties
• Difficult to assess the hospital
expenditure on subsidy.
• Difficulty in negotiating with branded
pharmaceutical industry.
• Maintenance of technical equipments
and machinery.
Remedial Measures
• Funding through a separate
health tax or a compulsory health
insurance.
• Government assurance and
certification to generic drugs.
• Widespread awareness program.
• Regular audit and surprise
assessments.
• Recruitment of technicians for
proper maintenance of machines.