1 / 27

Dr Himanshu Bhushan Deputy Commissioner Maternal Health Division

Can private healthcare setups shoulder the responsibility of delivering reproductive, maternal and child health services in semi urban areas? Sharing experiences from India. Dr Himanshu Bhushan Deputy Commissioner Maternal Health Division Ministry of Health and Family Welfare

harper
Download Presentation

Dr Himanshu Bhushan Deputy Commissioner Maternal Health Division

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Can private healthcare setups shoulder the responsibility of delivering reproductive, maternal and child health services in semi urban areas? Sharing experiences from India Dr Himanshu Bhushan Deputy Commissioner Maternal Health Division Ministry of Health and Family Welfare Government of India APHA 2013, Boston

  2. Presenter Disclosures “No relationships to disclose” Dr. HimanshuBhushan

  3. Acknowledgements • Government of India MOHFW • The Federation of Obstetric and Gynaecological Societies of India (FOGSI) • Avni Health Foundation • Mr. Ajey Bhardwaj, Support Staff • WHO – India Country Office • JHPIEGO

  4. India • World’s Largest Democracy • 1 Billion + population • Decadal Growth 17.8% • 28 States, 7 Union Territories, 660 Districts • GDP Growth Forecast 3.8% (2013) (Higher than World growth of 2.9%) • 22+ Languages, 700 Television Channels (80 beaming only news 24x7), 70,000 newspapers, 900 mio Mobile Subscribers, 100 mio Internet Users • 25% people between ages of 18-25 (approx)

  5. 60% of health workers concentrated in urban areas (26% population) (NSSO) Private Sector – important and equal source of healthcare delivery Health Facilities/Doctors/Coverage - India Need is to involve more Private sector providers (esp. in rural areas) to improve the health indicators

  6. RCH Picture - India Inter and Intra State Wide Variations. Need is to involve more health facilities if we have to improve the health indicators • Approximately 29 million pregnancies • Approximately 27 million deliveries • 15% of these are likely to develop complications • Complications cannot be predicted • 56,000 avoidable maternal deaths per year • Nearly 1.3 million infant deaths each year • 9 lacs in the first 4 weeks of life • 7 lacs in the first 1 week of life • Majority in the first 2 days of life • Approximately 3.5 million women still deliver at home

  7. Institutional Delivery - India India has shown improvement, current infrastructure is being upgraded, capacity is being created, manpower is being equipped etc…however there is a need to broad base the delivery of services since the current health setup is already being stretched… Source: HMIS

  8. Access to Institutional Delivery post NRHM and JSY Source: AHS 2011

  9. Share of Govt. & Private Hospitals in Institutional Delivery

  10. YES ! Private Sector can be involvedwith; Systems to ensure Quality Linkages with Govt. Equitable Geographic Coverage

  11. What we did ? Broad-based Service Delivery through the involvement of Private Players in the Health Sector

  12. Overcoming Issues with Private Sector ? Location/Level of Standards they follow/ Whom to Involve/What Standards to Use/How to Monitor Standards on a continuous basis

  13. How… the solution ! Accreditation of Private Health Facilities • GoI Defined Guidelines • Identify Private Health Facilities meeting criteria • Setup Accreditation Committees – Continuous Monitoring

  14. GOI Accreditation Guidelines Steps to set up accreditation process and Tools are given in the guideline

  15. Expected outputs • A readymade resource database • Giving a detailed listing of all existing PHF’s who meet the accreditation criterion and who have the necessary manpower/infrastructure to offer MCH/RCH services as per GOI guidelines • Giving a detailed listing of all existing PHF’s who need strengthening. Once strengthened they can be involved in supporting the State.

  16. Based on the tools, identification and accreditation of Private Healthcare facilities is standardized - Showcasing few Reports -

  17. Sample Description 1

  18. Sample Description • 730 data variables • data entry of approximately 100,000 variables 1

  19. Mapping Tools 1

  20. Observations - HR 13 PHF in MP and 14 in Orissa met the criteria of onsite availability of 24hours MBBS doctor, OBGYN, Staff Nurse, ANM and a Lab technician. 1

  21. Observations - ANC Between 80 – 85 % of P’s offered ANC services. The services included Registration, AN Examination, Referral Linkages, TT Immunization, Iron/Folic, Nutritional counseling, Lab investigation, (HB, Albumin, and Blood sugar). 3 PHF in MP and 25 PHF in Orissa were able to provide 100% of ANC services 1

  22. Observations - INC 1

  23. Observations – Neonatal Equipment 1

  24. Observations – Anesthesia Equipment 1

  25. Challenges

  26. Questions ?

  27. Thank You Contact for Further Information Dr H Bhushan/Mr Ajey Bhardwaj Email: avnihealth@yahoo.com

More Related