Ayush­man Bharat -Reach­ing out to In­dian poor -

In In­dia, it has been ob­served that if Rs 100 is spent on an in­di­vid­ual for treat­ment, of that the bur­den of more than Rs 60 is borne by the fam­ily or that in­di­vid­ual. The en­tire sav­ings is spent on med­i­cal ex­penses. As most part of their in­come is spent

BioSpectrum (Asia) - - Front Page - Narayan Kulka­rni narayan.kulka­[email protected]­tiv.com (In­puts from Prapti Shah)

On Septem­ber 23, In­dia took a gi­ant leap to­wards pro­vid­ing ac­ces­si­ble and af­ford­able health­care to the com­mon man by launch­ing Ayush­man Bharat – Prad­han Mantri Jan Aar­o­gyaYo­jana (AB-PMJAY), the “world’s largest govern­ment funded health­care pro­gramme” tar­get­ing more than 500 mil­lion ben­e­fi­cia­ries. With this scheme, the govern­ment is tak­ing health­care pro­tec­tion to a new as­pi­ra­tional level.

Naren­dra Modi, the Prime Min­is­ter of In­dia said that this launch has been done with a vi­sion to pro­vide the poor­est of the poor, and the un­der­priv­i­leged sec­tions of so­ci­ety, with bet­ter health­care and treat­ment. He said this scheme, which en­vi­sions health as­sur­ance of Rs 5 lakh (about $7000) per fam­ily per year, will ben­e­fit over 500 mil­lion peo­ple, and is the world’s big­gest health as­sur­ance scheme. He said the num­ber of ben­e­fi­cia­ries of this scheme is roughly equal to the pop­u­la­tion of the Euro­pean Union, or the pop­u­la­tion of Amer­ica, Canada and Mex­ico, taken to­gether and 85 times that of Sin­ga­pore.

Ex­plain­ing how com­pre­hen­sive the AB-PMJAY is, the Prime Min­is­ter said it would cover 1300 ill­nesses, in­clud­ing se­ri­ous ill­nesses such as heart dis­eases, kid­ney and liver dis­eases and di­a­betes. The pri­vate hos­pi­tals too would be part of this scheme. The amount of Rs 5 lakh would cover all in­ves­ti­ga­tions, medicine, pre-hos­pi­tal­iza­tion ex­penses etc. He said it would also cover pre-ex­ist­ing ill­nesses. The peo­ple can learn more about the scheme by di­alling 14555, or through their Com­mon Ser­vice Cen­tre. The States that are a part of PMJAY, peo­ple can get the ben­e­fit of the scheme in whichever of th­ese States they go to.

The Prime Min­is­ter said “I be­lieve that in the near fu­ture, the peo­ple as­so­ci­ated with the med­i­cal sec­tor, or those con­cerned with health schemes, those as­so­ci­ated with eco­nom­ics or mod­ern treat­ment tech­niques, or those think­ing of bring­ing about a

“The PMJAY is clearly a mas­sive leap to­wards uni­ver­sal health cov­er­age that could trans­form the health­care land­scape in In­dia. We be­lieve that dig­i­tal in­fra­struc­ture will be key to a seam­less and trans­par­ent sys­tem of trans­act­ing the costs of drugs, di­ag­nos­tics and ther­a­peu­tic in­ter­ven­tions. We are keenly mon­i­tor­ing the op­er­at­ing mod­els to be fol­lowed by em­pan­elled hos­pi­tals and will con­tinue to serve com­mu­ni­ties with the high­est qual­ity of care and com­mit­ment pos­si­ble.” - Dr Dhar­min­der Na­gar,

MD, Paras Health­care

trans­for­ma­tion in the lives of the com­mon man like so­cial sci­en­tists, med­i­cal sci­en­tists, economists will have to study and think on the lines of In­dia’s scheme of Ayush­man Bharat. And sooner or later, based on it, they will have to de­vise fu­ture mod­els for the world.”

The Ayush­man Bharat Mis­sion strength­ens the en­vi­ron­ment of ‘One In­dia, One treat­ment’ in true sense. The peo­ple of one state that have joined the Ayush­man Bharat Mis­sion can also avail the ben­e­fits of the scheme in some other state in case of emer­gency. Till date, more than 13,000 hos­pi­tals across the coun­try have joined this mis­sion. In the near fu­ture, more hos­pi­tals will be part of this mis­sion. More­over, the well per­form­ing hos­pi­tals, es­pe­cially the ru­ral hos­pi­tals will get in­cen­tives from the govern­ment. The aim of Ayush­man Bharat Mis­sion is not only to pro­vide fi­nan­cial aid but also to de­velop a sys­tem that will en­sure best treat­ment fa­cil­i­ties just close to your house.

The Prime Min­is­ter also in­au­gu­rated 10 health and well­ness cen­tres on the day. At present the num­ber of such cen­tres across the coun­try has reached 2300. The aim of the govern­ment is to have 1.5 lakh such cen­tres in In­dia within four years. The health and well­ness cen­tres are im­por­tant part of Ayush­man Bharat Mis­sion. Th­ese cen­tres will not only have treat­ment and medicines for com­mon dis­eases but will also have fa­cil­i­ties for con­duct­ing sev­eral free tests. This will help in early de­tec­tion of se­ri­ous dis­eases.

The govern­ment is work­ing holis­ti­cally in­stead of work­ing in bits and pieces. Ev­ery de­ci­sion and law is in­ter­linked. The govern­ment is fo­cus­ing on both af­ford­able health­care and pre­ven­tive health­care. Yoga, cam­paigns like “Swachh Bharat Mis­sion”, mak­ing

“The an­nounce­ment of

Jan Ar­o­gya Ab­hiyan is a land­mark scheme and a much needed boost to In­dia’s health­care sys­tem. Till now at least 27 per cent peo­ple around the poverty line who could not have af­forded health­care would hit by the high cost of treat­ment. With a prom­ise of a trans­par­ent, IT-en­abled sys­tem, the ini­tia­tive promises to ben­e­fit 500 mil­lion plus pop­u­la­tion is in­deed laud­able. An­other as­pect that stands out is the in­te­gra­tion of the well­ness cen­tres, the first pil­lar - with Ayush­man Bharat and the sec­ond pil­lar govern­ment health­care de­liv­ery.” - Ajoy Khand­he­ria, Founder,

Gramin Health­care

vil­lages “Open Defe­ca­tion Free” etc. are aimed at erad­i­cat­ing the root cause of se­ri­ous dis­eases. With launch of “Swachh Bharat Mis­sion” sav­ing the lives of 3 lakh chil­dren have in­creased in the coun­try. Whether it is the sta­tis­tics per­tain­ing to sav­ing the lives of new­born ba­bies or the lives of preg­nant moth­ers, the coun­try is strid­ing ahead at a rapid pace to make In­dia healthy.

The govern­ment has started schemes like Poshan Mis­sion so that mal­nu­tri­tion can be pre­vented right at the nascent stage of de­vel­op­ment of the body. At the same time, re­lent­less ef­forts are be­ing made to in­crease the hu­man re­sources in the med­i­cal field. Ac­cord­ing to an es­ti­mate, there will be about 2500 good qual­ity and mod­ern hos­pi­tals due to Ayush­man Bharat in the com­ing 3 years. Most of th­ese hos­pi­tals will be con­cen­trated in tier-2, tier-3 cities and small towns. As a re­sult, new em­ploy­ment op­por­tu­ni­ties and op­por­tu­ni­ties for new pro­fes­sion will open up for mid­dle class fam­i­lies.

More­over, em­ploy­ment op­por­tu­ni­ties will also come up in the form of tech­ni­cal ex­per­tise, call cen­tre jobs, man­age­ment, phar­ma­ceu­ti­cal pro­duc­tion, equip­ment man­u­fac­tur­ing along with med­i­cal ser­vices. There will be a huge de­mand for paramed­i­cal staff and trained doc­tors. Si­mul­ta­ne­ously, there will also be new op­por­tu­ni­ties for start-ups re­lated to the med­i­cal field. Lakhs of doc­tors, nurses and peo­ple as­so­ci­ated with hos­pi­tal man­age­ment will get the op­por­tu­nity to be as­so­ci­ated with it. This means that a great op­por­tu­nity awaits the coun­try’s mid­dle class and lower mid­dle class.

The Prime Min­is­ter ex­pressed con­fi­dence that through the ef­forts of all those in­volved with the scheme, and the ded­i­ca­tion of the doc­tors, nurses, health­care providers, ASHAs, ANMs etc, the scheme would be­come a suc­cess.

“Ayush­man Bharat is a very am­bi­tious scheme and would be the largest state spon­sored scheme in the world. The suc­cess of this scheme would de­pend upon the ef­fec­tive im­ple­men­ta­tion of this scheme. This scheme would def­i­nitely in­crease aware­ness among the pop­u­la­tion and help set in some stan­dards of care es­pe­cially in ru­ral ar­eas.” - Shree­raj Desh­pande, Head Health In­sur­ance,

Fu­ture Gen­er­ali In­dia In­sur­ance

The Prime Min­is­ter of In­dia, Naren­dra Modi ad­dress­ing the gath­er­ing at the launch of the Prad­han Mantri Jan Ar­o­gya Yo­jana (PMJAY), at Ranchi, in Jhark­hand on Septem­ber 23, 2018.

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