Nirma University, Institute

of Technology,

Ahmedabad

MANTHAN TOPIC:HEALING

TOUCH

Aditya Bhatt

Aakanksha Agarwal

Charul Jain

Akshay Sharma

Aman Shrivastava

Despite 23887 Primary health care centers in rural India, we stand

45th (descending) in Infant Mortality Rate(IMR)

Introduction of Technical means to overcome the shortage of

infrastructure and medical workforce

Medical Diagnostic Machine

Extensively detailed

database about symptoms and corresponding

medicines

User-Interactive interface for

easy diagnostics

Cheap entry fees for the poor

families

Online system for advanced diagnostics

24-hour power supply with

backup battery but suspended when not used

Includes two types of

diagnosis: Primary and Secondary

Medical Diagnostic Machine (MDM)

comes with 3Es!

• Less workforce required

• Cheap for the poor

• Eliminates transportation costs

Economical

•Computerized and user friendly software

•Provides accurate results according to symptoms and reports

Efficiency

•Utilizes the used equipments donated by private hospitals

•Installation of eco-friendly power sources(solar energy, bio-waste energy)

Ecological

Structure of MDM center

MDM

Pharmacy

Center

Translator

Physiological tests

(temperature check etc)

Blood

tests(Malaria,HIV,dengue and others)

Vaccinations

Ayush practitioner

Fill test reports in the

report card

Show report card to translator who fills in required details

for secondary diagnosis

After secondary

diagnosis, take printed

prescription to pharmacy

store

Patient

Before entering, person pays some amount and a token is given to

him

Injections and

first-Aid care

patient

• A patient suffering from a disease enters the MDM center.

• He tells the practitioner cum translator, sitting at the MDM machine about the anomalies he is suffering from.

• Primary diagnosis: the person says whatever sorrows and sicknesses he is suffering from,

since the past few days. Accordingly, the translator enters the option for the questions the MDM asks. At the end of this diagnosis, a slip is printed which is handed over to the

patient. This slip tells the patient as to which tests he has to do before he can begin the secondary diagnosis. With this slip and a report card in hand, the patient goes to the different booths present in the center where his temperature check, bp check, blood test,

urine test etc are done.

• Secondary diagnosis: with all the values filled in his report card, ie., after the completion of all the test the MDM had asked for, he goes back to the translator and hands him the report card. Even after entering the values, if the MDM is not sure, it ‘ll ask for more tests

otherwise if it can diagnose the disease it ‘ll print a prescription from where the person can go to the pharmacy center, collect his medicine and leave home.

• Other sevas like vaccinations, injections, ayush practitioners, first aid etc will be provided at the center where the patient need not use the MDM.

• Low interest loans can be provided to poor families unable to afford healthcare.

• Collaboration between the public sector and private sector is required to be enhanced for

promoting pharmaceuticals.

• Vehicles (108) can be provided in rural areas also.

SERVICES PROVIDED BY MDM CENTER

Introducing an entirely new computerized system

includes various steps

• Recruitment of software company to design extensive detailed database which includes all the information about the prevalent diseases in rural India. The design will also include user-interactive interface. The same will be responsible for updating the database.

• Recruitment of hardware company for providing the computerized systems which will be programmed with the software provided by the software company.

• Regular maintenance of the MDM will also be inspected by hardware company.

IMPLEMENTATION

• Advertisement of the MDM systems through posters and radio stations

• Announcements of the features and advantages of the MDM by Gram Panchayats and other public meetings.

• Attractive free beneficial scheme for first 6 months.

• Celebrities or inspirational figures can be involved in promotions of the MDM

AWARENESS

Reduced manpower(estimated 45%) can be ensured

by application of MDM

MDM would require the assistance of

following members:

Translator :Recruitment of a person who is

aware of operating the MDM and knows the local language of the village.

AYUSH practitioner: Person who is aware

of AYUSH treatment.

Pharmacist: A chemist is required to supply

medicines as prescribed by MDM.

Nurse: Required to give injections and dressing of wounds.

Laboratory Technician: A person is required who is well acquainted with

carrying out blood test and various tests.

Security guard: Required to look over the equipments and MDM Center.

Personnel Existing

pattern

Recommen

ded

MDM

Medical

Officer

1 3 NIL

Clerks 1 2 NIL

AYUSH

practitioner

NIL 1 1

Account

Manager

NIL 1 NIL

Pharmacist . 1 2 1

Nurse -

Midwife

1 5 1

Health

Worker

1 1 NIL

Laboratory

Technician

1 2 1

Considering the current situation of shortage of PHC centers

and Doctors at PHCS MDM must be set up accordingly

Plan B:Mobile solution for enhancing Primary Health

Care

Customer care Calls for doctor

Server

Database

Checks for available

doctors and practitioners

Retrieved information

ENT General physician pediatrician Gynecologist Dermatologist

Provides with info of various doctors

Dialdox.com

• Ask the government to sponsor a nationwide number for this 24*7 seva.

• A patient who wants services from the doctor at home can call this number.

• A customer care executive will pick up the call and according to the disease

the patient suffers from, he ‘ll help the patient to connect to nearby doctor and

give guidance accordingly, a healthcare seva similar to justdial.com.

• It is possible to get sponsors for this. Any telephone operator company can

sponsor this and accordingly people can buy more sim cards of that company

since that company will provide low or negligible data rates for connecting to

this dialdox.com doctors.

• A site dialdox.com will consist of a database for all diseases, medicines for

them, doctors for assistance, people can make accounts and do video chatting

with doctors and email them to take assistance. In short, a one stop site for all

people who have the facility of internet. This site will have all doctors of India

registered into it.

Cost estimates for implementing MDM center

MDM cost Infrastructure Organization

cost

Hardware cost: a simple database pc with fast processor and a printer will and touch monitor will cost not more than INR 50000.

Software cost: a software with easy data retrieval and support fast processor will cost INR 3000 per MDM.

Construction cost: INR 15-30 lakhs

Land: can be rented from government at cheap rental rates .

Power generator cost INR 1 lakh and yearly fuel cost INR 20000-30000.

Translator : (night shift, morning shift) INR 5-7000 per month

Cleaning staff, security and others INR 5-7000 per month total.

Funds will be received from pharmacy shopkeepers and pathology labs . Government help will be

taken for vaccinations.

1)It will be better for the project to succeed if the money required is used from the 36% of

1.4lakh crore allocated for health care by Indian government. 2)The whole project will take not more than 32 lakhs in the first year and next successive

years will be around 2.5 lakhs per annum

References

• WHO survey 2011

• Indian Healthcare by McKinsey and Company

• Annual Report to people on health by Government

of India, Ministry of Health and Family Healthcare

• Statistics issued by the Ministry of statistics and

programme implementation.