Diagnostic Center in Rural Hospitals (RH) in
West Bengal, India
Name of Presenter:
Dr B.K.Chaulya and Mr Souvic Chaulya
Position/Company :
Private Sector Partner (PSP)
INDU X-RAY, District: Midnapur (West)
West Bengal, India
28 – 29 September 2011
Vedic Village Spa Resort
Kolkata, India.
Overview of Diagnostic Centers
under PPP
Department of Health, Government of West Bengal decided to
establish Diagnostic Centers in Rural Hospitals (RHs) and Block
Primary Health Centers (BPHC) by involving Private Sector
Organizations/NGOs to set up and run these Centers under PPP to
 Provide Pathology & Radiological Services at rates lower than
the market rates (in these remote areas).
 Extend Free services to Below Poverty Line (BPL) patients.
 Maintain quality of laboratory & Services.
28 – 29 September 2011
Vedic Village Spa Resort
Kolkata, India.
Type of PPPs

Diagnostic facilities in the RHs and BPHCs in the Districts of
West Bengal by involving PSPs/NGOs to establish and run the
centers under PPP.

Space provided by the public partner within the RH/BPHC

Contractual Terms signed between the two partners

Mandatory Tests for the following with rates specified in the
Agreement:
 Pathology
 Radiology (Ultrasonography & X-Ray
 Opening of Collection Centers at Primary Health Centers (PHCs)
[There are 3-4 PHCs under each RH or each BPHC on an average]
28 – 29 September 2011
Vedic Village Spa Resort
Kolkata, India.
Public Partner:
Health & Family Welfare Dept, Government of West Bengal, India
Private Partner:
Private Sector Organization with experience in diagnostic
services.
Other Actors:
Consultants ( during set up and in the initial period after
operationalization of the center )
28 – 29 September 2011
Vedic Village Spa Resort
Kolkata, India.
Providing wide variety of Pathological & Radiological tests in
the RHs and BPHCs for the benefit of the population at large
Test Cost: significantly less than the market rate.
 Benefits of Free tests up to 20% of BPL patients in each
month.
PSP maintained operating procedure & quality assurance.
Timely delivery of test report for the benefit of both the
Doctors and Patients.
28 – 29 September 2011
Vedic Village Spa Resort
Kolkata, India.
 Space provided by Government of West Bengal (GoWB) within the
Hospital.
 Necessary Construction & Repairing by the PSP to make the space
‘Ready to use’.
 Free supply of water by GoWB.
 Electric line installed by PSP with separate meter.
 Machineries, Instruments, furniture arranged by the PSP.
 Recruitment of Trained & Skilled persons by the PSP.
28 – 29 September 2011
Vedic Village Spa Resort
Kolkata, India.
 Maintaining Quality Assurance of the Center
 Ensuring Free test Services to 20% of BPL patients
 Longer duration of Working Hours to provide services in these remote
places.
 Timely delivery of Reports to enable the Doctors to initiate early
treatment protocol
28 – 29 September 2011
Vedic Village Spa Resort
Kolkata, India.
Challenges
 Initial problems of allocation of space in the Rural Hospital to setup
the center.
 Lack of help and support in the early stage from concerned
authorities at the local level for setting up the center.
 Problems of availability of Sonologist & Pathologist in the remote
place.
 Opening and running Collection centers in Primary Health Center.
Mitigation plans
 Problems overcome by discussions and explaining the benefits of the
Centers at the local level
 Seeking help & support from the State level Authorities and
Consultants.
28 – 29 September 2011
Vedic Village Spa Resort
Kolkata, India.
 Diagnostic Centers are in operation in 4 RHs in two Districts, where
we are operating as Private Partner
 Sabang RH (Midnapur-West)
 Salbani RH (do)
 Hijli RH (do)
 Reapara RH (Midnapur-East)
Have also been selected to set up Centers at Debra RH and Pingla BPHC
 Introduced Pathological & Radiological Tests as specified in the
Agreement.
Ensuring timely delivery of Test reports.
Around 5-8% of BPL patients utilizing free
services.
28 – 29 September 2011
Vedic Village Spa Resort
Kolkata, India.
Lessons Learnt
 Proper Coordination with local Authorities is important
 Involving Panchayeti Raj Institution (People’s Representatives) in PPP
initiatives by explaining the benefits
Best Practices
 Have instituted Internal Quality Assurance System
 Conducted Awareness Programmes for Health & Hygiene in these
remote areas with the support of Local Panchayeti Raj Institution
 Introduced Suggestion Box & Complaint Box for Patients in these
Centers
28 – 29 September 2011
Vedic Village Spa Resort
Kolkata, India.
THANK YOU
28 – 29 September 2011
Vedic Village Spa Resort
Kolkata, India.