…accessing healthcare
Summit on
Access to Healthcare: Scaling Up Best Practices
21st, February, 2014, Hyatt Regency, New Delhi
“ There is no healthcare ….
without management
There is no management…..
without information”
- Gonzalo Vecina , Sao Paulo,2005
India : Dubious distinction of Gold Medal
Diabetes
Heart Disease
Cancer
Sleep Disorder
FICCI – Health Insurance 2013
Global Burden of Disease – India-2010
Global Disease Burden and
Healthcare Workforce
11 %
5
Internet -advantages for patient education
 Access to a computer and the skills to search for
information
 Sufficient literacy skills to read and understand
the information
 Ability to judge the quality of health information
 Ability to determine whether information is
relevant to their needs
Individuals - less likely to use the
Internet:
 are residents of rural or remote areas
 do not have children in the household
 are older than 45 years of age
 have lower education levels
 have lower personal incomes
Adults with low literacy
had difficulty:
 using search terms to find health
information
 finding information at an appropriate
reading level
 differentiating between information on
sponsored and non‐sponsored sites
Observational study (Birru et al, 2004),
Barriers to realizing the
potential of the Internet:
 inequitable access
 imbalance between the reading level of the material
and the reading skills of most patients
 extreme variability in the quality of the content
 potential for commercial interests to influence content
 uncertain preservation of personal privacy
Guidelines for medical and health information sites on
the Internet” (2008)
National Health Portal : Mandate
1
• Increase ‘Health literacy’ amongst
masses
2
• Increase access to ‘Health services’
3
• Decrease burden of diseases by educating
the masses on ‘preventive aspect of
diseases’
Proposed Deliverables of each year
Project will run 2 years on Pilot Basis
 By the end of Year 3 &
4.
 Deliverables would be
similar as the previous
years.
 Launching of Kiosks
for dissemination of
health information.
 E-learning initiatives.
 Translation of Year 1 static
information into 12 different
languages.
 Simultaneous translations of
the new content into 11
different languages .
 Preparation of 50 Interactive
modules (25 in English & 25
in Hindi).
 10 Health Widgets.
Year 2
Year 3
Year 4
 Dissemination of the by the
IEC Directorate at the
Central and as well as State
levels.
 Collection & collation of
health information from
various sources (including
existing static health
information, AYUSH Content,
& IEC material).
 Publication of information on
the portal in a standardized
format.
 Dissemination of information
through other modes such as
print, TV, Radio and DVD’s.
 Summarization of regulatory
information, directory services
and disaster management with
links for detail.
Year 1
 Preparation and uploading
of 1200 Factsheets (600 in
English & 600 in Hindi).
13
Drupal
 Open Source software written in PHP.
 A CMS or content-management system.
 A sophisticated web application building tool.
Database of
Health care Providers (HCP)
Present HCP 625 hospitals Data Base.
 New Add Data :- 125 HCP ( Delhi )
 Last data:- 495 ( till 15th Nov 2013 )
 Total data:- 610
 Source :- 30 k HCP Data Base from IRDA website
 Checked Data :- 2000 ( from 30 k HCP From Delhi -2500 )
 Total States :- 34
Safe Pregnancy and Birth
 App contains a wealth of information on:
 how to stay healthy during pregnancy
 how to recognize danger signs during pregnancy, birth, and
after birth
 what to do when a danger sign arises
 when to refer a woman to emergency care
 instructions for community health workers with step-bystep explanations such as “How to take blood pressure,”
“How to treat someone in shock,” “How to stop bleeding.”
Safe Pregnancy and Birth
Isabel - Symptom Checker
Cardio pulmonary resuscitation
Mswasthya - CDAC
Vaccination Alert
Four ‘Megatrends’ are driving a data revolution
70% of
44% of
users (350M
people)
access
Facebook via
mobile
devices.
Mobility
50% of
to connect to the
Internet.
1.5 hrs/wk
33% of BI
60% of
millennials
use mobile
devices to
research
products.
U.S. mobile
data will be
audio and
video
streaming by
2014.
1 in 4
Mobil
ity
Cloud
Social
Big
Data
Facebook users
add their location
to posts
(2B/month).
38% of
people
recommend a
brand they “like”
or follow
on a social
network.
Gaming consoles are
now used an average
of
U.S.
smartphone
owners
regularly
shop online
via their
devices.
Brands get
500M
Tweets are
hosted on
Twitter each
day.
100M
Facebook
“likes” per
day.
will
be consumed
via handheld
devices
by 2013.
8 zettabytes of
digital data will
be in use
worldwide in
2015, up nearly
500% from 2010.
2/3 of the
world's
mobile data
traffic will be
video by 2016.
80%
growth of
unstructured
data is
predicted over
the next five
years.
NHP : progress
1
2
3
4
5
• Nhp.org.in , nhp.gov.in : Booked
• Hosted on BSNL Cloud
• HoN certification on content – completed
• Approvals of content and disclaimer obtained from
CAC, SCNHP, MoHFW
• Beta –test since 15th Nov 2013
Mobile apps installation statistics on NHP
( 28 Jul 2013 – 28th Jan 2014 )
Feedback – HISP India
( Project officer) Feb 18,2014
 Tab “find a service”; leading to key hospitals like AIIMS, RML, etc
(may be disease/ specialty wise). Treatment options for diseases- doctors
 Tab “Rural and remote health” - filtered and easy to understand
information on government health schemes for remote/ rural
areas/ nearest service delivery points - comprehended by a
community health worker
 Content for health care professional on home page – under
development.
 Font size and screen color customizing features are something
new - found them excellent !
Potential benefits of mHealth apps will
have the biggest impact on healthcare
 Reduce or slow down increase of healthcare costs
 Improve patient outcome Improve prevention and





education
Improve interaction between patients and doctors
Improve data quality on diseases to develop improved
medications or treatment plans
Provide (better) access to healthcare in remote locations
Increase health consciousness of the society
Enable people to take better care of their own health
Health Portal 2.0
Innovations
 Enterprise Content Management System (ECMS)
 E-publishing tools
 Health Widgets & innovative tools
 Mobile Applications (mApp) for
citizens/G2C(Government to Consumer) and B2C
(Business to Consumer)
 Innovative Health Care Provider Database
 Game based learning
 MCQ based online health certifications
indrajit@nihfw.org
What are TV White Spaces?
UNUSED
CHANNEL
 TV band white spaces are gaps left between
broadcast channels. They occur in different
places on different channels.
TV White Spaces signals penetrate more
walls
In a typical home, a Wi-Fi
signal
can penetrate up to two
walls.
At the same power, a TV
white
spaces signal can
penetrate more walls and
obstacles, enabling
whole home media
distribution.
This will simplify and
enrich
in-home/in-building
networking
opportunities.
A Global Momentum – worldwide trials and
demos
Finland
Ottawa
WA
NV
TX
NC
Scotlan
Irelan
Engla
d
d Belgium
nd German
Switzerl
y
and Portugal
China
VA
Mexico
Nigeria
Ecuador
Kenya
Peru
Brazil
Urugua
y
Completed or Ongoing
Planned
Expressions of
Interest
South
Japan
Korea
Bhut
HK Cambodia
India
an
Thaila
Philippines
Malaysia
nd
Taiwa
Singapo
n
re
Indonesia
South Africa
NZ
“We are not what we know
but what we are willing to learn.”