Healthcare

Mohammad Anas Wahaj | 25 nov 2024

India is often termed as 'Pharmacy of the World' due to its provision of low-cost generic medicines. But according to the 2024 Access to Medicine Index, published biennially by the non-profit Access to Medicine Foundation and supported by UK and Dutch governments, Indian pharma sector is seeing a slowdown in voluntary licensing and technology transfers - mechanisms essential for improving access to medicines in low- and middle-income countries (LMICs). Voluntary licensing allows pharma companies to permit other manufacturers to produce generics of patented drugs while technology transfer involves sharing the knowledge needed for local medicine production. Claudia Martinez, Director of Research at the Access to Medicine Foundation, says, 'There are some very clear opportunities for companies to scale up access and promote health equity, but more deliberate action is needed. Developing inclusive business models for low-income countries, engaging in voluntary licensing and technology transfers, and diversifying clinical trial locations are shown to be effective mechanisms for improving access. Real progress will require companies to reassess and adapt their policies to meet access equity goals.' Read on...

Business Today: India's pharma industry faces slowdown in licensing and technology transfers, says report
Author: Neetu Chandra Sharma

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Mohammad Anas Wahaj | 24 jun 2024

According to a 2018 HelpAge India report, about 25% of senior citizens in urban India face abuse. Rising cases of elderly abuse and abandonment are a cause of serious concern for Indian social fabric. Even though governmental policies and many nonprofits are working to curb it but challenges remain. Dr. Rajkumaar and Srujana founded Joy Foundation in 2006 in Hyderabad (India) with focus on rural health and road accident healthcare, especially for elderly. The organization also founded an old age home for abandoned seniors. Dr. Rajkumaar, who also runs two hospitals, says, 'The burden of health and care often falls on the wife and children, causing a rift between breadwinners and senior citizens. While I can't fully blame the breadwinners, as supporting a family is challenging, this is where we step in. For me, it's not a big expense, but for them, it's a big relief.' Read on...

The New Indian Express: Spreading hope for elderly people
Author: Anshika Aggarwal

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Mohammad Anas Wahaj | 24 jun 2024

Stanford alum Abdul Aleem returned to Bihar (India) during COVID-19 and in 2021 co-founded BuiltX SDC (Sustainable Design & Construction). The startup is bringing an innovative concept in India's architecture, engineering, and construction (AEC) industry by exclusively working with nonprofits to fulfil their infrastructural needs. The organization provides low-cost high-quality sustainable and environmentally-friendly design and construction to nonprofits with focus on healthcare and education sector. Mr. Aleem says, 'BuiltX is more than just a construction organization; it's a movement towards sustainable and equitable infrastructure, Our core values of empathy, integrity, and innovation drive every project we undertake. We are dedicated to building a future where every child has access to quality education and every individual can receive world-class healthcare, regardless of their financial background.' Their partnership model utilizes Integrated Project Delivery mechanism that ensures a streamlined process from start to finish, managing every detail and allowing non-profit partners to focus on their mission and impact. One of their projects is Akhand Jyoti Eye Hospital (Bihar, India), the largest eye hospital in Eastern India. Read on...

Free Press Journal: Sustainable Design & Construction: Pioneering Infrastructure For Non-Profits In India
Author: NA

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Mohammad Anas Wahaj | 29 feb 2024

A recently held panel discussion on 'Decade of Union Budgets: Analysis and Assessment' was organised by MBA Department of Alva's College at Moodbidri (Karnatake, India), in association with Confederation of Indian Industry, Young Indians Mangalore Chapter, Kanara Chamber of Commerce and Industry and TiE Mangalore Chapter at Moodbidri. The panelists were - Rasananda Panda, professor of Economics a Mudra Institute of Communication, Ahmedabad; Ashok Dalwai, Chairman of the empowered Body on Doubling Farmers' Income; G. V. Joshi, Economist and former member of the State Planning Board; Dharmendra B. Mehtha, Retired Indian Revenue Service (IRS) Officer; Cotha Srinivas, ICAI Central Council Member; Narasimha Nayak, Former ICAI Udupi Chapter Chairman; Nobert M. Shenoy, Financial Consultant. Mr. Panda said, ' Education and healthcare were vital indicators of a country's economic growth. Despite decades of warnings from experts about the need for increased funding in these sectors, governments have failed to allocate additional resources.' Mr. Dalwai emphasised the importance of considering both the Budget and allocation outside of it. Mr. Joshi said, 'The government must prioritise job creation and address concerns regarding the fiscal deficit. It is crucial to address challenges faced by small and marginal farmers forming 90% of the farming population. Tackling climate change should be a priority.' Mr. Mehtha talked about emphasis on strong infrastructure development. Read on...

The Hindu: Successive governments declined additional allocation to education and healthcare, laments Economics professor
Author: NA

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Mohammad Anas Wahaj | 06 feb 2024

India's interim budget 2024 focuses on short-term allocations for the interim period before the formation of new government after this year's elections. There are minor increases in allocated funds to healthcare and family welfare (1.68%), and women and child development (2.53%). The budget announced the extension of the flagship Ayushman Bharat health insurance scheme to all ASHA and Anganwadi workers and helpers. It also upgraded and strengthened the POSHAN scheme (meal scheme for government school children). Dr. Vijayabhaskaran, Executive Director at Kauvery Hospital in Bengaluru & Hosur, says, '...budget for the healthcare sector underscores a multi-faceted approach towards enhancing healthcare education, broadening coverage, and emphasising preventive measures. The initiative to establish more medical colleges by leveraging existing hospital infrastructures aligns with global best practices...in order to effectively manage the primary healthcare needs and address the shortage at the speciality level, it's essential to consider strategies beyond just increasing the number of medical colleges.' Dr. Sanjeev Kumar, Surgical Oncologist at Manipal Hospital in Dwarka, appreciates the announcement for health of young girls. He says, 'Cervical cancer is one of the preventable cancers. HPV vaccination in the age group 9-14 years has been shown to be safe and effective in preventing HPV infection and cervical cancer. Routine HPV vaccination should be included in the National Immunisation Programme.' Sombrata Roy, Unit head of CMRI-CK Birla Hospitals in Kolkata, says, 'We eagerly anticipate contributing to these national initiatives, ensuring comprehensive and inclusive healthcare for all.' Dr. Vijayabhaskaran suggests following to overcome rural-urban imbalance in healthcare provision and shortage of health profesionals - (1) Incentivising Rural Service (2) Enhanced Telemedicine Services (3) Focused Training Programmes (4) Public-Private Partnerships (5) Regulatory Reforms For Health Practitioners. Read on...

WION: What do health experts think of India's interim budget? How can govt improve it?
Author: Srishti Singh Sisodia

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Mohammad Anas Wahaj | 31 jul 2023

The research study, 'Leveraging Multi-tier Healthcare Facility Network Simulations for Capacity Planning in a Pandemic' (Authors: Varun Ramamohan, of Indian Institute of Technology Delhi; Navonil Mustafee of University of Exeter Business School; Karan Madan of All India Institute of Medical Sciences - AIIMS; Shoaib Mohd of IIT Delhi), published in the journal Socio-Economic Planning Sciences (Aug 2023), demonstrates how a network-based modelling and simulation approach utilising generic modelling principles can - (1) Quantify the extent to which the existing facilities in the PHS (Public Health System) can effectively cope with the forecasted COVID-19 caseload; (2) Inform decisions on capacity at makeshift COVID-19 Care Centres (CCC) to handle patient overflows. Moreover, the research demonstrates how multi-tier healthcare facility network simulations can be leveraged for capacity planning in health crises. The simulation tool developed by researchers analyses emergency handling capacity of a particular region's health infrastructure, and provides details like number of health centres in an area, bed availability, ICU facility, ventilators, oxygen, medicine supply and available number of healthcare workers. Prof. Varun Ramamohan, the lead researcher of the study, says, 'In Delhi there are often shortages of beds during peak of dengue, so our tool can be used for effective planning of operational responses.' Read on...

The Times of India: Researchers develop tool for health emergencies
Author: Shreya Ghosh

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Mohammad Anas Wahaj | 24 mar 2023

The ASSOCHAM (Associated Chambers of Commerce and Industry in India) Foundation for CSR organized a two-day Awareness Summit on 'Illness to Wellness' in New Delhi with an objective to initiate a dialogue on promoting and building a 'New India - Healthy India'. Many experts shared their views in various sessions. Following are comments from experts on the first session related to healthcare human resources. Bhubaneswar Kalita, Chairperson of Parliamentary Committee on Health and Family Welfare, said, 'The main challenge is the lack of diversified and qualified workforce and we must work towards improving the status quo as the workforce is the soul of our healthcare system.' Anil Rajput, Chairperson of ASSOCHAM National CSR Council, said, 'I strongly believe that when the workforce is healthy and capable, our nation can achieve its full potential across all domains. The Government of India has also accorded topmost priority to it, making it a fundamental pillar for a 'Swastha and Samruddha Rashtra'. Read on...

The Times of India: Investment in healthcare workforce key to accelerating India's economic growth: Experts at ASSOCHAM event
Author: NA

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Mohammad Anas Wahaj | 20 sep 2022

India's healthcare challenge is to be taken seriously at all levels - policy, public, private etc. Considering the large population size, an estimated 1.4 billion, it requires consistent and unfaltering efforts to standardize healthcare across all regions, both urban and rural. Within many challenges facing India's healthcare, the two important ones are affordability and accessability. Indian government spends only 2.1% of GDP on healthcare compared to 9.7% across OECD countries. This is one of the main reasons for the large portion of healthcare burden going to Indian people's pockets, which amounts to more than 55%. Another statistics that is disturbing in India's healthcare is vast divide between rural and urban health delivery. India's urban population is 28% while they have access to 66% of the hospital beds. Moreover, 67% of the doctors work in urban areas. One aspect of the solution related to India's many healthcare challenges is collaboration and partnership between public and private entities. The recent COVID-19 challenge highlighted the value of public-private partnerships (PPP) in healthcare. Collaborative public and private efforts in diagnostics, technology and treatment, helped India take the challenge of saving lives during the pandemic. The CoWin portal for vaccination is one such example. There are many instances of such public-private collaborations during the pandemic that provide evidence for the success of PPP model. This model can be taken further to improve and enhance the quality, affordability and accessability of the overall healthcare system in India. In the last few years PPP focused policy initiatives have led to increased investments in PPP projects. India received US$ 7.7 billion of committed investments across 25 projects in 2021, the largest in the South Asia Region. The three ways the PPP projects can help overcome affordability and accessability challenge in India's healthcare are - (1) Expertise: Private sector with urban focus have 58% hospitals and 81% doctors while public sector have most infrastructure in rural areas. Collaboration between urban and rural health by making the private sector services and expertise available in rural public health facilities can become a transformative strategy for improving India's healthcare. (2) Technology: Can be fully utilized to improve affordability and accessability in rural areas. Telemedicine is one such strategy. eSanjeevani, the national teleconsultation service, is an example. (3) Efficiency: The existing healthcare infrastructure can be uplifted through ehnanced efficiencies by implementing PPP model. Read on...

World Economic Forum: How public-private partnerships could be the booster dose for India's healthcare ecosystem
Authors: Neelima Dwivedi, Ruma Bhargava

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Mohammad Anas Wahaj | 22 feb 2022

Social entrepreneurship can fill the gap in India's healthcare infrastructure and delivery through the combination of innovation and the spirit to do social good. Maanoj Shah, co-founder of Mission ICU, provides how social enterprises can be boon to India's healthcare infrastructure, particularly in the underserved rural and remote areas, and bring positive change through entrepreneurial spirit and the commitment to serve the community. Pandemic induced crisis highlighted the importance of social and community based efforts in healthcare system. The need is to consolidate these scattered and individual efforts through developing social enterprises. Mr. Shah suggests following ways in which social entrepreneurship could uplift India's healthcare infrastructure - (1) Devise solutions based on detailed research: Use of technology and digital solutions at the grassroots level; Conducting thorough studies to find out gaps in healthcare delivery to rural communities; Create awareness regarding hygiene and health. (2) A focus on long-term, sustainable impact on healthcare infrastructure: Social enterprises with their commitment to service to society can bring long-term sustainable impact by channeling capital and resources where healthcare facililities are scarce; Committed healthcare personnel can be deployed in rural areas and make healthcare accessible and affordable. (3) Collaborations with local partners: Working with local social service organizations and communities is essential for successful implementation of healthcare projects; By this collaboration it will be easier for social entrepreneurs to identify and understand local needs and find opportunities and create tailored solutions; Partnerships are a necessity where the resources are scarce and help efficiently utilized them for better outcomes. (4) Bridge administrative gaps to complement the public health system: Government schemes can only be successful when implemented effectively and efficiently and that's where social enterprises can contribute significantly; Social enterprises with innovative and creative focus can bridge the implementation gap and work to strengthen public healthcare system. Read on...

IndiaInfoline: How social entrepreneurship can play a role in augmenting India's healthcare infrastructure?
Author: Maanoj Shah

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Mohammad Anas Wahaj | 21 feb 2022

Healthcare in rural India is a challenge that needs to be taken seriously and sincerely. The infrastructure is in dismal condition. India's rural population is substantial, was about 903 million in 2021, and is expected to increase to 905 million in 2022. Priyadarshi Mohapatra, founder of CureBay, provides overview of India's rural healthcare sector and the challenges. He also explores the startup ecosystem and suggests how proper use of techology can be a game changer to improve accessibility and affordability of healthcare. Accessibility of quality healthcare is major issue in rural areas. The growing chronic diseases is also a cause of concern. Government run schemes, like Ayushman Bharat Health, Infrastructure Mission and Jan Arogya Yojana, when implemented effectively, can boost rural healthcare infrastructure. According to Invest India's study, 100% FDI has been allowed by the government under the automatic route to invest in developing hospitals. Moreover, 100% FDI is also permissible under automatic routes in medical device manufacturing. Health-tech entrepreneurial and startup ecosystem can play an important role in filling the gaps through innovation. The size of the market that is expected to reach Rs. 485.4 billion by 2024. According to Invest India's report, there has been a 45.06% increase in total investments in health-tech startups. A report by London & Partners and Dealroom.co published last year says that Indian health-tech startups have raised US$ 1.9 billion alone in 2021 from VCs. This ranks India just behind the US, China, and the UK. Currently, there are over 3000 health-tech startups in India and it is further growing. The investment will also provide employment opportunities to the sector. Government's healthcare infrastructure schemes, health-tech startup ecosystem and substantial investment can provide an upgrade to rural healthcare resulting in accessibility and affordability in healthcare delivery to rural population. Read on...

The Times of India: How the changing dynamics of healthcare industry are making rural India healthy?
Author: Priyadarshi Mohapatra

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Mohammad Anas Wahaj | 22 sep 2021

Healthcare infrastructure, both public and private, in small towns and rural areas of India is still rudimentary and lacks quality and efficiency. COVID-19 pandemic has further demonstrated the sorry state of healthcare delivery. Moreover, during pandemic times healthcare facilities became out of reach for non-COVID patients with other diseases and healthcare issues. Fear of COVID infection was one of the major factor that made healthcare delivery situation worse. Most OPD's and in-patient treatment in big hospitals, both public and private, was restricted. Technology-enabled healthcare and telemedicine came to the rescue during this time. Many healthcare facilities even tested advanced digital technologies to fill the gap and to keep themselves afloat businesswise and manage revenue streams. Technology also helped healthcare to expand reach to rural and remote areas. Keeping this in mind, last year the Ministry of Health and Family Welfare (MoHFW), NITI Aayog, and the Board of Governors (BoG) Medical Council of India (MCI) released the initial formal guidelines to regulate practices across India leading to democratization of healthcare delivery, especially telemedicine. Remote healthcare delivery also hastened during this time. Concept of remote or smart ICUs also became prevalent considering the shortage of critical care staff in hospitals. Internet of Medical Things (IoMT) devices came handy in remote and digital healthcare. With AI, predictive analytics, electronic health records etc medical consultation has become more efficient. This particularly helped during pandemic and is very relevant for areas where physical healthcare delivery is limited or unavailable. The scope of remote healthcare in India is promising. According to the latest McKinsey report telehealth is projected as a quarter trillion-dollar industry post-COVID. The report states that telehealth use has increased 38 times from the pre-COVID-19 baseline. The industry is projected to reach a size of US$ 10.6 billion by 2025 in India. The healthcare delivery for rural and remote areas has to combine both digital and physical modes, the evolved 'Phygital Model'. As India's rural population is sizeable, about 65% of total population, the healthcare efforts would require contribution from both public and private sectors. Currently, patients from rural areas and small towns have to travel to larger cities to avail better healthcare facilities, increasing the load on already burdened healthcare infrastructure there. Moreover, it also increases the cost of healthcare for those who travel. Use of phygital model will reduce the cost of healthcare and lessen the burden on large cities. Innovative startups and entrepreneurial spirit of India's youth can help bring this healthcare transformation with support from government and investors. Read on...

Businessworld: How Are Advances In Digital Technology Making Healthcare Delivery In Rural India More Efficient?
Author: Col Hemraj Singh Parmar

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Mohammad Anas Wahaj | 28 may 2021

COVID-19's recent second wave in India has brought about a healthcare crisis that has never been seen before. The situation is so difficult that it requires all the possible efforts by government, private sector, social organizations, individuals etc and even then they generally fall short considering the large population size, infrastructural deficiencies and systemic inefficiencies. But in this grim scenario the spirit of social entrepreneurship is trying to bring a ray of hope and their contribution is making life of many, particularly vulnerable communities, a little easier in these hard times. Social entrepreneurs have been effective due to their on-the-ground presence and their ability to act as first responders in support of vulnerable communities. Following are the six social enterprises from the Schwab Foundation's community of social innovators that are working to save lives during current COVID-19 crisis in India - (1) Goonj NGO (Providing resources to the most vulnerable): Distributed more than 8800 tons of rations and other essential items, provided more than 362000 meals, sourced 225000 kgs of vegetables from farmers, reached out to more than 380000 families (about 1.5 million people) and produced more than 800000 face masks and more than 1200000 cloth sanitary pads. (2) SEWA - Self-Employed Women's Association (Helping women in the informal economy): Provides support to self-employed women and on behalf of its 1.7 million women workers in 18 states of India, urged the government to declare income support to all the families of the informal economy workers to tide over this crisis, issue a circular to all the states to declare a compensatory package of Rs 5000 per month to all registered workers, provide a free public distribution system for ration supply as long as the crisis lasts, and offer six months amortization on repayment of all loans.(3) Aajeevika Bureau (Providing resources to migrants): Provided relief to stranded migrant workers, daily wagers and their households to see them through this period of distress. Relief included emergency food distribution, cash transfers, health care and help to workers in distress. They also provided travel assistance to migrants attempting to return home and also facilitated the transition of those who returned to their villages. (4) Glocal Healthcare (Providing healthcare to people in remote areas): Recently launched a free telemedicine consultation for COVID-19 screenings. This can be accessed both from phone line as well as from websites and apps. The goal is to prevent panic; ensure correct screening, triage and treatment before conditions become too serious; and prevent the health infrastructure from collapsing. (5) Jan Sahas (Supporting migrant families, survivors of sexual violence and frontline workers): Within 100 days of the COVID-19 lockdown, Jan Sahas drew support from more than 30 philanthropic and private sector donors (resulted in more than US$ 2 million) and worked with 42 nonprofits across 19 states in India to address the needs of more than 1040000 migrant families, 1237 survivors of sexual violence, 12480 frontline health workers and state actors through immediate relief support. (6) Mann Deshi (Providing women with access to finance): During COVID-19 it had been working non-stop to provide relief - including providing food packages, masks and PPE kits. It also partnered with a district government to build a 300-bed COVID-19 hospital by refurbishing an old unused rural hospital and turning it into a free dedicated COVID-19 hospital. It is also working with the district administration 24/7 to provide oxygen beds, ventilators, Remdisvir and Tocilizumab to critical stage patients. Read on...

World Economic Forum: 6 ways social entrepreneurs are saving lives during India's COVID-19 crisis
Author: Pavitra Raja

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Mohammad Anas Wahaj | 29 mar 2021

India's healthcare ecosystem is continuously evolving with changes in health policies, advancement in technologies, financial innovations etc. But, what is most critical is patient centricity, that should be at the core of all products and services development. Digital transformation is enabling this patient focus in healthcare. According to the World Economic Forum Report 2016 (weforum.org) titled 'Building the Healthcare System of the Future', the future of healthcare will be 'consumer-centric' and there are four digital themes that will be critical for digital transformation of healthcare over the next decade - (1) Smart Care (2) Care Anywhere (3) Empowered Care (4) Intelligent Healthcare Enterprise. The new structure for the healthcare system will include - Continuous Monitoring; Retail Clinics; Connected Home; Auto Paitent Access; Virtual Care Circles; Omni-channel Experience; Intelligent Treatments; Me, My Data and I; Augmented Wayfinding; Seamless Financing; Intelligent Machines; Virtual Care Team; Connected Care; Coordinated Ecosystem. Rehan A. Khan, Managing Director of MSD (India Region), explains how the patient-centered digitally-led healthcare ecosystem is developing in India driven by disease management, prevention and focus on wellness. He says, 'By leveraging disruptive innovations, we are personalizing patient and physician experience, and transforming healthcare access. We are around a close corner from a future where personalized medicines, curative therapies, digital therapeutics and precision intervention through robotic surgery, nanotechnology, 3D printing etc. will redefine healthcare across the globe and in our country.' Healthcare policies focused on digitalization are already in place and the initiatives are beginning to shape the future. There are now over 1 million registered Health IDs, 2900 verified 'digi doctors', a robust Health Facility Registry with over 1400 approved health facilities and a Live NDHM (National Digital Health Mission) application available on Android store. National Policy on Security of Health Systems and Privacy of Personal Health Records developed in accordance with the Personal Data Protection Bill 2019, will enable swift implementation of big data analytics. Mr. Khan suggests, 'Developing innovation hubs, forging strong Public Private Partnerships and driving patientcare digitally are critical pillars for driving Health For All.' Read on...

The Economic Times: Reimagining healthcare in India
Author: Rehan A. Khan

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Mohammad Anas Wahaj | 22 dec 2020

Access and affordability, along with innovation and sound regulatory mechanism and government policies, are the essential components of developed and modern healthcare system. India has to pursue consolidated strategies to become a better healthcare system and leverage its R&D human resources to become a design hub for medical devices with a focus on global markets. Pavan Choudary, Chairman and Director General of Medical Technology Association of India (MTaI), in conversation with Viveka Roychowdhury, Editor of Express Pharma and Express Healthcare, explains his views on India's healthcare sector, medical devices and medtech industry, COVID-19 pandemic and post-pandemic challenges, government policies, investments in the sector and the way forward. EXCERPTS FROM THE INTERVIEW - (1) ON HEALTHCARE SYSTEM: • 'Value-based healthcare will bring together all modalities of care delivery to create a well-coordinated 'continuum of care'. It is important for government to devise incentive systems to work for patients by encouraging companies and healthcare systems to deliver quality and better outcomes.' • 'India can take learning from countries like Philippines and Turkey who have over the time strengthened their health care infrastructure, but this has been done by making a conscious effort to increase their healthcare spend. At 1.29% of GDP spent on healthcare, India needs to considerably increase its healthcare budget to at least four per cent of the total GDP; by doing so, we will have started our journey towards last mile healthcare delivery.' • 'Telemedicine is another avenue that the government can facilitate to improve access to healthcare. The sheer size of India's 1.3 billion demographic means that the applications for telemedicine are immense. Telemedicine will also enable India to address its poor doctor-patient ratio of 0.85 which means barely one physician per 1000 people as compared to four physicians per 1000 people in Europe. A 2019 report by McKinsey Global Institute, 'Digital India: Technology to Transform a Connected Nation', states that India can save up to US$ 10 billion by 2025 if telemedicine services could replace 30 to 40% of in-person consultations.' (2) ON MEDTECH, MEDICAL DEVICES, INVESTMENTS & COVID-19: • 'Instead of implementing price caps on medtech products, the government should adopt a mechanism to rationalise trade margins which will achieve the objective of reducing high MRPs as well as allow medtech industry to continue bringing the latest technology in healthcare to India, increase affordable access to quality care and support skilling and training of health care workers.' • 'India also reduced custom duties on a few essential medical devices used in the treatment of COVID-19, however for the rest of the products it did not lighten the load of the 5% cess ad valorem imposed in April earlier this year. This, coupled with the INR depreciating by almost 7-8% in March 2020 against the EUR and the USD, meant a very significant hit for the medical technology industry where more than 80% of the products are imported.' • 'To be ATMANIRBHAR (self-reliant) in medtech, we should also be able to design in India medical devices for the world by utilising India's rich talent in R&D. India is the third largest medtech R&D employer of the world, next to only US and Germany.' • 'We must also be cognizant of the financial challenges that the pandemic has brought. There are some other aspects which the government needs to closely evaluate and consider to reassure the industry, these aspects include creating policies which provide a level playing field to all players, agnostic of their country of origin and a stable regulatory climate for the industry. Addressing these will move the make in India needle, steadily forward. The global companies hope to be eventually and once again, the main movers of this needle.' ATMANIRBHAR BHARAT is the Prime Minister's vision to make India a self-reliant nation. Read on...

Express Healthcare: To be Atmanirbhar in medtech, we should also be able to design in India medical devices for the world: Pavan Choudary
Author: Viveka Roychowdhury

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Mohammad Anas Wahaj | 10 sep 2020

According to Wikipedia, Ibn Sina or Avicenna (b.23 aug 980 - d.22 jun 1037), a Persian polymath, is regarded as one of the most significant physicians of Islamic Golden Age. His two most influential works are Al-Qanun fi al-Tibb (The Canon of Medicine), a medical encyclopedia, and Kitab al-Shifa (The Book of Healing), a philosophical and scientific encyclopedia. 'The Canon of Medicine' was a standard medical text at many medieval universities and remained in use as late as 1650. In the article, 'The Vast Influence of Ibn Sina, Pioneer of Medicine' (JSTOR Daily, 29 jan 2020), writer Liz Tracey, explains, 'The sections of the Canon dealing with applied (rather than theoretical) medicine seem modern - cataract surgery, the use of forceps during difficult infant deliveries, and an approach to scientifically testing drugs for efficacy and dosage, in effect creating the framework for clinical trials.' In an article, 'How Ibn Sina's work became a guiding light for scientists facing contagions' (TRTWorld, 15 apr 2020), writer Ufuk Necat Taşçi, searches the work of Avicenna to find out his scientific discoveries regarding contagions. In 'The Canon of Medicine', published in 1025, Ibn Sina argued that a 40-day period of quarantine was essential to weaken the spread of contagious infections. Of the 450 works Ibn Sina is believed to have written, 240 have survived. And out of these at least 40 of his manuscripts are about medicine. Recently a book based on Avicenna's 1000 year-old manuscript, 'Risalah al-Adwiya al-Qalbiyah' (The Treatise on Cardiac Drugs), is published and released at Jawaharlal Nehru Medical College (JNMC), Aligarh Muslim University (AMU). The book 'Pharmacology of Avicennian Cardiac Drugs' is authored by Prof. Syed Ziaur Rahman of the Department of Pharmacology at JNMC, AMU and is a useful resource material for scholars who want to make a thorough assessment of the Avicennian Cardiac drugs that have cardioprotective activity and indirect improvement of blood supply to all body organs. Prof. Rahman says, 'Avicenna had given descriptions on heart and psychological diseases that affect the cardiovascular organs' physiology. Avicenna mentioned simple and compound natural cardiovascular remedies and it is imperative that the modern medicine practitioners go through all these methods and remedies for cardiovascular diseases with modern perspectives.' Prof. M. U. Rabbani, Chairman of the Department of Cardiology at JNMC, says, 'This book is a precious source of hypothesis for further researches on psychosomatic aspects of cardiovascular diseases as well as phytopharmacological studies on cardioactive medicinal plants.' Prof. K. M. Yusuf Amin, a medical pharmacologist and professor at the Department of Ilmul Advia (Unani Pharmacology & Pharmaceutical Sciences) of Ajmal Khan Tibbiya College at AMU, says, 'The author has attempted to correlate the fundamentals of cardiology and psychology, integrated by the Ruh (Pneuma) as described by Avicenna in the light of present research.' Read on...

Aligarh Muslim University News: Modern take on Avicennian manuscript in new book
Author: Omar Saleem Peerzada

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Mohammad Anas Wahaj | 14 may 2020

Covid-19 pandemic is affecting all aspects of human life, and even when the immediate severity of the crisis has subsided and nations start to ease lockdowns in hope of bringing their economies and people's lives back on track, the world will continue to see the after effects for a long time ahead. Experts share their views on pandemic's impact on future of design and how it will change the built environment in healthcare, hospitality, residential living etc - (1) Impact on Healthcare (Rahul Kadri, partner and principal Architect, IMK Architects): New generation of hospitals will be designed; Integrate tech-driven solutions; Better natural ventilation to minimize cross-infection; Segregation of general, semi-sterile and sterile zones; Net zero designing; Demarcation and separation of service and maintenance areas from the procedure areas; Rapid time to build and construct; Medical hub model. (2) Impact on Hospitality (Amit Khanna, design principal, Amit Khanna Design Associates): Screenings will become a part of entrance design in hotels; Use of automation to avoid human contact; Automated sliding or revolving glass door; Rethink on facilities like swimming pools, salons and health clubs; Top-end hospitality projects may prefer to redesign their communal facilities. (3) Impact on Urban Design (Mitu Mathur, director, GPM Architects and Planners): Towns need to be designed for all classes of society; Ensure housing-for-all; Promote affordable housing; Special design focus on migrant workers. (4) Using AI for Construction (Anand Sharma, founder partner, Design Forum International): Architecture, engineering and construction (AEC) industry will have more use of artificial intelligence (AI), cloud computing etc; Building Information Management (BIM) Development promotes workers of industry to be collaborative, connected and transparent; Future of construction will innovate like utilising the Internet of Things and leveraging 3D imaging to replicate the experience of a site. (5) Impact on Housing Design (L. C. Mittal, director, Motia Group): Adoption of advanced technology in elevators and entrances, like voice-enabled elevators and key card entry systems respectively, to eliminate human contact; Sanitisation of common areas would become a mandatory exercise for societies; Daily needs shopping store will become an integral part of housing societies. Read on...

India Today: A post-pandemic design revolution
Author: Ridhi Kale

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Mohammad Anas Wahaj | 20 apr 2020

Fake news at the time of crisis like the current COVID-19 pandemic is a double whammy that further adds to confusion and creates panic. Propagation of false and misleading information through social media and other tech platforms has multiplied. It not only exploits the emotional vulnerability of common public but also impedes and hinders the efforts to collectively and scientifically fight the pandemic and minimize its socio-ecomic effects. But an evergrowing group of Indian scientists have come together to create 'Indian Scientists' Response to COVID-19 (ISRC)' that is working to fight false information. It is a pan-India voluntary effort with more than 400 scientists across more than twenty scientific and research institutes in the country. It counts among its volunteers astrophysicists, animal behaviourists, computer scientists, mathematicians, engineers, chemists, biologist, doctors, social scientists and others. The purpose of the group includes analysing all available data and support national, state and local governments for evidence-based action, in addition to verifying and communicating information. There are sub-groups working on - mathematical modelling of disease spread and transmission, outreach and communication in simple terms for the public and media, translating basic resources in local languages, developing hardware solutions and apps. Aniket Sule, a science communicator with the Homi Bhabha Centre for Science Education in Mumbai, says, 'Since science communication is my area of interest, I volunteered to be a part of this effort. In this crisis, everyone has a role and each person can contribute by doing what they know best.' R. Ramanujam, a theoretical computer science professor at the Institute of Mathematical Sciences (IMSc) in Chennai, says, 'While people in the medical and healthcare community are doing their work, we thought, what about others like us, what can we do?' Rahul Siddharthan, a computational biologist at the IMSc, says, 'How an individual gets infected is definitely a biology problem, but what we are looking at is how an infection spreads in society, and we are dealing with large numbers of people. Physicists have a lot of experience in dealing with dynamical systems modelling, differential equations, and computer/data scientists can analyse the data that is available. It has to be an interdisciplinary approach and we need people to be talking and on the same platform.' T. V. Venkateshwaran, senior scientist at Vigyan Prasar, says, 'In a situation like this it's important to do two things, one is communicating to people that they need to be alert, not alarmed...The other thing is falling for wrongly circulated remedies and rumours. We need to counter all the misinformation going around so people feel at ease.' The group is putting together links, videos and articles in Indian languages and also working on translating others. Anindita Bhadra, an animal behaviourist and associate professor at IISER Kolkata, says, 'I am not an expert in virology or epidemiology or modelling, but I am interested in science communication so I thought I should help with that as well as translation. You need people who can transmit all this to the public.' Read on...

World Economic Forum: How 300 Indian scientists are fighting fake news about COVID-19
Author: Bhavya Dore

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Mohammad Anas Wahaj | 12 feb 2020

Recently published book 'Make Health in India: Reaching a Billion Plus' by Prof. K. Srinath Reddy, president of Public Health Foundation of India (PHFI) and adjunct professor at Harvard T. H. Chan School of Public Health, analyzes India's health sector since the 1990s, explores the challenges in delivering healthcare to the large Indian population and provides recommendations on various policy and management matters. The book starts with health data and indicators. This provides how some overall figures have improved but digging deeper shows marked inter-state variations. Due to this it is recommended that there is a need to customize policy-making specific to each state. India has poor immunization rate (62-64%), which is even lower than some under-developed economies of sub-Saharan Africa. Moreover, public health expenditure in India is among the lowest in the world (0.9-1.2% of the GDP). Another chapter explains how 55-63 million people in India have been pushed to poverty over the past decade because of out-of-pocket expenditure on health as families spend 10-40 per cent of their income on health. WHO recommends out-of-pocket expenditure not to exceed 15-20% of the total health expenditure. The book says, 'To achieve that even in stages, India must aim to bring it to 50% or lower as first step,' suggesting his would require 5-6% of GDP. The book discusses tussle between center and states over increasing in health budgets with Niti Ayog asking states to double their contributions. Currently center contributes 1/3 of total public health spending. Niti Ayog's proposal to hand over district hospitals to private medical colleges in public-private partnership (PPP) mode makes the author to term it as the 'partnership-for-private profit' model, showing discontent with the concept. Another chapter tackles the issue of inaccessibility of medicines - out of 55 million who became poor due to healthcare expenditure in 2011-12, about 38 million were impoverished because of spending on medicines alone. Although India is known as the producer of inexpensive drugs and is recognized as 'global pharmacy'. The book explains, 'While the low purchasing capacity of a large segment of the Indian population may be a contributing factor, the main reason is that many drugs in India are priced higher than they should be. While a reasonable level of profit is acceptable, high mark-ups over the manufacturing cost makes the drugs costlier than they need to be.' The book also addresses Ayushman Bharat scheme and Pradhan Mantri Jan Arogya Yojana (PMJAY) - 'While the activation of HWCs (health and wellness centers) is welcome, but the budgetary allocation to the National Health Mission (which covers rural and urban health missions) in 2018 and 2019 does not reflect the commitment to boost rural primary healthcare to the level needed. It is also disappointing to see that the Urban Health Mission component has been virtually ignored in these budgets.' 'In absence of effective primary health services, the uncontrolled demand for services under PMJAY will drain the health budget, and in turn, reduce the funds available for primary care and public sector hospital strengthening.' To address shortage of healthcare providers can debilitate the health system, the book recommends creation of a National Commission for Human Resources in Health. To tackle 'maldistribution of doctors', the book recommends establishment of a National Medical Service which should recruit fresh graduates in rural areas, post-graduates in district hospitals, and create a permanent cadre of specialist doctors. Read on...

DownToEarth: Unhealthy affair: Book review - Make Health in India
Author: Banjot Kaur

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Mohammad Anas Wahaj | 28 dec 2019

According to nseinfobase.com, CSR spends of Indian corporates have increased 17.2% to Rs. 11867.2 crore in FY19 from Rs. 10128.3 in FY18. This is the highest spend since FY15 (Rs. 6552.5 crore), when the CSR spend was made mandatory through Companies Act 2013. It is observed that corporates are increasingly using their CSR spends on charitable contributions. The highest amount of Rs. 4406 crore were for schedule VII (II) that focuses on education. The next big spend was Rs. 3206.5 crore under VII (I) for eradicating hunger, poverty, malnutrition and promoting health and hygiene. Rural development got Rs. 1319 crore and remaining went for projects that include environment protection, benefits to the armed forces, disaster management etc. From geographical point of view Maharashtra and Gujarat were at the top to get contributions while Bihar and North-East states got the least CSR funds. Experts say that large spends have also seemed to have prompted closer attention to how the money is spent. Amit Tandon, founder and MD of Institutional Investor Advisory Services India (IiAS), says, 'There are more and more companies who are doing impact assessment...people recognise the need to do it.' Pranav Haldea, MD at Prime Database, says, 'Low CSR budget could act as a constraint for some companies to adopt monitoring mechanisms. It may only make sense for firms with very large budgets. Smaller companies may find it too expensive to employ an agency for external audits on a regular basis.' Read on...

Business Standard: Companies spent Rs 11,867 cr on CSR activities in FY19; highest so far
Author: Sachin P. Mampatta

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Mohammad Anas Wahaj | 07 nov 2019

Human health is closely linked to the condition of the surrounding environment. According to the National Health Report (NHP) released on 31 October 2019, a degraded environment filled with air and water pollution continues to affect health of people in India. Air pollution-linked acute respiratory infections contributed 68.47% to the morbidity burden in the country and also to highest mortality rate after pneumonia. While contaminated drinking water caused acute diarrhoeal diseases that led to second highest morbidity at 21.83%. Moreover, cholera cases went up to 651 in 2018 from 508 in 2017. While releasing the 14th National Health Profile 2019, Dr. Harsh Vardhan (Union Minister of Health and Family Welfare, Govt. of India), said, 'Data helps us to navigate health needs and issues, and helps devise area specific programme strategies.' But despite the increasing burden of diseases in the country, the budgetary allowance for controlling diseases has been steadily dipping in the last few years, says the report. According to 2017-18 budget estimates, India spends only 1.28% of its GDP as public expenditure on health. The NHP report pointed out that per capita public expenditure on health has gone up to Rs 1657 in 2017-18 from Rs 621 in 2009-10. While states are bearing 63% of this expenditure, out of pocket expenditure by the patients are not included in this estimate, which is known to be the biggest reason behind increasing debt in the population. Read on...

DownToEarth: Diseases linked to a degraded environment continue to ravage India
Author: Vibha Varshney

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Mohammad Anas Wahaj | 07 sep 2019

Trust between patients and care givers is one of the critical factors in determining success of healthcare system. And trust develops over a period of time through positive experiences that are achieved by providing quality care at the right time, effectively and efficiently at the right price. But, it seems, India's healthcare is lacking behind in satisfactory healthcare delivery. According to the recent report by Ernst & Young (EY) and Federation of Indian Chambers of Commerce and Industry (FICCI), 'Re-engineering Indian Healthcare 2.0', based on an online survey of 1000 patients across six geographical zones in India, 'There is a growing mistrust among patients against healthcare providers and the Indian healthcare system needs to tailor its current model for inclusion and mass healthcare to deliver true care with a focus on primary care, wellness and health outcomes.' The report finds that - 61% patients believe that hospitals did not act in their best interests; 63% of patients indicated that they were not happy with hospital responsiveness and waiting times; 59% patients felt the hospitals were not concerned about feedback and do not actively seek it. Kaivaan Movdawalla, Partner at EY India (Healthcare), says, 'For realising the aspired levels of efficiency, it is imperative for healthcare providers to shift from an incremental performance plus approach to a radical design to cost or direct-to-consumer approach for redesigning their operating models and cost structures.' Dr. Arvind Lal, Chair at FICCI Healthservices Committee and CMD of Dr Lal PathLabs, says, 'There is an urgent need to bridge the 'trust deficit' between the patient and the doctor; patient and the hospital; as well as government and the private healthcare provider for the Health of the Indian Healthcare.' EY recommends a '5E Framework' for building trust across all principal stakeholders, that is, policymakers, healthcare providers, payors and the public. This framework comprises integrating empathy, efficiency, empowerment, ease and environment to achieve the agenda of universal health access and the right to health. Read on...

Business Today: Most patients are dissatisfied with India's healthcare system, says EY-FICCI report
Author: P. B. Jayakumar

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Mohammad Anas Wahaj | 05 sep 2019

Healthcare technologies enhance efficiencies, improve access and create informed patient-doctor relationships. Around the globe there is fast-paced adoption of these technologies. India too is undergoing health-tech transformation. According to a 15-country Future Health Index (FHI) 2019 report by Royal Philips, about 76% of healthcare professionals in India are already using digital health records (DHRs) in their practice. Moreover, 80% of healthcare professionals have shared patient information with other professionals inside their health facility, which is equal to 15-country average. India also meets the 15-country average when it comes to the usage of artificial intelligence (AI) within healthcare at 46%. Report also finds that a majority of Indian healthcare professionals who use DHRs in their practice report that DHRs have a positive impact on quality of care (90%), healthcare professional satisfaction (89%), and patient outcomes (70%) when compared to the 15-country average of 69%, 64% and 59% respectively. Rohit Sathe, President of Philips Healthcare (Indian Subcontinent), says, 'The report confirms that digital health technology is a pivotal pillar in delivering value-based care across the healthcare continuum in India. Tools including telehealth and adaptive intelligence solutions can help lower the barriers between hospitals and patients, thereby improving access to care and enhancing overall patient satisfaction, particularity in tier II & III cities in India.' Read on...

Livemint: Digital Health Technology can revolutionise healthcare in India: Report
Author: Nandita Mathur

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Mohammad Anas Wahaj | 16 may 2019

The research, 'Development of a pathological healthcare system for early detection of neurological gait abnormalities', by Prof. Anup Nandy of National Institute of Technology (Rourkela, India) in collaboration with Prof. Gentiane Venture of Tokyo University of Agriculture and Technology (TUAT, Japan), aims to address human aging utilizing low-cost software solutions to early diagnose neurological gait abnormalities. Anomalies and abnormalities found in a person's walking style are termed as gait abnormalities. As human beings have different anatomical structure depending on age, gender and body-weight, they are prone to various gait abnormalities. Due to lack of awareness of such diseases and problems, the abnormalities get unnoticed at the initial stages. Moreover, the assessment becomes a little less credible without proper software and automation that uses data analysis. Scientists applied high level Machine Learning Algorithms for detection and periodic assessment of abnormalities. The software with the techniques of deep learning detects the various gait (walking) patterns, assess the collected data on specific parameters and the identified data is used in the detection or observing patient's improvements in various abnormalities like Cerebral Palsy, Parkinson's Disease and Equinus gait. Prof. Nandy says, 'As computer science enthusiasts and researchers, it's our responsibility to serve society and contribute to the betterment. This noble approach bridges the gap between Computer Science and Medical Science and is instrumental in the detection and assessment of various diseases. The low-cost software becomes affordable to everyone and can be beneficial to many in general.' Read on...

Monday Morning - NIT Rourkela: IMPACTING LIVES AND BEYOND: PROF. ANUP NANDY'S RESEARCH ON GAIT ABNORMALITIES
Author: Animesh Pradhan

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Mohammad Anas Wahaj | 07 apr 2019

Biotechnology is expected to be the next big thing for the Indian economy, just like the IT industry has been, explains Amit Kapoor, President & CEO of India Council on Competitiveness and Honorary Chairman at Institute for Competitiveness. According to him, '...biotechnology industry seemed poised to take over the mantle. In the span of a decade beginning in 2007, the industry has grown exponentially in size from about US$ 2 billion to over US$ 11 billion in terms of revenue. By 2025, it is targeted to touch US$ 100 billion.' In the past, both Green Revolution (agricultural transformation) and White Revolution (dairy sector transformation) became successful because of the contributions from biotechnology. At present India's rising competitiveness in pharmaceuticals is also the result of biotechnological advancements and research. Moreover, energy needs of rural areas are also met by biomass fuel, produced through application of biotechnology. Mr. Kapoor explains evolution of biotechnology in India, 'As early as 1986, Rajiv Gandhi, recognising the potential of biotechnology in the country's development, set up the Department of Biotechnology...Department of Biotechnology has set up 17 Centres of Excellence at higher education institutions across the country and has supported the establishment of eight biotechnology parks across different cities...Biotechnology Industry Research Assistance Council (BIRAC) in 2012, which has successfully supported 316 start-ups in its six years of existence...As of 2016, India had over a thousand biotechnology start-ups.' According to Mr. Kapoor, the sector faces many challenges and they need to be addressed effectively and promptly - (1) India's research and development expenditure is quite low at 0.67% of GDP, not only compared to mature biotechnology economies such as Japan and the US (around 3%) but also in comparison to emerging economies like China (around 2%). (2) Specific to the biotech pharmaceutical sector, there are a few India-specific challenges with the country's IP regime. There are two main areas of contention for the industry in India's approach to intellectual property. The first issue lies in Section 3(d) of the Patents (Amendment) Act, 2005, which sets a higher standard for patentability than mandated by TRIPS. The industry argues that India's stricter standards for patents discourages innovation and dampens foreign investment. The second issue is that of compulsory licensing, which gives the government power to suspend a patent in times of health emergencies. Although India has used this option only once, the industry feels that such regulations keep investors clear of Indian markets. (3) Another challenge lies in the risk involved in the Valley of Death, that is, the risk of failure in the transition of innovative products and services from discovery to marketisation. Most of the early research funding, often provided by universities or the government, runs out before the marketisation phase, the funding for which is mostly provided by venture capitalists. It becomes difficult to attract further capital between these two stages because a developing technology may seem promising, but it is often too early to validate its commercial potential. This gap has a huge impact in commercialisation of innovative ideas. Read on...

The Economic Times: Why biotechnology can be Indian economy's next success story
Author: Amit Kapoor

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Mohammad Anas Wahaj | 08 jan 2019

According to the 'Global Highly-Cited Researchers 2018 List' by Clarivate Analytics, India has only 10 researchers among the world's 4000 most influential researchers. Even though India has many globally renowned institutions, but it lacks breakthrough research output. Top three countries in the list are - US (2639), UK (546), China (482). Prof. CNR Rao, world renowned chemist from Jawaharlal Nehru Centre for Advanced Sciences and named in the list, says, 'About 15 years ago, China and India were at the same level, but China today contributes to 15-16% of the science output in the world, while we currently contribute only 4%.' Prof. Dinesh Mohan, environmental science academic at JNU and included in the list, says, 'Areas such as climate change, water and energy are areas where research is more relevant nowadays. Where you publish your work is also important for impact.' Dr. Avnish Agarwal, also named in the list, says, 'We need to improve our research ecosystem...There is a lack of focus on quality research in Indian academia. If teachers do not do high-quality research, they will not be updated with new developments.' Others in the list are - Dr. Rajeev Varshney (Agriculture researcher at International Crops Research Institute for the Semi-Arid Tropics-ICRISAT); Dr. Ashok Pandey (Researcher at the Indian Institute of Toxicology Research); Dr. Alok Mittal and Dr. Jyoti Mittal (Researchers in environmental science, water treatment, green chemistry and chemical kinetics at the Maulana Azad National Institute of Technology); Dr. Rajnish Kumar (Researcher and professor at IIT Madras's Department of Chemical Engineering); Dr. Sanjeeb Sahoo (Researcher in nanotechnology at the Institute of Life Sciences); Dr. Sakthivel Rathinaswamy (Professor and researcher in Applied and Computational Mathematics at Bharathiar University). Read on...

Firstpost: ONLY 10 AMONG THE WORLD'S TOP 4000 INFLUENTIAL RESEARCHERS ARE INDIAN: REPORT
Author: NA

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Mohammad Anas Wahaj | 31 dec 2018

In India there are central government run healthcare institutions, public state run institutions and private medical colleges that provide modern healthcare education mainly the four year degree MBBS and after that post-graduate degrees of MS and MD. India also have a number of institutions that provide degrees in other healthcare systems like Ayurveda (BAMS), Unani-Greek (BUMS), Homoeopathy (BHMS), Naturopathy etc. Moreover, there are vocational training institutes that provide skills and courses to develop other medical staff like nurses, health assistants etc. There are also corporate run and other private medical colleges and universities and training institutes. India's healthcare facilities are generally concentrated in urban areas while rural areas are generally served by public hospitals and centers. Private clinics are also present in both rural and urban areas. They are generally run by a single doctor or doctor couple and provide basic healthcare. Diagnostic centers are spread all over due to technological advancements and compact and affordable equipments. Healthcare has major disparities between urban and rural areas when it comes to healthcare access. Healthcare has become one of India's largest sectors - both in terms of revenue and employment. The industry comprises public and private hospitals, pharmaceutical companies, pathology and diagnostics, medical devices industry, clinical trials, outsourcing, telemedicine, medical tourism, health insurance and medical equipment. The public sector constitutes primary health centers, central research centers and hospitals, state-run research institutes and hospitals etc. The private sector provides majority of secondary, tertiary and quaternary care institutions with a major concentration in metros, tier-I and tier-II cities. According to National Family Health Survey-3, the private medical sector remains the primary source of health care for 70% of households in urban areas and 63% of households in rural areas. Rise of technology is creating new business models in the healthcare industry. Healthcare through smart phones and fitness trackers is new trend. Information technology is automating and streamlining various healthcare processes. Big data is creating new ways of improving healthcare delivery. Startups in India are promising to provide best healthcare at affordable cost more effectively. Latest healthcare equipment is not only imported but also manufactured in India. Digital technologies are enhancing every aspect of healthcare. Technology solutions are able to modernise current medical practices, reduce costs, eliminate any duplication of tests as well as streamline processes and update medical records in real time. Modern technology has great potential to increase access of healthcare services in rural communities, especially the ones where there is serious shortage of doctors. India has demonstrated since long a commitment to offer comprehensive healthcare to all citizens. This has been reaffirmed in the 12th Five-year Plan, National Health Assurance Mission, and more recently through Ayushman Bharat Program. However, the challenges remain and this goal has not been achieved as of yet. There are two critical components of successful healthcare systems. One is the financial aspects whereby citizens are protected against any eventuality and don't get into penury due to health spending. Second is the provision and delivery of healthcare services. It is imperative to ensure that healthcare infrastructure is sufficiently equipped to provide effective healthcare when needed by its citizens. Technology, public-private partnerships, access and affordability are the critical component in the future of India's healthcare. Better healthcare with policy, financial and physical framework will bring long-term benefits to the nation. Develop effective mechanisms to improve general health, and disease prevention strategies through campaigns, advocacy etc. To make India's citizens more aware about their health, inculcate better sanitization and cleanliness habits will help to improve overall health of India. Prevention before cure becomes the key for the country with the size and demographic profile like India. Health aware citizens, trained, sensitive and caring medical staff, cutting edge technologies and modern infrastructure, are the golden elements for a healthy future of India. Read on...

ilmeps/read: Healthcare in India: An Overview (Part 2)
Author: Mohammad Anas Wahaj

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Mohammad Anas Wahaj | 13 oct 2018

Indian corporates that fulfil the conditions of Section 135 of the Companies Act 2013 relating to mandatory spending of 2% of last 3 years average profit on CSR are making a difference in vulnerable communities in India. According to the latest India CSR Outlook Report published by NGOBOX, Reliance Industries, HDFC Bank, Wipro, Tata Steel, NTPC, Indian Oil Corporation & ONGC spent more than their prescribed CSR budgets in FY 2017-18. The report analyzed CSR spends of 359 companies. The prescribed CSR budget of these 359 companies was Rs 9543.51 crore whereas the actual CSR spend was Rs 8875.93 crore (3/4th of total CSR spend in India). There is an increase in the prescribed CSR from 6% to 8% in the actual CSR spend from FY 16-17 and the number of projects have also increased by 25% from the previous year. REPORT HIGHLIGHTS: Maharashtra, Karnataka and Gujarat together received over 1/4th of India's total CSR fund. North-eastern states of Nagaland, Meghalaya, Mizoram and Tripura have received least funds; Public sector contribution is over 1/4th of the total; Oil, refinery and petrochemicals account for alsmost 1/4th of the total while healthcare and pharma contributes the least with just Rs 294 crore; CSR funding on education and skill increased by 50% from last year and is 1/3rd of the total CSR spend; Over 1/4th is spend on WASH (Water, Sanitation and Hygiene) and healthcare projects. Read on...

Business Today: Corporates spend 50% CSR funds in education, skill development: Report
Author: Sonal Khetarpal

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Mohammad Anas Wahaj | 15 sep 2018

India's large size with huge population (1.25 billion), substantial part of which resides in rural and underdeveloped regions, brings both challenges and opportunities for implementing healthcare policies and initiatives, both public and private. Over the years ineffective implementation of such initiatives at various levels, has created lopsided infrastructure and uneven development in healthcare. Indian health system also lacks effective payment mechanism and has a high out-of-pocket expenditure (roughly 70%). Adverse health events (health shocks) have considerable impact on India's overall poverty figures, adding about seven percentage points. Health is associated with the overall wellness of the citizens. Good health reflects on the productivity and growth of the nation. More so in the case of India as substantial population is young. India has more than 50% (about 662 million) of its population below the age of 25 and more than 65% below the age of 35. By 2020, the average age of India's population is expected to be 29 years. Aging of this large population will happen at the same time. Having adequate infrastructure is key to avoid a massive health catastrophe for this elderly population in future. Health is also a key issue in the public policy sphere. In the public policy context healthcare issues are often related to accessibility, affordability, socio-economic disparities, healthcare delivery mechanisms, illness and diseases and their impact on society etc. India have a conceptual universal health care system run by the constituent states and union territories. The biggest challenge is to make it accessible and affordable for the overall population. Read on...

ilmeps/read: Healthcare in India: An Overview (Part 1)
Author: Mohammad Anas Wahaj

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Mohammad Anas Wahaj | 22 jul 2018

In a developing country like India low-income groups often lack access to proper healthcare. But, mobile technology can provide ways to enable these groups have knowledge and resources to drive preventative healthcare. Lead researchers, Aakash Ganju (co-founder of Avegen), Sumiti Saharan (Neuroscientist, Team Lead of Design & Research at Avegen), Alice Lin (Global Director of social innovation at Johnson & Johnson), Lily W. Lee (President of Almata, a division of Avegen), explain the research conducted by their team on the digital usage patterns of underserved groups in two urban areas of India, and iteratively tested user interface and content design. Researchers generated primary research insights from more than 250 new mothers and fathers living in low-income communities, and achieve understanding of the core barriers and digital needs of this population. Researchers suggest, 'Embedding health care into digital tools requires that providers overcome contextual barriers and undertake deliberate design processes. To succeed, providers must develop a nuanced understanding of the obstacles to consuming information digitally, as well as glean insights from technology, interface design, and behavioral science.' Following are some insights from the research - (1) Cost is no longer the biggest barrier: In the last year, a strong government regulatory authority has promoted competition and consumer benefits that have rapidly driven down both smartphone and data costs. (2) Infrastructure can overcome any remaining cost barriers: Only 5% of people living in less-connected and less-developed localities owned smartphones, compared to a significant 56% of individuals with similar incomes living in neighborhoods with good mobile network and infrastructure. (3) Digital experiences are not often built for low-income, urban populations: The most pervasive barrier to digital adoption in India today is a lack of knowledge about how to use digital interfaces. Language is also a barrier. India has an overall literacy rate of 74%. However, only about 10% of Indians can communicate in English - the language of the Internet. Local language content is scarce. There are gaping holes in the understanding of early-stage user requirements and pain points, from both the digital interface and content experience perspectives. (4) There is a lack of trust in health-related digital information: Low-income, underserved communities who have not been exposed to authentic digital content often have extreme distrust in digital information pertaining to health. Only 12% of families thought information from digital sources was reliable, compared to more than 90% finding information from doctors and mothers to be most, very, or somewhat reliable. According to researchers, to truly meet the needs of underserved consumers, providers must focus on the following areas - (1) High-quality content: To engage users on digital platforms, providers must use differentiated content that connects with a user's specific journey. The form, tone, and continuity of content matters. Video formats optimized for small, low-quality displays are most effective in driving engagement. When visual formats are not feasible, audio formats are the next best alternative. Understand the environments in which users consume health. Include local elements in the content, like referring to local clinics etc. (2) Behavior change: Engaging users is vital to directing changes in consumer health behavior. It's important to be deliberate about the design of the user journey. Offering incentives for content consumption, sharing, and specific health-related behaviors can help nudge users toward desired health-related behaviors. (3) Technology: Mobile apps need to be light and fast, have low memory and data requirements, and be able to run on slow and patchy networks. Display data consumption frequently, enhanced ability to view offline content and share content within community is important for engagement. (4) Design team structure: Multidisciplinary teams that bring together expertise in technology, design, business and sustainability, end-user thinking, and behavioral sciences tend to create the most effective designs. To design for the end user, providers must design with the end user, particularly for populations who are not digitally fluent. Teams should develop a thinking environment and processes that allow for hypothesis development, application design, testing, analytics, and retesting in rapid, parallel, iterative cycles. Read on...

Stanford Social Innovation Review: Expanding Access to Health Care in India Through Strong Mobile Design
Authors: Aakash Ganju, Sumiti Saharan, Alice Lin Fabiano, Lily W. Lee

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