e-­‐Governance/e-­‐Health  ini1a1ve  

Medha  Roopam,  Ministry  of  Health  &  Family  Welfare  

DOCTOR ON CALL

• Subsidized  government  service  vs  private    Choice  

•   5  Lakh  doctors  short  (UP-­‐10516  SHC  short)  Lack  of  Infrastructure  

• PaLent  travels  20  KM  or  more  for  one  doctor  consultaLon,  loses  daily  wage.    

Opportunity  cost  

Some Realities of Rural India

• More  than  50%  personal  visits  to  doctor  –  avoidable.  

• Phone  facili1es  for  village  full  day  but  transport  facili1es  only  once  

What is D.O.C?

A  free  24*7  service  where  a  naLonal  level  toll  free  helpline  number  will  provide  medical  consultaLon  with  a  qualified  

doctor  in  regional  language.  

 

DOCTOR ON CALL D.O.C

q Free  Service    q Pan  India  coverage  q 23  Regional  Languages  q 24*7    q SMS  Based  prescripLon  q Chat  opLon  through  m-­‐App/NHP  q Standardized  MCI  approved  algorithms  q Outsourced  call  centre  model.  q ConfidenLality  of  paLent  data  

Main Features

                 Tracking  &  Mapping    

               of  Emergency  Diseases  

               Integration  with    

Telemedicine  Centres

SERVICES TO BE PROVIDED

Medical  Consultation   Directory  Information  Services  

Counselling     Grievance  Registration  

Mother  &  Child  Tracking  System  

(MCTS)  Feedback    

FLOWCHART OF THE CALL

CALL  OPERATOR   NURSE/PARAMEDIC  

DOCTOR/AYUSH  PRACTIONER   COUNSELLOR  

HELPLINE  CALLED  

MEDICAL CONSULTATION & COUNSELLING NURSE/PARAMEDIC  

DOCTOR/  AYUSH  PRACTIONER  

COUNSELLOR  

o  Standardized  algorithms  o  PrevenLve/curaLve    o  Do’s/Dont’s  o  Home  remedies  

o  Diagnosis  &  prescripLon  o  Over  the  counter  drugs  o  SMS  with  dosage  o  Jan  Aushadhi  

o  Mental  Health  o  De-­‐addicLon  o  AIDS  o  Depression  

o  Nearest  government  health  centre  o  Health  schemes  of  Government  o  Blood  banks,  diagnosLc  centre  etc  

o  Grievances  on  govt  hospital,  PHC,  CHC    o  Forwarded,  tracked,  regular  reports    o  CorrupLon,  cleanliness,  illegal  sex  determinaLon  etc  

DIRECTORY INFORMATION SERVICE

GRIEVANCES REGISTRATION

o  Example  -­‐  Dengue  and  EncephaliLs  o  InformaLon  disseminaLon  to  high  risk  

paLents.  o  AuthoriLes   to   avert   spreading   of  

communicable  disease  at  source.  

o  Feedback  o  MCTFC  integraLon  o  Telemedicine  integraLon    o  Call  transfer  to  other  emergency  

services  (108,100)    

TRACKING & MAPPING OF EMERGENCY DISEASES

FEEDBACK & OTHER SERVICES

Successfully running example 104  

Karnataka    

Saving:  Approx  Rs  33,000  crore  (out  of  pocket  expenditure)  of  rural  Indian  populaLon.    Whole  of  India?  

q   26,000  calls  on  average  q   Rs  400  saved/rural  person/year    q   316  suicide  cases  averted  q   70  Lakh  people  benefiXed  

Medha  Roopam  Assistant  Secretary    

Ministry  of  Health  and  Family  Welfare  

Thankyou ☺