MANAGING HEALTHCARE CRISIS AND

SEEKING INNOVATIVE SOLUTIONS

CIPS, HYDERABAD

15.04.2020

Why 13th Finance Commission Recommended it?

➢ There is no data base on innovative best practices in different sectors and at different levels.

➢ Cross-fertilisation of ideas is not taking place at a sufficient rate and scale.

➢ Many good ideas attempted once are aborted, and given short public memory, are not recalled very

often.

➢ Incentives for innovations in public systems are not enough and sufficient visibility is not given to

change agents.

➢ The systems of training and education in various public administration institutions have not

incorporated the lessons of various innovations adequately and systematically.

MISSION

VISION

GENESIS

▪ Recommended by the 13th Finance Commission

▪ Established in May 2010 by Government of India

▪ Located at ASCI, Hyderabad

▪ Vision - Be the catalyst for transformation of governance in public systems

▪ Mission - Nurture an eco-system and develop a culture of innovation in public systems

CIPS – GENESIS, VISION & MISSION

Unique Value Proposition of CIPS

An Autonomous

Centre of ASCI with a mission

to drive innovation in

public systems without any profit motive

A comprehensive

repository of national best

practices

A wide range of services for learning and

implementationof innovations

and best practices in governance

A Trusted Solutions

Provider – a set of credentials of successful

project execution

Journey of Innovations

Replicating

Promoting

Disseminating

Documenting

Identifying

Scouting

Databases & Knowledge Management

DATABASES

WORKSHOPS

VIDEO CONFERENCES

DETAILED PROCESS DOCUMENTATIONS

PUBLICATIONS

474

28

170+

70+

For more information please visit: http://www.cips.org.in/

29

WHY WEBINAR ON HEALTHCARE CRISIS ?

FACTS AND FIGURES

Key Discussion Points

➢The current status of healthcare in India

➢Making healthcare accessible and available to all amidst COVID 19 crisis

➢Effective parenting for managing mental health of the children

Insufficient allocation for the health sector pushing 7% of Indians below the poverty

line and about 23% of the sick can't afford healthcare

DID YOU KNOW?

WHO's health financing profile

for 2017 shows 67.78% of total

expenditure on health in India

was paid out of pocket, while

the world average is just 18.2%

Cost of Inaction

The National CrimeRecords Bureau saysthat 0.38 million peoplecommitted suicide inIndia between 2001 –2015 due to the lack oftreatment facilities.

Source: National Health Accounts, Estimates for India (2014-15)

Deaths 191.42 per 1 lakh population.

India stands 18th followed by Pakistan and South Africa

0

50

100

150

200

250

300

350

400

450

Communicable diseasesDeaths by type of diseases (per 1,00,000 population)

Source: IHME Global Burden of Disease, 2017

Deaths 455.60 per 1 lakh population.

India stands 6th

with South Africa at the top.0

200

400

600

800

1000

1200

Non-communicable diseases

Source: IHME Global Burden of Disease, 2017

Govt. Spending 0.9% of GDP

Private Spending 0.2% of GDP

Household Spending 2.4% of GDP

Source: Health at a glance, OECD 2018

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

As % of GDP

Others

Household out-of-pocket (OOP) expenditure

Voluntary (Private)

Government

Centre spending 0.26% of GDP in 2003-04 and 0.32% of GDP in 2019-20.

State’s spending 0.7% of GDP in 2002-03 and 0.9% of GDP in 2019-20.

Overall spending 0.96% of GDP in 2002-03 and 1.22% of GDP in 2019-20 Source: RBI state finance report, Budget documents, CMIE

0

0.2

0.4

0.6

0.8

1

1.2

1.4

2002-032003-042004-052005-062006-072007-082008-092009-102010-112011-122012-132013-142014-152015-162016-172017-182018-192019-20

Spending on health as % of GDP

State Centre Overall

Making Healthcare available amidst COVID 19 Crisis –

Innovative Solutions

➢ Focusing on strengthening infrastructure and surveillance as part of

strategy to manage COVID-19 positive cases.

➢Over 6000 Janaushadhi Kendras working on war footing to ensure

availability of affordable medicines during lockdown.

➢World Bank praises Aarogya Setu app launched by India to curb Covid-19

pandemic

Questions to be askedfor introducinghealthcare innovation

What is the evidence that the

implementation of innovation will

improve outcomes, while recognising

the complexities of replication?

What support, training and systems will

be needed before it can be introduced?

How should we monitor the

introduction?

Identification of Best Practices in Health by CIPS

Sl. No. Area No. of Innovations Identified

1. Maternal and Child Health 14

2. Use of Technology in Health 28

3. Community Participation 05

4. Healthcare Management, Nutrition and Health 16

5. Procurement and Distribution of Medicines 13

6.Ophthalmic Care System, Oral Healthcare, Palliative Care, Quality

Healthcare09

7. Health Insurance Scheme 09

8. School and Adolescent Health 02

9. Ambulatory Services 03

10. Medical Waste Management 01

Assessing the Efficacy of Innovation – CIPS Way

➢ Summary of the Project

➢ Objective(s)

➢ Name of the implementing Agencies

➢ Year of Implementation

➢ Place/Area of Operation

➢ Methodology

➢ Beneficiaries/Target Group

➢ Status Before Implementation

➢ Status After Implementation (Cost Reduction,Corruption Reduction, Service Improvement)

➢ Resource Requirements(Physical

Infrastructure, Human Resource,

Technology/IT, Approximate Cost of

Implementation)

➢ Performance Indicators

➢ Project Champions

➢ Awards/Nominations

➢ Reasons for Replication

➢ Sources/Reference Links

Detailed Documentation in Health by CIPS

➢ Use of IV Iron Sucrose Injection For Severe Gestational Anaemia Management

➢ Bridging the Divide, 3 Year Rural Medical Practitioners Course in Assam

➢ Access to Low Cost Generic Medicine, Chittorgarh, Rajasthan

➢ Telemedicine in Tripura

➢ Aravind Eye Care System, Madurai, Tamil Nadu

➢ Ecological Sanitation: A Case Study of Regullanka Village, Andhra Pradesh

➢ Village Health and Nutrition Day

➢ Maharashtra Medical Council

Documenting Innovations –Purpose

Concepts ofInnovation

Skills & ToolsInvolved

LearningbasedMonitoring &EvaluationSystem

Processes &Linkages forscaling up

Change inPractices

Use of newknowledge/new use ofexistingknowledge

LINKAGES

Administrative Training Institutes

NGOs /Not For Profit Organisations

Research Institutions

Autonomous Organisations (PSUs etc.)

Incubation Centres

FICCI/CII etc.

Corporates

Centre for Innovations/Entrepreneurship in IITs/IIMs/Universities/Central Institutes

WORKSHOPS AND FIELD VISITS

Capacity Building Training of the relevant stakeholders

Sensitization of the implementation team

Strong network of innovators, govt. training

institutions and govt. departments