Basic administrative reforms essential before contemplating PPP model in Health care- Nair


A Brain storming session on health status of Maharashtra- Vision 2025 was organized by Nagpur Regional branch of Yashwantrao Chavan Pratishtan in Rashtrabhasha Sankul, Shankar Nagar Nagpur yesterday to commemorate 75th birthday of Shri. Sharad Pawar. Renowned speakers and thinkers of Maharashtra presented their view on various topics.

Dr. Shyam Ashtekar, Ex-Director- Health Division Yashwantrao Chavan Maharashtra Open University( Nashik), Dr. Ved Prakash Mishra, Chairman – Krishna Institute of Medical Sciences (Karad), Shri Uday Bhaskar Nair, Chairman- Orange City Hospital & Research Institute (Nagpur), Dr. Subhash Salunkhe, Senior Advisor-Public Health Foundation India( Pune), Dr. Satish Gogulwar, Founder- ‘Amhi Amchya Arogyasathi’ (Gadchiroli) , Dr Anant Phadke, Co-Coordinator- People Health Movement( Pune), Dr. Mahesh Zagade, IAS, Metropolitan Commissioner & CEO- Metropolitan Regional Development Authority (Pune)spoke on various topics.

At the outset Shri. Girish Gandhi welcomed the speakers and gathering while Shri. Sharad Kale introduced the speakers. Professor Suresh Dwadashiwar, Senior Journalist, Littérateur and Thinker inaugurated the program.

Speaking on “The Private Health Sector & PPP model”; Shri.Udaybhaskar Nair, Chairman, Orange City Hospital & Research Institute highlighted the pros and cons of PPP model in health care. An extensively well researched topic, his lecture was immensely appreciated. In the absence of a robust state-funded health infrastructure providing free care, citizens have no option but to seek out private facilities. Moreover, one episode of hospitalization is estimated to account for 58% of per capita annual expenditure, pushing 2.2% of the population below the poverty line. Still, 80% of households prefer to use private sector treatment in India for minor illnesses, and 75% of households prefer to go to the private sector for major illnesses. There is no reward for hard working quality doctors in government setups, then why will they stick there? He lamented. Wherein government institutions were once looked upon as a centre where newer modalities, rare and difficult management options could be tried and tested; this concept has completely eloped the system due to dearth of honestly involved and interested individuals. He quoted WHO reform strategies including (I) alternative financing (user-fees, health insurance, community financing, private sector investment); (ii) institutional management (autonomy to hospitals, monitoring and management by local government agencies, contracting); (iii) public sector reforms (civil service reforms, capacity building, productivity improvement); and (iv) collaboration with the private sector (public/private partnerships, joint ventures). Lastly he added that a government that fails to deliver quality social services due to lack of basic administrative capacity would not be able to contract either clinical or non-clinical services. The first step must be to improve basic administrative systems.

The gathering was well attended by all concerned Nagpurians. Shri Ajay Patil, Dr. Pramod Munghate, Dr. Pankaj Bhoyar, Dr. Komal Thakre, Shri. Ramesh Borkute, Shri. Sameer Saraf and all other worked hard for the success of this novel deliberation.