Healthcare in India
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Healthcare in India
Selection of Articles, Opinions, Discussions and News on Healthcare in India from all over the web covering Healthcare Policy, Healthcare Reform, News, Events, #HealthIT , Edipdemics, Chronic Diseases, #mHealth, #hcsmin ,
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Harnessing Digital Health in Asia Pacific

Harnessing Digital Health in Asia Pacific | Healthcare in India | Scoop.it

Digital Health has accelerated during the COVID-19 pandemic, enabling the health ecosystem, providers and patients to adopt new medical technologies and digital health solutions, specifically in remote patient care and telehealth. However, beyond addressing near-term pandemic issues, the full potential of digital health in tackling chronic care remains untapped.

To achieve this, we need to strike a balance between immediate priorities and investments for a digital future in a value-based care era. With a growing ageing population across the Asia-Pacific region and increased patient demand for access to care at a time and modality of their choice, digital health innovation is no longer an option, but a necessity for health systems if we aspire to emerge stronger from the pandemic.

 

It is for this reason that the Asia-Pacific Medical Technology Association (APACMed) formed the Digital Health Committee to drive proactive dialogue around key themes such as regulation, reimbursement, interoperability, and cybersecurity.

 

The committee recently conducted an extensive research on Policy Pathways for Value Assessment and Reimbursement

 

India and Australia were the two archetypes studied for the purpose of this research.

 

Interestingly, for both archetypes studied – Australia (mature health system seeking to optimize UHC) and India (developing health system seeking to achieve “4.0” status), the core issues identified as part of the current landscape boiled down to policies that either inappropriately treat Digital Health as an unmonitored B2C platform, or the exact opposite - as a classic medical device. The three key challenges identified were, the lack of value assessment framework, fragmented coverage efforts and complex evidence generation.

 

Collectively, the efficacy of Digital Health can be improved to achieve the healthcare quality that our populations deserve, and simultaneously accelerate the time-to-market for innovations that will have wider socio-economic benefits. To begin this journey, it is critical to understand the unique socio-economic and health system challenges that countries in Asia Pacific could typically face.

India for instance, is a much younger population with only 6.4% aged above 65; the poverty rate steep and internet penetration lower (34.4%) in comparison to other developed nations. The healthcare system in India is still evolving with only 3.6% GDP allocation towards healthcare and only 30% for healthcare facilities supported by public entities. The country also has a very low ratio of doctors and beds per capita.

Incorporating Digital Health formally into the UHC (Universal Health Coverage) ambition in India will be very important especially considering COVID-19 and the challenges that it has been imposing on the country recently.

 

read more at https://health.economictimes.indiatimes.com/news/health-it/harnessing-digital-health-in-asia-pacific/84059339

 

 

 

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Digital technology: The next frontier in healthcare delivery in post-Covid India

Digital technology: The next frontier in healthcare delivery in post-Covid India | Healthcare in India | Scoop.it

The pandemic accelerated the humanizing of digital technology – it brought people together at a time when physical distancing was legally mandated in many parts of the world.

 

One year on, digital solutions – in every sector – have truly come of age. The pandemic has ushered in a new era and meaning for digital tech, as organizations, businesses, and institutions began to function through virtual mediums almost exclusively.

 

Perhaps most crucially, it demonstrated just how powerful digital interventions can be in last-mile delivery of essential services, particularly in hard-to-reach, underserviced areas, and how they should be leveraged even in times of normalcy without such severe supply chain disruptions.

 

Nowhere is this more apparent than in health care services. In the early months of lockdown in India, several essential health services were disrupted, and one of the hardest hit was maternal health care.

 

Childbirth stops for nothing and no one – the ecosystem had to adapt almost overnight to meet the new challenges of maternal health care delivery. For instance, a quality improvement and assurance program called Manyata, which trains health care staff in private maternal care facilities on a set of 16 evidence-based clinical standards for quality and safe care, moved its entire training and certification architecture online to continue providing this crucial capacity-building to under-resourced nursing homes.

 

And thus, digital interventions came to the rescue.

 

With the immediate challenges of the pandemic addressed by a plethora of digital innovations, we must retain this momentum to chart a path for realizing India’s Universal Coverage Health goals.

 

The digital ecosystem offers path-breaking and efficient solutions for accelerating the three pillars of UHC – availability, affordability, and quality – by advancing transformations in health care on both the demand and supply side. 

 

Digital tech can be a game-changer. In terms of supply, it is enabling reach and scale at levels that were previously unimaginable.

 

Digital solutions can increase the penetration of quality care mechanisms to remote parts of the country through telemedicine and remote training sessions for health care staff.

 

On the demand side, tech has tremendous potential to amplify grassroots voices from beneficiaries and patients, both as a means to incorporate their feedback in designing healthcare solutions (or improving existing ones), and encouraging demand for affordable, high-quality care.

 

However, while leveraging digital interventions for improving healthcare and service delivery is crucial, it cannot be done in silos.

 

The pandemic has exposed fragilities in the very foundations of our healthcare ecosystem. We must therefore create strong structural support that can enable availability, affordability, and quality to become all-pervasive, by rallying the health ecosystem and incentivizing the participation of both private and public sector. 

 

Perhaps most crucially, the private sector needs to be integrated into the total health system in order to complement and augment government efforts in strengthening the health care ecosystem. The important role of the private sector was amply reinforced in the aftermath of the Covid-19 pandemic, as the government turned to private sector facilities to help in its frontline response to the virus. So, too, with building a digitally-enabled health ecosystem. 

 

The visionary National Digital Health Mission (NDHM) is poised to revolutionize Indians’ experience of health care access and delivery. However, for the NDHM to achieve scale and speed of impact, extensive private sector involvement is crucial. 

 

A strengthened and integrated health system must put its weight behind digital interventions if we hope to facilitate a transformation in the months and years ahead. 

 

read the original , unedited version at https://timesofindia.indiatimes.com/blogs/voices/digital-technology-the-next-frontier-in-healthcare-delivery-in-post-covid-india/

 

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Global Fund Approves US$75 million for India’s COVID-19 Response

Global Fund Approves US$75 million for India’s COVID-19 Response | Healthcare in India | Scoop.it

The Global Fund has approved US$75 million in fast-track funding to support India’s response to the COVID-19 crisis that is devastating the country. This new funding will support India in purchasing oxygen concentrators and Pressure Swing Adsorption (PSA) oxygen plants to help meet the medium-term needs for medical oxygen.

 

“What is happening in India can happen elsewhere,” says Peter Sands. “This is a warning that we cannot let our guard down. The emergence and rapid spread of more virulent variants highlights the importance of a global and comprehensive approach – including testing, treatments such as corticosteroids and medical oxygen, and vaccines – to fight this pandemic. No country is safe until we have COVID-19 under control everywhere.”

 

read the release at the Global Fund website at https://www.theglobalfund.org/en/news/2021-05-06-global-fund-approves-usd75-million-for-india-covid-19-response/

 

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The promise of eHealth for rural India

The promise of eHealth for rural India | Healthcare in India | Scoop.it

As a scientist at the New Delhi-based Institute of Genomics and Integrative Biology (IGIB), Dr. Anurag Agrawal often ponders the links between genes and lung disease. Could there be a connection between height, weight and a propensity to develop asthma? How might diet affect chronic obstructive pulmonary disease?

 

In the winter of 2013, he started thinking: What if there was a way to use shipping containers to collect and mine people’s health records, thereby gaining insights into disease to provide treatment?

 

One such container eventually made its way to a village in Uttar Pradesh. Here, villagers could gain access to a paramedic, deposit blood samples and have a qualified doctor advise them by monitor. They could submit a cardiogram, have a doctor look at it within days and, if necessary, sound an alert.

 

The IGIB is one of 39 state-funded Council for Scientific and Industrial Research laboratories. As a government establishment, it had limited scope to expand. But five years ago, IGIB partnered with Narayana Health (NH), a renowned Indian multi-specialty hospital chain, and the American IT giant Hewlett-Packard, to install more than 40 such ‘eHealth’ centres in various parts of the country.

 

The NH network now uses these shipping containers as part of its rural healthoutreach, which includes electronic medical records (EMR), biometric patient identification and integrated diagnostic devices. The HP cloud-enabled technology allows for the monitoring of clinical and administrative data.

 

 

more at https://www.thehindu.com/sci-tech/health/the-promise-of-ehealth-for-rural-india/article25214896.ece

 

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State-of-the-art-technologies are making their parenthood dream of many come true

State-of-the-art-technologies are making their parenthood dream of many come true | Healthcare in India | Scoop.it

On October 3, 1978, due to the pioneering effort of Dr Subhash Mukhopadhyay and his team in Calcutta, a girl—Durga—was born through IVF. It was the second such attempt in the world, a repeat of what his English counterparts Robert G Edwards and Patrick Steptoe had achieved barely days ago, on July 25. The news boded well for thousands of infertile couples, but there was no noise around the achievement. Perhaps because the couple chose to keep mum and didn’t want themselves or the child’s image to be shaped by the manner of conception. Battling ignominy and failure to be recognised for his monumental work led him to take his life on June 19, 1981. But recognition did come his way, posthumously, and 25 years after the birth of Durga, the physician was “officially” regarded as the first doctor to perform IVF in India. Later on August 6, 1986, Dr Indira Hinduja and Dr Kusum Zaveri helped deliver—Harsha—India’s first test tube baby.

 

Now, State-of-the-art-technologies are making their parenthood dream of many come true

 

A latest Ernst & Young (E&Y) report records high prevalence of infertility affecting nearly 10-15 percent of married couples in India, of which women account for 40-50 percent. Infertility attributable to male factors is on the rise and constitutes 30-40 percent of the segment.

 

Only 1 percent of infertile couples in India seek treatment, says the E&Y report. It highlights the rise in the population of women in reproductive age (20-44). This proportion could go up by 14 percent between 2010 and 2020. The climb is skewed towards women aged between 30 and 44 (20 percent increase estimated between 2010 and 2020), who typically display lower fertility rates. This shifting demographic trend coupled with rising contraceptive use is likely to scale up infertility rates in India.
Age has an important part to play in conception.

 

Tech to Rescue

The fertility treatment landscape has drastically improved over the years. The services at a fertility centre range from the simplest that involves IUI to the most advanced ones such as IVF,
IMSI (intracytoplasmic morphologically selected sperm injection), ICSI (intra-cytoplasmic sperm injection) and PICSI (a new method of sperm selection for ICSI).Today any IVF specialist is lucky to possess the latest techniques to combat the disadvantage of advanced maternal age, prevent unnecessary transfer of embryos, prevent and reduce implantation failure and give quick results. 

 

Performing genetic diagnosis prior to embryo implantation could prevent abnormal pregnancies. Various categories of hopeful mothers are advised this screening method. They are:


1. Women who suffered repeated implantation failure or recurrent pregnancy loss while undergoing IVF
2. Patients aged 35 years
3. Women with recurrent miscarriages after IVF
4. Women with a positive history of chromosomal aneuploidies in the family or are diagnosed carriers of chromosomal abnormalities
5. Or have a combination of some of the above factors

 

read more at http://www.newindianexpress.com/magazine/2018/sep/30/the-great-baby-race-1878013.html

nrip's insight:

This is an excellent piece by Shillpi A Singh which came out in the New Indian Express which serves as a written documentary on how the field of IVF has evolved in India and where it will go from here. It touches upon several advances in the field today and has expert views contributed by 

 Dr Narmada Katakam, Medical Director, Genesis Fertility & Laparoscopy Centre, Hyderabad

Dr Aniruddha Malpani of Malpani Infertility Clinic in Mumbai

Dr Keshav Malhotra of Rainbow IVF, Agra

Dr Jayesh Amin, Director, Wings Hospital, Ahmedabad 

Dr Kokila Sreenivas, Director, Sukrutha IVF and Hospital, Tumkur

Dr Rit Shukla, Scientific Director, Pravi IVF & Fertility Centre, Kanpur

Dr Archana Agarwal, Medical Director, Mannat Fertility, Bengaluru

 

 

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India's Haryana state partners with Deloitte for COVID-19 virtual home care service

India's Haryana state partners with Deloitte for COVID-19 virtual home care service | Healthcare in India | Scoop.it

The state government of Haryana in northern India has kicked off a project with Deloitte to provide virtual home care services to patients with mild to moderate symptoms of COVID-19 amid the ongoing second wave of infections in the country.

Sanjeevani Pariyojana, or The Life Project, provides patients with support and resources to manage their care at home, including access to virtual triage, COVID-19 field hospitals and in-patient facilities.

It was piloted in the Karnal district before being expanded to other districts in Haryana.

more at https://www.healthcareitnews.com/news/apac/indias-haryana-state-partners-deloitte-covid-19-virtual-home-care-service

 

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AI algorithm that can detect the presence of COVID-19 disease in Chest X Rays

AI algorithm that can detect the presence of COVID-19 disease in Chest X Rays | Healthcare in India | Scoop.it

“ATMAN AI”, an Artificial Intelligence algorithm that can detect the presence of COVID-19 disease in Chest X Rays, has been developed to combat COVID fatalities involving lung. ATMAN AI is used for chest X-ray screening as a triaging tool in Covid-19 diagnosis, a method for rapid identification and assessment of lung involvement. This is a joint effort of the DRDO Centre for Artificial Intelligence and Robotics (CAIR), 5C Network & HCG Academics. This will be utilized by online diagnostic startup 5C Network with support of HCG Academics across India.

 

Triaging COVID suspect patients using X Ray is fast, cost effective and efficient. It can be a very useful tool especially in smaller towns in India owing to lack of easy access to CT scans there.

 

This will also reduce the existing burden on radiologists and make CT machines which are being used for COVID be used for other diseases and illness owing to overload for CT scans.

 

The novel feature namely “Believable AI” along with existing ResNet models have improved the accuracy of the software and being a machine learning tool, the accuracy will improve continually.

 

Chest X-Rays of RT-PCR positive hospitalized patients in various stages of disease involvement were retrospectively analysed using Deep Learning & Convolutional Neural Network models by an indigenously developed deep learning application by CAIR-DRDO for COVID -19 screening using digital chest X-Rays. The algorithm showed an accuracy of 96.73%.

 

 read more at http://indiaai.gov.in/news/drdo-cair-5g-network-and-hcg-academics-develop-atman-ai

 

 

nrip's insight:

Utilizing algorithms for chest X-ray is an effective triaging tool. Once perfected these can accessible by people in remote areas. Thus offering significant improvements in the care process as encountered in rural and remote areas.

 

Similar methods are being used/experimented on by a variety of labs and digital health companies, for predominant respiratory diseases.

 

Plus91 has developed similar technology for different Pneumonia and TB.

nrip's curator insight, May 12, 2021 12:47 AM

Utilizing algorithms for chest X-ray is an effective triaging tool. Once perfected these can accessible by people in remote areas. Thus offering significant improvements in the care process as encountered in rural and remote areas.

 

Similar methods are being used/experimented on by a variety of labs and digital health companies, for predominant respiratory diseases.

 

Plus91 has developed similar technology for different Pneumonia and TB.

 

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India’s vaccine diplomacy gets a boost from the Quad

India’s vaccine diplomacy gets a boost from the Quad | Healthcare in India | Scoop.it

The leaders of Quad countries (Australia, India, Japan, USA) have decided to launch a mega vaccine initiative under which coronavirus vaccines will be produced in India for the Indo-Pacific region with financial assistance from the United States and Japan while Australia will contribute in logistical aspects.

 

 As per a joint statement, the vaccination capacity of India will be increased to produce 1 billion doses by 2022,

 

Foreign Secretary Harsh Vardhan Shringla said it was decided that India's manufacturing capacity is something that is going to be leveraged to make US vaccines.

 

"In today's context, it is one of the most important initiatives. We are talking about huge investments in creating additional vaccine capacities in India for exports to countries in the Indo-Pacific region for their betterment.

 

This will undoubtedly boost India’s vaccine diplomacy efforts. India has been providing vaccines to developing countries around the world.

So far 71 countries have received vaccines manufactured in India.

 

A majority of these are developing countries which did not have adequate access to the vaccine. India’s vaccine diplomacy has won attention for its efforts to make vaccine availability more equitable.

 

On the other end, there has been criticism that India is working outside the WHO’s COVAX initiative in supplying vaccines. This hypocritical talk has been rejected by India’s External Affairs Minister Subrahmanyam Jaishankar who has asked “Which one of these countries have said that while I vaccinate my own people, I will inoculate other people who need it as much as we do?”

 

There is a lot the world should learn from India's initiatives against the pandemic and its holistic and altruistic approach against it. Even though many will claim it is doing good so as to enhance its presence in the region, those same people must learn that as per Indian culture, its good to do good and not be concerned about the fruits that the good work may bear. The benefits are not the effect but a side effect.

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InnoHEALTH 2018 | Medical Events Guide

InnoHEALTH 2018 | Medical Events Guide | Healthcare in India | Scoop.it

InnoHEALTH is a movement to create a mutually beneficial knowledge platform for all, that would also provides a unique opportunity to young innovators to showcase their products and services to the global community.

 

The event brings everyone interested in healthcare innovations in a common platform from across the globe. The idea is to create an inclusive ecosystem of healthcare experts, technologists, policy makers, young innovators and all stakeholders, that would assist in the faster adoption of innovations for the betterment of the community.

 

InnoHEALTH 2018 will be held at Gurgaon, Delhi on  5th and 6th of  October 2018

 

nrip's insight:

Sign up at https://medicaleventsguide.com for exclusive information as well as offers & discounts for Health and Wellness conferences and events

nrip's curator insight, October 2, 2018 11:09 PM

Sign up at https://medicaleventsguide.com for exclusive information as well as offers & discounts for Health and Wellness conferences and events

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The Elephant and the Blind Men

The Elephant and the Blind Men | Healthcare in India | Scoop.it
“It is astonishing with how little reading a doctor can practice medicine, but it is not astonishing how badly he may do it”
- Sir William Osle

 

Medical knowledge has reached the level of telemedicine and telesurgery is coming in. But there is so much disparity in availability of treatment. There are many social, political, educational and financial reasons.



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