Accessible, Affordable and Quality

Healthcare for All

Sector Profile

Vibrant Gujarat 2017

Healthcare Sector
India Scenario

2
 Overview: Factors for growth in healthcare

• India is expected to rank amongst the top

Increasing three healthcare markets in terms of
population Growing
incremental growth by 2020.
Govt.
initiatives health
awareness and • Indian healthcare sector is expected to
with a focus preventive advance at a CAGR of 22.87 per cent
on PPP healthcare
during 2015–20 to reach USD280 billion.
Indian health sector is expected to create
Hub for
Conducive Factors for Innovation and 40 million new jobs by 2020.
policies for R&D
encouraging projected growth in due to relatively • With the increasing medical infrastructure
FDI healthcare low cost of
and skilled human resource (potential for
clinical research
forex), medical value travel market is
Quality
Improving healthcare, expected to grow at a CAGR of 30 per cent
health coupled with between 2014 and 2019.
skilled medical
insurance professional
penetration Thrust on
• India’s medical device market is currently
and low
medical treatment the 4th largest in Asia with 700 medical
tourism device makers, and ranks among the top
20 in the world.

Source: Frost & Sullivan, LSI Financial Services, TechSci Research 3

Healthcare spend - India and Global
• Indian healthcare sector is forecasted to reach USD 160 billion (INR 10.4 lakh crores)
in 2017, and is poised to reach USD 280 billion by 2020.

Comparing healthcare spend - India and Global

120.00%
5.5% 8.3% 4.7% 17.1% 9.1% 10%
100.00%
17.40%

80.00% 39.50%
52.70% 56% 52.20%
67.60%
60.00%

40.00% 82.60%
60.50%
47.30% 44% 47.85%
20.00% 32.40%

0.00%
China Brazil India USA UK Global
Public Private Spending as % of GDP

• Indian healthcare expenditure is still amongst the lowest globally and there are
significant challenges to be addressed both in terms of accessibility of healthcare
service and quality of patient care.

4
 Government Initiatives : FDI
FDI received by the Healthcare Sector FDI split amongst the various
(hospitals and diagnostic chains)
components of healthcare
3500 1.4

3000 1.2
8%
2500 1

21%
2000 0.8

1500 0.6

71%
1000 0.4

500 0.2

Drugs & Pharmaceuticals

0 0
2011 2012 2013 2014 2015
Hospitals & diagnostic centres
FDI inflow accumulated since April 2011(USD million)
% of total FDI received Medical & surgical appliances

100 % FDI is permitted for health and medical services under the automatic route.

5
 Government Initiatives : Programmes and Schemes

National Health Mission National Program for

Healthcare of the Elderly
• The National Health Mission
(NHM) through its sub-mission’s - • To provide accessible,
the National Urban Health Mission affordable, and high-
(NUHM) and the National Rural quality long-term,
Health Mission (NRHM) endeavors comprehensive and
to provide effective and affordable dedicated care services
healthcare to both the urban and to an Ageing population
rural citizens throughout the
country and to improve the overall
public health indicators, by Pradhan Mantri Swasthya
focusing on infrastructure, quality, Suraksha Yojna (PMSSY)
efficiency and responsiveness in • Improving regional
the healthcare sector. imbalances in the availability
Health Protection Scheme of affordable/ reliable tertiary
healthcare services
• New scheme which will • Use of ICT in health sector
provide health cover up to • Constructing new and up-
INR One Lakh per family, for grading several existing
poor and economically medical institutions in
weaker families. different states in the country
• For Senior Citizens package
up to INR 30,000 will be
provided. 6
Government Initiatives : Programmes and Schemes

e-health and m-health initiatives: Launched on World Health Day - 7th April 2016
• ‘E-RaktKosh initiative.’ It is an integrated Blood Bank Management Information System
• Mobile application ‘India Fights Dengue’: empowers the community members how to
contribute towards prevention of Dengue
• Released the Guidelines for Dialysis Centre in a PPP Mode etc.

Clean Street Food

• 20,000 roadside vendors to be skilled
under Pradhan Mantri Kaushal Vikas
Yojana (PMKVY) in the first phase

Mission Indradhanush: full immunization

drive
• Phase-3: 216 districts have been identified
on the basis of estimates where full
immunization coverage is less than 60 per
cent and have high dropout rates.

7
Government Initiatives : Programmes and Schemes

National Dialysis Services Programme

• Funds will be made available through PPP
Mode under the National Health Mission, to
provide dialysis services in all district
hospitals
• Exemption on certain parts of dialysis
equipment from basic customs duty,
excise/CVD and SAD
Mental Health Policy
Suicide prevention services, work place
stress management, life skills training and
counselling in schools and colleges
Integrated Child Development Services
• 15 Centres of Excellence in Mental Health and scheme
35 PG training departments in mental health
specialties to increase the PG training • The allotment of INR 16,120 crore toward the
capacity in mental health scheme, almost doubling the allotment made
from the last budget of INR 8,000 crore
Jan Aushadhi Yojana • Primary healthcare services for children
under six years of age and their mothers
• 3,000 stores will be opened during 2016-17
providing medicines at subsidized rates
8
Government Initiatives : Programmes and Schemes

Janani Suraksha Yojana Launched in 2005

Janani Shishu Suraksha Karyakram Launched in 2011

Pradhan Mantri Surakshit Matritwa Yojana Launched in 2016

The PMSMY is aimed at providing ante-natal care packages to around 3

crore pregnant women on the ninth of every month by a specialist.

Private practitioners will Free health check-ups Program will run

be roped in where were organised for parallel to the Janani
enough doctors are not pregnant women in 14 Suraksha Yojana (JSY)
available in the states under the Pradhan and Janani Shishu
government sector Mantri Surakshit Suraksha Karyakram
Matritwa Yojana (JSSK)
(PMSMY)

9
AYUSH (Ministry of Ayurveda, Yoga and
Naturopathy, Unani, Siddha and Homoeopathy)

The Ministry of AYUSH was formed on 9th November 2014 to facilitate the
with developing education, research and propagation of Ayurveda, Yoga
and Naturopathy, Unani, Siddha, Homoeopathy and other alternative
medicine systems.

• Upgrade the educational • Strengthen the existing

standards of Indian Systems research institutions
of Medicines and • Central Council for
Homoeopathy colleges in Research are- 29 in
Ayurveda, 6 in Siddha,
the country
18 in Unani and 26 in
• 11 National institutions Homoeopathy
under AYUSH AYUSH
Objective
• Promotion, cultivation
and regeneration of
• Evolve Pharmacopoeial
medicinal plants used
standards for Indian
in the systems
Systems of Medicine and
Homoeopathy drugs

10
 Opportunities in Healthcare
Healthcare Drives the GDP Growth
The Indian healthcare
market is expected to grow India would require additional
Stronger healthcare system beds that would need an
to USD 280 billion by 2020,
will augment GDP growth via indicative investment of USD 25-
from the current market size 30 billion
of USD 100 billion at an
Compound Annual Growth
Rate (CAGR) of 23 %. The Health sector would need a
greater number of healthcare
practitioners and skilled
workforce

Potential for enhancing labor

productivity by increasing their
physical capacities

Forex generator: helping

• Expenditure in health sector has been strengthen our position in the
increasing in recent years. In 2015, international market.
Expenditure in Health sector is 4.7% of
GDP Innovation & Entrepreneurship:
advent of alternate and innovative
• National Programs to fasten investment
healthcare models
have been proposed in recent years.

Source: IBEF-Deloitte Report, KPMG in India analysis, 2015 11

Opportunities in Healthcare
 Additional 1.8 million beds needed for India to achieve the target of 2 beds per
1,000 people by 2025
 Additional 1.54 million doctors required to meet the growing demand for
Healthcare healthcare
Infrastructure
 Investment of USD 86 billion required to achieve these targets
 Diagnostic Services – Path Labs
 Information and Communication Technology (ICT) Enabled Healthcare Services –
Tele-Medicine

Education and  Contract research is a fast growing segment in the Indian healthcare industry
Research &  Cost of developing new drug is as low as 60% of the testing cost in the USA
Development  About 60% of global clinical trials is outsourced to developing countries

 Less than 15% of the Indian population is covered through health insurance
Health
Insurance  The total market size of the insurance sector in India was USD 66.4 billion in FY 13.
It is projected to touch USD 350–400 billion by 2020.

12
Opportunities in Healthcare
 Indian medical tourism industry is expected to register a CAGR of more than
Medical 20% during 2013-2015
Tourism
 Cost of surgery in India is nearly (1/10)th of the cost in developed countries

• SAARC countries such as Bangladesh, Pakistan,

Afghanistan, Bhutan, Nepal, Maldives and Sri
Lanka are major sources of medical tourists in
India, owing to the physical vicinity and
political co-operation agreements.

• India’s traditional strength in yoga and

ayurveda adds a distinct angle to the country’s
medical value travel proposition.

• Presence of healthcare facilities with

international standards and highly skilled
medical workforce has helped India in
strengthening its spot in medical travel.

13
Healthcare sector
Gujarat Scenario

14
Towards a Healthy Gujarat
Gujarat has intensified its focus on public health services by directing efforts towards up-
gradation of medical services & provision of affordable treatment for the citizens

Strengthening, Revamping and Rationalizing of

1
existing primary health structure & Creation of new facilities

Deployment of HR
2
(Doctors, Paramedics, ANMs, ASHAs)

Ensuring Quality Healthcare Services

3
(Assured package of service)

4 Capacity building of stakeholders

Convergence, partnerships
5
(NGOs, Profit, not-for-profit)

Use of technology for better service delivery,

6
improved surveillance and monitoring

15
 Health Indicators

Particulars 2001 Current level

Maternal Mortality Ratio(MMR) 202 112
(Per lakh live births) (SRS-1999-01) (SRS 2011-13)
Infant Mortality Rate (IMR) 60 35
(Per ‘000 live births) (SRS 2014)
Under 5 Years -Mortality Rate 79 45 (SRS 2013)
(Per 1000 live births)
Crude Birth Rate (CBR) 24.9 20.6 (SRS 2014)
(Per 1000 population)
Crude Death Rate (CDR) 7.8 6.2 (SRS 2014)
(Per 1000 population)
Total Fertility Rate (TFR) 2.9 2.3 (SRS 2013)
Life Expectancy at Birth Male 62.3 (1997-01) 66 (2009-13)
(%)
Female 64.2 (1997-01) 70.5(2009-13)
16
Gujarat Public Health Infrastructure

Gujarat Public Healthcare Infrastructure

3 33 117 351 1393 307

22 22 9156
Super District Sub- Grant in Community Primary Urban
Medical Aid
Specialty Hospitals District Health health Health Sub centers
colleges Hospitals
Facility Hospitals Centers Centers Centers

AYUSH Facilities:

• Grant in Aid Ayurveda Hospitals: 2 • Licensed Pharmacies: 500

• Total Ayurveda Hospitals: 41 • Homeopathy Hospitals: 18
• Ayurvedic Dispensaries: 559 • Homeopathy Dispensaries: 219

Health and Family Welfare Dept., Govt. of Gujarat. 17

 Medical and Para Medical Colleges

Medical Dental
Total of 22 Institutions with 3480 Seats Total of 13 Institutions with 1240 Seats
2 Government Colleges (200 Seats)
6 Government Colleges (1080 Seats) 1 SGDHER (100 seats)
7 Gujarat Medical Education & Research Society 1 Municipal Corporation College (100 Seats)
(GMERS) Medical Colleges (1050)
8 Private Colleges (740 Seats)
5 Private Colleges (650 Seats)
1 Deemed University (100 Seats)
3 Municipal Corporation College
(550 seats)
1 Deemed University (150 Seats)
Medical & Para
Medical Colleges

Nursing Physiotherapy
Total of 41 Institutions with 2195 Seats Total of 53 Institutions with 2750 Seats
8 Government Colleges (390 Seats) 5 Government Colleges (360 Seats)
33 Private Colleges (1805 Seats) 1 Municipal Corporation College (50 Seats)
46 Private Colleges (2310 Seats)
1 Deemed University (30 Seats)

Health and Family Welfare Dept., Govt. of Gujarat. 18

 Para Medical Colleges & Indian System of
Medicine & Homeopathy
Optometry Homeopathy
4 Self Financed Institutions 18 Institutions with 1800 Seats
with a total of 125 Seats 4 Grant-in-Aid Colleges (400 Seats)
14 Self Financed Colleges (1400
Seats)

Para Medical
Colleges & ISM&H
Ayurveda
Orthotics & Prosthetics 11 Institutions with 480 Seats
4 Government Colleges (240 Seats)
1 Government College with a total of
10 Seats 1 Grant-in-Aid Colleges (60 Seats)
5 Self Financed Colleges (340 Seats)
1 University Ayurveda College
(100 Seats)

Health and Family Welfare Dept., Govt. of Gujarat. 19

Gujarat Medical Service Corporation Limited (GMSCL)

‘Procurement- Storage- Distribution Services’

• Rational Use of Drugs and Standard Treatment Guidelines
• Terms, conditions and Guidelines for Tendering Equipment and
Drugs.
• Procurement of Drugs and Equipment; Storage and Quality
assurance
• Procurement of Medical Instruments and Maintenance
• Diagnostics Centers and Services
• Provision of highly decentralized storage capacity & distribution
network

https://gmscl.gujarat.gov.in/functions-services.htm 20
 Reproductive & Child Health
Gujarat marching from MDG to SDG

• Enhanced investment on infrastructure upgradation and

capacity building
• Promoting innovative approaches including identification
of High Priority Areas for accelerated interventions
• Strong monitoring and supportive supervision
framework
• Public Private Partnership to garner support from private
sector
• Partnership with various development partners such as
UNICEF, WHO, UNDP and others

“In the 21st Century, no women should have to give her life to give life”
Mr. Ban Ki-moon, Secretary General, United Nations

21
 Reproductive & Child Health

Health Systems
Strengthening
Reproductive • Deployment of HR at all
Health levels
• Ambulance, drugs,
diagnostics, reproductive
health commodities
Adolescent Health Maternal Health • Supportive supervision

Cross-cutting
interventions
• Reduce out of pocket
expenses (Free
Child Health Newborn health entitlements)
• Focus on un-served and
under-served areas

22
Reproductive & Child Health
• Gujarat is likely to achieve MDG and SDG for Obstetric ICUs in Gujarat
Maternal Health by 2020
Banas Kantha
• Improved institutional delivery Patan
• Promoting innovative approaches including Kachch
Sabar Kantha
Mahesana
Gandhinagar
identification of High Priority Areas for accelerated Surendranagar
Ahmadabad
Panch Mahals
Kheda Dahod
interventions Jamnagar Rajkot
Anand
Vadodara

• Strong monitoring and supportive supervision Porbandar Bhavnagar

Bharuch
Narmada

framework Junagadh
Amreli
Surat

The Dangs
Navsari

Obstetric Valsad

ICUs (12)

First Referral
Units (103)
Referral
Services
Functional Delivery Points
(>500 facilities)
Antenatal Care Services
(> 9000 outreach centres) Obstetric ICU in Vadodara

Health System model for MCH in Gujarat

23
School Health Check-up Programme
Rashtriya Bal Swasthya Karyakram (RBSK)
Services Bouquet: Free ‘Comprehensive Care’ for the Health
& Well being of all children of Gujarat
• Health Screening and Medical check-up
based on 4D’s: New born to
6 years
 Defects at Birth Angan-
Wadi
 Diseases Children Children
from
Juvenile Primary
 Deficiencies Home, School
Madresas Children
etc. also
 Disabilities covered Covers
~ 16 mn.
• Primary care on spot Children
(~ 26 % of
total
• Secondary and Tertiary care through referral population)
services Non-School
going
Secondary
School
children up
Children
• Super-Specialty treatment for Heart , Kidney to 18 yrs.

and Cancer Disease including Renal Transplant, Higher

Liver Transplant , Bone Marrow Transplant & Secondary
School
Cochlear Implant Children

• Health and Life-Skills education

24
School Health Check-up Programme
Rashtriya Bal Swasthya Karyakram (RBSK)
SHP to School Health Week: Outcomes 2015-16
A Flagship Programme through inter-departmental
collaboration
• Children Examined :- 1,55,14,236
(> 15.5 million)

Sanitation Day 1st Day Five Days

5th Day Cultural & • On the Spot treatment:- 13,95,138
Jointly with: Activities Celebration Day
Panchayat, Jointly with:
Water Supply Education and • Referral Services:- 1,11,099
and Forest Panchayat
Department Department
3rd day

Super specialist care

Health Screening Heart :- 6257 Kidney Transplant:- 25

Day Medical Check -up
Jointly with: Day
Women & Child Nutrition Day Jointly with:
Development and Jointly with: Women & Child
Education Women & Child
Kidney:- 1558 Liver Transplant:-5
Development
Department Development and Education
Department Department
Cancer:- 1052 Cochlear Implant :- 582

Health and Family Welfare Dept., Govt. of Gujarat. 25

School Health Check-up Programme
Rashtriya Bal Swasthya Karyakram (RBSK)
Cochlear Implant “Cleft lip / Palate & Club foot free
Gujarat”
 Cochlear Implant treatment of Congenital  Cleft lip / Palate & Club foot treatment is
Deafness is provided free of cost to all provided free of cost to all Children
Children under the School health program. under the School health program.
 Total cost of the treatment is around Rs. 6  1530 children diagnosed for cleft lip /
to 7 lakh that is borne by Govt of Gujarat. palate and 1424 operated
 Almost 600 Children have benefited till  1254 children diagnosed for Club foot
date. and 1024 operated

26
Kuposhan Mukt Gujarat
Phase I (2015-16) Phase II (2016-17)
Launched on 23rd May, 2015 Launched on 28th May, 2016

43 lakh children 60 lakh children

of all Anganwadi centers of Gujarat of all Anganwadi centers of Gujarat
were screened are going to be screened

1.47 lakh children 41,012 children

identified as severely acute malnourished identified as severely acute malnourished
(SAM) children in Phase I (SAM) children upto 24-7-2016

20,080 SAM children were treated at 326 3,915 SAM children were referred at 326
Child Malnutrition Treatment Center (CMTC)/ CMTC/NRC located at nearby health facility.
Nutrition Rehabilitation Center (NRC) located 8,000 SAM children of 13 districts are treated with
at nearby health facility "Bal Amrutam"

27
National Public Health Program
Revised National T.B. Control Programme (RNTCP):
Encouraging  The treatment success rate 91% among new TB cases and 78% among re-
the private treatment TB cases.
sector  Among MDR confirmed cases, 91% MDR TB put on treatment. The death
rate was consistently less than 5% during this period.
National Vector Borne Diseases Control Programme:
 Annual Parasitic Index: 0.64 in 2015, lowest in the history of state.
 33 Dengue detection Centers across the state.

National Leprosy Eradication Programme:

 In the year 2015-16 prevalence rate was 0.98 per 10000 population and
6447 patients are under treatment.

National Blindness Control Programme:

 First in India for Free spectacle distribution to school going children.
 In the year 2015-16, 795475 (Double against target) cataract operations
were done.
 State prevalence rate of Blindness is 0.73%. (National Prevalence 1%.) 28
Non-Communicable Diseases
NPCDCS Diabetes Screening Abhiyan

National Programme for Prevention and Early Diagnosis through screening and
Control of Cancer, Diabetes, Cardiovascular Treatment and Prevention of Complication
Diseases and Stroke. due to Diabetes
• Out of 33, 19 districts covered under this • Diabetes Screening Services is provided free
programme. of Cost
• Total 28.22 Lakh People has been screened • All the pregnant women screened for
for Diabetes & Hyper Tension last year. Gestational Diabetes
• NCD Clinics established at – 19 District • More then 10,000 Diabetes Centers has been
Hospitals and 68 Community Health Centre. started where,
• Total 12.47 lakh patients have given • ~ 6.3 million people have been screened, of
services. which ~6% suspected cases detected

29
Non-Communicable Diseases
National Mental Health Programme National Programme for Healthcare of
the Elderly ( NPHCE)

• Total 4,46,918 patients treated for Mental • Total 10 District covered

Health
• 206 Geriatric OPD have been established
• District Mental Health Programme
implemented in 20 districts • 5 Districts have Geriatric Indoor Ward
facilities
• All Psychotropic drugs made available at
public health facilities. • 1.20 lakh elderly Patient attended OPD &
• 1289- Destitute mentally ill patients 8196 admitted
wandering on road have been reunited • 15013 provided Home Based Care
with their family Services

30
Oral Health Screening & Breast and Cervical Cancer
Screening Program

Oral Health Breast and Cervical Cancer

Screening Program Screening Program
To create Awareness about oral hygiene and Early detection and timely treatment for
treatment of ailments related to oral Health. breast and cervical cancer in women
aged between 30 to 59 years

Dental • Education for self examination of the Breast

carries
1,27,927
• Health education & Screening for Breast and
Tobacco Oral
Cervical Cancer by the Health workers.
Addiction Cancer
1,55,475 5832
• Diagnosed cases of both cancers can avail
treatment benefit through “MA” & “MA
Total Vatsalya” Yojana.
Screened
80,11,010 • Diagnosed & Treated ( till July 2016):

Sub mucus Pyorrhea  942 cases of breast cancer

Fibrosis
1928 11,570
 379 cases of cervical cancer

Fluorosis
12,380

31
Super Specialty Hospital – Heart
U N Mehta Institute of Cardiology & Research Centre
(UNMICRC)

• Promoted by the Government of Gujarat

as a public trust, emergency related
tertiary care cardiac treatment is
rendered to all classes of cardiac patients
particularly the poorest
• The Institute has:
 450 bed strength capacity
 5 cardiac OTs (which includes one
Paediatric cardiac OT)
 4 Cardiac Cath labs (which includes one
Hybrid Cath Lab with Cardiac OT)
 110 bedded ICCU
32
Super Specialty Hospital – Kidney
Institute of Kidney Diseases and Research Centre

• Institute of Kidney Diseases and Research

Centre is one of the largest institutes in
the world, based on three pillars of
service, education and research

• The main philosophy behind the

establishment of this institute has been to
bring the modern medical care to patients
with limited or no financial resources
Post Liver transplant Care unit

33
Super Specialty Hospital – Cancer
The Gujarat Cancer & Research Institute
• Gujarat Cancer & Research Institute (GCRI),
is a functional autonomous body jointly
managed by Government of Gujarat and
Gujarat Cancer Society
• It is also a Regional Cancer Centre of
Government of India and gets assistance
under National Cancer Control Programme.
• The 650 bedded GCRI is the largest and one
of the finest cancer hospital in India with
union of best oncologists’ team with world
class facilities for cancer diagnosis and
treatment
• GCRI has specialties in surgical oncology,
medical oncology, radiation oncology,
preventive oncology, pediatric oncology,
neuro- oncology, gynec-oncology,
radiodiagnosis and nuclear medicine,
pathology and microbiology
34
Sickle Cell Anemia Control Program
>50% of the world Sickle Gene Carriers in
India
Components of the Program

20% of Sickle Disease Children die by the

age of two
• Prevention through:
•Early Diagnosis through : •Marriage
30% of Sickle Disease Children among the •New Born Screening Counseling
tribal community die before they reach •Prenatal Diagnosis •Genetic Counseling
•Antenatal Screening •Building
adulthood •Adolescent Screening Community
•Mass Screening on mission •Awareness
Early
mode Prevention
Diagnosis

•Regular Training Regular Crisis

•Doctors and Training Management • Crisis
Paramedical staff Management
•Health care providers & • Supportive &
ASHA Referral
•VHSNC members & Treatment
SCA seen in all 14 tribal districts – all covered Teachers • Regular follow up
and counseling
under Sickle Cell Anemia Control Program • Pneumococcal
vaccination
Tribal Population is the target group
But any person suffering from Sickle Cell
Anemia is main beneficiary

35
Sickle Cell Anemia Control Program
3 Recipient of Prime Minister’s Award
Year Wise Screening of Tribal Population For
for Excellence in Public Administration

2.6
Sickle Cell Anaemia (Up to March 2016)

2.5
2.5
Screening (in million)

2.1

1.9
2

1.5
Quantum
Jump
1
0.41
0.34
0.32

0.32
0.27

0.5
0.14

0
2006-07

2007-08

2008-09

2009-10

2010-11

2011-12

2012-13

2013-14

2014-15

2015-16
Year

More than 9.2 million tribal screened :

- 7,29,561 sickle cell trait
- 29584 as sickle cell disease detected
36 36
Towards a Healthy Urban Gujarat
Community Processes Structure

Supportive supervision of To provide quality health

ANMs care services to the urban
population (especially
UPHC urban poor and
vulnerable population)
Supportive supervision of with the active involvement
ASHAs of ULB.
ANM
State population

Facilitative support to MAS 6,04,39,692

ASHAs Urban Population

2,57,45,083 (~43%)
Mobilization support to
households Population covered under
NUHM
MAS 2,19.01,592

Households
37
Mukhyamantri Amrutum (MA) &
MA Vatsalya Yojana
Cashless
Hospitalization
benefit of
Rs. 200,000 (USD 100% State 544 procedures
3333) per in the
funded
Family (5) Mukhyamantri Private/ Government
Scheme
per annum Amrutum Empanelled
Provides tertiary care treatment Hospital
for catastrophic diseases
to all BPL families

More than
Current Status 36.84 lakh
of the Scheme ( >3.6 million)
MA families
Vatsalya Enrolled
Yojana
All families having annual
income upto
Pre-existing
Rs. 1.20 lacs (USD 2000) 2.71 lakh Claims
117 Empanelled amounting to
Diseases
Hospitals Rs. 412.30 crore
covered +
(68 Private + transport
have
19 Govt./ GIA + ) been applied till
allowance
Rs. 300 per visit July 2016
30 standalone
Dialysis centers

38 38
Fostering Partnerships: Innovative PPP model

108: A PPP Initiative with GVK-EMRI KHILKHILAT: Drop Back Services

• Existing Fleet of : 585 Ambulances A Free drop back facility service for
• Total Emergencies Attended: 66,31,290 deliveries in Government Health facility
• Pregnancy Related Cases: 22,89,080
• Total 258 vehicles are available in this
• Deliveries in Ambulance & at Scene: program
65,164 • 13,76,565 Mothers & Children were
• Response time: safely dropped back to home free of cost.
 Urban areas: 10.48 minutes
 Rural areas : 19.55 minutes

Note : All figures till 30th June, 2016 39

Fostering Partnerships: Innovative PPP model

Chiranjeevi Yojna Bal Sakha Yojna

• PPP between Government of Gujarat and • PPP between Government of Gujarat and
Private Gynecologists/Trust Hospitals for Private pediatricians to provide facilities for
providing normal delivery, emergency obstetric proper check up of newborns of below middle
care and neonatal care through cash less class.
System
• Main aim of the scheme is to bring down the
• Below Poverty line family and non- income tax
Infant Mortality Rate (IMR).
paying Tribals
• Total 432 doctors are registered for providing • 187 doctors are registered for providing
services services to newborn under the scheme
• In the year 2015-16, total 93,775 people were • In the year 2015-16, 59,624 newborn children
treated were treated

40
 Quality Initiatives :
Providing Quality Healthcare Facilities and Services
• Gujarat is the first state in India to have NABH & NABL accreditation process
• 110 Healthcare facilities are NQAS accredited and 37 Healthcare facilities are
NABH / NABL accredited
• The General Hospital, Gandhinagar attached with GMERS Medical College,
Gandhinagar is the 1st NABH accredited public hospital
• Implementation of Kaizen & 5 S in all healthcare facilities.
• Capacity Building - 14583 participants were trained in Quality Improvement
Programme

India’s 1st NABH Accredited

CHC Bardoli
41
Information and Communication Technology
(ICT) Enabled Services for HEALTH CARE

42
 Medical Tourism in Gujarat

(1/10)th - (1/20)th
Zero waiting periods
of the costs involved The following factors can further
for medical treatment boost medical tourism:
for all patient either in USA or UK.
requiring emergency Knowledge of English
treatment or is an additional
otherwise advantage
 Assisted healthcare institutions
such as day care centres
Good roads and  Support services such as
infrastructure nursing associations
compared to other  Linkages with infrastructure
states of India. Well Key facilitators for
connected with the
facilities for transportation of
Advantage Gujarat patients from airports and
base metros like
Delhi and Mumbai railway stations
 Linkages with organizations/
NGOs, etc., in overseas countries
Gujarati doctors to acquire knowledge and
Large percentage of Non participating in world leverage opportunities
Resident Gujaratis medical conferences
(NRG) among Non which helps them to
Resident Indians (NRI) know latest
developments in the
medical field
43
Glimpse of Successfully Commissioned
Projects under Vibrant Gujarat Summits

VG 2007 : Indian Institute of Public Health, VG 2009 : Narayana Multispecialty Hospital,

(PHFI) Gandhinagar Ahmedabad.
Investment : Rs. 150 crore Investment : Rs. 114 crore

VG 2009 : GCS Medical College Hospital VG 2009 : CIMS Hospital, Ahmedabad

& Research Centre, Ahmedabad Investment : Rs. 105 crore
Investment : Rs. 122 crore
44
Glimpse of Successfully Commissioned
Projects under Vibrant Gujarat Summits

VG 2009 : Zydus Hospital, Ahmedabad VG 2009 : Gujarat Adani Institute of Medical

Investment : Rs. 100 crore Sciences, Bhuj.
Investment : Rs. 70 crore

VG 2011 : Bankers Cardiology Pvt Ltd,

VG 2011 : Charusat Hospital, Healthcare & Research Vadodara, Investment : Rs. 10.5 crore
Foundation, Changa, Investment : Rs. 30 crore

45
Glimpse of Successfully Commissioned
Projects under Vibrant Gujarat Summits

VG 2013 : Tristar Life Sciences Pvt. Ltd., Surat VG 2013 : HCG Cancer Care Hospital, Vadodara
Investment : Rs. 65 crore Investment : Rs. 50 crore

VG 2015 : IRIS Hospital, Anand VG 2015 : SAACHI Hospital, Surat

Investment : Rs. 20 crore Investment : Rs. 15 crore

46
Private Hospital Players in Gujarat

47
Investment Opportunities
PPP for
Healthcare Upgraded IT
facilities in Services for
Rural Areas of Computer Healthcare
State navigated
surface
Integrated Diagnostic
replacement
medicity services
surgery of the
Tele-medicine hip and knee-
High – tech joint Setting up of
and Tele-
MRI/ CT scan Super specialty
radiology
facilities hospitals
projects
Establishing
chain of
Healthcare Rehabilitation
primary public
Infrastructure Center
/ community
Holistic centers
Non-Emergency
wellbeing –
Ambulance Hospital
yoga,
transport supplies
physiotherapy, Reform
service
acupressure Strategy –
Low cost paid
Clinical Institutional
surrogacy
research and Management,
through in vitro
trials Collaboration
Fertilization Hospital
with the private
management on
Equipment sector (PPP)
rehabilitate,
Manufacturing
operate and
Units
transfer (ROT)
basis
48
 FOR ADDITIONAL INFORMATION CONNECT US @

Health and Family Welfare Department

Government of Gujarat, INDIA
7th Floor, Block 7,
Sardar Patel Bhavan, Sachivalaya,
Gandhinagar, Gujarat, India - 382010
http://www.gujhealth.gov.in/
Phone: 079-23251401
E-mail: cohealth@gujarat.gov.in / healthvg2017@gmail.com

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 THANK YOU

Disclaimer:
Industrial Extension Bureau (iNDEXTb), Government of Gujarat has made every attempt to ensure the accuracy and
reliability of the information provided in this document. However, the information is provided "as is" without warranty of
any kind. iNDEXTb periodically adds, changes, improves or updates the information in this document without any notice. For
further clarification kindly get in touch with Industrial Extension Bureau (iNDEXTb), Government of Gujarat.

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