DMAI wants PAC to start auditing unspent govt funds for healthcare

DMAI wants PAC to start auditing unspent govt funds for healthcare

Suja Nair Shirodkar, Mumbai
Monday, December 31, 2012, 08:00 Hrs  [IST]
 

The Disease Management Association of India (DMAI) has urged the Public Accounts Committee (PAC), set up for the auditing of government expenditures to various sectors, to seriously consider auditing of unspent funds to the healthcare sector. In a representation made to Dr Murali Manohar Joshi, chairman of PAC, the association stressed it is essential to bring in accountability and transparency on why the funds that have been allocated for the use in various sectors go unused in spite of the requirement.

DMAI stressed that it has been observed time and again that a huge chunk of the allocated funds go back to the government exchequer, because the officials handling the responsibility was not able to use it appropriately. This they fear is because the officials who handle the charge either does not understand the need of the sector or they remain carefree since they are not questioned.

Rajendra Pratap Gupta, president, DMAI, pointed out that in healthcare sector which requires a major financial thrust from the government for various programmes, it has been noticed that a most of the funds assigned are either not released on time or are at times not released for the benefit of the sector. “There is already a huge hue and cry over the lack of insufficient funds kept aside for the healthcare sector. To make matters worse even from that funds allocated for the upliftment of the sector, a huge share goes without being spent, unused back to the government. We feel that this is because the administers do not feel answerable to the money unspent, since as of now they are only accountable for the expenditure made by the government.”

Gupta further added that for better administrative purpose and to ensure effective and timely use of the allocated funds to development purpose it is essential to start questioning the officials on unused government money. PAC which consist of selected members from the parliament, was constituted by the parliament for the auditing the expenditure of the government. However the DMAI stressed that along with getting the accountability of all the expenditure there is also an urgent need to get reasons on why the government have been lacking behind in spending money on much needed plans when the money was already sidelined for the same under the budgetary plan.

After the meeting with the chairman of PAC it was agreed upon by both the parties that there is a need to address this issues at the earliest. It is understood that following the meeting Dr Joshi has asked DMAI to submit a detailed data on all the unused funds in the healthcare sector compared to its requirement based on which they will be taking the required action.

DMAI informed that they have already started the work on this matter and will soon be sending the data to the government with updated data for their perusal.

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Pre-emptive care – A new model of care

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Rajendra Pratap Gupta

President & Member

Board of Directors

Shri Ghulam Nabi Azad

Union Minister of Health & Family Welfare                                                                                                                                                                                                                                                                               October 10th, 2012

Government of India.

Nirman Bhawan, New Delhi – 110108.

Reference: Empowering people , ‘Pre-emptive care’ model & update on the Government Industry Dialogue

Dear Shri Azad ji,

Hope this finds you doing good.

I attended a workshop for health ministers of NDA two days ago . During the workshop , we also visited a village in Gadhchiroli ( A naxalite area in Maharashtra ).  Here, I came across a 7th class failed lady who has been delivering healthcare information and advice in the village for many years on mother and child health, and out of the past five years , the village has been ‘Child death free’ for four years .

This service of the 7th class failed lady makes me believe that time has come to move from, ‘Health for All’ to ‘All for Health’ and under this ,

  • Move to a system for self care
  • We must come out with a healthcare booklet for all the citizens in regional languages
  • Give generic names with prices for medicines ( OTC – Over the country or non-prescription pharma or non-pharma products ) , for common seasonal and acute ailments
  • Also, the Government must make this booklet available to all the citizens on its website & as an application in Android / Nokia and other phone operating systems. It is time to empower people to take to primary and preventive care . Healthcare indications with OTC products application must be made mandatory in all languages for cell phones sold in India . May be, MOCIT ( Ministry of Communications & IT ) can take the lead in doing this .

More than 3 years back , I had written in the document titled ‘Healthcare  reforms agenda’ (http://www.dmai.org.in/Healthcare_Reforms_Agenda.pdf ) , about ‘mass screenings’ for people,  and I am glad that your ministry has accepted it , and has already done over 10 million screenings in the past 10 months , which is really commendable .  Now , it is time for India to move from ‘Preventive’ care to ‘Pre-emptive’ care ( till now, I haven’t heard this word used for health ! ).

‘Pre-emptive healthcare’ ( Before teen age ) ,  starts before the age ( late twenties ), when ‘Preventive care’ starts . It would include ;

  • Starting with health screening for children when they turn the age of 10  . Earlier the better !  So that children grow up healthy .
  • The screenings will include obesity , blood pressure and diabetes screenings, every 6 months . These checks would not cost more than Rs. 10 a year , but can help in making India the healthiest nation !
  • Also, major healthcare problems arise due to deficiency of vitamins A, D & B & Omega 3. We must recommend guidelines for all children to undergo tests for deficiency of these vitamins and Omega 3, and also tie up with national level labs for offering these tests at rates mutually agreed by the Government . I understand that currently , it is difficult to have a test for Omega 3 in India, even if one needs to get it done !
  • Also, dental examination and eye check – ups must be made mandatory from the age of 6 years

We should, therefore, focus on drafting the child health guidelines and ensure that these become the basic requirement for school admissions and thus, are enforced nationally.

Lastly , on the Government Industry Dialogue (GID) for Healthcare that was organized by the Disease Management Association of India (DMAI) . I understand that you could not attend due to your pre-occupation, but I did receive the note conveying your good wishes for this initiative. This dialogue was a massive success with 60 CEO’s from the Healthcare sector companies attending the dialogue and was addressed by ;

  • Dr.Sam Pitroda , Advisor to the Prime-Minister
  • Shri Keshav Desiraju, Spl. Secretary , MOHFW
  • Dr.Ashok Kumar – representing the DGHS , Dr.Jagdish Prasad
  • Shri. Anil Swarup, Addl. Secretary, Ministry of Labour & Employment
  • Dr.K.Srinath Reddy, President , PHFI & Chairman, High Level Expert Group on Universal Coverage
  • Dr.Prathap C. Reddy, Chairman, Apollo Hospitals Group;
  • Besides CEO’s & Managing Directors of leadings healthcare corporations

Besides , the dialogue was well attended by the media . Details of the deliberations are available on http://governmentindustrydialogue.org

This dialogue showed the keenness from both the sides ( Industry & the Government ) to work shoulder to shoulder to address the key healthcare challenges facing the nation .

Three areas of cooperation have emerged; i.e. adoption of districts under mass screening programs , companies willing to work on secondary prevention program in addition to the mass screening program , IT & mHealth companies willing to provide innovative solutions for managing chronic diseases and program evaluation tools, training front line health workers & Rural health . It would be good if the MOHFW now moves to focused meetings under the Government Industry Dialogue to decide the scope of collaboration specific to each program. I am sure that this will lead to more effective implementation of existing programs . I look forward to your guidance on the same.

Over the next couple of weeks, I will be attending meetings in USA – ‘International Wellness and Chronic Care Symposium’,  and in Manila – ‘The Asia Pacific Leadership & Policy Dialogue’, hosted by WHO and the World Economic Forum for digital health . Will update you on the developments

With best regards ,

Rajendra Pratap Gupta

CC.

Dr.Manmohan Singh, Prime Minster, Govt. of India.

Dr.Sam Pitroda ,Advisor to the Prime Minister of India .

Shri Keshav Desiraju, Special Secretary, Health & Family Welfare, GOI.

Shri Anil Swarup, Addl Secretary, Ministry of Labour & Employment , GOI

Dr.K.Srinaty Reddy, President , PHFI & Chairman, HLEG- Universal Coverage

Dr.Jagdish Prasad, DGHS, Min. of Health & Family Welfare, GOI.


Recommendations made yesterday to the Union Ministry of Health on Child Health

 

 
1. Start a chapter on Hygiene & oral care from class 3 onwards 
2. Must create animated pictures and video’s for children’s health that could be multilingual and can be screened nationally in classes 
3. Have a chapter and subject called ‘Essentials of health’ which is exam based 
4. Define child health and check up guidelines on the lines of vaccination charts till the age of 15 year 
5. Child obesity is a serious issue and this can be addressed by giving right knowledge about ‘Calorie exchanges’ . Since parents teach the children , they will also get educated on the same and impact the family’s health
6. Work outs and Yoga / mediation  must be introduced in all schools 
7. All schools must have ideal height / weight / age charts in all classes and this must be used every 6 months measuring these indices , and reported in the half yearly and annual report card. The same way as other marks and habits are reported in class report cards at the PTA 
8. Children do not realise the importance of having adequate quantity of water , and since in school they are some times restricted to go to toilets , it is high time that the guidelines are issued to all schools for water consumption in school and at home 
9. Junk foods needs adequate attention in school level awareness campaigns