State Health Policy – Uttar Pradesh

Greetings on Basant Panchmi. it’s an auspicious day. A few months ago, I was here for the workshop on health policy, and I am happy to see that the draft policy has shaped up well and the inputs have been incorporated. I congratulate the team under the leadership of Shri. Sidharth Nath Singh ji, Hon’ble Cabinet Minister for Health, Government of UP for setting the direction for improvement in healthcare in this large state. With 21.3 crore population, and the role of health as a creator of jobs and its role in growth of the economy and most importantly, Healthcare of UP and Economy of the state is critical to India’s sustainable growth, you have the biggest share of challenges and the opportunity. Also, there is no model available anywhere in the world which you can cut, copy and implement. Financial resources will be a challenge and you have factored the same in your document well. You will have to innovate.

Let me first speak about the document and then its contents. “Excellent document” is my first reaction.

I have looked at the document from three perspectives;  Increasing access, improving quality and lowering the cost delivery. this is the overarching theme for SHP and this was same for the NHP

This policy document is actually of 26 pages which makes it really crisp and to the point.  The remaining 30 pages is situational analysis. When I looked at the NHP 2017, I had split the situational analysis into a separate document, so the policy actually is a much shorter document and the role of policy is to give a direction, and this document does it really well.

Now, coming to the positive side: UP has a large population and Uttar Pradesh ranks first in terms of both adolescent and youth population in the country, accounting for 19.3% of total adolescents of the country and 17.5% of India’s youth. Hence the overarching theme of SHP should be ‘Population Health’. This where we have to go beyond the sick care model. Investments in ‘primary care and primary prevention’ will yield the best long-term dividend

Also, there is not much baggage here in terms of legacy of systems, as we need to start afresh in many areas. Also, learning is available from other states and even some countries as to what has worked. We have the success stories of NACO, Pulse polio, RSBY, TMSC.  All these give UP a good chance transform its healthcare.

Coming to the policy issues;

  • Sri Lanka with less than 4 % GDP spend on healthcare has much better indicators and we have a lot to learn from the Sri Lanka model
  • Data – timely and accurate is a must which will lead to Transparency, outcomes and accountability
  • Awareness and sensitization needs investment and an institutional structure like NACO. Set up a State Institute for Health Promotion (SIHP)
  • There is an alarmingly high rate of TB and this must be project like Pulse Polio, where pro-active outreach lead to massive results

Not only there is a transition in demographics and between Communicable and Non- Communicable diseases, there is a transition within each of the CDs and NCDs

  • Dengue is now responsible for maximum ICU admissions and hence Vector borne diseases must be addressed. Similarly, the JE & AES is endemic to some areas, and it must be addressed
  • Within NCDs, there is going to be a transition in a decade due to our life styles and changed food habits . We will have more problems associated with liver related disorders, obesity, joint replacements. Similarly, COPD will be a big challenge due to the deteriorating environment,
  • Mental Health will be a big challenge due to unrestricted access to the net, gaming as an addiction, and loosening social values and family bonds. This must be factored in the policy.
  • UP has a large section of population into jobs (organized or unorganized) but I did not find the mention about occupational health. Occupational health guidelines need to be framed and enforced. Else, it will cost us dearly
  • Nutrition and diet needs to be focused and you need to prepare diet charts and calorie exchange app and popularize It as a part of the awareness campaign. Micro-nutrient deficiency screening is missing in the document and we need to address it
  • When it comes to HRH, the long-term goal should be District Level Self-sufficiency. This will also help in retaining locally trained and educated people to work in rural and semi-urban area
  • Tribal Population and migrant population’s health needs to be looked into, I did not find a mention about the same
  • Children’s health via School based screening must be factored, and is not in this document
  • Innovations hold the key ,but I did not find a mention about it
  • Given that funding will remain a challenge, UP must look at asset light models of care. Will share the details

Addressing the issue of primary care and gate-keeper:

  • It is a fact that sending doctors to rural areas will remain a challenge and will be patchy in its implementation and hence, I suggest the policy to consider
    • Leveraging technology: Set up mobile app based health helpline, where doctors sitting in towns can provide advice and prescriptions for acute ailments based on STPs (standard treatment protocols). Also, symptoms for common ailments can be put in this interactive app. Technology allows you to do it.
    • Pharmacy is the first POC ( Point of care) and Pharmacist is the first responder for acute ailments. Please use this network as a gate-keeper in addition to nurses, as physician assistants.
  • Biggest challenge in healthcare is lack of trust. A recent survey has brought to light that 92% of the people don’t trust healthcare. Hence, it is that soft skills program for health professionals is initiated on priority
  • I am not sure, if I know the formula for success but for sure, I know the formula for failure. Have the same program implemented in same manner in all the districts. You have 75 districts in the state, some problems are endemic, there are high risk districts with regards to various health issues. Same needs to be factored in planning.

Governance and leadership:

 Reforms are needed in

Clinical, logistics, manpower and administration and governance

Transforming Governance should be ‘qualified’ in its statement as “making healthcare system data driven, transparent and outcome oriented”. You need to engage community representatives in the planning, monitoring and evaluation to make meaningful changes.

Governance reforms are desired in administration, financing and in delivery, and at the ministry level, at the administration level and in the last mile delivery of service and service providers.

  • The Department of health, family welfare, department of medical education must be merged, I would even say that ICDS be brought under the health ministry to make a meaningful difference to the healthcare delivery and to improve the health indicators.
  • Not just Multi-sectorial approach but we need a unified Ministry for Population Health, which includes every department that deals in health directly like, medical education, health, family welfare, AYUSH, nutrition, Pharma FDA to address the continuum of care

Siloed working will never deliver as we will not have convergence and synergy in our efforts. We will continue with duplication and the populations will continue to suffer. Breaking the silos is the biggest disruption

Monitoring and evaluation needs to aim at “Implementation and enforcement”.  Also, if you want to transform, please ensure that there is a ‘spot inspection’ of healthcare providers. There is no other way you can see the ground reality. Please ensure a role of community in planning and execution of programs, it will make a big difference in effective delivery of healthcare services

Delayed payments have led to deaths. Please ensure payment within a defined period, and levy a fine on the approving official for delay.

Implementation framework is missing and we need to mention about the same in the policy , and it should be developed alongside the policy

 Private sector:

Role of private sector is going to be important and hence, there needs to be frame-works for pricing, STPs, EWS beds, oversight mechanisms for ensuring quality, affordable and outcome driven care delivery. Hospital costs account constitute a major chunk of healthcare spending and chronic co-morbidities consume majority of healthcare spending. I would love to see effective steps taken for secondary prevention. The word secondary prevention is missing in SHP.

Please sit with private sector and arrive at a rate for treatments packages. Given that insurance will happen sooner or later, this must be done so that there is transparency in treatment

Both private and public facilities should mandatorily disclose diagnosis and treatment data via health information exchange. Also, this will help understand the treatment and success rates across public and private facilities for corrective action


AYUSH professionals have their own place in the healthcare system and this system has served our country for 1000s of years. Let us work towards clinical validation and effective utilization of their strengths rather than making them subservient to the allopathic system

Sanitation: A week back, I visited the Kumbh Mela site with Shri Sidharth ji, and in my view, the model for sanitation is available for replication across the state

New Models:

Initiate “Janta clinic” model and go beyond the Jan Aushadhi and AMRIT pharmacies. Where POCD, Physician assistant and medicines should be available at 20-30 rupees for people who can pay and free for the marginalized and poor, and let us take this model to marketplace, and ensure that people don’t have to go beyond 30 mins to reach the nearest first clinical responder by walking

Gradually, transition or supplement sub-centres to mobile clinic model with primary care and testing facilities, which can double as an ambulance in the times of need.

Number of households in UP 33.4 million in 2011. Do a GIS mapping of households and healthcare providers. Please use IOT, big data, AI and cloud and do a periodic epidemiology survey through mobiles, and even factor the use of block chain technology if you are drafting a health policy that will impact this state for the next 10-20 years. Remember, we are taking of SMART cities and health is an integral component. I did not find a mention in the document about epidemiology and SMART cities.

Households be linked to health risk assessment tools which could be made available online and are clinically validated. This will help us in addressing issues at the right time.

Population control is missing and needs to be addressed. UP is a big state and it has a large chunk of population which is poor, and hence, we have to ensure quality care for all, but not free for all. Steps have to be taken with inbuilt mechanisms, that those who can afford to pay should not seek free healthcare at the cost of poor. Insurance model needs to developed with time bound – progressive scaling up in terms of entitlements, beneficiaries & benefits

A note to those who are drafting the document, please avoid mentioning brand names of medicines, and statements like ‘consumption of supplements and vitamins etc. are inessential, inappropriate and irrational’.

Health of the people is directly proportional to the economy of the state

UP has all the elements of challenges and opportunities which makes it a fertile ground to find the solution the world is looking for, and I am confident that we will turnaround Uttar Pradesh into Uttam Pradesh

These are the key points from the speech delivered by Mr.Rajendra Pratap Gupta , a leading public policy expert at the Consultation workshop organized by the Government of Uttar Pradesh for drafting the State Health Policy on 22nd January 2018 @ Lucknow




Smart Villages – key to sustaining the Smart cities project

India is a village based economy, as about 68 percent of its population (about 833 million people) live in 6,40,930 villages; the size of the villages varying from a population of less than 100 to about 70,000. Villages are not only the ‘feeder points’ (of providing raw material and manual labour) for urban areas, but are also the majority consumer market for urban industries and hence , ‘Smart Villages’ are essential for sustainability of smart cities project and Make in India. The issue of Smart villages is not about ‘fitment’ but of ‘sustainability’ of the entire economy. Also, when we talk of inclusive growth, villages cannot be left behind, else the growth of the country is not sustainable.

If we look at all the major initiatives of the Modi Government like; the Digital India Mission, Make in India , Swachh Bharat Mission , National Rural Livelihoods Mission, Pradhan Mantri Jan Dhan Yojana and Deen Dayal Gram Jyoti Yojana; all of them dovetail into the ‘Model villages’ / ‘Smart Villages’ mission . The former President of India, Dr. A.P.J. Abdul Kalam had initiated the PURA Project ( Providing Urban Amenities in Rural Areas) to bridge the divide between the have’s and have not’s. All these initiatives clearly indicate that without uplifting villages, India cannot grow sustainably.

Also, let’s rethink on one important future prediction – that by 2050, 60 % of the population will live in towns. I believe that due to the increasing density, pollution and declining quality of life in towns, over the next 20 years, we will see reverse migration starting, i.e. people living in urban and mega metros will start migrating towards hinterland / semi-urban / villages, as these areas will be less polluted and more peaceful and will offer a much better quality of living conditions. We must be prepared for ensuring that the building blocks of managing the living of a modern family are an essential part of the Smart village design as villages will be the main hub of activity in the next three decades.

Building blocks for Smart Villages :

One has to understand that, to make the villages smart, one needs to have the underlying theme of being ‘asset light ‘ & ‘low cost’ and, the over arching theme of digitization. These will be driven by IOT / Sensors. Almost all the challenges in rural areas are an opportunity for deployment of technology as a smart solution. Future of the village lies in adopting ‘idiot proof’, ‘future proof’ and low-cost technologies that can be used and serviced by the residents and can serve them well!

Building blocks of health for Smart Villages :

If 68 % of the population of the country (living in villages) is not healthy, then the growth of the country is at stake. Healthy population is the best insurance against recession and slow growth. We have to ensure that we provide enough options for people to adopt a healthy lifestyle and stay fit to be productive, and for this to happen, we need to leverage technology to its optimum use, integrated seamlessly into the daily life of the residents of the village.

It is expected that in the next 5-7 years, every household will have access to a phone , house , potable water and electricity and road and hence it is good to consider mobile phone as the basic necessity besides food , clothing , water, electricity and shelter. All the services from the government must converge to mobile-based platforms.

For health in a smart village, we need to visualize the following building blocks;

Mobile Electronic health record (m-EHR) is the starting point for health in a Smart village, as without Electronic health record , people cannot deliver healthcare using technology and these electronic health records should not be PC based but mobile based.

Once we have the m-EHR, the next thing we need is a pin-code wise geo tagging of all healthcare facilities and professionals, so that people can reach nearest healthcare provider or professional keeping the golden hour concept as the basis .

Also, one of the major draw back in distant / rural areas is the delay in getting the data and incidence of diseases, and hence, we need live data and electronic event reporting . Live data will not only lead to timely interventions, but also help in demand based supply chain, thereby ensuring appropriate supplies and reducing stock outs

Also, today there are enough point of care, non- invasive diagnostics which can be deployed for Health Screening using mobile platforms . Using these technologies, diseases can be detected on time, leading to appropriate interventions . We all know that tertiary care eats up about 75% of all healthcare costs and major part of the household savings, and hence technology driven POC (Point of care) screening would be the most effective way to manage healthcare from a cost, prevention and outcomes point of view

Also, as long as we focus on the allopathic doctor based healthcare system, we will not be able to address the issue of shortage of doctors in rural areas , and hence , we will need to use technology to its best across the continuum of care. We will need to move from the ‘Golden Hour’ rule of providing critical care in 40 minutes to a ‘Golden minute’ rule of providing health advice over phone in less than four minutes, and this is very much doable. Also, there are enough studies, which prove that, about 65-80 percent of the time, we don’t need a face-to-face consultation with a doctor. Given the fact that majority of the expenditure in healthcare is on infrastructure and salaries, we must empanel practicing doctors to provide services to the rural people and pay them per consultation. This will make healthcare accessible for the population and more affordable to the exchequer.

The next logical building block would be an ePrescription, so that, after the doctor’s tele-consultation with the patient, s/he can send an ePrescription which is digitally authenticated. This will lead to delivery of medicines either though an ATM machine dispensing medicines or routing the same through a local chemist.

I have visited rural areas across the country and found that sub-centres typically cost between Rs.7.00 lacs to more than 14.00 lacs, plus the salaries and maintenance . I think it is time that the government makes a policy to replace sub-centres with mobile health centres – eHealth centres, which can move the direction of healthcare services from the current ‘to the doctor’ to ‘to the household / population’ approach, and moreover, these mobile health centres can also double up as an ambulance as and when needed. Doctors can come from the nearest semi-urban and urban areas, examine the patient, treat them and go back in the evening. This might work better than the sub-centres in one remote part of the village where the patient has to take pains to travel for kilometers to see the so called absentee doctor !

Smart villages have the potential to extensively deploy Digital Tools / IOT, and flip the ‘doctor centric’ & ‘Tertiary care’ model in the coming decade and lead the way for containing the cost of healthcare`

 This is a part of the speech delivered at the Vibrant Gujarat summit 2017. Views are personal


This TeD Talk will change the way you look at Health / Healthcare

mHealth is the winner

Rajendra Pratap Gupta

NHS report is now available

The National Health Care Survey- ‘NHS -13’ report is now available.  NHS-13 is the first large-scale independent survey, which provides the latest first-hand information about the healthcare needs in both the urban and the rural parts of India. 



It is known that there is no regular survey or study that can independently access what the Indian consumer demands when it comes to healthcare.  In addition, available data on health care dates back to 2005-2006, and is often irrelevant when it comes to business planning or deciding healthcare policies and programs.


Given the need for a pan-India survey, ‘Global Advisory & Associated Services’ commissioned this study to access the users’ perspective on key healthcare issues.  India’s top public health institute and the local WHO Collaborating center – Indian Institute of Health Management & Research (IIHMR), was involved in the data collection and analysis.


This survey was supported by:

1)      Continua Health Alliance 

2)      Disease Management Association of India

3)      HIMSS India

4)      IIHMR, India



The survey was co-sponsored by EMC2, HP, Philips, and J&J.


Survey details:

This survey covers 12 states, and 58,099 people (12,212 households), across urban and rural India.


The report attempts to understand and give light on the following points, besides others:

1)      The perception and utilization of healthcare service

2)      Prevalence of illness in population and hospitalization

3)      The preference for healthcare facilities & examine the underlying factors determining the same

4)      Examine people’s openness to using technology & paying for EHR.  

5)      Examines the penetration of electronic communication devices and internet in healthcare

6)      Examines the various media platforms as a source for seeking healthcare information


Who could benefit from this study?

This survey would be of value to companies dealing in healthcare IT, medical devices, telemedicine & mHealth, hospitals, health insurance, preventive care and rural health. 


The report is available at USD 1500.00 (INR 90,000.00) + 12.36% Tax for non-Continua Members. Continua Members will receive this report at a special discounted rate of USD 1000.00 (INR 60,000.00) + 12.36% Tax.  Discounted rates are only applicable for orders placed before July 30, 2014.


Those interested, may contact Ms. Mevish P. Vaishnav at: /

Contact number: +91 8123618929 / +91 8080337748. Fax: + 91 114582 33 55



Best Regards,
Continua Administration

Continua Administration


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Phone (503) 619-0867  |  Fax (503) 644-6708


CONTINUA CONFIDENTIAL. This email and all attachments are Continua Health Alliance confidential and are exempt from disclosure pursuant to the Freedom of Information Act (5 United States Code Section 552) as the materials are trade secrets and/or commercial or financial information obtained by you as confidential information from the Continua Health Alliance.   This email and its contents are subject to member confidentiality and nondisclosure obligations and should therefore not be released, forwarded or otherwise disclosed outside of the Continua Health Alliance.

Fortis Hospitals & Quality of Care – You decide

Date of incident : 26th & 28th April, 2014

Place : Fortis Hospital, Vashi , Navi Mumbai 

A patient meets a gastroentologist for a consultation at the above mentioned hospital  . The patient hands over all the reports to the doctor ( including the report, which clearly states that the patient is a diabetic ). The Patient is advised to undergo a colonoscopy and come empty stomach / fasting for 17 hours .. I wonder if a diabetic would be fit to stand after  17 hours of fasting ? This is a clear case of medical negligence where a patient can even slip into hypoglycaemia …. but the doctors at Fortis are not even bothered about this . There is a question mark on the protocols and SOPs followed in such big hospitals 

The patient had to inform the doctor about this lapse and also the facility director , then the same was ‘noted’. When the patient came for the procedure , no one even checked his sugar,  despite it being reported that the patient is a diabetic and is on medication ! The quality of care Fortis is providing to its patients is a serious question mark !

The patient hears another patient’s relative in ICU telling the nurse ;

1. ‘You are such a big hospital and you don’t even have a silicon RT ( Rice tube)’ ? The patients relative had to buy the consumables and provide the hospital as they were not available in the hospital . We heard about these in government hospitals , but this is a first hand account of what happens in Fortis Hospital !

2. A patient was questioning the nurse that ‘Why was he charged Rs.300 more for the same procedure done last week’ and the nurse had no convincing reply for him … Billing systems of this hospital have been questioned many times by patients. My family had pointed such cases in the past and the ‘wrongly charged’ amount was later ‘adjusted’ .  

3. A patient was given another patients file … Privacy of patients is not a worry in this hospital 

4. Patients is charged Rs.50 donation towards Fortis Foundation without being asked whether s/he would like to donate ? When questioned , the cashier says ‘Sorry’ !  Charity or loot by Fortis Healthcare !  Such companies are a shame in the name of CSR ( Corporate Social Responsibility ). 

And , at the very entrance, one notices the big display of NABH accreditation. The advertisement mentions that Fortis Hospital is the 7th hospital in Mumbai to be ‘awarded’ this accreditation ! 

Now certifications are becoming marketing tools, and it is high time that these hospitals declare their ‘success and failure rates’ for all admissions and OPDs . Else, they make treatment worse than the disease, and increase the trust deficit between the patient , doctor and the treatment offered 

Rajendra Pratap Gupta 


Disease Management Association of India.

Time for a New National Health Policy

DMAI Logo1

 Rajendra Pratap Gupta

President & Member

Board of Directors

October 27, 2013

Shri Keshav Desiraju

Secretary to the Government of India

Ministry of Health & Family Welfare

Nirman Bhawan, New Delhi – 110108.


Reference: Need for a National Health Policy – NHP

Dear Shri Keshav ji,

I am writing on behalf of the Disease Management Association of India – The Population Health Improvement Alliance. We have been proactively taking up issues with regards to healthcare policy & reforms in India.

On February 01, 2013, when you were appointed as the Health Secretary, people involved with the health sector felt happy that the nation had got its best health secretary!  Expectations are running high!

This communiqué is about the need for setting up a team to draft the National Health Policy. Since the last National Health Policy was drafted more than 10 years ago in 2002, a lot of things have changed, like;

  • NRHM was launched in 2005 as a flagship program focused on rural health
  • RSBY was launched
  • Pandemic outbreaks like H1N1 (Swine Flu) have been a surprise and have shaken the world
  • Rise of MDR – T.B.
  • Increase in the incidence of chronic diseases & the issues related to child health
  • Occupational hazards
  • High IMR/MMR & MDGs deadline approaching in 2015

Besides, a lot of other developments have taken place, like;

  • UID –Aadhaar number for the entire population have been initiated
  • Emergence of mHealth & telemedicine
  • Newer technological interventions for diagnostics and treatment
  • Emergence of Big Data Analytics
  • Also that, India is focusing on transitioning the healthcare system to Universal Coverage
  • Emergence of innovative concepts, like Disease Management, ACOs (Accountable Care Organizations), HMOs (Health Management Organizations)  & Meaningful use.
  • Emergence of the prominent role of civil society organizations in healthcare delivery
  • Role of social media

The 12th five year plan has often been referred to as the plan for health, and I believe, that it is the right time to set up a committee to draft the new National Health Policy by 2015. Even if the committee is set up in early 2014, it will take at least a year to do the survey and complete the policy and so, most likely, the NHP would be tabled by 2015 and would cover a period of next 10 years (2015-2025).

We are sure that you will consider our request seriously and initiate the process for the new National Health Policy

With best wishes and with warm regards

Rajendra Pratap Gupta


Dr.Manmohan Singh, Prime Minister, Government of India.

Shri. Ghulam Nabi Azad, Union Minister for Health & Family Welfare

Dr.Syeda Hameed, Member, Planning Commission, Government of India

Chairperson, UPA

Presidents of all the National Political Parties