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
Presidents of all the National Political Parties
I was on a call with a leading political party to discuss the Universal Health Coverage and i raised the following points for them to attend ;
1. Defining the UHC – We need to first define , what is Universal Health Coverage .
2. Focusing on execution – increasing the absorptive capacity on healthcare system – Even 1 % of GDP allocated to healthcare is not being used properly . How will we use 3 % ?
3. Ideating the UHC model – whether it should be pay for use ( except for BPL ) ? Anything free will be worse than what we have today
4. Using technology including telemedicine and mHealth
5. PPP for healthcare outcomes and delivery
Hopefully , this party will be taking care of these points as well . This is the third political party that has sought my views on its Health Policy
Rajendra Pratap Gupta
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.