Government of India is a signatory to the Sustainable Development Goals, 17 goals to transform our world and the goal 3 talks about ensuring healthy lives and promoting wellbeing for all at all ages. Significant strides have been made in increasing life expectancy and reducing some of the common killers associated with child and maternal mortality. Major progress has been made on increasing access to clean water and sanitation, reducing malaria, tuberculosis, polio and the spread of HIV/AIDS. However, many more efforts are needed to fully eradicate a wide range of diseases and address many different persistent and emerging health issues. The goal 3 targets at achieving Universal Health Coverage, including financial risk protection, access to quality essential healthcare services and access to safe, effective, quality and affordable essential medicines and vaccines for all.
Hon’ble Prime Minister of India, Shri. Narendra Modi, announced the Ayushman Bharat- National Health Protection Mission (AB-NHPM) on 14 April, 2018 on the occasion of the launch of the India’s first Health and Wellness Centre in aspirational district of Bijapur, Chhattisgarh. The Ayushman Bharat Initiative of Prime Minister includes two major areas: first is Health and Wellness Centre (H&WC) while the second one attributes to the National Health Protection Scheme (NHPS).
Quality Council of India (QCI) has taken a conscious decision to bring all the stakeholders onto one platform to make AYUSHMAN BHARAT Quality Centric. The success of AYUSHMAN BHARAT will be to assure all the beneficiaries on safety, quality, efficacy and Standard Treatment Guidelines (STGs) based on global best practices. The standards of the H&WC, as an initiative of Ayushman Bharat, is based on the National Health Policy, 2017 which envisioned maintenance of the health of Indians. Under this pioneer move by the Government of India, around 1.5 lakh wellness centres will collectively work to ensure healthcare system closer to the homes of people. These centres will provide comprehensive healthcare to the people of India, including for non-communicable diseases and maternal and child health services. The H&WC would also provide preventive, promotive and curative care for non-communicable diseases, dental, mental, geriatric care, palliative care, etc. Besides, these centres will also provide free essential drugs and diagnostic services. Contribution of private sector through CSR and philanthropic institutions in adopting these centres is also envisaged.
Apart from this, the National Health Protection Scheme which is the second flagship programme under Ayushman Bharat attributes to National Health Protection Scheme (NHPS). This scheme will cover over 10 crore poor and vulnerable families (approximately 50 crore beneficiaries) having a provision for financial coverage up to 5 lakh rupees per family per year for secondary and tertiary care hospitalization. This is perhaps being the world’s largest government funded healthcare programme for their citizens.
All these initiatives have to focus on quality and safety of the healthcare delivery system, which is paramount and the Conclave will deliberate with all the important players in India engaged in the healthcare sector in various manifestations like Pharmacovigilance Program of India (PvPi), Patient Safety Guidelines, Drug Standards and Regulatory Oversights, Clinical Establishment Regulations and Quality of Service in the public and private healthcare delivery system to assure the patients accessibility to Quality healthcare.
Features of AB-NHPM
AB-NHPM will target about 10.74 crore poor, deprived rural families and identified occupational category of urban workers' families as per the latest Socio-Economic Caste Census (SECC) data covering both rural and urban. The scheme is designed to be dynamic and aspirational and it would take into account any future changes in the exclusion/ inclusion/ deprivation/ occupational criteria in the SECC data
AB-NHPM will be an entitlement-based scheme with entitlement decided on the basis of deprivation criteria in the SECC database. The different categories in rural areas include families having only one room with kuchcha walls and kuchcha roof; families having no adult member between age 16 to 59; female-headed households with no adult male member between age 16 to 59; disabled member and no able-bodied adult member in the family; SC/ST households; and landless households deriving major part of their income from manual casual labour. Also, automatically included families in rural areas having any one of the following: households without shelter, destitute, living on alms, manual scavenger families, primitive tribal groups, legally released bonded labour will be covered under the scheme. For urban areas, 11 defined occupational categories are entitled under the scheme
Benefits of the scheme are portable across the country and a beneficiary covered under the scheme will be allowed to take cashless benefits from any public/private empanelled hospitals across the country
One of the core principles of AB-NHPM is co-operative federalism and flexibility to states
A well-defined complaint and public grievance redressal mechanism actively using electronic, mobile platform, internet as well as social media will be in place to ensure complaints/grievances will be registered, acknowledged, monitored, escalated for relevant action and promptly resolved
This scheme will be cashless and paperless access to services for beneficiaries
Benefits out of AB-NHPM
Increased access to quality health and medication by integrating existing Government Schemes like JAN AUSHADHI, AMRIT and others. In addition, the unmet needs of the population which remained hidden due to lack of financial resources will be catered to. This will lead to timely treatments, improvements in health outcomes, patient satisfaction, improvement in productivity and efficiency, job creation thus leading to improvement in quality of life
These two health sector initiatives under Ayushman Bharat Programme will build a New India 2022 and ensure enhanced productivity, well-being and avert wage loss and impoverishment. These Schemes will also generate lakhs of jobs, particularly for women
In-patient hospitalisation has increased nearly 300% in last ten years. And most of the expenditure is met by Out of Pocket (OOP). AB-NHPM aims to have a major impact on OUT OF POCKET expenditure
QCI, which is a nodal organization of the Government of India for the maintenance and promotion of quality in every field of life, is organizing series of interventions and consultations with various stakeholders and in order to design the framework and the strategy, a 3-day Regional Quality Conclave (8th-10th August 2018) is being organised at BHU, Varanasi by inviting experts on the subject along with the service providers (public and private), trade & industry associations and patients’ organisations to build a partnership on this popular initiative Ayushman Bharat . The main event will be held on Thursday 9th & 10th August 2018 at Shatabdi Krishi Bhavan, Institute of Agricultural Sciences, BHU, Varanasi. On 9th August 2015 Patient Safety and Access Initiative of India Foundation had launched a pilot project at Mata Anandamayee Hospital, Shivala, Varanasi on Universal Health Coverage (UHC) in partnership with Government of India, Banaras Hindu University and others.
The Conclave aims to discuss on the lessons learnt from the pilot project and covers four important healthcare verticals viz. (i) Making Ayushman Bharat Quality Centric (ii) Strengthening PHCs & Health Wellness Centres (iii) Role of Health Insurance vs Assurance, and (iv) IEC Activities & Robust Patient Feedback Mechanism. Your participation and support will make a lot of difference in making the initiative successful and moving India towards Universal Health Coverage by 2030 as a part of the Sustainable Development Goals (SDGs).
QCI is playing a pivotal role at the Regional level in propagating, adoption and adherence to quality standards in all important spheres of activities including education, healthcare, environment protection, governance, social sectors, infrastructure sector and such other areas of organized activities That has significant bearing in improving the quality of life and well-being of the citizens of India. QCI has been taking initiatives to promote the cause of good Governance, Empowerment and Quality of Public Services. QCI is also entrusted with the responsibility of carrying out Quality Promotion with the support of Government of India in sectors such as Manufacturing / Service and including Industry, Healthcare, and Education etc.
The Quality Council of India (QCI) is a pioneering experiment of the Government of India in setting up organizations in partnership with the Indian industry.
It gives us immense pleasure to host the 1st Regional Quality Conclave on the theme of “Universal Health Coverage under Ayushman Bharat: Assisting Implementation”. Health and well-being of all citizens is an essential factor for sustainable development in India. One of the biggest gaps in the healthcare sector is access to quality healthcare at affordable prices. The Ayushman Bharat initiative is a step towards bridging this gap by providing a coverage of up-to Rs 5 lakhs per family per year for secondary and tertiary care hospitalization to over 10 crore families below the poverty line (approximately 50 crore beneficiaries).
The Conclave aims to bring stalwarts from the field to a common platform to debate and discuss the changing dynamics, role of research, infrastructural needs, changing management trends, and above all enhancing patient care and experience in the healthcare sector.
My heartfelt thanks to Banaras Hindu University for giving us the opportunity to host this Conclave and also to every stakeholder involved in the organization of the same.
With my best regards,
Quality Council of India
We are indeed privileged and delighted to host the 1st Regional Quality Conclave on the theme of “Universal Health Coverage under Ayushman Bharat: Assisting Implementation,” a major initiative of the Government of India, to ensure Universal Health Coverage for fifty crore citizens in the country.
The aim of the Conclave is to plan holistic implementation under Universal Health Coverage, including financial risk protection, inbuilt quality for essential Healthcare services and access to safe, affordable and quality medicines and vaccines for all. I sincerely hope this Conclave will bring diverse experts to create an ecosystem, which guarantees a seamless roll out of Universal Health Coverage in the country.
BHU being a pioneer organisation has lent its support to organize this important event. Uttar Pradesh being one of the largest states in terms of population, has the highest percentage of potential beneficiaries. For this very reason, Varanasi was chosen as the venue to kick-start a concerted effort towards implementation of Ayushman Bharat.
Lastly, we express our heartfelt thanks to all the stakeholders for this opportunity to host the Conclave. Such a herculean task would not have been possible without the support of each and every stakeholder involved, including the government, self-help groups, associations, hospitals, labs and drug manufacturing companies, as well as committed experts who have spent their lifetime perusing the goal.