HEALTHCARE SECTOR IN INDIA FLANDERS INVESTMENT & TRADE MARKET SURVEY

Healthcare Sector in India

Flanders Investment & Trade

Economic Representation of Flanders c/o Embassy of Belgium 50 - N, Shantipath, Chanakyapuri New Delhi - 110 021 India

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Studie Healthcare Sector in India | juni 2015 1

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TABLE OF CONTENTS

ICT in Healthcare Services in India ...... 8

Introduction ...... 8 Healthcare Information & Communication Technology (HICT) ...... 9 Patient Monitoring & Tracking ...... 9 Healthcare Information Technology (HIT) ...... 10 National Health Policy ...... 10 Health Information Management Systems (HIMS) ...... 10 Grading of Indian States for the use of ICT in Hospitals ...... 12 Telemedicine ...... 12 Partial list of ISRO Projects are given below: ...... 14 Indian Central Government Projects ...... 15 Pan-African e-network project: ...... 15 SAARC Telemedicine Network Project ...... 15 Tele-ophthalmology Project ...... 15 National Medical College Network ...... 15 National Rural Telemedicine Network (NRTN) ...... 16 National OncoNET Project ...... 16 Electronic Health Records (EHR) ...... 16 Nanotechnology and 3-D printing ...... 16

Medical and Wellness Services ...... 18

Medical Tourist Arrivals in India ...... 18 India Medical Tourism Industry ...... 18 JCI Accreditation ...... 19 NABH Accreditation ...... 19 Accredited Healthcare Facilities in India ...... 20 Super Specialty Hospitals: ...... 20 World Renowned Medical Professionals...... 20 Nurses ...... 20 Alternative Medication ...... 20 State Governments and their initiatives ...... 21

3 State of “Tamil Nadu” ...... 21 State of “Gujarat” ...... 22 State of “Maharashtra” ...... 22 State of “Kerala” ...... 22 Private Hospitals in India ...... 22 Medanta – The Medicity ...... 22 Apollo Hospitals ...... 22 Fortis Escorts Heart Institute: ...... 23 Wockhardt Hospital ...... 23 Medical Tourism Facilitators ...... 23 Wellness Centers ...... 23 Lack of Indian Budget Support for Healthcare ...... 24

Annex 1 – Contacts Medical and Welness Services ...... 26

Chamber of Commerce – Organizing Medical Events ...... 26 PHD Chamber of Commerce & Industry (PHDCCI) ...... 26 Medical Consultancy Organization ...... 26 RNCOS-E-Services Pvt. Ltd., ...... 26 Cosmetic Herbal Products Treatment ...... 27 Shahnaz Husain Group of Companies ...... 27 Hospital Accreditation Bureaus ...... 27 NABH – National Accreditation Board for Hospitals and Healthcare Providers ...... 27 JCI India Foundation ...... 27 Travels Agencies – Helping Medical Tourism ...... 28 Indian Association of Tour Operators (IATO) ...... 28 STIC Travels Pvt. Ltd...... 28 Association of Domestic Tour Operators of India (ADTOI)...... 28 Travel Plus ...... 28 Private Sector – Beauty Treatment Centers ...... 29 Alps Cosmetic Clinic and Beauty Academies ...... 29 Alps Beauty Academy ...... 29 Private Sector – Fitness Centers ...... 29 Fitness Solutions ...... 29 Futurescape – Delhi ...... 30 Asia Spa India ...... 30 Ministries – Health Department ...... 30

4 Ministry of Health & Family Welfare ...... 30 Ministry of Health & Family Welfare ...... 31 Ministry of Health & Family Welfare ...... 31 Information Technology (IT) – Official Organizations ...... 31 Headquarters ...... 31 Delhi Office ...... 31 Noida Office ...... 32 IT – Private Sector...... 32 Tata Consultancy Services (TCS) ...... 32 Wipro GE Healthcare Pvt. Ltd...... 32 Siemens Information System Ltd. (SISL) ...... 32 Siemens India Ltd...... 32 Siemens Healthcare Diagnostics Ltd...... 33 Amrita HIS (Health Information System) Solution...... 33 Sobha Renaissance Information Technology (SRIT) ...... 33 Private Sector – Specialty Hospitals ...... 34 Max Healthcare Institute Ltd ...... 34 Max Super Speciality Hospital – Saket ...... 34 Medanta – The Medicity ...... 34 Institute of Liver & Biliary Sciences (ILBS) ...... 34 Christian Medical College Ludhiana ...... 35 FORTIS Hospital – Noida ...... 35 Fortis Flt. Lt. Rajan Dhall Hospital ...... 35 Fortis Healthcare Limited ...... 35 Wockhardt Hospital & Heart Institute ...... 36 Aravind Eye Hospitals & Port-graduate Institute of Ophthalmology ...... 36 Aravind Eye Hospitals & Port-graduate Institute of Ophthalmology ...... 36 Priyamvada Birla Aravind Eye Hospital ...... 36 Indian government Hospitals ...... 37 Dr. Ram Manohar Lohia (RML) Hospital & Nursing Home ...... 37 Safdarjang Hospital...... 37 Sawai Man Singh (SMS) Hospital & SMS Medical College ...... 37 Hartej Hospital ...... 38 Employees State Insurance Corporation (ESIC) ...... 38 Nizam’s Institute of Medical Sciences (NIMS) ...... 38 Gandhi Medical College Hospital – Hyderabad ...... 39

5 King George Hospital (KGH) – Visakhapatnam ...... 39 Government Hospital Gandhi Nagar – Jammu ...... 39 All India Institute of Medical Sciences (AIIMS) ...... 39 Medical Facilitation Organizations ...... 40 High Beam Global ...... 40 HBG Medical Assistance Pvt. Ltd...... 40 Medical and Wellness Centers ...... 40 Soukya – Dr. Mathai’s International Holistic Health Centre, Bangalore ...... 40 Ananda Spa – in the Himalayas, Haridwar ...... 41 Ananda In The Himalayas ...... 41 Shreyas Retreat ...... 41 Kalari Kovilakom Palace ...... 41 Organizations Promoting “Medical Tourism” in India ...... 42 Sahara Medical Tourism – India ...... 42 Bonanza Medical Tourism Pvt. Ltd., ...... 42 Medi Assist Care (Holidays to Treasure) ...... 42 Delhi Office: ...... 43

Annex 2 - Federations and Associations – Medical Sector ...... 44

Chamber of Commerce – Organizing Medical Events ...... 44 Federation of Indian Chambers of Commerce & Industry (FICCI), ...... 44 Confederation of Indian Industry (CII) ...... 44 Confederation of Indian Industry (CII) ...... 44 Confederation of Indian Industry (CII) ...... 45 Federation of Indian Micro & Small & Medium Enterprises (FISME) ...... 45 Medical Associations ...... 45 Indian Drug Manufacturers’ Association ...... 45 Indian Pharmaceutical Association ...... 45 Organisation of Pharmaceutical Producers of India (OPPI)...... 46 Bulk Drug Manufacturers Association (BDMA) ...... 46 Association of Medical Devices and Suppliers of India (AMDSI) ...... 46 The Surgical Manufacturers & Traders Association ...... 47 Ministries and Government of India Organizations ...... 47 Central Bureau of Health Intelligence (CBHI) ...... 47 Ministry of Health & Family Welfare ...... 47 Ministry of Health & Family Welfare ...... 47

6 Ministry of Health & Family Welfare ...... 48 Ministry of Health & Family Welfare ...... 48 Central Drug Research Institute (CDRI) ...... 49 Employees State Insurance Corporation (ESIC) ...... 49 Central Drugs Standard Control Organization (CDSCO) ...... 49 State Licensing Authority ...... 50 Zonal Office ...... 50 Central Council of Homoeopathy (CCH) ...... 50 Indian Journal of Research in Homoeopathy (IJRH) ...... 50

7 ICT in Healthcare Services in India

Introduction

Over the past 5 years, the Indian healthcare expenditure has been increasing at a CAGR (Compound Annual Growth Rate) of over 7%, which is at rate higher than that of the US. In the current scenario, the healthcare spending per capita (during the period 2009 – 2014) in the USA is estimated to be around US$ 9950, while China stands at a level of US$ 431. On the other hand, India is lagging far behind, and is anticipated to be spending a meager sum of US$ 84. This low spending is a reflection on India neglecting its healthcare sector by not spending sufficiently in developing the infrastructure, while the focus is to transform it into an IT-enabled structure.

The Indian government spends a trivial 4% of GDP on healthcare (period 2012), out of which majority share is of the private sector. The Indian government’s contribution stands at approximately 33%, while in the US and China, the same stands at nearly 46% and 56% respectively. For the US, the share of government has been continuously increasing, touching the aforementioned mark from 43.9% in the year 2002, while China reached the current level rising from 35.8% in the year 2002. Indian government held a share of 23.2% in the year 2002. Since the Indian government is not allocating sufficient budget for the healthcare infrastructure development, consumers have to spend a significant amount out-of-pocket.

The number of doctors per 1000 population stands at 3.31 in the US and 1.53 in the case of China. The ratio for India stands at nearly 0.6 doctors per 1000 population reflecting the plight of patients who have to wait in long queues for getting medical consultation and treatment (these statistical details pertain to the calendar year 2013). India is lagging far behind the World Health Organisation (WHO) standard which states a mandate of 1 doctor per 600 people. While all the three countries are likely to register a modest increase in the penetration of physicians, the situation is likely to hover around the same dimension; no such remarkable change will be marked in the near future.

Another drawback of the Indian healthcare sector is the shortage of hospital beds. The level is below 1 (0.7 bed) per 1000 population. On the other hand, the global picture is starkly ahead of India, as the number of hospital beds per 1000 people in the US and China is 2.9 and 2.6 respectively. The figures (of calendar year 2013) depict that not enough funds are allocated by the Indian government for the healthcare infrastructure development. India, along with the US and China is anticipated to witness this stagnancy in hospital bed penetration over the next few years as well.

The Indian government is making endeavour to establish better healthcare facilities in terms of hospitals – but the progress is far too slow in the context of the rapidly increasing population. The respective infrastructure of the Primary Health Centers (PHCs), Community Health Centers (CHCs), Medical Colleges, AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha and Homoeopathy), blood banks, etc. in India is largely over-burdened due to the sheer pressure of increasing population. As the under mentioned table depicts, the number of hospitals in the rural areas is much more as compared to the urban hospitals; but the bed capacity per hospital has an average of 10 beds per hospital. On the other hand, in case of urban hospitals, the average bed capacity is 86 beds per hospital. The year 2012 marked a sudden surge in the number of rural hospitals. The National Health Profile document elicited the fact that many regions, like the State of Jammu & Kashmir and Uttarakhand have not reported developments in hospital infrastructure post 2008.

Number of Indian Government Hospitals (2009 – 2012) Category 2009 2010 2011 2012 CAGR (2009 – 2012) Urban 3115 3748 4146 4949 16.69% Rural 6281 6975 7347 18967 44.54% Total 11613 12760 11993 23916 27.23% Source: Directorate of Health Services, States/Union Territories (UT)

8 Number of Indian Government Hospital Beds (2009 – 2012) Category 2009 2010 2011 2012 CAGR (2009 – 2012) Urban 369.351 399.195 618.664 425.721 4.85% Rural 143.069 149.690 160.862 196.907 11.23% Total 540.328 576.793 784.940 622.628 4.84% Source: Directorate of Health Services, States/Union Territories (UT)

Healthcare Information & Communication Technology (HICT)

The penetration of “Healthcare Information & Communication Technology (HICT)” in the Indian healthcare sector is very low as compared to developed countries like the US. Healthcare providers in India are anticipated to spend US$ 1.08 billion on information technology (IT) products and services in the year 2014, which by 2018 is likely to touch the market of US$ 2 billion.

Healthcare IT Spending (in billion US$); 2013-2018 Year 2013 2014 2015 2016 2017 2018 Spending in 0.88 1.08 1.27 1.43 1.65 1.92 billion US$ Source: Gartner Medical Report. This forecast includes spending by healthcare providers (includes hospitals and hospital systems, as well as ambulance service and physicians’ practices) on internal IT (including personnel), software, external IT services and telecommunications.

The major challenges hindering information & communication technology (ICT) implementation include under funding of public healthcare services, restricted knowledge about applications of IT, scantily trained manpower resource, huge initial investments and lack of stringent regulations.

Patient Monitoring & Tracking

Patient Monitoring & Tracking is one of the major factors burdening the Indian healthcare sector. Although in the recent past several initiatives have been taken as pilot projects for patient tracking, there has never been an approach for overall implementation. Many patients lose time and money in case they misplace or lose their reports. Since these reports are not stored in electronic format, their retrieval is not possible. The lack of digitization has also marred the possibility of patient monitoring and their movements across various hospitals.

The Indian government spends a frugal 2% of GDP on healthcare and contributes a modest 33% in total healthcare expenditure. This meager funding leads to little infrastructure development, thus hindering the growth of the overall healthcare sector.

India currently faces the dual burden of communicable diseases and chronic Non-Communicable Diseases (NCDs) such as Cardiovascular Disease (CVD), diabetes, cancer and Chronic Obstructive Pulmonary Disease (COPD). India has the second highest prevalence of diabetes in the world, with over 61 million diabetes patients. By the year 2030, the diabetes population is expected to exceed 100 million. Since there is no proper monitoring or tracking of patients, the Indian government’s funding for healthcare infrastructure development is trivial. India annually loses over 6% of its GDP due to premature deaths and preventable illnesses.

Due to lack of basic facilities, infrastructure and trained paramedics, the patients undergo the agony of waiting in long queues outside the Indian government hospitals/PHCs/ dispensaries and watching the illness reach up to the stage that is beyond any treatment.

Nearly 72% of India’s population lives in rural areas, wherein a good infrastructure for healthcare delivery is certainly lacking. In a population of 1.21 billion, 26.1% is living in below poverty line (BPL). The income level varies from 781 INR in rural areas while is 965 INR in urban areas for BPL. Moreover, the moderate literacy rate in such areas creates a bubble of unawareness, which in turn, facilitates the indifference among people for vaccination, hygiene maintenance, healthy living habits and better treatment prospects. Such factors are overhauling India’s healthcare infrastructure that is drifting towards the verge of collapse.

9 In tier 3 cities and rural areas, due to lack of basic facilities, the prevalence of communicable diseases and water borne diseases have high prevalence. The improper waste management and lifestyle also creates sanitation issues, which further fuels many health related problems. These problems are then poorly attended due to the inadequate healthcare facilities and monetary issues. All these factors contribute substantially in overburdening the healthcare system in India.

Healthcare Information Technology (HIT)

The Healthcare Information Technology (HIT) epitomizes the holistic management of health information across computerized systems, and its secure exchange between consumers, providers, government and quality entities and insurers. Healthcare information & Communication Technology (HICT) is termed as the most efficient and effective tool for augmenting the quality, safety and efficiency of the health delivery system comprehensively.

Despite India being an IT-enabled services’ behemoth, the use of HICT is very restricted in the country. The major users of HICT include big pharmaceutical companies, corporate hospitals and other private health sector institutions, while the public healthcare sector is lagging way behind in IT utilization. The state of Public Health service run by the Indian government is over-burdened. Huge geographical size, high population density, lack of transportation, inaccessibility, poverty, poor nutritional conditions, petty budget for healthcare infrastructure development, lack of funds and coordination, and skewed food habits and lifestyle are various challenges that have triggered down the trend in overall healthcare sector of India. The Indian healthcare products and services system is heavily inclined towards urban population, which is nearly 28% of the total Indian population. It is estimated that approximately one million Indians die every year due to inadequate healthcare facilities, and nearly 700 million people have no access to specialist care.

Highly pressurized and caving-in public healthcare system of India is now zealously pursuing the information & communication technology (ICT) route in different states of the country. Bringing a paradigm shift in the healthcare dynamics of the country is the prime objective now. Enhancing the delivery and the experience of healthcare not only involves the melioration of the knowledge and skills of medical professionals, but also empowering people with the knowledge required to make informed decisions about how to lead a healthy life. Web services are now the prerequisites for organizing, sharing and accessing medical services. ICT has laid copious alternatives for facilitating the communication of health messages to the public. At present, the healthcare industry facades which have adopted or starting to adopt the IT include “Hospital Information Management System (HIMS)”, Telemedicine, Mobile health (Apps, Phones, Integrated devices, etc.), and Disease Surveillance Projects.

The most illustrious attribute of e-Health is its ability to revolutionize the whole health system from one that is narrowly concentrated on the cure of diseases in hospitals by medical professionals, to a 3600 system, which is comprehensively inclined towards the preventive care aspect by keeping citizens healthy through the information dispersion regarding taking care of their health, whenever the need arises, and wherever they may be.

National Health Policy

Furthermore, the National Health Policy endorsed by the Parliament of India encourages the introduction of electronic communication media in the health sector. The government of India also brought in the “National Rural Health Mission” for delivering the best in healthcare to the rural population. The Ministry of Health & Family Welfare and the Ministry of Communication and Information Technology (ICT) are jointly creating a national health information infrastructure, for easy capture and dissemination of health information.

Health Information Management Systems (HIMS)

Hospital and healthcare information systems are among the most wide ranging area for IT applications. The field of Health Information Management Systems (HIMS) epitomizes the practice of managing health records by hospitals, health departments, physician’s office/clinics, health insurance companies, and other institutions that offer healthcare services. The holistic gathering and usage of health record information is at the core of the improved patient care. With the burgeoning computerization of health records, paper records are undergoing replacement with Electronic Health Records (EHRs).

10 Majority of the hospitals in India, specifically public hospitals and health facilities, use manual process for maintaining health records of patients. The storage of patient’s medical records in electronic format and their timely availability can transmute the quality of health delivery. Many robust and standard HIMS solutions have been developed by major IT companies, e.g.

 Centre for Development of Advanced Computing (CDAC)  Wipro  GE Healthcare  Tata Consultancy Services (TCS)  Amrita HIS Solution  Sobha Renaissance  Siemens Information Systems Ltd. (SISL)

The components that cover the medical related aspects in HIMS are:  Picture Archiving and Communication Systems (PACS)  Laboratory Information Systems (LIS)  E-Prescription  Clinical Decision Support System (CDSS)  Pharmacy Information Systems (PIS)  Electronic Medical Records (EMR)

The penetration of HIMS in India is rather limited. The Indian States of Punjab and NCR of Delhi are in advanced stage. In Delhi, higher degree of automation level is seen in private hospitals such as  Max Hospital  Medanta Medicity  Institute of Liver & Biliary Sciences (ILBS)

Max Hospital has electronic prescription and Personal Information System (PIS). Most of the hospitals are using in-house developed HIS/HIMS, Picture Archiving and Communication System (PACS) and Laboratory Information System (LIS).

Across the public sector hospitals, a basic level automation in HIMS is there across majority of the hospitals. Some hospitals like “Ram Manohar Lohia (RML)” have systems for storing test reports and images from CT scan, MRI, etc. One of the hospitals reported failure in the deployment of HIMS due to some technical glitch. A couple of other hospitals, like “Safdarjung Hospital” have laid all the plans to automate itself over a period of next 6 months.

11 Grading of Indian States for the use of ICT in Hospitals

In the State of Rajasthan, the ICT implementation across private sector hospitals was found to be at advance level. HIMS and LIS are well-implemented. Some of the private hospitals although are not using PACS, they are using in-house developed image storage system. The penetration of ICT in public sector hospitals was reported to be good, e.g. Sawai Man Singh Hospital. Almost all the government hospitals are using ICT. HIMS, LIS and PACS are implemented in the majority of the hospitals. Besides, Government of Rajasthan has taken an initiative called “Arogya Online” (Health Online) in order to implement ICT in healthcare.

In the light of these developments, “NCR of Delhi” and the “State of Rajasthan” were stated to be in advanced category in the matter of penetration of HIMS in India.

In the States of Punjab and Madhya Pradesh, the implementation of ICT in the medical sector was stated to be in moderate category. In the private sector of Punjab “Hartej Hospital” and in the government sector “Christian Medical College (CMC)” were said to be active.

The Indian States of Gujarat, Kerala, Andhra Pradesh, Odisha and Jammu & Kashmir are classified in basic category in the matter of implementation of ICT in the medical sector. The public hospitals in the State of Andhra Pradesh have shown a positive trend in this direction. The forward looking hospitals are:  Nizam’s Institute of Medical Sciences (NIMS), Hyderabad  Gandhi Hospital, Hyderabad  King George Hospital in Visakhapatnam.

Telemedicine

Telemedicine is the utilization of medical information exchanged from one site to another, via electronic communication tools for improving a patient’s clinical health status. A large number of people in rural India today still travel several miles by buses and trains to get diagnosed by a doctor. Telemedicine negates this requirement. Telemedicine includes a wide variety of applications and services deploying two-way video, e-mail, smart phones, wireless tools and other forms of telecommunication technology for treating patients in remote areas; also expediting the medical education and training of doctors and paramedical staff present in remote locations across the country.

A basic infrastructure comprising desktop computer with a webcam and microphone at both the ends is sufficient for base level telemedicine services. For transmitting live data to the other end, several peripheral equipment including electronic stethoscope, microscope and Computed Tomography (CT) scan can be connected.

The healthcare providers in India are getting familiar with the telemedicine. In fact, some States have already started adopting it, but most of the applications are in project modes. It will take quite some time for the diffusion of this technology into the health delivery system in a full swing. Several hospitals such as:  Apollo Hospitals  All India Institute of Medical Sciences (AIIMS)  Aravind Eye Hospitals, etc. are using this technology on a large scale, providing people access to their services at distant locations. Both government and private agencies are now venturing into Tele-healthcare by providing communication link.

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Following Indian companies provide support services for telemedicine services:  C-DAC (Centre for Development of Advanced Computation), Bangalore  The Apollo Telemedicine Network Foundation, Hyderabad  The Online Telemedicine Research Institute, Ahmedabad  Televital India, Bangalore  Vepro India, Chennai  Prognosys Medical Systems Pvt. Ltd., Bangalore  Medisoft Telemedicine Pvt. Ltd., Ahmedabad  Idiagnosis Technologies, Ahmedabad  Karishma Software Ltd., New Delhi

Majority of the telemedicine platforms, both in public and private health sector in India are being launched as start-up projects supported by:  Indian Space Research Organization (ISRO), Bangalore  Department of Information Technology (DIT), New Delhi  Ministry of Communication and IT  Government of India in partnership with Indian State Governments

Many institutions such as:  Amrita Institute of Medical Sciences, Coimbatore  All India Institute of Medical Sciences (AIIMS), New Delhi and Patna  Sanjay Gandhi Post-Graduate Institute of Medical Sciences (SGPGIMS), Lucknow, etc. are offering facilities such as tele-education as well

Towards societal benefit of indigenously developed space technology Indian Satellite System (INSAT), ISRO has implemented telemedicine pilot projects around the country under “rural satellite” (GRAMSAT) programme. In collaboration with Indian State governments ISRO established “Telemedicine Network” consisting of 382 Hospitals, 306 Remote / Rural District Hospitals/Health Centers connected to “51 super specialty hospitals” located in major States. Sixteen “mobile Telemedicine units” are part of this network.

13 Partial list of ISRO Projects are given below:

 In collaboration with State government of Karnataka, ISRO has supported the establishment of “Karnataka telemedicine network” where all the district hospitals in the State are connected with give specialty hospitals in Bangalore and Mysore.

 In the State of Rajasthan, all the 32 district hospitals are connected with six medical college hospitals and Sawai Man Singh Hospital in Jaipur.

 ISRO also assisted the States of Maharashtra, Madhya Pradesh and Odisha in establishing satellite communication-based telemedicine pilot projects.

On the other hand the Department of IT (DIT) has taken a critical role in designing and determining the future of telemedicine applications in India. The DIT has been involved at multiple levels – from instigation of pilot schemes to the standardization of telemedicine in the country. DIT has established more than 100 nodes all over India in collaboration with the State governments.

The Telemedicine Projects of ISRO are undertaken in the following States of India:

 Jammu & Kashmir  Uttarakhand  Rajasthan  Bihar  Jharkhand  Arunachal Pradesh  Assam  Manipur  Mehgalaya  Nagaland  Odisha (Orissa)  Chhattisgarh  Madhya Pradesh  Gujarat  Andhra Pradesh  Telegana  Karnataka

The Telemedicine Projects of DIT are undertaken in the following States of India:

 Himachal Pradesh  Haryana  NCR of Delhi  Uttar Pradesh  Sikkim  Mizoram  Tamil Nadu

The Telemedicine Project of ISRO and DIT (jointly) is undertaken in the following States of India:

 Punjab  West Bengal  Tripura  Maharashtra  Kerala

“Goa” is the lone Indian State that remains uncovered by the telemedicine project.

14 Following is the partial list of hardware and software support organizations:

 The Department of Information Technology (DIT) sponsored a telemedicine project connecting the 3 premier medical institutions, namely:

 Sanjay Gandhi Post-Graduate Institute of Medical Sciences (SGPGIMS), Lucknow  All India Institute of Medical Sciences (AIIMS), New Delhi  Post-Graduate Institute of Medical Education and Research (PGIMER), Chandigarh

 Telemedicine network in West Bengal for diagnosis and monitoring of tropical diseases

 Kerala and Tamil Nadu Oncology Network for facilitating cancer care

Indian Central Government Projects

Most telemedicine activities that are planned by the Indian Central Government are in the “project mode”. These are supported by the Indian Space Research Organization (ISRO), Department of Information Technology (DIT), Ministry of External Affairs (MEA), and the Ministry of Health and Family Welfare (MoH&FW). A few others are being implemented by the support of State governments. A few “corporate hospitals” have developed their own telemedicine networks.

Some of the Indian Central government projects are:

Pan-African e-network project

The Indian Ministry of External Affairs (MEA) will implement this project with the assistance of “Telecommunications Consultants India Ltd. (TCIL)”. The project will involve establishment of a VSAT-based Tele-Medicine and Tele-Education infrastructure for the African countries (53 nations of the “African Union”). Through the satellite and fiber optic network effective Tele-Education, Tele-Medicine, Internet, Video- conferencing and VoIP services will be provided and also the e-Governance, e-Commerce, infotainment, resource mapping and meteorological services will be supported. Ten super specialty hospitals in India have already been identified for this project.

SAARC Telemedicine Network Project

The South Asian Association of Regional Co-operation (SAARC) created as an expression of the region’s collective decision to evolve a regional co-operative framework, incorporated the initial preparatory work for a pilot project connecting one / two hospitals in each of the SAARC countries with 3-4 Super Specialty Hospitals in India. The Super Specialty Hospitals in India include:

 All India Institute of Medical Sciences (AIIMS), New Delhi  Sanjay Gandhi Post-Graduate Institute of Medical Sciences (SGPGIMS), Lucknow  Post-Graduate Institute of Medical Education and Research (PGIMER), Chandigarh  CARE Hospital, Hyderabad (CARE = Cooperative for Assistance and Relief Everywhere)

Tele-ophthalmology Project

The Ministry of Health and Family Welfare (MoH&FW) has approved the tele-ophthalmology project to provide eye care specialty services to the patients of rural and remote areas of Punjab, Uttar Pradesh and West Bengal States of India through tele-ophthalmology mobile vans.

National Medical College Network

The National Task Force on Telemedicine set up by the Union Ministry of Health and Family Welfare (MoH&FW) plans to establish a national grid on telemedicine for networking of medical colleges. Few tertiary care academic medical institutes from different regions of the country will be identified as Medical Knowledge Resource Centres (Regional Hub), each of which will be connected to medical colleges (nodes) in that region.

15 One of these regional hubs will be identified as the Central Hub which will be responsible for coordinating with the National Network apart from providing the infrastructure for Central Content Development Centre.

National Rural Telemedicine Network (NRTN)

National Rural Telemedicine Network (NRTN) Project under National Rural Health Mission (NRHM) is under planning phase. Four Regional Workshops for NRTN are planned in four different regions of the country to educate the state functionaries and finalize the state project proposals.

National OncoNET Project

Under the National Cancer Control Programme 27 Regional Cancer Centers will be linked with 100 peripheral centers for primary prevention, early detection, treatment and rehabilitation of cancer patients.

Electronic Health Records (EHR)

Although there are no such regulations or policy mandates existing by which the healthcare providers have to abide, there do exist certain guidelines floated by the Indian government. For instance, in March 2014, the Indian government declared that it will introduce a uniform system for maintenance of Electronic Health Records (EHR) by hospitals and healthcare providers. The Indian government has taken initiatives to implement standard protocols, standard codes for treatments, diagnosis of diseases and to maintain health records through various methods including electronic models.

On the other hand, to standardize the services of different Telemedicine centers, Department of Information Technology (DIT) has drafted a document titled “Recommended Guidelines & Standards for Practice of Telemedicine in India”. It is aimed at enhancing inter-operability among the various Telemedicine systems being set up in India. These standards will assist the DIT and the State governments and healthcare providers in planning and implementation of operational telemedicine networks. DIT also took initiative, in a project mode, for defining “The framework for Information Technology Infrastructure for Health (ITIH)” to efficiently address the information needs of different stakeholders in the healthcare sector.

Furthermore, the Ministry of Health & Family Welfare (MoH&FW) also established a National Task Force on Telemedicine in 2005 to work on:  Inter-operability, standard for data transmission, software, hardware, training, etc.  Defining standards and structure of electronic medical records and patient data base which could be accessed on a national telemedicine grid; and  Drafting a national policy on “telemedicine and tele-medical education”.

The government needs to decree some stringent policies and mandates regarding the implementation of ICT in the healthcare industry in order to curtail the healthcare cost burden and bring the quality at par with internationally available healthcare services.

Nanotechnology and 3-D printing

Apart from the general applications around the health record management, process automation, telemedicine and mobile health, there exist some other potential areas where the ICT could be applied in the healthcare domain. For instance, nanotechnology and 3-D printing can revolutionize the healthcare sector with their vast applications in the diagnostics and medicines.

Nanotechnology incorporates the manipulation of matter at the atomic and molecular level in order to create materials with remarkably varied and novel properties. Today the immense knowledge pool on how the body functions at the cellular level is paving way for several new and better medical techniques.

3-D printing revolves around the use of digital 3-D design data utilized for building up a component layer by layer. Recently only 3-D printing has travelled beyond the prototyping, making a foray in the production applications. 3-D printing can save time and reduce the cost as the technology consumes lesser quantities of raw material as

16 compared to the conventional manufacturing and eliminates the need for tooling since the process stretches directly from design to production.

More importantly, 3-D printing has unleashed the novel possibilities because it allows for designing and producing some components that can’t be designed using traditional production processes. There are three categories of healthcare where 3-D printing could be applied or is already used; Body parts or Prosthetics (scaffolding); Medical Devices; and Human Tissues.

Additionally, the sequencing of the human genome has made personalized medicine a virtual reality. It is repeatedly overlooked that like genetic sequencing, 3-D printing can also be a technology that could be used in personalized medicine. This is because 3-D printing allows for products to be custom-made to fit individuals. At least in theory, scientists have also worked out how blood vessels, skin, even embryonic stem cells could be printed.

17 Medical and Wellness Services

Despite all the lacunae and shortcomings in the Indian medical sector, it is to be noted that the private sector has a level of its own efficiency. Due to this efficiency factor, India has managed to attract patients from overseas countries to get their treatment in India. This has enabled the Indian government (Ministry of Tourism, Department of Health and Ministry of External Affairs) to promote medical tourism to India.

Asia is one of the most prominent destinations for global medical tourists due to its cost efficiency and offering better value for money. The number of medical tourists to Asian countries is increasing rapidly each year. The four main countries involved in this trade include India, Singapore, Thailand and Malaysia (CII-McKinsey 2002).

Country-wise, India is perceived as one of the fastest growing medical tourism destinations. In recent years, government support, low cost, improved healthcare infrastructure, and its rich cultural heritage, have taken Indian medical tourism to new heights. Overall its emergence as one of the world’s most cost-efficient medical tourism destinations has helped India to attain a position among the global leaders.

Medical Tourist Arrivals in India

The vast pool of medical professionals, expanding private healthcare infrastructure, growing technical expertise, cheaper medical procedures, world-class healthcare infrastructure, and government support are likely to boost the number of medical tourist arrivals in India to around 400.000 persons by 2018, growing at a CAGR (Compound Annual Growth Rate) of nearly 16% during the 6 years period (2012 to 2018).

Medical Tourist Arrival in India (in 100.000), 2012-2018 Year Number of Medical Tourists 2012 170.000 2013 190.000 2014 230.000 2015 270.000 2016 300.000 2017 350.000 2018 430.000 Source: Ministry of Tourism and RNCOS

India Medical Tourism Industry

It has also been observed that Indian corporate hospitals enjoy a large pool of skilled doctors, nurses and support staff. Highly skilled doctors with relevant experience and international exposure are quite proficient in cardiology and cardiothoracic surgery; orthopedic surgery; dentistry, gastroenterology, bariatric or obesity surgery, ophthalmology and urology. Moreover, improvements in the Indian medical infrastructure are attracting medical tourists from all over the globe. Thus keeping in view the above mentioned factors, the Indian medical tourism industry is anticipated to reach a value of around US$ 6 billion in the year 2018, growing at a CAGR of nearly 20% during the period 2014-2018.

Indian Medical Tourism Industry (US$ billion) 2012-2018 Year In US$ billion 2012 2.0 2013 2.4 2014 3.0 2015 3.5 2016 4.2 2017 4.8 2018 6.0 Source: Confederation of Indian Industry (CII) and RNCOS

18 Out of the total number of medical tourist arrivals (1.66 lakhs) in India in the year 2012, the highest share was claimed by Asia-Pacific region (47.8%) followed by MENA (Middle-East North Africa) with 40.5% share. The highest contributing countries like Iraq, Kenya, Nigeria, Maldives, Afghanistan and Bangladesh are the ones where there is a lack of proper healthcare infrastructure and medical professionals.

Medical Tourists Arrival in India by Region (%), 2012 Region % Share Asia-Pacific 47.8% MENA 40.5% Europe 8.6% The Americas 2.6% Source: Ministry of Tourism

Medical Tourists Arrival in India by Region (%), 2018 Region % Share MENA 45.2% Asia-Pacific 37.3% Europe 15.8% The Americas 1.4% Source: RNCOS

In the Asia-Pacific region maximum tourists come from South Asia from countries such as Malaysia and Bangladesh followed by South-East Asian countries.

By 2018, the share of Asia-Pacific region is likely to come down to 37.3%, while MENA will claim the top slot with 45.2% share approximately. Europe’s share is estimated to reach over 15% by then.

In the pacific region, the tourist flow from most of the countries including top ones like Bangladesh, Maldives, Sri Lanka, Pakistan, Malaysia, Australia, etc. is likely to witness further decline as the past trend suggests. Most of these are developing regions: the anticipated boost in the healthcare infrastructure and stable economic conditions will lead to retention of the patients.

In MENA regions, all the countries including Kenya, Mauritius, Nigeria, South Africa and Afghanistan are anticipated to witness an increase in the patient outflow.

Europe is another region which has been witnessing rapid increase in terms of medical and wellness tourists visiting India. Since the medical treatments are quite expensive and waiting time is too high, the patients, majority from the UK, Germany and Russian Federation are anticipated to continue the past trend line of flying to India for a surgery and indulge in the soulful bliss of Ayurveda, Naturopathy, Yoga, etc. at wellness centers.

JCI Accreditation

Indian hospitals, within Medical Tourism Corporation network are “JCI (Joint Commission International) accredited” and highly renowned for their superior quality of healthcare. “JCI accreditation” ensures that the quality of medical and surgical care is at par with the “American standards”.

NABH Accreditation

The Indian accreditation system – the “National Accreditation Board for Hospitals and Healthcare Providers (NABH)” comes under the purview of the board of “Quality Council of India (QCI)”. It is set up to ascertain and run an accreditation programme for medical and healthcare organizations. The board is formed to take care of the needs of the patients and to set a yardstick for the progress of the Indian Health Industry. Presently, it accredits hospitals and nursing homes, and will be accrediting Diagnostic Centers, Dental Clinics, Ayurvedic Hospitals and Blood Banks, in the near future.

19

Accredited Healthcare Facilities in India

Accredited Healthcare Facilities in India Accreditation Facility Number JCI Hospitals 19 Hospitals 219 NABH Blood Banks 60 AYUSH Hospitals >10 Wellness Centers >6

Source: NABH website Data as of June 2014.

Super Specialty Hospitals

India offers several super specialty hospitals dedicated to providing cardiology and cardiothoracic surgery, orthopedic surgery (including knee and hip replacement surgery), organ transplant surgery (including liver, kidney), Neurosurgery, Ophthalmology, Pediatric surgery, Pediatric neurology, Urology, Gynecology/Obstetrics/ Surrogacy, Psychiatry, General Medicine and General Surgery, Cancer management, Cosmetic treatments, and Dental care. With a gigantic boost in medical tourism, India has seen a massive in upsurge in private sector hospitals that are devoted to overseas patients.

World Renowned Medical Professionals

Vastly skilled, experienced and trained doctors, physicians and surgeons of international fame and repute, perform the most complicated surgeries and procedures. Further, the doctors are supported by a strong, comprehensive and well-trained paramedical force comprising of nurses, technicians, attendants, clinical coordinators and nutritionists. Most of the doctors and surgeons at the Indian hospitals are trained or have worked at some of the medical institutions in the US, Europe or other developed nations.

Nurses

Indian nurses are among the best in the world. Nearly 1000 recognized nurse-training centres in India, mostly attached to teaching hospitals, graduate nearly 10,000 nurses annually.

Alternative Medication

The Indian system of medicine, which incorporates Ayurveda, Yoga & Naturopathy, Unani, Siddha, Homeopathy (AYUSH), and other traditional healing treatments (such magneto-therapy, colour therapy, acupressure, acupuncture, water therapy, meditation, Reiki) has been continuously improving for the past few years and with the treatments of Ayurveda and Homeopathy gaining prominence around the world, more and more tourists are expected to visit India. It has gained more importance in Southern India. States such as Karnataka, Kerala and Tamil Nadu are some of the best known places that played a key role in promoting medical tourism.

The Indian Medicine concept was created in March 1995 by the Department of Indian Systems of Medicine and Homeopathy (ISM&H) and was renamed as AYUSH in November 2003 with an objective of providing focused attention to development of Education & Research in Ayurveda, Yoga & Naturopathy, Unani, Siddha and Homeopathy systems (AYUSH). The Department continuously upgrades AYUSH educational standards, quality control and standardization of drugs, improving the availability of medicinal plant material, research and development and awareness generation about the efficacy of the systems domestically and internationally.

Promotion of AYUSH systems at international level is in-built in the mandate of the Department of AYUSH. Growing global demand of natural medicine has increased the scope of international exchange of AYUSH-related information and cooperation with other countries for collaborative efforts in the development of traditional

20 systems of medicine. A provision of Rs. 25 crores was made in the 12th Five Year Plan (2007-2012) for international cooperation.

After introducing the accreditation policy for AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha and Homeopathy systems) hospitals, the NABH (National Accreditation Board for Hospitals and Healthcare Providers) accreditation programme will now be launched for AYUSH medical colleges and AYUSH products. The NABH accreditation for Indian medical colleges and products will be started by the Central Council of Indian Medicine (CCIM) with the Quality Council of India (QCI) to ensure quality products and education to students and complete governance in the Ayurvedic medical colleges.

State Governments and their initiatives

There are 29 “States” and 7 “Union Territories” in India. All of them have their own State governments with a tenure of 5 years. Out of these States, 7 States have “bicameral legislatures” and the rest have “unicameral legislature”. The 7 States with “bicameral legislatures” are: Andhra Pradesh, Bihar, Jammu & Kashmir, Karnataka, Maharashtra, Telengana and Uttar Pradesh. Some of these States have taken major initiatives to promote medical and wellness tourism.

State of “Tamil Nadu”

The Department of Tourism, Government of Tamil Nadu, in association with the hospitals, has embarked on the mission of spreading the concept of Medical Tourism. This initiative is growing at exponential rate, bringing success to all players concerned by providing utmost satisfaction to the patients from diverse backgrounds.

“Vision 2023” envisages the setting up of two medical cities over the next 11 years. The medical cities will have comprehensive facilities to provide world class treatment at competitive rates. Given that both Tourism and Healthcare are thrust areas for “Vision 2023”, medical tourism at the intersection of these two industries is a natural choice for the State of Tamil Nadu to encourage actively, both towards domestic and international visitors.

Government of Tamil Nadu – Vision 2023 Projects / Programs Amount INR (Crore) Note:- 1 Crore = 10 million) Creation of new medical facilities Medi-cities, medical colleges in each district, Specialty centres for 7,900 geriatrics, mental health, cancer, etc. Upgrading medical facilities Strengthening of PHCs (Public Health Centres), Upgradation of 1,500 Taluk and Non-Taluk Hospitals, Upgrading Infrastructure in the existing medical colleges Other projects Quality Quality improvement of Public improvement of Public Health Health Institutions, Skill 1,600 development, Electronic medical record facility, Laboratory / collection centres, Trauma care services, etc. Total Investment 11,000 Source: Government of Tamil Nadu Website.

21 State of “Gujarat”

Medical Tourism has emerged as the most promising and fast growing sector in Gujarat. Gujarat State has a full- fledged chain of hospitals at district and sub-district levels. The facilities available at these hospitals are very cost effective. There are also many super specialty hospitals with hi-tech facilities. The most modern hi-tech hospitals provide excellent facilities for cardiology, neuro-surgery, orthopedics, infertility treatment and eye surgery. Treatments in the field of dentistry and cosmetic surgery are also offered to foreign patients. The medical hospital hub of the Gujarat State is concentrated in Ahmedabad, Baroda (Vadodara) and Surat. There are government hospitals taking care of the treatment of cases of mentally retarded, TB (Tuberculosis), leprosy and ENT. Some of the traditional hospitals like Unani, Ayurveda and Nature cure are also available.

The medical tourism policy of the Gujarat government was released in December 2006. The policy stated that the government is committed to provide world class facilities to the visiting medical tourists and make Gujarat the most favored destination for people seeking medical treatments across the world.

State of “Maharashtra”

The State of “Maharashtra” has state-of-the-art medical facilities, hospitals and diagnostic centers, with highly qualified doctors, where quality treatment is provided at very low costs when compared to treatments in the international market. The State has been promoting medical tourism through the “Medical Tourism Council of Maharashtra (MTCM)” and collaborating with the government of other countries.

State of “Kerala”

The State of “Kerala” is known as “God’s Own Country”. It has the advantage of world-wide recognition, as it has been included in the list of the ten must-see destinations by the National Geographic Traveller. Additionally the above stated fact is complemented by the highly developed healthcare system which enables the State to attract patients from all over the world. It is reported that 600 to 700 foreign patients visit Kerala every month, a majority of them for Ayurvedic treatment. Kerala is nearly 20% cheaper than many other States in terms of connectivity, infrastructure and specialization. The Medical Tourism Council of Kerala (MTCK) is also taking a lot of initiative to promote medical tourism in the State of Kerala.

Private Hospitals in India

HOSPITALS are one of the major constituents of medical and wellness tourism as the promotion is based on their reputation, accreditation, the facilities provided and the profile of the doctors. These aspects matter a great deal for the international tourists coming to India for medical purposes. Some of the hospitals that are listed below cater to the medical tourists in the best way possible:

Medanta – The Medicity

“Medanta”, one of the most renowned hospitals in India houses 6 centers of excellence which provide medical intelligentsia, cutting-edge technology and state-of-the-art infrastructure with a well-integrated and comprehensive information system. The hospital has a solely dedicated division for facilitating the admission, treatment and discharge procedure for foreign patients.

Apollo Hospitals

“Apollo Hospitals” are multi-specialty tertiary care institutes. The hospitals offer clinical services in the fields of Cardiology, Oncology, Neurology, Nephrology, Orthopaedics, Urology, Multi-Organ Transplants, Neuro-surgery, Cosmetic surgery, Nuclear Medicine and Emergency Medicine among others. Apollo Hospitals are spread all over India and its headquarters is located in Chennai (Tamil Nadu). Some of the important cities where this hospital is located are: Hyderabad, Bengaluru, New Delhi, Ahmedabad, Kolkata, Bhubaneshwar, Bellary, Mysore, Pune, Ludhiana, Visakhapatnam, Goa, Ranchi, Madurai, Trichy, Indore and Nashik. It also has its hospitals located in overseas countries such as Sri Lanka, Bangladesh, Ghana, Nigeria, Mauritius, Qatar, Oman and Kuwait.

22 Fortis Escorts Heart Institute:

“Fortis Escorts Heart Institute”, formerly known as “Escorts Heart Institute and Research Centre”, is a pioneer in the field of solely dedicated cardiac care in India. It is the largest private cardiac hospital in the Asia Pacific Region and a part of “Fortis Healthcare” which is one of the fastest growing hospital networks in India.

Wockhardt Hospital

“Wockhardt Hospital” is one of the premier multi-specialty hospitals at par with international hospitals in terms of the technology, medical expertise, patient care, quality and more. “Wockhardt” is one of the favorite destinations for medical tourists coming to India. Some of the key features attracting patients to the hospital include:  Separate sector to take care of the international patients and to make their stay comfortable  First super specialty hospital in Asia to be JCI accredited  Wockhardt is recognized by the “American Blue Cross – Blue Shield network”  It has an agreement with “Partners Medical International, Boston, USA”  It has partnerships with over 100 corporate and more than 40 “Third Party Administrators (TPA)” Medical Tourism Facilitators

The medical facilitator is a company which works as a liaison source for medical tourists, as it has tie-ups with hospitals, transport agencies and hospitality chains/resorts/guest houses. Over the last few years, many such companies have cropped up. Most of these companies are donning names that are synonymous with health and travel. All of them function much like a “travel agency”, requesting and obtaining passports, booking flights, and arranging a medical tourism patient’s lodging, transportation and tours.

The key difference, of course, is that they also serve as the liaison or mediator between the patient and the international hospital and doctor. In effect, it is the facilitator’s job to re-package the medical provider’s service offering, make it more appealing and then guide international patients along the medical tourism process.

The medical facilitators know the suitable destinations and hospitals/clinics to find the treatment which the patient wants at the best possible price. Moreover, medical tourism facilitators can get access to special deals and discounts not available to the public. Also, they have better access; since they increase the footfall in the associated institutions, they can get priority when booking hospitals/clinics, hotels and flights. Furthermore, they deal with every aspect of a medical tourist’s trip. As medical tourism facilitators tend to work on a commission basis, with the clinics, hotels and airlines, which by default transfer some percentage of benefit in terms of cost to the consumers as well.

Medical tourism facilitators have played an important role in promoting the growth of medical tourism, and for many medical tourism patients, represent their first face-to-face contact with the concept of medical tourism. Considering these as one of the major components of the medical tourism industry, some major examples of organizations that function in this direction are given below:

 Sahara Medical Tourism (Sahara Care – Sahara India Pariwar)  Bonanza Medical Tourism (Bonanza Portfolio Ltd.)  Medi Assist Care (Holidays to Treasure)  Medi-Escapes India The above noted medical tourism facilitators’ contact details are provided in a separate enclosure.

Wellness Centers

The concept of the wellness centers has gained rapid popularity over the past few years. It is a broad term which is used widely at venues such as “medical centers”, “clinics”, “spas” and “nutrition offices”. There are many different types of wellness centers which cater to a variety of people and offer a plethora of treatments. The services offered by a wellness center are to promote better health through physical, psychological, or spiritual therapies or possibly a combination of all three with a holistic focus on the mind, body and spirit. A holistic

23 wellness center usually addresses each aspect of an individual rather than just one dimension. Many centers are based on a holistic philosophy which emphasizes a preventive approach to disease and illness.

The people seeking wellness have a vast variety of options to choose from nutrition counselling, fitness classes, mental health guidance, physical treatments or medical services at such centers. As healthcare costs continue to rise, the popularity of the wellness centers and preventive health strategies are projected to increase further. Most wellness centers are dedicated to promoting education and guidance to empower patients and clients to live a healthy lifestyle. The services and therapies which might be offered at a particular wellness center will differ depending on the center. The treatment offered may include:

 Nutrition and health counselling  Massage therapy  Chiropractic Medicine  Naturopathic treatment  Fitness classes  Yoga  Hypnotherapy  Ayurveda Medicine  Herbal Remedies  Homeopathy  Acupuncture / Acupressure  Energy healing such as “Reiki”  Stress Management  Reflexology  Healthy cooking classes  Meditation

Wellness centers/spas are a crucial segment in the medical and wellness tourism. Some of the centers are world renowned for the treatment and facilities they offer. Names of a few major centers with their promotional initiatives are given below:

 Soukya – Dr. Mathai’s International Holistic Health Centre  Ananda Spa – in the Himalayas  Shreyas Retreat  Kalari Kovilakom Palace

The above noted wellness centers’ contact details are provided in a separate enclosure.

However, it is to be noted that there is no Indian government regulation available to keep a check on “medical tourism facilitators” in India. These “facilitators” too do not have any “accreditation” norms. Some tour operators/medical tourism facilitators do cater to the international patients in a plausible manner but some are either fake or are extremely unscrupulous in extending the facilities. Such negative elements are only concerned with the money component. These unscrupulous elements are also not concerned about India’s image and reputation of the medical tourism industry as a whole. Hence a diligent background check is required before embarking on dealings with medical tourism facilitators or else the international patients will have to deal directly with the concerned hospital or the wellness center. The Indian government is in the process of addressing the problems related to the exploitation of medical tourism patients. Lack of Indian Budget Support for Healthcare

In spite of all the advancements and developments in the medical sector in India, ill-health among most Indians is widely prevalent due to atmospheric pollution (poor quality air, water contamination and soil contamination) unhygienic surroundings (littering, random dumping of garbage, careless attitude of people towards surroundings) and lack of cleaning of surroundings by the municipality. These circumstances are leading to rapid spread of diseases.

24 It was in this context that the new Indian government started the campaign of “clean India – healthy India”.

Budget allocation for Healthcare Sector in India via India Annual Budget 2015-2016.

Finance Minister Arun Jaitely announced the annual budget for the Indian fiscal year 2015-2016 (01 April 2015 to 31 March 2016) on 27 Feb. 2015 in the Parliament. In the announcement, the Minister indicated that he has allocated Rs.33,152 crores (331,52 billion INR) as the healthcare budget. He spoke in favour of current and upcoming health programmes with special emphasis on improving the public health sector.

"In the fiscal year 2015-16, plans to set up “All India Institutes of Medical Sciences (AIIMS)” in Jammu and Kashmir, Punjab, Tamil Nadu, Himachal Pradesh and Assam will be implemented". The Finance Minister made this announcement while presenting the annual budget in the Lok Sabha (the lower house of the Indian Parliament).

He also indicated that "Keeping in view the need to augment medical sciences in the State of Bihar, it is hereby proposed to set up another “AIIMS-like institution” in Bihar as well, along with the other aforesaid States".

With six more AIIMS-like institutes, the number of such super specialty institutes has gone up to 14 in India.

The institutes have been named after the Delhi-based All India Institute of Medical Science (AIIMS), which became functional in 1956 as an autonomous institution through an act of parliament to serve as a nucleus for nurturing excellence in all aspects of health care.

It has emerged as north India's best government hospital with over 2,200 beds and treats over 10,000 people daily.

With the aim to provide similar kind of facilities at affordable rates to people living in cities that don't have such healthcare facilities and provide facilities for quality medical education, the then Bharatiya Janata Party (BJP) government proposed the idea in 2003.

But the proposal was cleared in 2006 by then Prime Minister Manmohan Singh.

The Congress-led government first sanctioned AIIMS-like institutes in Patna (Bihar), Bhopal (Madhya Pradesh), Bhubaneswar (Odisha), Jodhpur (Rajasthan), Raipur (Chhattisgarh) and Rishikesh (Uttarakhand) at an estimated cost of Rs.332 crore each.

In 2009, the Manmohan Singh government sanctioned Rs.16.46 billion for setting up two more such premier institutes in West Bengal and Uttar Pradesh.

25 Annex 1 – Contacts Medical and Wellness Services

Chamber of Commerce – Organizing Medical Events

PHD Chamber of Commerce & Industry (PHDCCI)

“PHD House”, 4/2, Siri Institutional Area, (Opp. Asian Games Village), August Kranti Marg, (Hauz Khas), New Delhi - 110 016 Tel.: 011/26863801-04, 49545454, 26857750 Fax: 011/26855450, 49545451 E-mail: [email protected] Web: www.phdcci.in Contact: . Mr. Yogesh Srivastava, Senior Secretary GSM: +91-99719-98934 E-mail: [email protected]

. Mr. Saurabh Sanyal, Executive Director GSM: +91-96502-25333 E-mail: [email protected]

. Mr. Vijay Mehta, Chairman – Tourism Committee

. Mr. Sharad Jaipuria, President

Medical Consultancy Organization

RNCOS-E-Services Pvt. Ltd.,

(RNCOS = Research and Consultancy Outsourcing Services), B – 129, Sector – 6, Noida – 201 301 Uttar Pradesh Tel.: 0120/4224700 to 703 Fax: 0120/4224707 E-mail: [email protected] Web: www.rncos.com Contact: . Mr. Shushmul Maheshwari, Chief Executive E-mail: [email protected] ([email protected]) GSM: +91-98910-48088

. Ms. Vartika Sehgal, Sr. Research Specialist – Extn. 203 E-mail: [email protected]

. Mr. Prateek Srivastava E-mail: [email protected]

26 Cosmetic Herbal Products Treatment

Shahnaz Husain Group of Companies

901 – 903, International Trade Tower, Nehru Place, New Delhi – 110 019 Tel.: 011/49000999 Fax: 011/49000901 E-mail: [email protected] Web: www.shahnaz.in/ Contact: . Ms. Shahnaz Hussain, Chairman & Managing Director Tel.: 011/49616161 Fax: 011/49616162 E-mail: [email protected]

Hospital Accreditation Bureaus

NABH – National Accreditation Board for Hospitals and Healthcare Providers

(Quality Council of India), ITPI Building (6th Floor), 4 – A, Ring Road, I.P. Estate, New Delhi – 110 002 Tel.: 011/23323416 to 3420 Fax: 011/23323415 E-mail: [email protected] Web: www.nabh.co/ Contact: . Mrs. (Dr.) Gayatri V. Mahindroo, Director E-mail: [email protected] Dr. K.K. Kalra, CEO . E-mail: [email protected]

JCI India Foundation

(JCI = Joint Commission International), Ami Kalash (2nd Floor), Ami Complex, I.C. Colony Road, Borivali (West), Mumbai – 400 103 Tel.: 022/28912354, 28913355 E-mail: [email protected] [email protected] Web: www.jciindia.in/ Contact: . Mr. Deepak Nahar, President . Mr. Nitish Raj Victor, Director

27 Travels Agencies – Helping Medical Tourism

Indian Association of Tour Operators (IATO)

(National Body of Tour Operators), 310, Padma Tower – II, 22, Rajendra Place, New Delhi – 110 008 Tel.: 011/25750034, 25754478, 25738803 Fax: 011/25750028 E-mail: [email protected] [email protected] [email protected] Web: http://iato.in/ Contact: . Dr. Subhash Goyal, President . Mr. Gour Kanjilal, Executive Director . Mr. B.D. Taneja, Deputy General Manager

STIC Travels Pvt. Ltd.

G – 55, Connaught Circus, Opp. Palika Bazaar Parking Exit Gate, New Delhi – 110 001 Tel.: 011/46206629 & 630 Fax: 011/46206688 E-mail: [email protected] Web: www.sticgroup.com Contact: . Dr. Subhash Goyal, President . GSM: +91-98100-16061

Association of Domestic Tour Operators of India (ADTOI)

Flat # 101, 1st Floor, Antriksh Bhawan, 22, Kasturba Gandhi Marg, New Delhi – 110 001 Tel.: 011/23355467 Fax: 011/ E-mail: [email protected] Web: www.adtoi.in/ Contact: . Mr. Ravi Luthra, General Secretary GSM: +91-98110-18196 . Mr. Tarun Sachdeva, Executive Secretary GSM: +91-97177-77564 . Mr. T. Damodaran, Admin Secretary GSM: +91-99904-29524

Travel Plus

(A Unit of “Ibis Travels Pvt. Ltd.”), 63, Kehar Singh Estate, Said-ul-ajaib, Near Garden of Five Senses, New Delhi – 110 030

28 Tel.: 011/43436666 Fax: 011/43436603, 43436220 E-mail: [email protected] [email protected] [email protected] Web: www.plustoursindia.com Contact: . Mr. Subhash Verma, Chairman GSM: +91-98110-41957

Private Sector – Beauty Treatment Centers

Alps Cosmetic Clinic and Beauty Academies

SCO – 14, Sector – 14, Old Delhi-Gurgaon Road, Gurgaon 122 001 Haryana Tel.: 0124/4081755, 4081744, 4081788 E-mail: [email protected] Web: www.alpsbeautyclinic.com/about.html Contact: . Mrs. Bharti Taneja, Director GSM: +91-98714-44666; +91-92124-44666 . Mrs. Gunjan Gaur, Director . Mrs. Ishika Taneja, Director

Alps Beauty Academy

201, Guru Amar Dass Bhawan, 78, Nehru Place, New Delhi – 110 019 Tel.: 011/41636369, 41814980 E-mail: [email protected] Web: www.alpsbeautyacademy.com/ Contact: . Mrs. Bharti Taneja, Director GSM: +91-98714-44666; +91-92124-44666 . Mrs. Gunjan Gaur, Director . Mrs. Ishika Taneja, Director

Private Sector – Fitness Centers

Fitness Solutions

E – 193, Greater Kailsh – II, New Delhi – 110 048 Tel.: 011/ Fax: 011/ E-mail: [email protected] Web: www.fitnesolution.com/ Contact: . Ms. Kiran Sawhney GSM: +91-98105-30027

29 Futurescape – Delhi

Level – 4, Rectangle – 1, Commercial Complex, D – 4, Saket, Behind Sheraton, New Delhi – 110 017 Tel.: 011/66544196 E-mail: [email protected] Web: www.futurescape.in/ Contact: . Ms. Namrata Rana, Director GSM: +91-99102-01783

Asia Spa India

(Exposure Media Marketing Pvt. Ltd.), K.S. House (4th Floor), 118, Shahpur Jat, New Delhi – 110 049 Tel.: 011/46055000 Fax: 011/26490185 E-mail: [email protected] Web: http://www.asiaspaindia.com/asi/ Contact: Ms. Parineeta Sethi, Editor Ministries – Health Department

Ministry of Health & Family Welfare

(Department Health & Family Welfare), Nirman Bhawan, “C” – Wing, Maulana Azad Road, New Delhi – 110 001 Tel.: 011/23062579, 23062985 Fax: 011/23061252 E-mail: [email protected] Web: http://mohfw.nic.in Contact: . Mr. Ravinder Kumar Jain, Additional Secretary & Director General (CGHS – Central Government Health Scheme) . Mr. Lov Verma, Secretary Tel.: 011/23061863, 23063221 Fax: 011/23061252 E-mail: [email protected] - [email protected] . Mr. Chandra Kishore Mishra, Additional Secretary & Managing Director (NRHM – National Rural Health Mission) Tel.: 011/23061066, 23063809 Fax: 011/23061252 E-mail: [email protected] . Dr. Navneet Kumar Dhamija, Deputy Commissioner (Training & Telemedicine)

Note: The CGHS has numerous clinics and dispensaries all over India with well qualified doctors. It also has a network of major government hospitals under its care. Apart from providing treatment to the Indian government employees and its family members, it also provides “free treatment” to the general public (especially the poor and the down-trodden) in its hospitals under the framework of “OPD – Out-Patient Department”.

30 Ministry of Health & Family Welfare

Nirman Bhawan, Room # 404 – D (4th Floor), Maulana Azad Road, New Delhi – 110 011 Tel.: +91-99112-20066; +91-99112-20077 Fax: 011/23062091 Web: www.searo.who.int/entity/health_situation_trends/events/19_India_Country_Experience.pdf www.ashavani.org/images/docs/Minutes-of-1st-Meeting-of-MSG-of-NHM.pdf Contact: . Dr. Navneet Kumar Dhamija, Deputy Commissioner (Training & Telemedicine) . E-mail: [email protected] - [email protected]

Ministry of Health & Family Welfare

Department of AYUSH, (AYUSH = Ayurveda, Yoga & Naturopathy, Unani, Siddha and Homoeopathy), AYUSH Bhawan, “B” – Block, GPO Complex, INA Colony, New Delhi – 110 023 Tel.: 011/24651950, 24651938, 24651952 Fax: 011/24651937, 24651954 E-mail: [email protected] Web: indianmedicine.nic.in Contact: . Mr. Nilanjan Sanyal, Secretary . Dr. D.C. Katoch, Joint Advisor Tel.: 011/24651973 E-mail: [email protected] . Mr. Raj Pratap Singh, Joint Secretary Tel.: 011/24651940 Fax: 011/24651953 E-mail: [email protected]

Information Technology (IT) – Official Organizations

Headquarters

Centre for Development of Advanced Computing (C-DAC), Pune University Campus, Ganesh Khind, Pune – 411 007 Tel.: 020/25704100 Fax: 020/25694004 Web: http://cdac.in/ http://cdac.in/index.aspx?id=hi_his_hospital_info_systems

Delhi Office

Centre for Development of Advanced Computing (C-DAC), E – 25 Hauz Khas Market, (First and Second Floors), New Delhi – 110 016 Tel.: 011/26510221

31 Fax: 011/26510207 Web: http://cdac.in/ Web: http://cdac.in/ http://cdac.in/index.aspx?id=hi_his_hospital_info_systems

Noida Office

Centre for Development of Advanced Computing (C-DAC), Anusandhan Bhawan, C – 56/1, Sector – 62, Institution Area, Noida – 201 307 Uttar Pradesh Tel.: 0120/3063311 to 13, 3063371 Fax: 0120/3063317 Web: http://cdac.in/ http://cdac.in/index.aspx?id=hi_his_hospital_info_systems

IT – Private Sector

Tata Consultancy Services (TCS)

(Division of “Tata Sons Ltd.”), “PTI Building” (4th & 5th Floor), 4, Parliament Street, New Delhi – 110 001 Tel.: 011/65506555, 23329696, 23350216 Fax: 011/23311735 E-mail: [email protected] Web: www.tcs.com Contact: Mr. S.K. Nair, Chief Manager Mobile: +91 – 98111-95087

Note:- It belongs to the TATA Group of Industries. It is a well-known software development and marketing company.

Wipro GE Healthcare Pvt. Ltd.

52-A, Okhla Industrial Estate (Phase – 3), New Delhi – 110 020 Tel.: 011/40558132 Fax: 011/ Web: www3.gehealthcare.in www3.gehealthcare.com/en/global_gateway www3.gehealthcare.in/en/about_us/ge_healthcare_service_branches

Siemens Information System Ltd. (SISL)

IFFCO Tower, Gurgaon – 122 001 Haryana Tel.: 0124/2886000 GSM: +91-98111-40224

Siemens India Ltd.

130, Pandurang Budhkar Marg,

32 Worli, Mumbai 400 018 Tel.: 022/39677000 Fax: 022/39677500 Web: www.siemens.com www.siemens.co.in Contact: . Mr. Sunil Mathur, CEO . Mr. Christian Rummel, Executive Director . Mr. Bhaskar Mandal, Director - Industry Sector . Mr. Bijesh Kamath, Media Relations E-mail: [email protected] Tel.: 022/39677537

Siemens Healthcare Diagnostics Ltd.

Enkay Center (5th Floor), Vanijya Nikunj, Udyog Vihar (Phase – 5), Gurgaon – 122 016 Haryana Tel.: 0124/4760100 Fax: 0124/4760162 Contact: Mr. J. Sunderrajan, Head Business Development

Amrita HIS (Health Information System) Solution

Amrita Vishwa Vidyapeetham, Amritanagar, Coimbatore – 641 112 Tamil Nadu Tel.: 0422/2685000 Fax: 0422/2686274 E-mail: [email protected] Web: www.amrita.edu/research/project/amrita-hospital-information-system-ahis

Sobha Renaissance Information Technology (SRIT)

SRIT House, # 113/1-B, ITPL, Main Road, Kundalahalli, Bangalore – 500 037 Tel.: 080/41951999 Fax: 080/41523300, 41522222 Web: www.renaissance-it.com/ Contact: . Dr. Madhu Nambiar, CEO . Mr. P.N.C. Menon, Founder of SRIT

33 Private Sector – Specialty Hospitals

Max Healthcare Institute Ltd

Max House, Okhla Industrial Area (Phase – 3), New Delhi – 110 020 Tel.: 011/41612123 E-mail: [email protected] Web: www.maxhealthcare.in Contact: . Dr. Garima Singh . Dr. Varun Katyal

Max Super Speciality Hospital – Saket

2, Press Enclave Road, Saket, New Delhi – 110 017 Tel.: 011/26515050, 40554055 Fax: 011/26510050 E-mail: contact via web Web: www.maxhealthcare.in/index.php/our-specialities/oncology-cancer-care#oncology-cancer-care Web: www.maxhealthcare.in Contact: . Dr. Harit Chaturvedi, Department of Oncology (Surgical Oncology) . Dr. Meenu Walia, Department of Oncology / Cancer Care . Dr. Anil Kumar Anand, Radiation Onocology . Dr. Garima Singh

Medanta – The Medicity

Sector – 38 Gurgaon – 122 001 Haryana Tel.: 0124/4141414 Fax: 0124/4834111 E-mail: [email protected] Web: www.medanta.org Contact: . Dr. Naresh Trehan . Dr. Ashok Rajagopal

Institute of Liver & Biliary Sciences (ILBS)

(An Autonomous Institute of Government of Delhi – Deemed University), D – 1, Vasant Kunj, New Delhi – 110 010 Tel.: 011/46300000, 26706700 to 02, 26706730, 64703890 Fax: 011/26706714 E-mail: [email protected] Web: www.ilbs.in/ Contact: . Dr. Girish Chandra, Head Operations (Medical) . Dr. S.A. Francis

34 Christian Medical College Ludhiana

Brown Road, Ludhiana – 148 008 Punjab Tel.: 0161/2664673, 2607364 Fax: 0161/2610708, 2600856, 5010819 E-mail: [email protected] Web: www.cmcludhiana.in Contact: . Dr. Harinder Singh Bedi GSM: +91-99882-45500 E-mail: [email protected] Tel.: 0161/2660022 . Dr. Jeyaraj Durai Pandian, Head of Department

FORTIS Hospital – Noida

(FORTIS Healthcare), (Ranbaxy Group of Company), B-22, Sector – 62, Noida – 201 301 Uttar Pradesh Tel.: 0120/3945603 to 05, 2400222 Fax: 0120/2402031 E-mail: [email protected] Web: www.fortisheart.com

Fortis Flt. Lt. Rajan Dhall Hospital

(Ranbaxy Group of Company), Sector – B, Pocket – 1, Aruna Asaf Ali Marg, Vasant Kunj, New Delhi – 110 070 Tel.: 011/42776222 – Emergency: 011/42776444; toll free: 011/26927000 Fax: 011/42776221 E-mail: [email protected] Web: www.fortishealthcare.com Contact: . Shivinder Mohan Singh – Tel.: 011/41006062 . Ms. Ritu Chathrath . Dr. Raajiv Singhal – materials inventory GSM: +91-98187-97570 E-mail: [email protected]

Fortis Healthcare Limited

Fortis Escorts Heart Institute & Research Centre, Okhla Road (Near “Holy Family Hospital”), New Delhi – 110 025 Tel.: 011/47135000, 26825000 & 01, 26825002, 26838889 (6 lines), 26844820, 43508001 Fax: 011/26825048, 26921514, 26832605, 43508031 E-Mail: [email protected] [email protected] Web: www.fortishealthcare.com www.fortisescorts.in

35 Contact: . Mr. Malvinder Singh, Director . Dr. Ashok Seth, Chairman . Mr. Sunil Kapoor, Vice-President

Wockhardt Hospital & Heart Institute

1877, Dr. Anand Rao Nair Road, Mumbai Central, Mumbai – 400 011 Tel.: 022/61784444 E-mail: [email protected] Web: www.wockhardthospitals.com

Aravind Eye Hospitals & Port-graduate Institute of Ophthalmology

Avinashi Road, Coimbatore – 641 014 Tamil Nadu Tel.: 0422/4360400 Fax: 0422/2593030 E-mail: [email protected] Web: www.aravind.org/ Contact: Dr. V. Narendran. Chief Medical Officer

Aravind Eye Hospitals & Port-graduate Institute of Ophthalmology

# 1, Anna Nagar, Madurai – 625 020 Tamil Nadu Tel.: 0452/4356100 Fax: 0452/2530984 E-mail: [email protected] Web: www.aravind.org/ Contact: Dr. S. Aravind, Administrator

Priyamvada Birla Aravind Eye Hospital

(In collaboration with “Aravind Eye Hospital – Madurai”), 10, Loudon Street, Kolkata – 700 017 West Bengal Tel.: 033/22894343 to 46 Fax: 033/22894300 E-mail: [email protected] Web: www.birlaeye.org/ Contact: . Dr. Abhijit Chattopadhyay, Chief Medical Officer . Dr. Alokesh Ganguly

36 Indian government Hospitals

Dr. Ram Manohar Lohia (RML) Hospital & Nursing Home

(Formerly Willingdon Hospital), Baba Kharak Singh Marg, Near Gurudwara Bangla Sahib, Connaught Place, New Delhi – 110 001 Tel.: 011/23365525, 23404441, 23404040, 23741640, 23361014, 23362760, 23365573 Fax: 011/23747053 E-mail: [email protected] Web: http://rmlh.nic.in/ Contact: . Dr. (Prof.) Harsh Wardhan, Head of the Department (Cardiology) GSM: +91-99581-13366 . Dr. Ajay Sharma Tel.: 011/23404531 GSM: +91-98684-42305 . Dr. Niruta Sharma Tel.: 011/23404484 GSM: +91-98711-44889 . Dr. Ajay Raj GSM: +91-98183-13416

Safdarjang Hospital

(Vardhman Mahavir Medical College), Safdarjang Enclave, Ring Road, New Delhi – 110 029 Tel.: 011/26174144, 26168336-37, 26195954, 26163697, 26165060, 26165032, 26194690 Fax: 011/26163072 Web: www.vmmc-sjh.nic.in/ www.vmmc-sjh.nic.in/writereaddata/linkimages/td847361765.pdf Contact: . Dr. B.D. Athani, DG & MS Tel.: 011/26190763 (direct), 26178695 Fax: 011/26163072

Sawai Man Singh (SMS) Hospital & SMS Medical College

Jawaharlal Nehru Marg, Ashok Nagar, Jaipur – 302 004 Tel.: 0141/2518422, 2619020, 2518380 Fax: 0141/2619171 E-mail: [email protected] Web: http://smsmedicalcollege.webs.com/ Contact: . Dr. Subhash Nepaliya, Controller . Dr. L.C. Sharma, Medical Superintendent . Dr. P.R. Gupta, Additional Superintendent E-mail: [email protected]

37 Hartej Hospital

A / 290 – 292, Ranjit Avenue, “A” – Block, Amritsar – 143 001 Punjab Tel.: +91-97797-51279; 0183/2503613, 2503612 Fax: 0183/2501379 E-mail: [email protected] Web: www.hartejhospital.in/ Contact: . Dr. Harmohinder Singh Nagpal, Director E-mail: [email protected] . Dr. Davneet Singh . Dr. Tajinder Kaur . Dr. Shivani . Mr. Rashpal Singh

Employees State Insurance Corporation (ESIC)

Panchdeep Bhawan, Comrade Inderjeet Gupta (CIG) Marg, New Delhi – 110 002 Tel.: 011/23234092, 23234093, 23234098, 23235496, 23236051, 23235187, 23236998 Fax: 011/23235481, 23234537 E-mail: [email protected] [email protected] Web: www.esic.nic.in/index.php www.esic.in Contact: . Mr. Anil Kumar Agarwal, Director General Tel.: 011/23235391, 23232708 Fax: 011/23237136 E-mail: [email protected] . Dr. S.R. Chauhan, Medical Commissioner Tel.: 011/23236496 E-mail: [email protected] . Dr. S.K. Raju, Deputy Medical Commissioner (Medical Services) Tel.: 011/23234334 E-mail: [email protected]

Note: ESIC has several hospitals spread all over India. It caters to the health and treatment needs of industrial and factory workers. Its hospitals have all the operational, diagnostic and treatment facilities.

Nizam’s Institute of Medical Sciences (NIMS)

Punjagutta, Hyderabad – 500 082 Telengana Tel.: 040/23390933, 23399690, 23320332, 23489000, 23396552, 23489244 & 45 Fax: 040/23310076 E-mail: [email protected] Web: www.nims.edu.in/ http://nims.ap.nic.in Contact: . Dr. N. Satyanarayana, HOD Tel.: 040/23489459

38 . Dr. D. Seshagiri Rao . Dr. Subhash Kaul . Dr. P.V. Rao . Dr. Mukunda Reddy, Dean Tel.: 040/23399519, 23399498 Fax: 040/23310076 E-mail: [email protected] GSM: +91-93480-98804 . Prof. Dharma Rakshak Ayapati, Director Tel.: 040/23390933 E-mail: [email protected] GSM: +91-94404-42525

Gandhi Medical College Hospital – Hyderabad

# 6-1-34, Musheerabad, Padma Rao Nagar, Secunderabad – 500 003 Telegana Tel.: 040/27505566, 27502742 Fax: 040/ E-mail: [email protected] Web: www.gandhihospital.in/ Contact: Dr. Pradeep Deshpande

King George Hospital (KGH) – Visakhapatnam

KGH Down Road, Jagadamba Area, Maharani Peta, Visakhapatnam – 530 001 Andhra Pradesh Tel.: 0891/2564891 & 92, 2564894, 2564991 & 92 Contact: . Dr. Nimma Satyanarayana, Medical Superintendent . Dr. K.T. Reddy . Dr. G.S.N.V. Prasad

Government Hospital Gandhi Nagar – Jammu

Gandhi Nagar, Aquaf Market, Jammu Tawi, Jammu – 180 003 Jammu & Kashmir Tel.: 0191/2454698, 2430041, 2431740 GSM: +91-94191-80710 Contact: Dr. Ramesh Gupta, Medical Superintendent

All India Institute of Medical Sciences (AIIMS)

104 Ansari Nagar, Aurobindo Marg, New Delhi - 110 029 Tel.: 011/26588500, 26588700, 26589900 Fax.: 011/26588663, 26588641 E-mail: [email protected]

39 Web: www.aiims.edu www.aiims.ac.in Contact: . Prof. R.C. Deka, Director – Tel.: 26588500, 26588900, 26588700 E-mail: [email protected] . Dr. D.K. Sharma, Hospital Administration – Tel.: 26588389 E-mail: [email protected]; [email protected] . Dr. A.K. Mukhopadhyaya – Laboratory Medicine E-mail: [email protected] . Dr. Shakti Kumar Gupta, Medical Superintendent

Medical Facilitation Organizations

High Beam Global

(Knowledge Center), 63, Udyog Vihar (Phase – 1), Gurgaon – 122 001 Haryana Tel.: 0124/4879699 Fax: 0124/4824550 E-mail: [email protected] Web: www.hbgknowledge.com/ Contact: . Mr. Abhik Moitra, President . Mr. Rajat Sahni . Dr. (Ms.) Ashima Prashar

HBG Medical Assistance Pvt. Ltd.

(HBG = High Beam Global), 810, Udyog Vihar – Phase – 5 (1st Floor), Gurgaon – 122 001 Haryana Tel.: +91-98106-04028 Fax: 0124/4824550 E-mail: [email protected] Web: www.hbgmedicalassistance.com/ www.hbgknowledge.com/ Contact: Mr. Abhik Moitra, President

Medical and Wellness Centers

Soukya – Dr. Mathai’s International Holistic Health Centre, Bangalore

Soukya Road, Samethalahalli, Whitefield, Bangalore – 560 067 Tel.: 080/28017000 to 08 Fax: 080/28017009 E-mail: [email protected] Web: www.soukya.com/index.php

40 Contact: . Dr. Issac Mathai, Medical Director GSM: +91-98453-74400 . Mrs. Suja Issac, Executive Director

Ananda Spa – in the Himalayas, Haridwar

Ananda In The Himalayas, IHHR Hospitality Pvt. Ltd., C – 26, Qutab Institutional Area, New Delhi – 110 016 Tel.: 011/26568888 Fax: 011/26569999 E-mail: [email protected] [email protected] Web: www.anandaspa.com

Ananda In The Himalayas

The Palace Estate, Narendra Nagar, Tehri – Garhwal – 249 175 Uttaranchal Tel.: 01378/227500 Fax: 01378/227550 E-mail: [email protected] Web: www.anandaspa.com

Shreyas Retreat

Santoshima Farm, Gollahalli Gate, Neelamangala, Bangalore – 562 123 Tel.: 080/27737102, 27737103; +91-99161-17773; +91-99161-17776 Fax: 080/27737016 E-mail: [email protected] Web: www.shreyasretreat.com Contact: . Mr. N. Balaji E-mail: [email protected] GSM: +91-99161-10422 . Ms. Nidhi Sood E-mail: [email protected] GSM: +91-98100-72838

Kalari Kovilakom Palace

(A CGH Earth Experience), Kollengode, Palakkad – 678 506 Kerala Tel.: 04923/263737 Fax: 04923/263929 E-mail: [email protected] Web: www.kalarikovilakom.com

41

Organizations Promoting “Medical Tourism” in India

Sahara Medical Tourism – India

(Sahara Care – Sahara India Pariwar), Augusta Point (3rd Floor), DLF Golf Course Road, Sector – 53, Gurgaon – 122 002 Haryana Tel.: 0124/4407444 E-mail: [email protected] [email protected] Web: www.saharamedicaltourism.com/ Contact: . Mr. Raghav Sharma, Business Head E-mail: [email protected] GSM: +91-98999-99250 . Mr. Ajay Parmar, International Patient Service E-mail: [email protected] GSM: +91-98114-25538

Bonanza Medical Tourism Pvt. Ltd.,

(Bonanza Portfolio Ltd.) “Bonanza House”, Plot # M-2, Cama Industrial Estate, Walbhatt Road, Goregaon (East), Mumbai – 400 063 Tel.: 022/30863779, 30863719 E-mail: [email protected] Web: www.bonanzameditour.com/

Delhi Office: Bonanza Medical Tourism Pvt. Ltd., Laxmi Insurance Building, 2/2-A, Asaf Ali Road, New Delhi – 110 002 Tel.: 011/30111200 E-mail: [email protected] Web: http://www.bonanzameditour.com/

Medi Assist Care (Holidays to Treasure)

Medi Assist India TPA Pvt. Ltd., “Sri Krishna Arcade”, 47/1, 9th Cross, 1st Main Road, Sarakki Industrial Layout (3rd Phase), JP Nagar, Bangalore – 560 078 Tel.: 080/26584811 (5 lines) E-mail: [email protected] Web: www.mediassistindia.com

42 Contact:

Delhi Office: Medi Assist India TPA Pvt. Ltd., B – 20, Sector – 2, Near Sector – 15 Metro Station, Opp. HCL Comnet Building, Noida – 201 301 Uttar Pradesh Tel.: 0120/4628200 & 201 Fax: 0120/4628250 E-mail: [email protected] Web: https://www.mediassistindia.com

Medi Assist India TPA Pvt. Ltd., H – 252, Kailash Plaza (2nd Floor), Sant Nagar, New Delhi – 110 065 Tel.: 011/30913809, 30913811 Fax: 011/41624844 E-mail: [email protected] Web: https://www.mediassistindia.com

Mediescapes India – India Medical Tourism, C – 699, Ramphal Chowk (2 nd Floor), Sector – 7, Dwarka (Phase – 1), New Delhi – 110 075 Tel.: 011/28035368 E-mail: [email protected] Web: http://www.mediescapes.com/ GSM: +91-98116-24141

43 Annex 2 - Federations and Associations – Medical Sector

Chamber of Commerce – Organizing Medical Events

Federation of Indian Chambers of Commerce & Industry (FICCI),

“Federation House”, Tansen Marg, New Delhi - 110 001 Tel: 011/23738760 to 70, 23357082 Fax: 011/23320714, 23721504 E-mail: [email protected] Web: www.Ficci.com Contact: . Ms. Ambika Sharma – Deputy Secretary General Mobile: +91-8103-32345 E-mail: [email protected] . Mr. Rohit Sharma, Joint Director (Europe) Tel.: 011/23487447 (via PABX – extn. 447) E-mail: [email protected]

Confederation of Indian Industry (CII)

Trade Fair Department, CII, Plot No. 249-F, Sector – 18, Udyog Vihar (Phase – IV), Gurgaon – 122 015, Haryana Tel.: 0124/4014060-67 Fax: 0124/4014080/83 Web: www.cii.in Contact: . Ms. Supriya Banerji, Dy. Dir. Gen. E-mail: [email protected] . Mr. Sushanta Sen, Principal Advisor E-mail: [email protected] Tel.: 0124/4014540 (direct)

Confederation of Indian Industry (CII)

(Medical Equipment Division), 23, Institutional Area, Lodi Road, New Delhi – 110 003 Tel.: 011/24629994-97 Fax: 011/24633168; 24626149 Web: www.cii.in Contact: . Mr. Rajesh Menon, Deputy Director General (International) E-mail: [email protected] Tel.: 011/45771000 . Ms. Kavita Choudhry E-mail: [email protected] Tel.: 011/45771000 GSM: +91-98711-03052

44

Confederation of Indian Industry (CII)

Core 4-A (4th Floor), India Habitat Centre, Lodhi Road, New Delhi – 110 003 Tel.: 011/24682230 to 35 Fax: 011/24682226 Web: www.cii.in Contact: . Ms. Indrani Kar, Deputy Director General (Healthcare) E-mail: [email protected] Tel.: 011/24682227

Federation of Indian Micro & Small & Medium Enterprises (FISME)

B-4/161 Safdarjung Enclave, New Delhi – 110 029 Tel.: 011/26187948, 26712064, 46023157, 46018592, 26172722 Fax: 011/26109470 E-mail: [email protected] Web: www.fisme.org.in Contact: . Mr. Anil Bhardwaj, Secretary General E-mail: [email protected] [email protected] GSM: +91-98105-17884 . Mr. Mukesh Kalra, Jt. Secy – Tel.: 011/47170000 E-mail: [email protected] GSM: +91 – 98114-65438

Medical Associations

Indian Drug Manufacturers’ Association

102-B Poonam Chambers, “A” Wing, Dr. Annie Besant Road, Worli, Mumbai – 400 018 Tel.: 022/24974308, 24944624 Fax: 022/24950723 E-mail: [email protected] Web: www.idma-assn.org Contact: Dr. Gopakumar G. Nair, Honorary General Secretary

Delhi Office: Tel.: 011/26171367 Contact: . Mr. G. Wakankar – GSM: +91 – 98100-89659 . Mr. S.K. Arya – GSM: +91 – 98103-12332

Indian Pharmaceutical Association

Kalina, Santacruz (East),

45 Mumbai – 400 098 Tel.: 022/26671072 Fax: 022/26670744 E-mail: [email protected] Web: www.ipapharma.org

Organisation of Pharmaceutical Producers of India (OPPI)

Peninsula Chambers (Ground Floor), Ganpatrao Kadam Marg, Lower Parel, Mumbai – 400 013 Tel.: 022/24918123, 24912486, 66627007 Fax: 022/24915168 E-mail: [email protected] Web: www.indiaoppi.com Contact: Mr. D. Bhadury, Chairman

Delhi Office: Organisation of Pharmaceutical Producers of India (OPPI), A-2/145 Safdarjung Enclave, New Delhi – 110 029 Telefax: 011/26192821 Contact: Mr. P.S. Khanna, Res. Dir.

Bulk Drug Manufacturers Association (BDMA)

C – 25, Industrial Estate, Sanath Nagar, Hyderabad – 500 018 Tel.: 040/23703910, 23706718 Fax: 040/23704804 E-mail: [email protected] Web: www.bdmai.org

Association of Medical Devices and Suppliers of India (AMDSI)

(also: “All India Syringes & Needles Manufacturers Association – AISANMA”), c/o Cyngus Business Consulting & Research, “Ansal Heights” (4th & 5th Floors), Road # 1, Banjara Hills, Hyderabad – 500 034 Andhra Pradesh Tel.: 040/23430203 to 05 Fax: 040/23430201 E-mail: [email protected] Web: www.cyngusindia.com

Delhi Office: Tel.: 011/41520651 & 52

Note: “Cyngus” has brought out a publication called “Industry Insight: Medical Devices & Equipments in India”.

46 The Surgical Manufacturers & Traders Association

60, Darya Ganj, New Delhi – 110 002 Tel.: 011/23271027 Fax: 011/23258576 E-mail: [email protected] Web: www.smta.in Contact: . Mr. Rajesh Sawhney, Secretary . Mr. Ashim Awasthi, Joint Secretary

Ministries and Government of India Organizations

Central Bureau of Health Intelligence (CBHI)

MINISTRY OF HEALTH & FAMILY WELFARE, Nirman Bhavan, Room 401, “A” Wing, (Directorate General of Health Services), Maulana Azad Road, New Delhi - 110 001 Tel: 011/23793175 Fax: 011/23017695 E-mail: [email protected] Web: www.cbhidghs.nic.in Contact: . Dr. Ashok Kumar, Director . Dr. S. Jayalakshmi

Note: Publishes “Directory of Hospitals”

Ministry of Health & Family Welfare

“Nirman Bhawan”, Room No. 243, 2nd Floor, “A” Wing, Gate No. 5, Maulana Azad Road, New Delhi - 110 011 Tel.: 011/23017288 Fax: 011/23017288 Contact: . Mr. Rajesh Bhushan, Director (International Health Relations) . Mr. B.P. Sharma, Joint Secretary (Tel. 23018842)

Ministry of Health & Family Welfare

(Department Health & Family Welfare), Nirman Bhawan, “C” – Wing, Maulana Azad Road, New Delhi – 110 001 Tel.: 011/23062579, 23062985 Fax: 011/23061252 E-mail: [email protected] Web: http://mohfw.nic.in Contact:

47 . Mr. Ravinder Kumar Jain, Additional Secretary & Director General (CGHS – Central Government Health Scheme) . Mr. Bhanu Pratap Sharma, Secretary Tel.: 011/23061863, 23063221 Fax: 011/23061252 E-mail: [email protected] - [email protected] . Mr. Chandra Kishore Mishra, Additional Secretary & Managing Director (NRHM – National Rural Health Mission) Tel.: 011/23061066, 23063809 Fax: 011/23061252 E-mail: [email protected] . Dr. Navneet Kumar Dhamija, Deputy Commissioner (Training & Telemedicine)

Note: The CGHS has numerous clinics and dispensaries all over India with well qualified doctors. It also has a network of major government hospitals under its care. Apart from providing treatment to the Indian government employees and its family members, it also provides “free treatment” to the general public (especially the poor and the down-trodden) in its hospitals under the framework of “OPD – Out-Patient Department”.

Ministry of Health & Family Welfare

Nirman Bhawan, Room # 404 – D (4th Floor), Maulana Azad Road, New Delhi – 110 011 Tel.: +91-99112-20066; +91-99112-20077 Fax: 011/23062091 Web: www.searo.who.int/entity/health_situation_trends/events/19_India_Country_Experience.pdf www.ashavani.org/images/docs/Minutes-of-1st-Meeting-of-MSG-of-NHM.pdf Contact: . Dr. Navneet Kumar Dhamija, Deputy Commissioner (Training & Telemedicine) E-mail: [email protected] - [email protected]

Ministry of Health & Family Welfare

Department of AYUSH, (AYUSH = Ayurveda, Yoga & Naturopathy, Unani, Siddha and Homoeopathy), AYUSH Bhawan, “B” – Block, GPO Complex, INA Colony, New Delhi – 110 023 Tel.: 011/24651950, 24651938, 24651952 Fax: 011/24651937, 24651954 E-mail: [email protected] Web: http://indianmedicine.nic.in Contact: . Mr. Nilanjan Sanyal, Secretary . Dr. D.C. Katoch, Joint Advisor Tel.: 011/24651973 E-mail: [email protected] . Mr. Raj Pratap Singh, Joint Secretary Tel.: 011/24651940 Fax: 011/24651953 E-mail: [email protected]

48 Central Drug Research Institute (CDRI)

Chattar Manzil Palace, Post Box No 173, Lucknow – 226001 Tel.: 0522/2614217, 2629119, 2623286 Fax: 0522/2623405, 2623938 E-mail: [email protected] [email protected] Web: www.cdriindia.org Contact: . Dr. C.M. Gupta, Director – Tel.: 0522/2623286 . E-mail: [email protected] - [email protected]

Employees State Insurance Corporation (ESIC)

Panchdeep Bhawan, Comrade Inderjeet Gupta (CIG) Marg, New Delhi – 110 002 Tel.: 011/23234092, 23234093, 23234098, 23235496, 23236051, 23235187, 23236998 Fax: 011/23235481, 23234537 E-mail: [email protected] [email protected] Web: www.esic.nic.in/index.php www.esic.in Contact: . Mr. Anil Kumar Agarwal, Director General Tel.: 011/23235391, 23232708 Fax: 011/23237136 E-mail: [email protected] . Dr. S.R. Chauhan, Medical Commissioner Tel.: 011/23236496 E-mail: [email protected] . Dr. S.K. Raju, Deputy Medical Commissioner (Medical Services) Tel.: 011/23234334 E-mail: [email protected]

Note: ESIC has several hospitals spread all over India. It caters to the health and treatment needs of industrial and factory workers. Its hospitals have all the operational, diagnostic and treatment facilities.

Central Drugs Standard Control Organization (CDSCO)

(Medical Devices Division), Directorate General of Health Service (DGHS), Ministry of Health and Family Welfare, Government of India, FDA Bhavan, ITO, Kotla Road, New Delhi – 110 002 Tel.: 011/23236965, 23236975 Fax: 011/23236973 E-mail: [email protected] Web: www.cdsco.nic.in Contact: Dr. G.N. Singh, DCGI – Drug Controller General of India http://164.100.47.5/newcommittee/reports/englishcommittees/committee%20on%20health%20and%20famil y%20welfare/59.pdf

49 (Final Draft Report on functioning of CDSCO to Parliament in May 2012) http://cdsco.nic.in/Guidance%20document%20on%20application%20for%20grant%20of%20Licence%20in%20 Form- 28%20for%20manufacture%20of%20Medical%20Devices%20in%20India%20under%20CLAA%20Scheme.PDF (guidelines) State Licensing Authority

Drug Control Administration, F-17, Karkardooma, Shahadra, Delhi – 110 032 Tel.: 011/23967511, 22393707, 22393701, 22393706 Fax: 011/22392018, 22393704 Web: http://cdsco.nic.in Contact: Mr. P.P. Sharma

Zonal Office

Deputy Drugs Controller (I), CDSCO (North Zone), Central Government Office Building – 1 (1st Floor), Kamla Nehru (Central Government Enclave), Hapur Road, Ghaziabad – 201 002 Uttar Pradesh Tel.: 0120/2719483 Fax: 0120/2711927

Central Council of Homoeopathy (CCH)

Jawaharlal Nehru Bhartiya Chikitsa evam Homoeopathy, Anusandhan Bhawan, 61 – 65, Institutional Area, Opp. “D” – Block, Janakpuri, New Delhi – 110 058 Tel.: 011/28525582, 28520607 Fax: 011/28520691, 28526877, 28526873 E-mail: [email protected] Web: www.cchindia.com Contact: . Dr. Lalit Verma, Registrar-cum-Secretary E-mail: [email protected] . Dr. Asish Datta, Assistant Secretary Technical E-mail: [email protected] . Mr. Y.D. Vats, Assistant Secretary (Admin & Reg.) E-mail: [email protected]

Indian Journal of Research in Homoeopathy (IJRH)

(Central Council for Research in Homoeopathy), Anusandhan Bhawan, 61 – 65, Institutional Area, Opp. “D” – Block, Janakpuri, New Delhi – 110 058

50 Tel.: 011/28525523 Web: www.ijrh.org Contact: Dr. R.K. Manchanda, Director General & Editor

Published by: Medknow Publications & Media Pvt. Ltd., B-9, Kanara Business Centre, Off Link Road, Ghatkopar (East), Mumbai – 400 075 Tel.: 022/66491818, 66491816 Fax: 022/66491817 Web: www.medknow.com

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