Health Care Facilities in Gurgaon and Improvement Ideas
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HEALTH CARE FACILITIES IN GURGAON AND IMPROVEMENT IDEAS BACKGROUND OF GURGAON : The district has been in existence since the times of Mahabharata and was named as Guru-gram, which in course of time changed to Gurgaon. Gurgaon is a leading financial and industrial center, situated in the National Capital Region near the Indian capital New Delhi in the state of Haryana. Located 19.9 miles (32 km) south-west of New Delhi, Gurgaon has a population of 1,876,824. Witnessing rapid urbanization, Gurgaon has become the city with the third highest per capita income in India. INTRODUCTION : This document is intended to highlight the health care facilities (both public and private) available in Gurgaon, to share opinions of eminent citizens of Gurgaon and to share improvement ideas of the existing system. HEALTH CARE FACILITIES IN GURGAON : In public health care Gurgaon has total 3 general hospitals, 12 community/public healthcare centers (CHC/PHC’s), 1 special protection group’s hospital and 4 ESI dispensaries. All this combined have total 378 Nos. beds. Whereas Gurgaon has total 99 Nos. of private hospitals, trust hospitals & nursing homes with total beds capacity of 2451 Nos. (see Annexure 1 for list of public and private hospitals with their individual bed capacity). There are total 9 Nos. of public and 87 Nos. of private/trust/nursing home ambulances in Gurgaon (see Annexure 2 for list of ambulances and contact information). Gurgaon also has 1 No. of public and 8 Nos. private/trust blood banks (see Annexure 3 for list of blood banks and their contact information). So public health care presence is only 13.4% of total beds capacity, 9.4% of total ambulances and 11.1% of total blood banks in Gurgaon. Gurgaon is known for its medical tourism but with such skewed presence of public health care where the poor and middle class can go? DOCTOR PATIENT RATIO : The current doctor to patient ratio in India is 1:1800. In this Haryana has a good ratio of 2.3:1000 but the major amount of doctors are present in the urban areas only. Considering topography of Gurgaon the location of doctors is dense in urban areas but in rural/old and industrial belts of Gurgaon their presence is scarce. Below is the figure indicating the location of doctors and their density within Gurgaon. HEALTH CARE FACILITIES IN GURGAON AND IMPROVEMENT IDEAS H are large hospitals whereas red dots are the other small clinics/nursing homes/private hospitals. HEALTH CARE NEEDS : 1. Availability 2. Accessibility 3. Affordability 4. Ability of the care provider CHALLENGES ON HEALTH CARE FRONT IN GURGAON : • Gurgaon has nearly 2,00,000 migrants workers, however authorities don’t know exact number of this population. Slum clusters account for nearly 28% of uncanvassed households in urban areas. How to provide them affordable and quality health care? • There is an increasing need of having an effective Trauma Service HEALTH CARE FACILITIES IN GURGAON AND IMPROVEMENT IDEAS • Blood bank services, Mother and child healthcare, Geriatric Care needs a holistic upgradation. • Preventive care and knowledge dissemination is also required. • High end test facilities like MRI is not available in any of the public health care center. • Limited public sector test facilities (laboratory and imaging). • How can cheap medicine (like generic drug) can be made available to needy population? • How to increase public reach and improve quality of public health care centers? • How to make quality and affordable health care available for all? PROPOSAL TO BRIDGE THE GAP : Ideally setting up the government (public) clinic in each locality and making generic drugs can solve the healthcare challenges to larger extent. But considering substantial investment requirement on setting up such facilities and subsequently their maintenance make this option less attractive. We propose to make this possible by setting up mobile public healthcare clinics in Gurgaon. To begin with atleast two such mobile facilities shall be started and based on the feedback/success more can be added. We can involve non-medical and medical corporate sector through their respective CSR (corporate social responsibility) wing to get involved in the upliftment of existing public sector health care infrastructure. Setting up of an effective Trauma care facility whose motto is to save life and give first hand treatment to the trauma victim (accident victims, fire hazard victims etc.). 1) MOBILE PUBLIC HEALTH CARE FACILITY : This can be developed in any of the minibus or bus. Which shall have basic facilities like a consulting area for doctor to examine patient and a bed for performing minor surgical treatments. The staff in such facilities shall essentially comprise of one doctor (MBBS), a compounder, a female nurse and an assistant. Such facility shall have an extension of generic drug store on-board itself so that the major prescribed drugs can be bought by patients at subsidized rates then are there itself. Initially the slums, villages, migrant labour locations shall be identified and schedule shall be made for such facilities to visit this location. A timetable can be circulated in such locations mentioning the day and time of week when the mobile facility will be available for their service. Then based on need and usage by citizens the frequency of same can be increased. Over and above to the initial treatment this facility can be used as a remote registration facility of patients. Like if any patient is to be recommended to any of the public healthcare center in Gurgaon for further treatment or tests then such mobile facility can issue prescription and as well complete the registration process of such patients. HEALTH CARE FACILITIES IN GURGAON AND IMPROVEMENT IDEAS By having this preliminary examination and registration process done at the mobile facility the burden on health care center and waiting time for patient can be reduced. As now the registered patient can directly proceed for payment of fees and can avail treatment/test facility at public health care center. The other advantage of setting up mobile facility is reduction of load of OPD patients in public health care centers. Government can extend travel subsidy in government transport modes for patients who have the registration receipt issued from such mobile facilities and willing to travel to nearby public health care center for further treatment/tests. By this way by and large an effort can be made to reach out to needy with the affordable and quality treatment. In such an effort we may rope in corporate sector through their CSR or related projects to set up such mobile facility or facilitate us in the maintenance and upliftment of existing public healthcare facility. 2) TRAUMA CARE FACILITY : For timely care of the trauma victims on-site and their transportation to appropriate affordable facility we need to act as a catalyst between the victim and the hospital. The considerations are the following : • Timely reporting of the incident, immediate care by properly trained individuals, shifting in properly equipped trauma care vehicles. • Victim’s kin and family members shall be identified and informed. While life saving treatment does not wait for their arrival or approval. • Ensuring that the treatment doesn’t get compromised for want of funds and expense of treatment can be met with. This is very pertinent if the victim goes to the private hospitals and does not have a medical insurance. • We can organize modalities to ensure this by involvement of corporate sector as a part of their CSR or related projects. • We can study and develop a model based on existing Trauma care facilities like “108” in 16 states of India. This service caters to Police, Fire and Medical emergencies 24x7 all across the state and is provided for free to the users. 3) MOTHER AND CHILD CARE CENTERS AND DRIVES : Such care centers shall have focused approach and shall drive awareness on issues pertaining to : • Antenatal care • Scientific, hygienic and safe delivery • Neonatal and Pediatric care including immunization drives HEALTH CARE FACILITIES IN GURGAON AND IMPROVEMENT IDEAS 4) GERIATIC CARE/ BLOOD TRANSFUSION / ORGAN DONATION SERVICES : Door step care shall be provided to old age people/old age care homes. Registration drives for blood donations and organ donation can be promoted. A centralized center having data of all available stock of blood group volumes (bottles) and organs at various blood and organ banks across Gurgaon shall be made (online availability is preferred). So that the needy can easily track the location and can in no time get the required blood. 5) KNOWLEDGE DISSEMINATION DRIVES : Awareness drives can be made in educational institutes, RWA’s etc. this shall be objected towards : • Upgrade knowledge about health care, first aid etc. • Sexual health facts HEALTH CARE FACILITIES IN GURGAON AND IMPROVEMENT IDEAS Annexure 1: List of Public and Private/Trust hospitals/Nursing homes. Government Hospitals Sr. No. Govt. Health Agencies No. of Beds Contact No. Address A) General Hospitals 1 General Hospital Gurgaon 200 012-2320102 General Hospital Gurgaon 2 General Hospital Sohna 50 0124-2362397 General Hospital Sohna 3 General Hospital Haily Mandi 30 General Hospital Haily Mandi B) Community Health Center 4 CHC FARRUKH NAGAR 20 0124-2375378 CHC FARRUKH NAGAR, Gurgaon 5 PHC Garhi Hasru 2 0124-2276263 PHC Garhi Hasru, Gurgaon 6 PHC Wazirabad 2 0124-2767766 PHC Wazirabad, Gurgaon 7 PHC Gurgaon Village 2 0124-2309516 PHC Gurgaon Village, Gurgaon 8 CHC PATAUDI 50 0124-2672866