Regd. No.: 51771/2004-05
SOCIETY REGD. UNDER SOCIETY ACT 1860 & EXEMPTED UNDER INCOME TAX ACT 1961 UNDER (80G & 12AA)
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HEALTH–CARE SERVICES:
i. Problems:
a) Non availability of mobile medical van:
The health system in Uttarakhand is ailing and the worst affected are villagers living in the
hills. Accessibility to quality health care, besides shortage of doctors and paramedical staff
are the main problems that rural people confront in the state. The problem of accessibility
for hill people becomes all the starker as most of the health facilities in their areas are not
operational.
The biggest problem is that there are no mobile vans of any kind available to take care of
the primary health care of the patients in remote areas of Uttarakhand state, nor are there
any primary health centers. Due to the lack of these small facilities, patients have
developed the habit of ignoring minor diseases. Due to which sometimes the patient dies
suddenly.
Negligence in first aid by pregnant women can even lead to the untimely death of the
woman or the child or the new-born baby is born very weak.
It is also a problem that the District Health Department does not organize any awareness
camp for preliminary investigation of many diseases.
b) Minuscule availability of doctors in rural areas:
In Uttarakhand, a meager n The biggest problem is that there are no mobile vans of any
kind available to take care of the primary health care of the patients in remote areas of
Uttarakhand state, nor are there any primary health centers. Due to the lack of these small
facilities, patients have developed the habit of ignoring minor diseases. Due to which
sometimes the patient dies suddenly.
Negligence in first aid by pregnant women can even lead to the death of the woman or
the child or the new-born baby is born very weak.umber of doctors cater to the medical
care needs of 70 per cent of the rural population. On the other hand, a large number of
doctors are concentrated in urban areas such as Dehradun, Haldwani, Udham Singh Nagar
and Haridwar. “The problem became acute during the intervening years of the creation of
Uttarakhand. Though there are a number of government health facilities in rural areas,
these lack the requisite number of doctors and paramedical staff. It will be too much to
expect the private sector to serve the rural population, as it is guided by profit motive.
Their interests can best be served in cities, which is a shame for Uttarakhand state.
c) Missed gains under NRHM
The National Rural Health Mission (NRHM) was launched primarily to address these
problems. Though significant gains have been made under the programme, the basic aim
to provide health care to rural masses has not been achieved. “Families in rural areas of
Uttarakhand continue to struggle with access to the government-run program even after
more than 10 years of operation. Rural people are suffering everywhere. The population in
the state is dispersed, which requires the creation of more sub-centres and primary health
centres. NRHM was designed by the government to solve these problems, but so far the
project has achieved less than expected targets.
d) Scattered population
Hospitals and medical centres in the state are plagued by a shortage of manpower, nonfunctioning
equipment in the operating theatre and insufficient number of labour rooms.
According to the Uttarakhand Department of Health, a doctor is serving 10,000 persons in
the state while according to the World Health Organisation norms; a doctor should be able
to serve a settlement of 1,000 persons.
Skilled personnel are unwilling to work in remote rural areas of the state due to poor
transportation and infrastructure and limited accommodation. As vacant posts have not
been filled, the workload on the existing staff has increased manifold.
In remote areas, where medical advice is not available, pregnant women, newborn babies,
old people, sick people or families suffering from accidents have to suffer the most. For
one thing, there are still no road transport facilities in the villages. Secondly, the villagers
do not have enough financial resources to enable the victim's family to go to the cities for
treatment. This is the reason why many times the patient dies suddenly as soon as he is
picked up from home and before he/she can reach the hospital.
A lot of patients from far-off places in Pithoragarh, Almora and Champawat districts travel
to Dehradun and other urban centres to avail of life-saving treatments such as dialysis.
While primary health care facilities continue to be beset with a shortage of staff and
absenteeism, the private sector has little incentive to make heavy investments in rural
areas. Moreover, Uttarakhand has not been able to make much headway in the use of
technology. It can no longer ignore the problems of rural people.
ii. Challenges:
The challenges facing the healthcare industry in the rural areas of Uttarakhand state are
ever increasing! Although we have hope, the obstacles still remain. Effective measures can
be taken to solve these challenges. Its details are being givena)
The biggest challenge for the Sudhi Foundation is the need for financial support for the
mobile van.
b) Organizing awareness camps for early detection of diseases in villages is also a challenge.
Because for this one has to do a lot of formalities and also spend a lot of money.
c) The biggest challenge is to provide medical facilities to the remote villages in the hilly
areas of Uttarakhand state, where even today these villages are deprived of road
transport facilities, and the villagers remain very stressed due to lack of medical
facilities.
d) Ignoring the problems of remote villages by the staff of district hospitals, and sending
doctors to villages who are reluctant to go to village dispensaries is also a challenge in
itself.
e) Due to disorganized transportation facilities, patients have to come from villages to the
district hospital even for primary treatment and then wait for hours and are told by the
medical staff that there is a lack of facilities for treatment here; the patients who had
gone from the villages are suddenly transferred to the cities. The thought of having to
go for treatment is a challenge for the patient and his family.
f) It is a big challenge for a patient's family, who is suffering from financial support, to
arrange finance for medical treatment across the cities. Due to which many families
bring their patients back home without treatment. Reaching such families and then
getting them ready to go to the hospital again is a challenge.
g) We all are aware of the difficulties that patients face in private hospitals.
iii. Way to Solution:
a) Since healthcare is one of the most sensitive industries which is directly connected to us
in almost all possible ways emotionally, physically, mentally and financially. The challenges
outlined by our team on the impact of the new economy and technology in healthcare
require urgent attention. If we look at the challenges facing the Uttarakhand Health
Department today, we will find that the concerns raised by the Sudhi Foundation 20 years
ago were justified. The only difference is that in the present time, if not all the challenges,
at least those challenges can be solved with ease and digital transformation for the
villagers through mobile van services.
b) Mobile Medical Van Services planned by Sudhi Foundation is the best project for the
treatment and care of the villagers. According to this project, the team of doctors, nurses
and volunteers of Sudhi Foundation will go from village to village and provide first aid
services to the needy patients. The benefit of which will be to alert the patentee about
future problems or other needs. And the patients who need to be sent to the district
hospital or other places for treatment will be transported through mobile vans.
c) By organizing awareness camps from time to time for initial detection of diseases in villages, the
patient will be detected in the initial stage of the disease. And the patient will have to endure
fewer hardships even in the government hospital. Due to which the patient's time and money will
also be saved.
d) A health plan is required to address the problems of rural people. Lack of trained
medical professionals is one of the major hindrances in the improvement of health and
sanitation of rural people. The health plan with inbuilt standard operating procedures for
paramedical staff could boost health care facilities in the villages. Trained paramedical staff
could provide limited curative care and primary health care to people. Village Panchayats
could provide them two rooms for routine examination of patients. They could also be
trained to look into sanitation and other health-related issues in the villages. The trained
paramedical staff could also guide serious patients to higher medical centres. The
implementation of the health plan could be monitored at the panchayat level.
d) Telemedicine services can be started to provide medical consultation in remote areas.
These will aim to overcome geographical barriers, connecting users who are not in the
same physical location with the aim of improving health outcomes. Similarly, teleradiology
can be used to overcome the shortage of trained radiologists.
iv. Impact:
a) The team of Sudhi Foundation has already connected itself with many villages and is
aware of the problems of patients in villages. Therefore, our team will not face any
problem in taking the team of doctors and nurses with the medical van to the villages.
This will have a direct and positive impact on all types of patients in the villages, who
are deprived of even getting primary health care due to any reason. Or due to
transportation difficulties they are unable to reach the district hospital or other medical
centers.
b) By organizing awareness camps from time to time for initial diagnosis of diseases in
villages, the patient will be diagnosed in the initial stage of the disease. And the
patients who do not want to go to the government hospital will be motivated to go to
the government hospital. So that both mother and child remain healthy.
c) Mobile medical vans have the potential to provide many cost-saving benefits to the
healthcare system. Such as starting patient care at an earlier stage, improving the
ability of patients to self-manage their conditions, avoiding emergency room visits and
hospital admissions, and improving quality. This will have a direct impact on all types of
patients in the village, who due to any reason are deprived of even getting primary
health care.
d) If mobile medical vans are made available by Sudhi for primary health care in rural
areas, then many patients can be saved from untimely deaths. This will have a positive
and far-reaching impact on the families of other villages. The villagers will be freed
from the fear of untimely death and will be able to live a healthy life.
e) Pregnant women can be prevented from being negligent in providing first aid. In
addition, periodic inspection can be done to ensure that a healthy baby is born. Young
pregnant women of the village or babies being born can be saved from premature
death.
f) By providing the facility of mobile medical vans to the villages, the increasing crowd of
patients in the district hospitals will be reduced. The effect of which can be used to
reduce the burden on doctors beyond their capacity.
g) It has been observed that despite financial constraints, many patents are forced to go
to private hospitals for treatment. And from there they return only in ruins. If such
patients get first aid treatment in the village itself, then the financial burden on such
families will be reduced. Due to which families can be saved from ruin.
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