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Emerging trends in Indian Healthcare Sector

Rise in lifestyle related diseases: Diseases like diabetes, obesity and cardiovascular ailments which is accustomed to sedentary work, alcohol consumption and smoking are more prone to such Lifestyle related diseases. According to World Health Statistics 2012 about 61.3 million are diabetic amongst whom about 11% of the male population (adult) and 10.8% of the female population have shown a significant rise in blood glucose .Similarly as per National Family Health Survey (NFHS), about 13% of the women population and 11% of the men population in India is obese.

Demand of good quality and speciality healthcare facility in Tier –II and Tier –III cities: There is a significant demand for specialty healthcare facilities like oncology, nephrology and ophthalmology in smaller cities. Some of the major healthcare facilitators are entering into tier II and tier III cities in India.

Growth in medical tourism: One of the main external factors which are contributing to the growth of Indian Healthcare sector is the rise in medical tourism. According to a leading research agency the market is expected to expand at a CAGR of 27% to reach USD3.9 billion in 2014 from USD1.9 billion in 2011. India as a well -educated English speaking nation offering quality private hospitals and medical facilities at a relatively lower cost is able to attract foreigners. Lessons for the future

The unresolved challenges of India’s healthcare sector during the past decade hold at least four lessons for its future development.

1. An all-encompassing vision of future demand for health services should guide this vision and roadmap for Indian health system.

2. Prevention and early stage management should be a core focus area. This is particularly relevant given the rising burden of NCDs. Such investments can significantly mitigate diseases and cost burden.

3. A constructive and transparent dialogue will be needed between the public and private sectors at this early stage of the journey.

4. The focus needs to be on efficiency, especially through better utilization. Large-scale implementation needs strengthening

Envisioning India's health system in 2022

In the Planning Commission's draft Twelfth Five-Year Plan, the vision laid out for India's healthcare sector is to "establish a system of Universal Health Coverage". This is undoubtedly a lofty aspiration, and in the right direction. Affordable healthcare underpins this vision, and is aligned to the learnings and experiences of nations that have moved a long distance in their health reforms journey.

Notwithstanding the need for pace and momentum, it will be important to avoid the trap of aiming for a goal that targets the maximum along all dimensions. Hence, while the 2022 vision, we have attempted to articulate 2022 goals that are aspirational and stretched, yet attainable.

Much improved financial access. This would be achieved primarily through more extensive insurance cover, which could move up to 75 per cent13 from the current 25 per cent. Those who cannot pay for healthcare would receive it free through public provision (e.g., government hospitals) or government payments (e.g., RSBY). Healthcare resource gaps filled. Infrastructure would have scaled up with increased utilization, reaching an overall bed density of around 2.1 per 1,000 people, including 1.0 to 1.2 beds per 1,000 people in rural areas and 3.8 to 4.2 beds per 1,000 people in urban areas Direction provided by the draft of the Twelfth Five-Year Plan

To envision India's future health system and provide fresh impetus to its health reform journey, the Planning Commission has released a draft of India's Twelfth Five-Year Plan. This draft defines the government's health strategy based on the vision of 'Universal Health Coverage', as defined by a High Level Expert Group that was constituted by the Planning Commission. It envisions "assured access to a defined essential range of medicines and treatment at an affordable price, which should be entirely free for a large percentage of the population." This vision is expected to be rolled out in the next 10 to 15 years. This Five-Year Plan, based on a vision of Life Hospital access, appears to mark an important point of transition in India's national health strategy. This draft and the HLEG's recommendations serve as the reference point for our report, and we have used these as the basis for our perspectives and observations. Accident Prone Area

Centre for Science and Environment releases the assessment of road accidents and accident hotspots presents findings:

1. Faridabad is claimed to be one of the most deadly roads in Delhi. The survey has covered approximately 27 km. Broadly, eight criteria have been taken into account – these include engineering and design features of footpaths and cycle tracks; crossings- intersections and mid-sections; encroachments/impediments on footpaths; design features for transits/bus stops/shelters; amenities for road users; conflict and friction between different modes; safety features like lighting, dead width, public spaces etc; and aesthetics and environment.

2. As there are no raised table-top crossings and the medians are blocked, this makes them vulnerable to accidents while crossing.

3. Foot over bridges and subways, the adjunct of car-centric design, do not work

4. A footpath available in Faridabad is around 55 per cent of the total length surveyed. Only 10 per cent of the total has cycle tracks

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