The Aam Aadmi Party (AAP) government in Delhi introduced an automatic medicine dispenser on a pilot basis. The dispenser, which works on sensor technology, will make the clinics more efficient and ensure transparency, said government officials. The dispenser can hold up to 60-70 types of medicines, including syrups.
“The introduction of the medicine vending machine gives confidence to the patient. It also makes the process more transparent. The patient is getting medicines through the machine which means it’s coming from the correct source,” said Rishi Bal, a doctor at the Todapur mohalla clinic, which has a pharmacy.
The machine has been installed in collaboration with US Agency for International Development (USAID), which has funded the machine. The Todapur clinic has been installed on a pilot basis and will be taken up by other clinics, if found successful. When a patient visits the clinic, the details are fed into the system and a prescription is generated. The patient can go over to the vending machine to get the medicines.
“This (the vending machine) can account for 60-70 types of medicines, but there are a lot more medicines that are available. So we have stocked up medicines in this machine according to the weather conditions and looking at the type of medication that is frequently used. Other medicines are also available but we give them manually from the pharmacy at the clinic and stock up more on the frequently-used medication,” said Bal. .
The Delhi government has put in place a three-tier structure that works on the primary, secondary and tertiary healthcare model. For immediate consultation, there is the mohalla clinic. These clinics are equipped to conduct over 200 tests and initial diagnosis. For further diagnosis and treatment, there are polyclinics. The third tier for surgeries and treatment are the existing multi-specialty hospitals.
“The concept of mohalla clinic has managed to achieve milestones in Delhi because healthcare delivery service has now come to the doorsteps. The patients used to go to hospitals where they used to crowd the hospitals and they themselves used to face difficulty in reaching the area. The trend has now reversed. People now come to the doctor for even minor ailments. Since every disease has an incubation period, this process makes early detection possible.
Currently, there are over 100 such clinics in Delhi. The government has set a target of constructing 1,000 more clinics by the end of the march 2017. In January, Delhi chief minister Arvind Kejriwal announced that medicines will be made available free of cost in Delhi hospitals and healthcare centres.
“The doctors and clinic staff are very regular and punctual and a very good hospitality is given by clinics, “The check-ups and medicines were totally free of cost and the relief very prompt. Earlier this year, the Central government in a pilot project set up five healthcare ATMs. According to a report by Indian Express , this project, spread across four states including Madhya Pradesh, Himachal Pradesh, Odisha and Andhra Pradesh, are to tackle the shortage of doctors and pilferage that comes along with free drug programmes.
Analysts said that the creation of such a database is a positive step.
health policy research unit, Institute of Economic Growth, highlighted the doctor-patient ratio as one of the key factors that contributes to the efficiency of mohalla clinics. “A high doctor-patient ratio leads to laziness and laxity among doctors; hence, they tend to avoid the patients,” said Mitra. “The specialization required with the doctors at the clinics to deal with certain critical/advanced diseases that occur in the people of these mohallas is a question mark,” he added.
Recently, the government decided to open 110 such facilities in Delhi government schools. This move was opposed by parents citing security concerns. “There will be two entrances to these mohalla clinics — one door for the students and the other for the general public. No one will be able to enter the school premises from within the clinic,” he said.
The Mohalla Clinic has a four-member staff – a doctor, a young lady helper who acts as a compounder making the list of patients coming to the clinic, a man who collects blood samples for tests and a pharmacist to give medicines. Auxiliary Nurse Midwife ANM looks after immunisation and Antenatal Care (ANC), a key component of primary health care. A weekly visit by gynecologist and pediatrician is also proposed in mohalla clinic.
The mohalla clinic is one part of a revolutionary project by the Delhi government, that aims to provide free primary preventive healthcare to all by opening 1000 such free clinics throughout the city. Though the government has opened only 102 such clinics as of now, in a city with 10 million plus population, the relief delivered by these tiny institutions to the people they have served is immense.
These clinics are meant to provide consultation, free essential drugs, 50 basic tests and counselling , it will be very Useful for the Poor and the Middle Class .It will Reduce the Burden on the Government Hospitals and inturn improve the Quality besides the Moves of the Delhi Government's Measures to Improve Conditions of Hospitals like Increasing the Number of Beds etc. And at later stage, the government plans to have even specialist doctors in the facilities 50 Basic Diagnostic tests.
Swasthya Slate is a powerful device that allows Android Tablets and Phones to conduct 33 diagnostic tests on the mobile device. The Swasthya Slate includes specialized applications that help users perform a variety of screenings and health analysis protocols. It allows users to deliver fast and accurate care at home, in clinics and just about anywhere. It contains decision support tools to enable users to deliver quality recommendations for achieving better health.
Immunization is the process whereby a person is made immune or resistant to an infectious disease, typically by the administration of a vaccine. Vaccines stimulate the body's own immune system to protect the person against subsequent infection or disease. Followups like DOTS and immunization for children against effective disease will be provided by these mohalla clinic. ANM looks after immunisation and Antenatal Care (ANC), a key component of primary health care.