Our model has been developed based on 3 years of experimentation through health projects touching ~220,000 lives across rural and urban India, to understand grassroot challenges.
Through these projects, we uncovered the key lever for change, often overlooked by stakeholders: primary-preventive care. Uncovering the power of primary-preventive care led to the re-definition and refinement of our model. The model in its current form, it has been operational since June 2011 in the slums of Mumbai.
- Rural Maharashtra: Swasth worked as a health service provider for a Comprehensive Health scheme – covering cashless hospitalisation, discounted drugs and consultation and preventive healthcare. The project was implemented in partnership with Swayam Shikshan Prayog (www.sspindia.org), in more than 200 villages across 3 districts of rural Maharashtra, India. The program had more than 20,000 lives enrolled in it and serviced ~640 beneficiaries of cashless hospitalisation and ~4,000 consumers for discounted outpatient services. Key features:
- Cashless hospitalisation, with a per incidence limit of Rs 10,000 and annual family floater of Rs 30,000
- Discounted outpatient services; 30-70% copay for drugs and 50% copay on consultations from doctor
- Curative services through a closed network of providers – 15 empanelled hospitals, 15 empanelled doctors, 2 self-owned clinics and 1 self-owned drug distribution center
- Family product priced at Rs 800 per annum. All diseases covered (including pre-existing), with the exclusions of pregnancy, surgical treatment of kidney stones, hysterectomy and venereal diseases
- Urban Haryana: Swasth India worked with the Haryana Construction Workers and Other Workers Welfare Board (HCWOWWB), part of the Labour Department of the Government of Haryana, in partnership with an NGO, MAYA (www.mayaindia.org) and LabourNet (www.labournet.in) to provide comprehensive welfare benefits to construction workers for 14 months. MAYA / LabourNet were responsible for providing non health related benefits while Swasth India was responsible for providing all the health benefits. Swasth India set up primary care clinics with qualified health staff in select urban centers of Haryana, namely Gurgaon, Manesar and Faridabad. ~50,000 people were benefited through clinics and health-camps that offer co-pay on drugs, laboratory tests and consultations. Key features:
- Discounted outpatient services; 50% copay for drugs and diagnostics and free doctor consultation
- Curative services provided through 4 self-owned clinics and facilitation of the government sponsored RSBY (www.rsby.gov.in) health insurance component
- Outreach health camps in the community on pre-defined intervals
- Urban Delhi: Swasth worked as part of the Health Systems 20/20 program, aimed at improving access and utilization of primary and secondary health services (including the RSBY insurance scheme) provided by the government of Delhi. We were allotted a pilot area of 70,000 families residing in the slum areas of the National Capital Region for 12 months. Key features:
- Auditing the current processes and recommend measures for improving the utilisation of the government’s subsidised RSBY insurance programme
- Improving the utilisation of the government’s primary health centers in the pilot area – by early detection of disease through camps and community-linked volunteers
- Conducted outreach health camps and mega health camps in the community to enhance detection