Monday, December 22, 2008

Design for affordable Health care

It was more to do with destiny than a deliberate attempt to do some work in the area of Health Care. Almost 80% of my work in the past 2 years are in this domain. Now it is like a vortex that pulls you more deeper.

Perspective
Food, water, air, shelter, health and eduction are the basic needs. To get the big picture one must see the percentage of access to these needs by the population. To be more specific to the domain of Health care / developing world /India, the statistics look so bleak.
Around 70% of India lives in 6.5 lakhs villages. 75% of physicians based in urban locations and another 23% in semi-urban, that leave 2% in rural areas. Even though the indexes are moving in the positive direction, the ground reality requires a paradigm shift in the perspective. The whole machinery of health care sector area skewed in the similar way. Big enterprises look at this sector has a huge business opportunity with more immunity to the market ups and downs.

Shift in perspective
According to me, there are 2 major shift one has to attempt:
(1) Imported ideas and templates from past to be scrapped. We need to build a local perspective which are suited for the local situations.
(2) The idea of viewing health care sector as a huge business potential and hence develop solutions has to end. One need to have sustainable balance for all these activities. Not necessarily on a money minting spree.

In the Indian context there are whole lot of design interventions possible which can change the ground situation. We have the expertise locally available to do this now India and the only thing we lack is a VISION and Commitment.