Mohalla clinics

These clinics are meant to provide consultation, free essential drugs, immunization for children, 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.

Benefits:

• People go to tertiary hospitals even for a fever or a toothache. With the neighbourhood clinic, people can get basic treatment near their homes and that too Without Spending much On the Transportation
• All basic medicines for fever, diarrhoea, etc, will be available. It will be manned by a doctor, an auxiliary nurse midwife, a sister and a technician , so that People get all the facilities in the Clinic. But, I hope there is a constant supply of medicines so that this also does not end-up become a referral clinic.
• Construction of All these Clinics will Generate Employment as a Secondary Pro. I appreciate this step of the Government to establish Neighborhood Clinics as a Healthy Citizen Contributes much more to a Society.
• Neighborhood clinics will be generally frequented by people for minor medical problems for which hospitalisation & use of high end medical equipments is unnecessary. Thus ease the pressure on large hospitals. Since the plan is to build over 1000 clinics across Delhi. Ultimately, the hospitals will be able to improve their quality of healthcare with the easing of pressure on them.
• The common people, particularly the elderly will find it very convenient to visit neighborhood clinics for their regular medical care.
• A neighborhood clinic would be a great boon for immunisation of children. No parent likes to travel long distances with children for minor medical care.

The cons have to do mostly with the administration and maintenance of these clinics. I have proactively mentioned solutions to mitigate the "cons".

• With 1,000 clinics around, monitoring by inspector visits becomes a formidable challenge. Compare that with inspectors visiting a few public hospitals. Essentially, convenience for the people means less convenience for the inspectors.
• There is a potential for abuse of prescription drugs since they are easily accessible.
• Medicine stock management in so many locations.
• Recruiting adequately trained staff and managing sick leaves would be an issue as well. (In hospital if one is absent, others can cover. There is less redundancy in a clinic.
• Timely maintenance to keep them in good shape.

Of course, some these issues can be tackled with a strong operational design and use of appropriate technology.

• Use of CCTV camera for monitoring from a few central locations. This will act as a deterrent and help monitor multiple issues centrally without frequent, in-person visits.
• Use simple IT solution for inventory management-tracking; statistical tools to detect frauds.
• Use simple bio-metric IDs to track patients; detect any unusual patterns in clinic visits.
• Tie it up with skills-training in local schools towards staffing issue. Bring in timeliness culture using bio-metric attendance. Of course, technology can't help with general unaccountability of staff :-(
• Tie up with NGOs committed to healthcare.

 

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