Understanding the Success of TNMSC, An ICT Enabled Structure that Revolutionized The Indian Rural Healthcare System: A Comparative Analysis With KDLWS

Kokilam, Monica B and Joshi, Harish G (2015) Understanding the Success of TNMSC, An ICT Enabled Structure that Revolutionized The Indian Rural Healthcare System: A Comparative Analysis With KDLWS. International Journal Of Pharmaceutical and Chemical Sciences, 4 (2). pp. 222-232. ISSN 2277-5005

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Abstract

India is a developing nation with an agrarian economy, with a majority of rural population. The Indian Healthcare System is the largest service sector and around five decades old. It is still confronting an unprecedented pressure because of its poor reach in providing quality healthcare services to all. The total healthcare expenditure in the country is at 4.0 percent of the GDP1 when compared to other nations. The out-of-pocket expenditure comprises about 61 percent2, out of which only 26 percent of the entire population is covered under health insurance3. The major concern is the underlying procurement bottlenecks like access to funds, clearer visibility of the functionalities, corruption, blockage of funds, complex structures and quality of goods. This results in inequality for access and affordability of health care for all. There is critical need for a strategic tactic to leverage the growth trajectory of health care to its utmost advantage. Since health care is a state affair, every state has their own evolving story of its public health care services. Among various public health care systems, Tamil Nadu public health care system is the topnotch. Their system is known for providing universal health coverage by introducing an effective drug procurement and distribution system since the year 1994. The Information Communication Technology (ICT) enabled drug supply chain management system assures rational utilization of drugs, better accessibility, visibility, and tracking facility to prevent mismanagement and usage of substandard drugs and hence ensures quality control to eliminate counterfeit drugs. The Tamil Nadu health care model illustrates that key to the success of public health governance system is an E-healthcare structured on a robust IT foundation. This model proves that the combination of political commitment to health, participation of political strengths and community involvement, a sensible investment in the primary health care centers with regard to education and technology can help in achieving good health all in low-income households. This study highlights the objectives and success factors of the Tamil Nadu Medical Services Corporation Ltd (TNMSC) and how Karnataka State Drugs Logistics and Warehousing Society (KDLWS) is still struggling to meet the challenges and needs of the population, even though it was launched on the same lines with TNMSC.

Item Type: Article
Uncontrolled Keywords: Rural Public Healthcare; Public Pharmaceutical Procurement System; TNMSC; KDLWS; ICT
Subjects: Departments at MU > Commerce
Depositing User: MIM User
Date Deposited: 27 Jan 2016 15:05
Last Modified: 28 Jan 2016 09:56
URI: http://eprints.manipal.edu/id/eprint/145149

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