Success-Stories-on-Health-Sector

Covering a population of 10.68 Cr, it Increased the access and equity of the
underserved. Before – 44 lakh pts/month, Later – 62 lakh patient per month
ProbleM stateMent
Rajasthan had its own Essential Drug List 2005 (now
2012 and revised 2013) and Standard Treatment
Guidelines- STGs 2006 (now revised 2012) which are
supposed to satisfy the priority healthcare needs of the
population. These essential medicines and guidelines are
selected with due regard to clinical protocols, disease
prevalence, evidence on efficacy, safety and comparative
cost-effectiveness. The medical practitioners are expected
to abide by these guidelines, but still large gaps exist. In
spite of such efforts, access to cost-effective, appropriate
medicines and their rational use continued to be a
challenge in Rajasthan. There remained large gaps in the
processes of medicine procurement, quality-checking,
distribution and pricing. Alongwith these shortcomings
there were problems of inadequate, unkempt storage and
lacunae in transportation facilities. In order to strengthen
the drug supply chain management system and to
provide free generic medicines MNDY was launched in
2011-2012.
PrograMMe DescriPtion
The two major components introduced under this were:
• Free supply of generic medicines under Mukhyamantri
Nishulk Dava Yogna.
• Strengthening of supply chain management.
• An autonomous centralised procurement agency
Rajasthan Medical Service Corporation (RMSC)
was established. The RMSC is responsible for the
procurement of generic drugs and medicines, surgical
and diagnostic equipment and their distribution
to government medical institutions in the State of
Rajasthan through the District Drug Warehouses.
• RMSC has also strengthened the process of quality
control of drugs; ensured the availability of essential
drugs at all times and promoted the rational use of
drugs with special emphasis on the use of generic
medicines.
• For each of its diverse functions, the Corporation has
been organised into different cells with specific roles to
play for the efficient functioning of RMSC.
• Before the inception of RMSC the District Drug
Warehouses were functioning as stores for receiving
all supplies from the central and State level and were
under the administrative control of CM and HOs.
These Drug Warehouses (27 locations) were provided
with additional storage capacity of approximately 3000
sq. ft area and furnished with requisite equipment and
infrastructure.
• e-Aushadhi a software for inventory management
was launched. It is a web-based application which
deals with inventory management of the stock of
various drugs, sutures and surgical items at DDWs.
The e-Aushadhi software utilises a propriety software.
The software covers – Online Demand, Rate Contract
Desk, Online PO Generation, Supplier Interface, Stock
Ledger, Inter-DDW Transfer, Lab Interface, Quality
Control, Supplier Performance Detail Report, NA Hit
Report, Expiry Drugs Detail.
• An effort was made to bring about a change in the
prescription behaviour of doctors by sensitising
doctors about the usage of Essential Drug List and
enforcing them to follow State STGs.
PrograMMe outcoMes
• Increase in access and equity of the underserved;
and Reaching out to the unreached, Before – 44lakh
patients/month, Later – 62 lakh patient per month.
• Source of Youth Employment.
• Increase in the numbers of Girl Child treated.
• Decrease in out-of-pocket expenditure.
• Reduction in retail sale of costly medicines- particularly
anti-cancer, immunoglobulins, albumin, factors,
sutures, rabies vaccines etc.
• Savings to Government.
financial investMent
fund
Amount
(rs. in crore)
Per capita
expenditure
State Budget 253.07 Rs. 36.87
NRHM 24.83 Rs. 3.61
Total 277.9 Rs. 40.48
scalability
This scheme has been taken up by other States also for
implementation.
conclusions/lessons learnt
This scheme reduced the out- of- pocket expenditure of the
patients and has helped effectively in meeting the needs
of the patients. This scheme has resulted for in savings in
government expenditure too.
Contact
MD,
NHM, Rajasthan