Low investments in healthcare

Due to budgetary constrain, Indian Government is not able to increase budgetary allocations toNational Rural Health Mission and overall budgetary allocations to healthcare remain low leadingto significantly deterioration of rural health care facilities in India:

Lack of adequate primary health facilities for under privileged society in rural and slum areas, hasposed the biggest challenge for the Government of India to send relief and aid to people in need,especially treatment and vaccines administration In ongoing Pandemic.

Inaccessible trained medical personal

India has a shortage of physicians. Rural Health Centres are critically short of trained medical personal: 66% of rural Indians have no access to specialist doctors; Approx 8% Primary Health Centres don’t have doctor. Due to inadequacy of infrastructure and lack of availability of General Practitioners , patients fail to get right treatment on time that often lead to spread of disease, fatal losses, including death. There is high Morbidity & Mortality rates due to lack of proper Primary Health Care facilities.

There is very high load of work on secondary and tertiary healthcare staffs which result in long waiting times and additional burden on fragile healthcare infrastructure in rural & semi urbanareas.

As the allied infrastructure for living is also poor in rural & semi urban areas such as schooling forchildren, unavailability of adequate social fabric, not many leading hospital chains / doctors arewilling to locate in rural areas. This again result in rural population relying exclusively on sub-parpublic health infrastructure.

No guidance for Preventive Care

In developing countries such as India, more than 60% of the population reside in rural areasexperiencing inequalities in health care access. Rural areas are plagued with most of the chronicnon- communicable diseases as consequences of unhealthy life style practices, resulting inpremature morbidity or mortality. Preventable and curable diseases dominate the morbidity pattern: Acute GE, Malaria, Measles, TB, Anaemia, LRTI, Cancers, Typhoid, DM, etc . This is largelydue to lack of adequate healthcare infrastructure and guidance from physicians. The cost oftreating chronic diseases has increased the economic and social burden nationally as well asglobally.

Incremental Out of pocket expenses for rural population

More than 60 % of India populations resides in villages. 31% of population travel more than 30Kms seeking primary healthcare in rural India; As per Government estimate, Out of pocket contributes more than 70% of total expenditure. Such prohibitive cost also act as deterrent for large part of population from travelling for having treatment from specialist.

Spread of infection

As per WHO research; clinics and hospitals has been one of the key sources for spreading infections. When already sick people reach there for treatment, they run a very high risk of infection transmission, in absence of adequate safety measures. This can be particularly dangerous for people with underlying conditions or weak immune systems.

We are into Mobile Medical Units (MMUs) and Operation & Management of Primary Health care Units and support initiatives of PSUs, Government, Corporates, NGOs, etc.

The MMUs deliver primary health care through ADCR formula i.e. Awareness, Diagnosis, Cure and Referral.

We are catering to society in outreach programs and Homecare services are provided for bothCOVID & non Covid patients. At present we are running successfully 2 MMUs in Haryana, 1 in Odisha.

We are also providing Health Camps/Screening in Rourkela, Rairakhol , Raigarh & Gurgaon. The team will draw benefit from its expertise of running Multi Speciality Hospital (KHUSHI HOSPITAL) in Delhi and having base in Delhi NCR. It will give logistic support to escalate PAN INDIA with easy access to group of Doctors, Specialists and Super Specialists for timely expansion and support.

Many experiences shared in the Government consultation from Rajasthan, Odisha andChhattisgarh, highlighted a team approach for effective healthcare. Khushi team includesphysician (a family physician or a generalist) and nonphysicians: nurses, other healthcareproviders, and community health workers. Such a team appears to be critical to provide comprehensive primary healthcare through improved access, quality of care, culturally sensitive care, and equity.

The foremost focus is to spread awareness around preventive care by organising camps, sessions in local vernacular language. The behavioural change through awareness result in curtailing spread of infections and diseases that improved life expectancy and reduces healthcare spendsignificantly. Its services comprise of New Consultancies, IEC, Follow ups, Diagnostics and Pharmacy. Innovative health technology with public private partnership can sensitize customers on various health products and services by mobile apps or text messages.

The user (patient) can connect to medical practitioner(s) at the doorstep and get the diagnosis through team of experts; the MMU is convenient for people in rural/remote areas to access best healthcare advice. The focus is on quality healthcare through quick, easy, safe, efficient and cost-effective alternative to in person doctors' visits

Empowered by many preventive health care programs, the onsite health platform becomes apotential powerful tool for behaviour change as it is widely available and inexpensive. By improving the health-care seeking behaviour and treatment compliance, the effciency of treatment could increase thus reducing the costs to health plans.

Through increase preventive care use, today’s patients and community health workers can makebetter choices to successfully modify their behaviour and become healthy and productive citizens.The aid shall be utilised for expanding the partnership with more Corporates and NGO to focus on geographic locations with higher viral load of virus or weaker healthcare infrastructure such as Tier 3 cities of Panipat, Yamuna nagar of Haryana, Rourkela, Rairakhol of Odisha. We plan to workin Chattisgarh ,MP, Jharkhand, Uttarakhand, Himachal in coming months. The plan is to reach to each and every doorstep of the areas we are chosen to work in. We shall move our Mobile Medical Units to remote areas and into community by and large.

Goal and Objectives are:

HEALTH FOR ALL AT DOORSTEP

The company goal is to offer Healthcare and Medical Services at Doorstep through a fleet of Mobile Medical Units and operate through collaboration of doctors and specialist. The objective is to provide prompt medical care through a well-qualified panel of Indian GPs, consultants/specialists that is convenient, affordable and transparent and can be accessed at one's comfort at their door step.

Healthcare and Medical Services at Doorstep in most affordable manner.

The goal is to bring down the healthcare cost and make it affordable for every individual. With timely care and treatment, it would expedite the treatment and shall also reduce cost. Patients could also avoid travel and curtail out of pocket expense with door step treatment and reduce the health care expense.

Reduce burden on existing healthcare infrastructure

By offering comprehensive healthcare at door step and with focus on preventive health care, it reduces burden on existing poor healthcare infrastructure in rural India. It also reduces budgetary burden on Government with limited allocation for healthcare infrastructure.

Arrest spread of infection

With door step and tele- consultation and timely treatment, Khushi works with Government /Corporate and NGO initiatives to offer timely treatment of COVID infected people with doctors.This not only saved numerous lives but also curtained virus spread which otherwise would had spread with the patients visiting hospitals and spreading contagion through the process. This also has taken off burden and work load from already stretched healthcare infrastructure.

Generate Employment

Khushi with its focus on providing primary healthcare in local community, it imparts knowledge and training to communities. It offer employment opportunity for local people and also with tie ups with nearby diagnostic and pharmacies, it is able to drive business and enterprenurship. This also lead to people acquring skills and becoming employable that generates employment opportunities for them.

Expand reach among patients in Tier 2&3 population

Khushi plans to build its MMU fleet to around 60 with about 5 MMUs per month and deploy the min select areas with an estimate 20,000 direct and indirect touch points. This will be achieved with implementing strategies in select in Tier 2 & 3 districts over next 12 month:

Engaging hospitals and formalising partnerships with Corporates; NGOs; and other local administrative authorities to implement various welfare schemes. As per current pipeline, Khushiis under discussion with 3 corporates and 2 State Government and has immediate requirement of10 MMU to be rolled out on immediate basis

Onboarding pharmacies; pathology labs; hospitals as network partners at local level that may give immediate access to 0.5mn-1mn user base and build capabilities to offer comprehensive health services.

Organising live talks by experts about health and wellness on open platform in vernacular language and create awareness locally. Actively doing education sessions at district and block levels with associations like All India Panchayat Parishad for mass reach out in rural areas

Onboarding doctors and specialist

The immediate plan is to bring doctors and specialist either operating through independent clinics or through tie ups with large hospital with large pool of available doctors. The plan is to have 1doctor per MMU supported by 2 medical staff. This also result in employment generation at local level and give equal opportunity to people from unprivileged background.

Build End to End affordable Healthcare platform

Build network of channel partners like pharmacist; diagnostics with long term association for offering affordable medicines and diagnostics tests.

Impart knowledge and awareness

Due emphasis on awareness shall be placed that “Prevention is better than Cure”. Focus effort shall be made to educate communities and to gradually make them responsible for their health. Awareness sessions for the community shall be held every week. These sessions shall be highly interactive (Information, Education & Communication) material relevant to the disease process is distributed in the regional language

Digitisation

Innovative Embedded System shall be fitted to each MMU for active monitoring. It shall not only track and trace geographic location to keep track and records of operations, but shall also have technology to monitor demand/requirements etc. Further analytics of the data will be used for optimising utilisation basis demand traffic and requirements and case loads due to virus spread in micro locations

Training & Development

Emphasize on training doctors, nurses and other para medical staffs, that shall result in job creation and making communities employable. Once critical mass is achieved, the network of MMU shall be also be integrated and aligned with Public Health Programs for maximising impact.

In next 12-18 months, Khushi aims to reach more than 9mn patients directly and indirectlythrough its MMU network of 40 vans. Every patients would further impart knowledge and spreadawareness. Khushi could potentially be impacting 3 mn people directly and 5-6 mn indirectly through its platform.

Progress can be monitored by maintaining a data base of patients and attendants/contacts.Outcome can be monitored by early diagnosis & treatment report of the patient and arresting spread of disease.

There are system to maintain every patient detail as part of servicing entire health care requirement of its users. This information shall be monitored regularly to assess impact and touch points.

The focus shall be to expand reach through awareness in Tier-3 cities and rural areas of India where people do not have access to high quality professional health consultancy. Such regions has higher requirement for such door step health treatment due to dearth of high-quality healthcare services.

Some of the remote areas in the Country, such as parts of Jharkhand, Orissa, Bihar, rural UP, Rajasthan, North East has lower penetration of healthcare facilities in comparison to other states and Khushi plans to deploy its fleet into these regions and amplify the impact

Immediate impact shall be of reducing loss of lives due to timely availability of healthcare from expert. As per recent estimate, death rate from Covid could have been lowered by 35%-40% with timely availability or right medical attention.

As healthcare services are being proposed to be offered in local area, it shall improve behavioural approach towards adoption of preventive healthcare. Adoption of preventive health care reduces chronic diseases that would eventually reduce overall mortality rate in rural India which has been very high compared in comparison to urban India

Patients will be able to have treatment from their homes and will need not travel for availing such services. This shall reduce over call cost of treatment as patients could save out of pocket expenses that are around 70% of total health care expense which one usually incurs when travelling for treatment with family

The platform shall distribute demand and balance it across large pool of experts based on actual demand and population density. This shall enable optimum time availability with doctors and experts and shall eventually allow high quality of treatment being offered to community.

In the national interest, such platform shall divert pressure from existing fragile and poor healthcare infrastructure in rural and tier 2 /3 towns. Government has its own budgetary constrain for allocating resources towards improvement and expansion of healthcare infrastructure. Khushi can support government by sharing and releasing part pressure on public health care systems through its own MMU network.

Overall impact of the project will have far reaching impact on Morbidity and Mortality of the population. Life expectancy and Quality of Life, both will increase.