LIVE BLOG :Feedback and Collective High-level Reflections

 This discussion would engage the panelists reflecting on prior breakout sessions and their outcomes for the day. Steering towards condensing critical conclusions, whilst looking forward to challenges ahead, funding prospects and prioritize objectives.

This panel moderated by Aditya Dev Sood includes panelists Girindere Beeharry(seated extreme right) – Country Director, Bill and Melinda Gates Foundation, Shireen Vakil Miller Director – Policy and Advocacy, Save the Children (India) Sheena Chhabra – Team Leader, of Health Systems Strengthening Division in the office of health at USAID and Stella Luk , Country Director for Dimagi, India. 

The breakout sessions under consideration were:

I- Moving from Cookie Cutter Care to Patient Tailored Care
II- Graduating Towards a Mother Centric Health Ecosystem
III- Building a Self-Aware Healthcare Delivery System
IV- Building Service Accountability towards Citizen Community Demand
V- Strengthening Service Delivery Infrastructure
VI- Creating New Data Recording, Performance Evaluation and Incentive Structures

17:39 Aditya starts the session, comprehending prior presentations of the day on sessions mentioned above. Stella makes a general observation, impressed by financial incentives for health workers; she emphasizes how knowledge sharing is her favorite from reflections on the breakout sessions. Sheena addresses the key issues are encouraging and relevant as quality of service is now more important than coverage of services, having understood root issues and themes from a customer and providers point of view to understand nuances.  Girindere  mentions of innovation and its unveiling nature based out of research, and its associate processes that have integrated into a larger health system from a community level upwards.

17:44  Girindere  mentions, of his past associations with user centric devices in the medical field and the impact of a low cost of production for preventive uses. He suggests, scripting a path of reality, change as its cornerstone in treating processes with much more humility, consequently, adapting newer technologies in the times ahead.

17:53 Aditya serially lists out the sessions in sequence.  Suggestions and thoughts to improve efficiency of front line workers and addressing challenges discussed. Keeping in mind the regulatory environment, ASHAS need to be careful using diagnostic devices to support the work they do. Secondly, a need to build robust systems is felt unanimously; a word of caution for ANM’s – they should concentrate on the patient and not involve otherwise, in unskilled efforts to outreach.

Educating the medical practitioners suggested. Looking at rural areas and practitioners who are less qualified (trained in Ayurvedic medicine but willing to advice on English medicines, inappropriate!) Innovations have consequences, however having a degree in a certain extent will help ASHA’s too, as they are 8th and 10th pass. However, in the larger picture this system opens up to others too, which could be fatal.

Stakeholders in this process could be representatives at the policy level, state, national and medical bodies. Otherwise, the investment in building a technology may go unused in its early stages. The e-health trend in India, is a competitive space but we don’t have an assessment agency to benchmark, making it easy for first movers.  Need of the hour is to bring in advanced tools to enhance efficiency.

Aditya sums up service intervention and product data management having translated well. Of course there are many competitors. Interesting interfaces might be the key focus for future collaborations!

18:00 Info graphics on measured and unmeasured responsibilities interested the panelists, moreover, focus on quality of care and reaching out to remote areas within the city and district emphasized. Critique invited, the IInd and Ist breakout sessions couldn’t show what was the innovation, nevertheless, nutrition for mother and child are important subjects. The IIIrd and Ist breakouts exploring the whole idea of accountability and the feeling of hostility and anonymity is an attractive proposition too.

18:07 Critique continues…with the VIth project addressed as a massive management issue, IInd breakout as a problem if thought in terms of scale and the resources as it has been tried in the past. IIIrd breakout was very interesting as there are evidences from multiple countries in same regard.

18:12 Very fascinating, IInd and IVth have synergy, rather be standalone; they could be combined and taken forward here on. On Vth, vast amount of PHC don’t have even a thermometer need to work with different stakeholders. On VIth – The additional incentives of ASHA’s to look toward welfare of the child, and to address issues related to capacity building, measure performance and derive conclusions.

18:15 The idea of ASHA groups to come together in a self empowered way will reveal details and make path for better support and exchange for each other. Complaints from front line workers could be looked into, incentives can bring together organizations facilitating them. Improving anonymous and such practices through small changes will surely help. Ever cautious, not tamper with the relationships of ASHA and her beneficiaries.

18:22 Aditya invites the audience to synthesize the discussions and comment on other breakout sessions. The framework where mothers can keep a check on their health as part of maternal care is appreciated and acknowledged.

Aditya calls upon Divya to share how BIL has evolved in the last 18 months. Divya takes stage, speaking about starting this project with approaches in user centric design, with really small projects, the Vaccine Delivery Kit , then forming into 4 focus innovations: improving quality of service, tracking and health information tracking, re-imagining, build the capacity within practicing and service delivery and technical specialists. Lastly, how the team came together to prioritize points that needed pressing addressing.

18:27 Aditya Dev Sood summarized key focus points for BIL:

1 BIL should focus on challenges and do what it originally set out for.

2 An interface between public and private bodies, where public bodies employ the best of private hospitals.

3 Direct CSR funds in upgrading digital and associate technologies.

4 direct data analytic either by user centric or practitioner centric approaches towards practitioner determined health.

5 BIL should become a power for healthcare experts interested in cross-sector challenges, and create innovations along with these government champions.

6 Hub for health related service nutrition, and also agriculture.

7 Procurement process of government, prioritizing outcomes than technical specifications

8 Engage in dialogues between private sector, raise bar, as public bodies drive smart procurement from private bodies.

9 Improvisation and innovation could provide government agencies an artwork to give them more ideas to pursue the same in mutual interest.

18:33 Irrespective of where the areas we are looking to work at, be it tender social innovation or education, we should focus on one small thing and prove that it works. The data will give BIL a lot of confidence to put out the evidence which would is encouraging.

18:42 High leverage is the important idea, BIL has a luxury as there is already a consumer market existing. Dumping into protocols, less discretionary ways can back fire. Secondly, much of spending might be from private pockets, but public investment will hopefully increase and address the market facilitating innovators coming up with amazing diagnostic devices. Thinking of the larger forces, there are small things that need to be solved.

Design thinking has become much more common now, and successfully embedded in the development sector. A structured approach is suggested, to arrive at a conclusion if the product at hand may or may not solve the problem.

18:50 Aditya nears close of the conclave, remarking it is a moment of deep reflection for us and thanks the panelists on board. Divya brings the session to a close, thanking the team of designers, anthropologists, technical team and of course the Zumba and ‘Corporate Yoga‘.

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