1. © Dr. Pradeep Mishra,MD MRCP. Founder & Mentor www.ilaajonline.com

2. The conference strongly reaffirms that health,which is a state of complete physical,mental and social wellbeing and not merely an absence of disease and infirmity,is a fundamental human right and attainment of highest possible level of health is a most important world-wide social goal whose realisation requires the action of many other social and economic sectors in addition to the health sector.

3. 1.Poor education specially in health & hygiene 2.Diverse culture and practices of healthcare 3.Substandard & ill equipped public heath infra. 4.Lack of will at the political level to improve 5.Top down or vertical approach in delivering

4. 1.Women and children always considered first and actively targeted 2.Clinical and epidemiological data collected quarterly and audited with the help of experts 3. Each person in a defined population must be a stakeholder in proper functioning of PHC 4. Emphasis on prevention and health education 5. Public- Private partnership encouraged 6. No top down approach.Guidelines developed locally.

5. 1. Trained personnel both in health and IT 2. Regular visits by an IT support service to check the system 3.Computer,printer,fax and scanner 4. Regular uninterrupted power supply 5. Internet connectivity. 6. Security and confidentiality of the data 7.Longterm financial plan 8.Upgrading at appropriate intervals

6. e-care e- resource e-records e-linkage PHC(HUB)

7. UID (unique identification no.) Name DOB DOD Height Weight Address If possible,blood group & Immunisation details.

8. Nutritional status,such as BMI record Outbreaks(demographic details/source identification) School Health Initiative in a defined population Health education leaflets in local language Immunisation programmes Clean drinking water and waste disposal initiative Antenatal and post natal checks and protocols Family planning assessment clinics AUDIT & EVALUATION AT SIX MONTHLY INTERVAL.

9. Symptom based diagnostic algorithms Prescription details linked to pharmacy/chemist/dispensary Follow up Secondary prevention Develop local clinical risk management protocols DAILY AUDIT AT PHC+ DGH LEVEL BY SENIOR CLINICAL STAFF.

10. Daily cost of running Needs assessment/allocation of money Budget forecast Funds received Savings/Loss recorded monthly Donors list,both internal and external Accurate Drug Listing and pricing Fees from paid services List of free services offered by public-private partner donation Cost-benefit analysis by external audit.

11. ID for Medical/Nursing/Paramedics/other supporting staff on part time or full time basis CME available for the Medical workforce Duty roster Annual appraisal of Medical/Nursing staff.

12. central database Tertiary care centre CHC DGH PHC(HUB)

13. 13

14. I thought my voyage had come to its end at the last limit of my power,- that the path before me was closed,that the provisions were exhausted and the time come to take shelter in silent obscurity. But I find your will knows no end in me.And when old words die out on the tongue,new melodies break forth from the heart;and where the old tracks are lost,new country is revealed with its wonders----- Rabindranath Tagore 14