r2i forum

Hello Everyone,

I am a project designer based in India and am working on large education and healthcare schemes.

Recently I have designed a large Education project " The Indian Education Megaproject " to set up
30,000 new schools in India.

http://www.nataraja.org.in/masseducationproject.htm

All project documents including the 150 page concept and financing document as well as the Excel
spreadsheet with all calculations can be downloaded from the above link.

I am currently working on a Large Healthcare project . One of the objectives of this project
is to bring back a large number of our doctors back to India. The project will create the best
facilities possible so as to enable Indian doctors living in the US, Europe , the Middle East and
elsewhere to come back and work in the world class facilities that will be created within the
project.

To make this project a reality , I would like to request all the doctors on this forum to please let
me know what they want to see in terms of Infrastructure facilities , Policies , Incentives etc
and also to indicate what they would need additionally if they are asked to move to remote
areas in India. Please be specific with your responses and let me know what exactly you would
like to see.For instance if you are to be relocated to a rural area , how much more money would
you like to be paid ... what kind of housing and schools would you like to see etc.

Please visit my latest project (The School) http://www.nataraja.org.in/masseducationproject.htm
and download the PRESENTATION as it will give you some idea of the scale that we are talking
about.


Looking forward to getting the views of as many doctors as possible ...



Sincerely.



Ashish Puntambekar
Project Designer
The Indian Primary & Secondary Education Megaproject
http://www.nataraja.org.in/masseducationproject.htm

busybric;351243Hello Everyone,

I am a project designer based in India and am working on large education and healthcare schemes.

Recently I have designed a large Education project " The Indian Education Megaproject " to set up
30,000 new schools in India.

http://www.nataraja.org.in/masseducationproject.htm

All project documents including the 150 page concept and financing document as well as the Excel
spreadsheet with all calculations can be downloaded from the above link.

I am currently working on a Large Healthcare project . One of the objectives of this project
is to bring back a large number of our doctors back to India. The project will create the best
facilities possible so as to enable Indian doctors living in the US, Europe , the Middle East and
elsewhere to come back and work in the world class facilities that will be created within the
project.

To make this project a reality , I would like to request all the doctors on this forum to please let
me know what they want to see in terms of Infrastructure facilities , Policies , Incentives etc
and also to indicate what they would need additionally if they are asked to move to remote
areas in India. Please be specific with your responses and let me know what exactly you would
like to see.For instance if you are to be relocated to a rural area , how much more money would
you like to be paid ... what kind of housing and schools would you like to see etc.

Please visit my latest project (The School) http://www.nataraja.org.in/masseducationproject.htm
and download the PRESENTATION as it will give you some idea of the scale that we are talking
about.


Looking forward to getting the views of as many doctors as possible ...



Sincerely.



Ashish Puntambekar
Project Designer
The Indian Primary & Secondary Education Megaproject
http://www.nataraja.org.in/masseducationproject.htm

Dear sir,

the question is too loaded. The doctors will of course want everything the way it was in US. The big question is how do you propose to run it. Who are the stake holders. If it even has a smell of govt in it we know what our ministers can can do 34 billion(read telecom) was taken in 1 stroke so your 64 billion will vanish in no time.

you propose all these taxes to go fund this initiative which is excellent, but please make sure it is run by some selfless people with some initiative and doctors will automatically come. Most people who return are already well settled so there very little you can provide for them except create world class hospitals and give honest service. for example in sai hospital in puttaparthy MDs are fighting to get in and operate and provide free services. Remoteness is not a problem as long as you have the vision and ability.

http://en.wikipedia.org/wiki/Sri_Sathya_Sai_Super_Speciality_Hospital

RK

Hi There,

Great to hear about your project. I am extremely interested in collaboration with you.

Although I am not a physician, I have been in healthcare, practicing as a physical therapist, and over the past decade in health policy and informatics. I am actually returning to India, specifically Mumbai in Jan 2011, with the goal of promoting health, and creating an information technology infrastructure geared towards improving health outcomes in India.

As I understand with the burgeoning of the middle class, there are new epidemics such as diabetes that are emerging. Additionally, there is the chronic problem of basic healthcare needs for the lower socioeconomic strata, which I believe is surmountable to a large extent, if there are public health policies and a supporting infrastructure.

Could you please contact me and perhaps we can explore where there may be an intersection in our paths.

Incidentally, my wife has vested interests in education, and I will ask her to reach out to you after she has revied your report.

I can be contacted at [email protected].

Thanks - will look forward to hearing from you.

Dear Sanjiv and RK,

I have taken note of what you have said.

First I will deal with the Education Megaproject :

If you scan through the 150 page note , the project has a built in regulation system which makes it extremely difficult
for anyone to steal money. There are huge reporting requirements and a very firm PPP framework. Also all pricing and
costs are to be published to a common database ... under the terms of the project documents. Deviation from the
costs and pricing of other Schools will invite an investigation and possible termination under the project documents.

So on the school project I am very sure.

The Healthcare Megaproject is huge likewise and its financing is very different from the School Project. All I can
tell you right now is that it is large enough absorb maybe several tens of thousands of doctors. Also the design will
not allow anyone to steal. The facilities also will match the best anywhere is the world.

The project will be written and ready in 3 months time. It will then be sent to the Ministry of HRD and the Planning
commission.

So just tell me what you guys want in a Hospital Project in India ... and lets see how we can accomodate your
requirements. Take a look at my school project ... Very detailed work has been done and it will give you some
idea of the scale of the Hospital project.

There is just one thing ... The current " SCAMS " going on in India have severely affected the functioning of
the UPA government. I expect all my projects to be delayed as a result. I will however still write them and
work at promoting them. The Healthcare project will begin construction sometime in 2014 and all the hospitals
will be commissioned in 2023 . So ... this is the timeframe that we are talking about.

I cannot provide more details than this until I get the IP done and send this project to the planning commission.
After that the entire project will be put on my website for free download with all its calculations.

Please therefore give your inputs and if the suggestion is a good one, it will be incorporated in the design.

Sincerely,



Ashish Puntambekar
http://www.nataraja.org.in/masseducationproject.htm

busybric;351243

To make this project a reality , I would like to request all the doctors on this forum to please let
me know what they want to see in terms of Infrastructure facilities , Policies , Incentives etc
and also to indicate what they would need additionally if they are asked to move to remote
areas in India. Please be specific with your responses and let me know what exactly you would
like to see.For instance if you are to be relocated to a rural area , how much more money would
you like to be paid ... what kind of housing and schools would you like to see etc.

Hello Ashish

The answers to your questions are difficult and your project seems like an impossible dream. Good luck with your designing. you probably would get better responses if your questions were more specific.

The facilities required depends on the speciality. For the sake of this discussion, I will stick to the facilities required for a decent basic hospital in the rural towns- atleast one in each town. Maybe, one tertiary hospital per 15 primary general hospitals ?We sorely lack even the basics.Tertiary hospitals are a whole different ball game.

Generally all primary care specialities must be represented in a hospital- General medicine, general pediatrics, basic neonatology, general surgery and ob-gyn. In addition to doctors from these specialities, one would need atleast anesthestics/radiologists/microbiologists/biochemists/maybe pathologists and para-medical staff. A high quality 24 hour lab, a blood bank and an imaging center- with atleast Xray, ultrasound/echo and CT scan is necessary. MRI can be optional. Nuclear and treadmill stress test facilities even if no cardiologist or cardiac cath facilities is a must.

Adding dialysis facilities and basic Gastroenterology facilities- endoscopy center, facilities for bronchoscopy etc can be considered as well- these are relatively lower investment, higher usage options.

Operating rooms with laparoscopy facilities, birthing center with facilities for intapartum monitoring etc will be needed. A decent ICU and a ER with cardiac monitors, ventilators etc is a must. Infection control measures and isolation rooms must be well designed. It goes without saying that all high quality meds must be available- thrombolytics, new generation antibiotics, Xigris etc( to treat sepsis)- costs 9lakhs for a 72 hour infusion!

The reason doctors don't prefer working in the rural areas-is the same as for anybody else - lifestyle, schools, opportunities for spouses. A higher pay and better facilities will certainly attract doctors trained in India. Physicians/specialists trained abroad will probably be better used in tertiary centers- based atleast in tier 2 /tier 3 cities. A pay as close to the pay in US will probably do the trick!!

Policies?- Don't know much about these.But for starters, the country needs a total overhaul of the medical education system and better utilisation of the graduating medicos. The quality and the number of training programs- (PG) need to be increased. MCI needs more accountability. I don't understand the need for this artificial shortage, which is making students desperate for training positions abroad. For eg. 10 years ago, for the 1000 medicos graduating in AP, there were only 100 MD and diploma positions available for all specialities. I understand it is no better even today. I don't understand why institutions like AIIMS cannot accomodate more than 3-5 MBBS grads each- even for primary specialities. In US, even an average sized university hospital has atleast 20 plus internal medicine positions.