(1st June, 2014); Dr Harsh Vardhan, Union Minister for Health and Family Welfare, has asked for thorough streamlining of systems in the distribution of free generic drugs to government health institutions at all levels throughout the country. The Free Drug Programme’s formal launch would be preceded by working out all logistical details with respect to procurement and distribution in consultation with the state governments.
The National Health Mission (NHM)’s two submissions, the National Rural Health Mission (NRHM) and National Urban Health Mission (NUHM), will be vehicles for implementation of the programme. It was formally cleared by the Union Cabinet in May 2013. But till date its implementation has been limited to a few, big-city hospitals as the infrastructure for procurement and distribution was not put in place, the Minister stated.
The Minister, who was reviewing the NHM with the Ministry’s officials yesterday, has therefore decided to call a meeting of state health ministers under the framework of the Central Council of Health (CCH) in the near future. The CCH, which also includes professional experts, has not met for a number of years. “I am sure my colleague health ministers in the states are keen to ensure the success of this programme,” the Health Minister said.
The Planning Commission had estimated that the free generic drug programme would cost Rs 28,560 crore during the 12th Plan period (2012-17) and had made its first financial allocation during 2012-13. While the Centre would bear 75 percent of the cost, the states are supposed to contribute 25 percent. Under the programme, 348 drugs under the National List of Essential Medicines are to be provided free from 1.6 lakh sub-centres, 23,000 primary health centres, 5,000 community health centres and 640 district hospitals by the end of the programme. The states have also been requested to add to the Essential List according to their local needs.
Dr. Harsh Vardhan also said that standard treatment protocols would be developed in consultation with experts and coded to ensure that unnecessary and irrational administration of drugs is avoided. In this context the Minister reminded that when he was Health Minister of Delhi (1993-98), he had implemented for the first time the World Health Organization’s “Essential Drug Programme”. The “Delhi Model” of discerning first the essential from the fluff, and then distributing them in the public health system, got global recognition, the Minister stated.
“The NHM will be heavily e-governed to ensure minimum slippage and zero corruption. The despair faced by poor and middle class families when a member falls ill would become a thing of the past,” Dr Harsh Vardhan said.
The Health Minister said, “The NRHM is bogged down in unforeseen problems while the NUHM is a non-starter.” He expressed confidence that through inter-ministerial cooperation and good, transparent best practices in governance the NHM can be made a gold standard in public health programmes internationally.
