Case4-May-2017
The Indian pharmaceuticals market is the third largest in
terms of volume and thirteenth largest in terms of value,
as per a report by Equity Master. India is the largest
producer and provider of generic drugs globally. The
Indian generics pharma industry accounts for 20% of the
global exports. The Indian pharma industry is expected
to grow to र2,45,669 crores by 2020.
The pharmaceuticals Industry in India has evolved from
mere र1500 crores in 1980 to more than र1,19,000
crores by 2012. Yet, the market in India is dominated by
branded drugs, which are sold at premium rates. It is to
be noted that 80% of outpatient care and 60 of all clinical
treatments happen at the private healthcare centres.
According to National Sample Survey Organisation
(NSSO) estimates, up to 79% healthcare expenses in
rural areas arises from the cost of the medicines. Thus,
access to low-priced generic drugs is very critical in
ensuring health care at affordable prices.
Ensuring availability of quality medicines at affordable prices to all has been the key objective of the Department of Pharmaceuticals, Government of India. Hence the department has decided to launch a nationwide campaign viz.,Pradhan Mantri Bharatiya Janaushadhi Kendra.
Jan Aushadhi is a novel project launched by Government of India in 2008 for the noble cause of Quality Medicines at Affordable Prices for All. The campaign was undertaken through sale of generic medicines through exclusive outlets namely “Jan Aushadhi Kendra”(JAK) in various districts of the country. The first “Jan Aushadhi Kendra” was opened on 25 November 2008 at Amritsar in Punjab.
Initially, the implementation of Jan Aushadhi campaign was envisaged during the 11th Five year plan period starting from 2008-2009, with the target of at least one Jan Aushadhi Kendra in each of the 630 districts of the country, and further to be extended to the sub-divisional levels as well as major towns and village centres by 2012. It was planned that the scheme would run on a self-sustaining business model, and not depend on government subsidies or assistance beyond the initial support. It was to be managed on the principle of “No Profit, No Loss”
BPPI (Bureau of Pharma PSUs of India), under the administrative control of the Department of Pharmaceuticals, Ministry of Chemicals and Fertilizers, Government of India is the implementing Agency of PMJAY. BPPI was established under the Department of Pharmaceuticals, Ministry of Chemicals and Fertilizers, Government of India, with the support of all the pharma CPSUs for coordinating procurement, supply and marketing of generic medicines through the Pradhan Mantri Jan Aushadhi Kendras. In April 2010, BPPI was registered as an independent society under the Societies Registration Act, 1860 and as a separate legal entity. BPPI follows the provisions of GFR 2005 and CVC Guidelines amended from time to time and also receives instructions from the Department of Pharmaceuticals.
DHAN Foundation has been organising people in
thematic institutions. These thematic institutions
undertake various development initiatives on the basis
of the needs in the federations. One such initiative is
the SUHAM (Sustainable Healthcare Advancement) to
create access to quality and timely healthcare service
at affordable cost. The hospitals at Madurai, Theni,
Salem, Sayalkudi, Vadamadurai, Vizag and Viraganur
offer affordable health services to the needy. At present,
the seven medical shops in the above hospitals have
a turnover of र48 lakhs. The opportunity to provide
affordable low cost generic medicine through the Jan
Aushadhi would provide a salve for the poor.
To contemplate the potential to lessen the health cost, SUHAM hospitals in Vadamadurai promoted the first Jan Aushadhi pharma dispensary. It is run by the federation as a separate entity with the technical support of SUHAM trust. This new generation of primary care clinics with affordable pharma access will comfort the poor by providing good health services. This unit and the health services have the backing of the federation. The last two years’ clinical experience at Vadamadurai showcased that people in Vadamadurai are not much dependent on a particular doctor and a particular prescribed medicine for their primary care needs. Our clinic data also shows that compared to the other SUHAM hospitals, generic medicine consumption is more in Vadamadurai clinics. The average prescription value is also very low as compared to other clinics. This indicates that the members were unable to purchase high value drugs for primary care needs.
Ponnuthai (56 years old), was prescribed the Diclogel Tablet and Ranitidine for ulcer. After the course of the medicine, she gave good feedback on the gel as well as the tablet as it immediately cures her problem and her pain gets drastically reduced. Meena, (19 years old) has taken treatment for cold and fever and she was prescribed paracetamol and cough syrup. She said both medicines had given good response and fever got reduced similar to efficacy of the costlier drug. Cough syrup taste was bitter but the response was good and cough reduced. Likewise, many patients preferred the choice of generic medicine over the branded one.
Stockist is not keeping stock in sufficient quantity, which reflects that fresh stock is being delayed. It affects the regular purchaser who is demanding from the JAS stock.