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In a pioneering initiative and first of its
kind in Central Government Health Scheme(CGHS), Minister of Health and Family Welfare Shri Ghulam Nabi Azad will inaugurate a standalone haemodialysis
centre at Sadiq Nagar CGHS Wellness centre, here today.
This pilot project shall be a testing pad in
CGHS before such units are rolled out at District Level under the National
Program for control of Diabetes.
This is being started as a pilot project in collaboration with M/S
Alliance Medicorp (India) Limited, Chennai a JV company of Apollo Health and
Lifestyle Ltd. (Apollo Group of Hospitals) under Public Private partnership.
Secretary (Health) Ms K Sujatha Rao, Director General Health Services Dr R K
Shrivastava and Chairman Apollo group Sh Pratap Chander Reddy will be present
on the occasion.
Currently in India dialysis units are set up
within hospitals mainly due to shortage of nephrologists leading to scarcity of
dialysis units. CGHS beneficiaries often suffer hardship for dialysis as demand
far exceeds the supply. CGHS refers quite a few of its beneficiaries to private
empanelled hospitals.
In Delhi around 40 50 patients require
dialysis per day. Further in years to come, need for dialysis is likely to go
up in view of prevalent diseases like diabetes and hypertension which lead to
chronic Kidney disease and renal failure. Therefore Public Health sector
shall have to cater to significantly increased demand for dialysis and concept
of standalone dialysis has been looked into for meeting this demand. In this
model dialysis unit is not located in a hospital and therefore eliminating the
need of availability of Nephrologist round the clock as Dialysis station is
manned by trained medical and paramedical staff under the overall supervision
of Nephrologists who ensure quality control as per laid down protocol. Without
exploring the possibility of commissioning standalone dialysis units it may
never be possible to meet this demand.
While identifying a private partner Apollo
Hospitals scored better in overall support mechanism of Nephrologist, Human
Resources, Referral, Complications Management, Performance Report and Grievance
Redressal. Chronic renal failure is a disease where patients kidneys are
either compromised or stop functioning and are unable to clear toxic wastes
from the body. Dialysis is regarded as a "holding measure" until a
renal transplant can be performed, or sometimes as the only lifelong supportive
measure in those for whom a transplant would be inappropriate.
A space of 2400 sq. ft. covered area has been
renovated to suit the requirements for providing state of art dialysis facility. It shall have a capacity to dialyze up to 21 cases of Chronic Renal Failure
per day with seven functional Dialysis machines (and an additional stand by
machine) and shall be operational from 7 A.M. to 8 P.M. for 310 days in a year.
If maximally utilized it shall be able to undertake 6510 dialysis per year.
Dialysis machine works on the principle of
the diffusion (Waste removal) of solutes and ultra filtration(Fluid Removal)
across a semi permeable membrane, a thin layer of material that contains
various sized holes, or pores through which smaller solutes and fluid pass
through but blood cells, and large proteins cant). Substances in water tend to
move from an area of high concentration to an area of low concentration Blood
flows by one side of a semi-permeable membrane, and a dialysate (dialysis
fluid), flows by the opposite side, this counter current being beneficial for
removal of urea and creatinine accumulation of which in blood are life
threatening.
This joint venture would fruitfully cater to the
need of maintenance haemodialysis of CGHS beneficiaries by in house management
of such patients. This center would be extremely beneficial to CGHS patients of
chronic renal failure by providing timely haemodialysis and mitigate suffering
thereby improving the quality of life and productivity. This center shall also
reduce dependence of CGHS on private empanelled hospitals and government
hospitals.
Source-PIB
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