India with a population of 1.21 billion stand at the second position as the most populous country in the world. India comprises almost 13.1% of child population aged 0-6 years.
Malnutrition and mortality among children are the two faces of a single coin. Mortality among infants and under-5 children is also a major concern. In India the number of under-5 mortality rate and infant mortality rates are 50.61 and 34 per 1,000 live births respectively. Thus there is a need, to be more focused on the child health issues.
Considering the above facts Hospaccx team started working the mapping of market trends and dynamic. This is macroficial study of pediatric market if you want to get into more detail you can contact [email protected]
MARKET OVERVIEW OF PEDIATRIC IN THE WORLD
- The global under-five mortality rate declined by 56% from 93 deaths per 1000 live births in 1990 to 39 in 2017.
- About 73% of under-five deaths occurred in two regions in 2017, WHO Africa (49%) and WHO South-East Asia (24%).
- The highest under-five mortality rate remains in the WHO African Region (74 per 1000 live births), around 8 times higher than that in the WHO European Region (9 per 1000 live births).
- The percentage of wasted children for India is 15.1 percent.
COMMON CAUSES OF UNDER-FIVE DEATHS IN INDIA
HISTORY OF PEDIATRIC
- 1771- New York Hospital one of the 1st teaching hospitals in USA provided classroom presentations designed for nurses caring children.
- 1851- The Hospitals for sick children was founded in London.
- 1860-Dr.Jacobi in New York established first children’s clinic.
- 1855- The Children’s Hospital of Philadelphia, USA was founded.
- 1880- Paediatric section of American medical association was organized.
- 1893- Lillian Wald opened the Henry Street settlement house, which provided medical social, cultural and education services to the poor children
- 1903- Recognition of paediatric Nurse was initiated.
- 1909- President Roosevelt started first White House conference on children.
- 1912- The US Children Bureau was established as a result of this conference.
- 1917-First child labour law was passed
- 1935- The social security act for health and care of children became law.
- 1946-The United Nations International Children Emergency Fund was created by United Nations. (UNICEF).
- 1959-The 14th general assembly of the United Nations approved the declaration of Child Rights.
- 1963- Social security act for maternal and infant care.
- 1965- Social security act for comprehensive health care for deprived children.
- 1974-The child abuse and prevention Act
- 1975-Social security Act for children.
- 1980- The Child Welfare Act.
- 1982: Missing children act national computer information network to identify missing children.
- 1986-The National Child hood Vaccine Injury Act. Child survival act
- 1965- Elementary and secondary Education Act.
- 1975- Education for all Handicapped Children Act
1. Helping newborns hear at the right age
The idea/technology involves a digital and medical electronics application where motion sensors and IR sensors (embedded in a blanket and cap with an eye piece) accurately assess the baby’s eye and body movements within two seconds of response to a sound stimulus. They communicate this objective information to a software application that will be installed in a mobile phone/tablet which will ensure adherence to the standard steps and analysis of the babies responses to provide an objective red or green response (Deaf/No Deaf) to the health worker using this app.
A team of engineers — Kuppili Divya, Mahalingam N. and Sandal Kotawala, a student at VIT University — developed an app with gamification features that can detect health conditions among children that go unnoticed until it is too late. It then alerts parents if any developmental delays are identified.
PREVALENCE OF PEDIATRIC HEALTH IN INDIA
- The National Family Health Survey (NFHS) revealed that at least 80% of Indian children aged 12-23 months are anaemic.
- Childhood obesity is a known precursor to obesity and other non-communicable diseases (NCDs) in adulthood.
- In under-fives the prevalence of obesity was below 2% in all the studies.
- In children above 5 yr, the prevalence of obesity varied between 2 to 8%.
- Overweight rates were around two times higher and seem to be more in northern and eastern India than in southern India.
- Among children in the upper socioeconomic status (SES) the prevalence of overweight and obesity are 5.6% in boys and 5.7% in girls, respectively, whereas in the lower SES the values are 0.4% in boys and 0.5% in girls, respectively.
- India accounted almost 43% underweight children.
- The majority of the paediatric trauma cases were seen in males 69.86% and females comprised only 30.13%
- In India, 1.6-4.8% cancer cases occur in children less than 15 years of age structure (33% of the population in India is less than 15 years of age).
ECONOMY INVESTMENT FOR PAEDIATRIC HEALTH IN INDIA
- Over 41 years to 2016, a national health programme for children has led to a 68% drop in India’s infant mortality rate (IMR), but the IMR of 34 deaths per 1,000 live births.
- India’s ICDS has reached 99.3 million beneficiaries and has 1.4 million Anganwadi centres (AWCs, or courtyard shelters) across the country
- India is home to more than 40 million stunted (low height-for-age) children under the age of five – more than any country in the world, and in spite of a 200% increase in spending on child health between 2005-06 and 2014-15.
- There has been a 4.7% increase in the ICDS allocation in union budget 2017-18 – from Rs 14,560 crore in 2016-17 to Rs 15,245 in 2017-18.
- Yet more allocations need to be made both at the Union and state level, considering the severity of malnutrition in India.
GOVERNMENT POLICIES FOR PEDIATRIC PATIENTS IN INDIA
Facility based newborn care services at health facilities have been emphasized. Setting up of facilities for care of Sick Newborn such as Special New Born Care Units (SNCUs), New Born Stabilization Units (NBSUs) and New Born Baby Corners (NBCCs) at different levels is a thrust area under NHM.
Facility Based Integrated Management of Neonatal and Childhood Illness (F-IMNCI) is to empower the Health personnel with the skills to manage new born and childhood illness at the community level as well as at the facility. Facility based IMNCI focuses on providing appropriate skills for inpatient management of major causes of Neonatal and Childhood mortality such as asphyxia, sepsis, low birth weight and pneumonia, diarrhoea, malaria, meningitis, severe malnutrition in children. This training is being imparted to Medical officers, Staff nurses and ANMs at CHC/FRUs and 24×7 PHCs where deliveries are taking place. The training is for 11 days.
A new scheme has been launched to incentivize ASHA for providing Home Based Newborn Care. ASHA will make visits to all newborns according to specified schedule up to 42 days of life. The proposed incentive is Rs. 50 per home visit of around one hour duration, amounting to a total of Rs. 250 for five visits. This would be paid at one time after 45 days of delivery, subject to the following:
- recording of weight of the newborn in MCP card
- ensuring BCG , 1st dose of OPV and DPT vaccination
- both the mother and the newborn are safe till 42 days of the delivery, and
- registration of birth has been done
Navjat Shishu Suraksha Karyakram (NSSK) is a programme aimed to train health personnel in basic newborn care and resuscitation, has been launched to address care at birth issues i.e. Prevention of Hypothermia, Prevention of Infection, Early initiation of Breast feeding and Basic Newborn Resuscitation. The objective of this new initiative is to have a trained health personal in Basic newborn care and resuscitation at every delivery point. The training is for 2 days and is expected to reduce neonatal mortality significantly in the country.
Rashtriya Bal Swasthya Karyakram (RBSK) is an important initiative of the Government of India aiming at early identification and early intervention for children from birth to 18 years of age to cover the four “Ds”, viz., defects at birth, deficiencies, diseases, and development delays including disability.
Janani Shishu Suraksha Karyakram (JSSK) provides free entitlements for sick newborns till 30 days after birth that has now been expanded to cover sick infants.
GLOBAL MARKET OF PEDIATRIC
- Child mortality rates have plummeted since 1990. Under-five deaths have dropped from 12.7 million per year in 1990 to 5.9 million in 2015.
- Although the global progress has been substantial, 16,000 children under five still die every day.
- A child’s chance of survival is still vastly different based on where he or she is born: Sub-Saharan Africa has the highest under-five mortality rate in the world with one child in 12 dying before his or her fifth birthday—more than 12 times higher than the one in 147 averages in high-income countries.
- The Global Financing Facility(GFF) supports reproductive, maternal, newborn, child and adolescent health (RMNCAH) The objectives of the GFF, a new financing model, are to achieve measurable and equitable results and close the financing gap for RMNCAH.
- The global paediatric health care products and services market was valued at around US$ 88,000 Mn and US$ 520,000 Mn, respectively, in 2017 and is projected to expand at a CAGR of around 4.5% and 5.5%, respectively, from 2018 to 2026.
PEDIATRIC MARKET IN INDIA
- Size of the Market India has a handful of paediatric centres in spite of having the highest percentage of 0-14 year olds (29% population). There are close to 2,000-plus paediatric beds in India. This translates into a market size of about Rs 1,500 crore. The overall paediatric market in India is about Rs 55,000 crore
- Growth Rate -The paediatric market is growing at 14-18% per annum.
- The increase in Out-Of-Pocket (62%) expenses was observed.
PAEDIATRIC MARKET CHALLENGES IN INDIA
- Low levels of Health Insurance involvement for paediatrics.
- Developing new Paediatric drugs and devices, difficulty in keep updating.
PAEDIATRIC MARKET DRIVERS IN INDIA
- Increase in the number of paediatric population in India.
- Shortage of facilities offering super-specialty care treatments.
- Growing willingness among parents to seek opinions from super-specialists for the treatments of their children.
LIST OF PEDIATRIC HOSPITALS IN INDIA
1. Surya Hospital- Mumbai
Surya Hospitals have been a pioneer in offering modern healthcare services for Women & Children in India since 1985. India’s largest level 3 NICU facility, dedicated neonatal ambulances for free transport of neonates.
- 200 bedded Single/Twin/Suite/General Occupancy Indoor Facility
- 20 OPD consulting rooms with multi-speciality consultants
- 3 fully equipped Ultra-Modern Operation Theatres
- India’s largest 105 bedded Neonatal Intensive Care Unit (NICU)
- 14 bedded Paediatric Intensive Care Unit (PICU)
- 24 hours Paediatric Emergency services
2. Motherhood hospital- Chennai
Motherhood, a speciality hospital chain of Bengaluru-based Rhea Healthcare, provides Women and Child care and has delivered more than 16500 babies through its six hospitals in the last 8 years. Pregnancy care, Fertility care, Gynaecology, Advanced Laparoscopy Surgery, Neonatology, Paediatrics, Foetal Medicine, Cosmetology and Radiology are the key specialities.
3. Rainbow Hospital
It is an Indian chain of Paediatric Hospitals headquartered in Hyderabad, India. Founded by Dr. Ramesh Kancharla in 1999, the hospital’s main focus is paediatric and maternal healthcare services.
4. Cloudnine Hospital
It is a chain of maternity, childcare, and fertility hospitals headquartered in Bengaluru, India. It was founded by neonatologist Dr. R. Kishore Kumar with his team of three co-founders, in 2007.
5. Institute of Child Health- Kolkata
The Institute of Child Health was set up by Dr K.C. Chaudhuri, the doyen of Indian pediatrics, in Kolkata in 1956. The out-patient department with full-fledged laboratory services of the institute opened on 23 January 1956. The in-patient department, with its fifty beds, opened on 15 June 1956. Facilities for the new-born were available as well.
6. SRCC Children’s Hospital- Mumbai
It is the premier medical institution for children in Mumbai, backed by Narayana Health. Narayana Health (formerly known as Narayana Hrudayalaya) was established in 2000, is a chain of multi-speciality hospitals in India, with its headquarters in Bengaluru.
7. Kanchi Kamakoti CHILDSTrust Hospital– Chennai
Dr. M.S. Ramakrishnan (MS, FACS, FAMS) founder of this great Institution. He instituted The CHILDS Trust Hospital in April 27, 1978 which was the International Year of the Child.
8. Sir Ganga Ram Hospital- Delhi
It is a 675-bed multi-speciality state-of-the-art Hospital in India. It is the only hospital in the private sector that has maintained nearly 100% bed occupancy. The hospital was founded initially in 1921 at Lahore by Sir Ganga Ram.
- India has made a significant progress in the reduction of annual under five child deaths in the last few years. However, the absolute number of annual child deaths still remains high.
- The increase in deaths is due to health services are not being made available or are ineffective or the people are not using these services.
- In spite of government initiatives, it is estimated that around 17 lakh birth defects occur annually in the country and account for 9.6% of all the newborn deaths.
- Lack of human resources, equipments, shortage of paediatric facilities hampers the child health in India.
- By providing the adequate numbers of resources and facilities would help in gaining the health of child in coming years.
Are you planning to build or restructure or venture in Pediatric healthcare venture in India? Looking for information about the major healthcare players in Government, Private diagnostic centers that are available in India? Are you looking to find out which part of the city’s is best to venture in or what all facilities are available and what all should be planned for new setup? In this article Hospaccx Healthcare Consultancy has mapped all on major players in terms of Pediatric facilities and healthcare scenario in India.
Below is the superficial and macro level survey if you need a refined market and financial feasibility or any other study related to healthcare is required you can contact Hospaccx Healthcare business consulting Pvt. ltd on [email protected] or [email protected] Or you can visit our website on www.hhbc.in