{"id":3881,"date":"2014-08-01T09:50:44","date_gmt":"2014-08-01T09:50:44","guid":{"rendered":"https:\/\/www.welingkar.org\/blogs\/?p=3881"},"modified":"2026-02-16T17:41:13","modified_gmt":"2026-02-16T17:41:13","slug":"3881-2","status":"publish","type":"post","link":"https:\/\/www.welingkar.org\/blogs\/3881-2\/","title":{"rendered":"Can design thinking help formulate a sustainable model which enables affordable access to quality healthcare for the masses?"},"content":{"rendered":"

\"\"<\/a><\/p>\n

Dr Nomal Chandra Borah ,the Renaissance health person in the North East,shares his story at WeSchool <\/strong><\/em><\/p>\n

\"\"<\/a>“I was very unhappy and restless…” was how he started his adress to a packed audience of young students,faculty and guests assembled in the Brainstorm room at WeSchool . Dr Nomal Chandra Borah ,son of the mighty Brahmaputra was indeed an unhappy man looking at the conditions prevailing in the Indian healthcare industry nearly 45 years ago .While the\u00a0 healthcare services offered to the vast population by\u00a0 the government and charitable hospitals were inadequate and pathetic in quality\u00a0 the private service providers\u00a0 offered better healthcare but\u00a0 it was affordable to\u00a0 only 20 % of the population .The intense competition between the Doctors and medical organizations was bringing a paradigm shift in the patient -doctor relationship,so while the treatments offered were getting better,the\u00a0 trust on the medical profession was deteriorating .And looking at this scenario Dr Borah was indeed an unhappy man\u00a0\u00a0 !!<\/p>\n

How to take the much needed affordable\u00a0 healthcare to the multitudes of needy,poor patients in far -flung places ,that would not only take care of their\u00a0 bodily ailments but also of their minds and\u00a0 spirit ? was the million dollar question…<\/p>\n

As he grappled with the problem ,his determination to find a solution kept becoming stronger. ” Hence despite getting job offers from within and outside the country, I decided to set up my own healthcare facility. During that time, Assam was passing through a phase of tremendous social unrest, but I took it as a challenge and decided to struggle to work towards my dream,” he stated.<\/p>\n

What started as\u00a0 a small clinic in Guwahati initially contributed\u00a0 the promoter’s contribution which was substantiated by an investment subsidy from Government of India and a SEED capital assistance from IDBI. A term loan of Rs 88 lakh was sanctioned by AIDC. After various expansions, today the hospital stands tall with 165 beds and has 1,000 employees\u00a0 working for more than half a million customers. “We have been able to maintain our\u00a0 position in healthcare in the North East for more than two decades” he added with a sense of pride.<\/p>\n

But the journey wasn’t\u00a0 an an easy one !!<\/p>\n

“We realized the 75% medial problems can be solved at the patient’s doorstep,only a few needed to actually go to the diagnostic \"\"<\/a>center.When I studied the population of Assam,I tried to understand what kind of treatments would they need,the kind of doctors and hospitals were required to cater to their needs.With the stakeholders’\u00a0 feedback we went to the engineers,architects for designing the hospital,used locally available technology and materials and engaged local labor.There was one factor we\u00a0 never compromised on, and that was\u00a0 safety while building the first Eco-friendly hospital in the country.The response of the community was so spontaneous and sense of ownership so strong\u00a0 that we were able to complete the hospital nine months in advance.And that ,in turn resulted in saving\u00a0 the costs !! ” said the Doctor with a twinkle in his eye.He also asked local contractors to tailor-make hospital beds instead of ordering them from pricier multinational manufacturers. The result: beds have no frills but meet the needs of the patients.<\/p>\n

To limit expenses, bamboo cladding was used extensively in the building\u2019s exterior.\u00a0That acts as a natural insulator and allows the hospital to do away with air conditioning in common areas such as lobbies and reception.\u00a0This resulted in saving electricity\u00a0and reducing maintenance\u00a0cost.\u00a0The hospital is built under\u00a0green building norms<\/a> and is expected to receive a so-called gold certification later this year as an environmentally-friendly building.<\/p>\n

\"\"<\/a>Dr. Nomal Chandra Borah who currently serves as the Chairman and Managing Director at GNRC Community Hospitals Limited and GNRC Hospitals Ltd, began dispatching \u201cHospitals on Wheels,\u201d buses\u00a0re-purposed as mobile hospitals\u00a0equipped with X-ray machines, sonogram equipment, and a patient exam room in 2013. These buses, along with a group of doctors, visit several remote parts of Assam to screen and\u00a0treat\u00a0patients free of charge. In addition to the\u00a0 hospitals on wheels,he also uses hospitals in boats that navigate the banks of\u00a0 Brahmaputra,offering solace to villagers living along the length of the mighty river.<\/p>\n

” Even for\u00a0 the patients that come to the hospital ,the services offered in the first 24 hours are completely free.Here,the patients who can \"\"<\/a>afford to pay and those who can’t, get the same quality of treatment and it is free for the first 24 hrs .As we dont want the patients to be fleeced by the\u00a0 taxi and auto rickshaw drivers,we have started bus services from a few strategic spots that ferry them to and fro, free of cost.The tribal or villager\u00a0 hailing from some little pocket in remote Assam can not afford to loose his daily earnings needed for survival,so we\u00a0 have set up a schedule\u00a0 to complete\u00a0 his tests ,deliver the results by evening so that he is able to consult the respective specialist if needed\u00a0 and\u00a0 goes home with the prescribed medicines” he said. As the soft spoken ,gentle Dr Borah ,went of unfolding the story of his quiet medical revolution in Assam ,there was no uneasy shuffle of feet or chairs in the Brainstorm Room as the faculty and students listened to his every word\u00a0 in rapt attention.<\/div>\n
\"\"<\/a>The hospital charges Rs2,500\u00a0 for an MRI. In most private hospitals, that can go up to double or treble the figure . A blood sugar\u00a0test\u00a0will cost Rs21\u00a0 while a CT scan , Rs900 . Around 150-200 patients visit the hospital daily.On being questioned about the profitability of his his venture considering the free treatments and\u00a0 extremely reasonable fees being charged\u00a0 for various operations ,he had a ready answer.”Having a business model is important .But Healthcare is about quality and to me, healthcare\u00a0 is defined by Quality ,Cost and overall experience.If one takes\u00a0 care of these factors,the healthcare venture will be successful “.<\/div>\n
\n
The GNRC is a 165-bed multi-speciality ISO-9002 certified hospital at Guwahati, promoted by the renowned neurosurgeon is one of the two well known private health care facilities of the region. It houses state-of-the-art equipment, intensive care units and seven operation theaters, apart from providing 24-hours emergency services. The health unit also features histopathology, immunology, biochemistry, microbiology, and non-invasive cardiac labs. The GNRC has opened 30 retails shops all over Guwahati city. <\/p>\n
The World Bank has\u00a0 awarded GNRC\u00a0a grant worth $150,000<\/a> earlier this month to help scale up operations.\u00a0He plans to set up 10 similarly low-cost hospitals in the next five years across northeast India.\u00a0And just like the bus-cum-hospital, GNRC plans a helicopter service to transport doctors to the even more rural parts of the northeast.\u201cThe helicopter service,\u00a0 to be inaugurated on the 15th August,\u00a0 will\u00a0 ferry doctors from GNRC to difficult-to-access locations across the region and provide medical support at the doorstep for people of\u00a0 the north-eastern states”He added.<\/div>\n<\/div>\n<\/div>\n

“Never spend more before you earn more in business, never be afraid of change, the person is not bigger than the organisation, you patient is the most important person ,value that relationship because that is what defines you\u00a0 and never compromise on quality,” was his message to to young MBAs while concluding\u00a0 his speech .<\/p>\n

Needless to mention that he got a standing ovation !!<\/p>\n

 <\/p>\n

\"\"<\/a><\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

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