All health equipment's that are ICT based and used by consumers to
comply with IS17802. The formats for health information and e-health
services to mandatorily comply with IS17802.
The final text to be in line with final ICT standards as adopted.
Regards,
Amar Jain
On 03/03/2025 12:55, Vaishnavi Jayakumar wrote:
---------- Forwarded message ---------
From: Smitha Sadasivan <[email protected]>
Date: Mon, 3 Mar, 2025, 00:44
Subject: Re: Rules for Health Sector
To: Vaishnavi Jayakumar <[email protected]>
Cc: Percy Cardozo <[email protected]>, radhika.alkazi59
<[email protected]>
Dear Percy and Vaishnavi,
Pfa the document updated as requested by both of you. Sorry for the
delay as too many things to deal with at my personal and health end.
In case of any further changes, pl feel free to do it at your end, as I
won't be available for the next couple of weeks.
Thanks and regards
Smitha
On Mon, 17 Feb, 2025, 12:40 Vaishnavi Jayakumar,
<[email protected]> wrote:
Smitha please note input received in conversation below :
[17/02, 12:04] P.N.Andhare: Hospitals in India are notoriously
Inaccessible, not because of absence of ramps and handrails and special
toilets, but because all
Examination chairs from which patients are examined that are higher
than the height of wheelchairs.
Not only this all normal tests like Xray, Sonography, ECG, MRI have
high height tables that are inaccessible to wheelchair bound patients.
In aspirational or desirable category of accessibility measuees, these
tables and examination chairs could be of adjustable heights, so that
wheelchair bound disableds can be shifted to them easily, but this will
take a decade to materialise in all hospitals in India.The easy
solution is to make
Provisions of adjustable height wheelchairs mandatory in each hospital,
so that inaccessibility of hospital infrastructure can be addressed
immediately.
Such height adjustable chairs are available in market. Hence its a
question of realisation of their need and prompt buying.
Also these adjustable heights chair should have retractable arms so
that lattaral transfers to examination chairs and tables become easier.
The wheelchairs are of normal of 18 to 20 inches height and the normal
height of tables are 30 inches.
So mandatory provision of adjustable height wheelchair should have the
capability of adjysting height from 20 inches to 30 inches i. e. 10
inches above normal wheelchair height.
Also the arms of wheelchair must be retractable.
This simple provision can make Indian hospitals accessible in a major
way and as this requires only purchases, it should take little time for
implementation.
Hence I recommend
Height adjustable wheelchair with Retractable arms as a mandatory
provision in every hospital, new or old.
My whole life of 80 years I have to face innumerable difficilties in
hospitals due to absence of such a wheelchair.
This week I have to take a ECG. Again I have to cope up with a ECG
table of 30 inch height and my wheelchair of 20 inch height.
I don't want my current and next generation wheelchair bound
disabledsvti suffer from this inaccessibility ever.
Hence this request to you to press for this measure yourself or pass it
on to group working on hospital accessibility.
Banking upon your sensitivity towards differently ableds. Regards.
[17/02, 12:05] P.N.Andhare: Attention Dr. Satendra Singh and medicine
for all cures Vaishnavi
[17/02, 12:35] Vaishnavi Jayakumar: Already included as below. In fact
it's listed for Chennai Corporation advocacy itself as buying things is
comparatively easier for Govt - we even have a scoop stretcher at the
beach access path!
1) Height adjustable
A) stretcher for CT scan etc
B) Exam table
2) Dental chair - default swivel arms + wheelchair model
Will pass this on to Smitha who is inputting on health.
[17/02, 12:36] Vaishnavi Jayakumar: Will add the height adjustable
wheelchair and bed as well
[17/02, 12:37] P.N.Andhare: Thank you very much
[17/02, 12:39] Vaishnavi Jayakumar: Weighing machine solution for
wheelchair as well. Remember when my Dad was in hospital, there was
even a bed based weighing machine. Coming to think of it, a very easy
fix.
On Mon, 17 Feb, 2025, 11:44 Percy Cardozo, <[email protected]>
wrote:
Dear Smitha,
Thank you for these points. May I request you to put it in a word
document? I have attached an example of Rules that developed for
training and awareness. It would be most helpful if we can get a
similar document for health as well.
Best wishes
Percy
On Sun, Feb 16, 2025 at 10:59 PM Smitha Sadasivan
<[email protected]> wrote:
Dear Percy and Radhika ji,
Pfa the points for health services:
1. Review and revise the accessibility health care standards notified
by MOHFW, in consultation with Persons with disabilities.
2. Review all the existing health and rehabilitation policies and
programs from the lens of accessibility and inclusion for all 21+
categories of persons with disabilities and other vulnerable groups
such as LGBTQIA+, Rare diseases, elderly people etc
3. Ensure all Primary Health Care centres, tertiary hospitals and other
health care facilities to ensure accessibility standards and accessible
services for all. Universal design and accessibility should be the key
Clause in all goods and services procurement agreement. Rent/Lease
agreement for Hospitals/Institutions must include class for
accessibility. Ensure building is accessible before signing agreement
for rent.
4. Ensure all the technical infrastructure (all equipments including
xray, mammogram, etc), products/ goods (such as medicines, tablets,
etc), health information and communication technology in all health
care facilities follow accessibility standards and be accessible for
all. This includes all the electronic health records to be fully
accessible to all persons with (print) disabilities, all labels of
Medicines to have a QR Code furnishing all details of the required
medicine, all range of diagnostic equipments to be accessible, all the
processes required for availing any health care facility to include an
accessible or alternate format version, etc. Help desk for assisting
health care seekers belonging to vulnerable communities including
priority queue to be worked out. Helicopter service/ emergency
corridors for fully equipped accessible ambulance service to be enabled
at both intra state and interstate health facilities.
5. Ethics committee under health research with regard to all vulnerable
groups including people with disabilities, rare diseases, critical
illnesses/ chronic conditions, elderly persons, LGBTQIA+ citizens,
sexual violence survivors, suicide attempt survivors, homeless and
migrant/ displaced citizens should be set up / revived with clear
guidelines in consultation and represention with people with lived
experiences, towards ensuring accessible and inclusive health services,
supporting in informed consent/ health decisions and advance directives
as well.
6. MoHFW and every State Health Department in India must gather
disaggregated data on people of disabilities, rare diseases, chronic
ailments, LGBTQIA+, elderly and other vulnerable groups in all
surveys/evaluations/ research studies in addition to the statistics of
persons with disabilities who accessed policies, programs and services
under the health depts.
7. AYUSH and other alternate therapies / health treatments should be
made fully accessible and include specific services to all vulnerable
population groups such as persons with disabilities, Rare diseases,
chronic / critical ailments, elderly, etc.
8. National Quality Assurance Standards (NQAS) must include 'Assessment
of Disabled Friendly facilities and services in all government health
care facilities.
9. Swacch Bharat Sarveshan, Kayakalp and NABH accreditation initiatives
must include disability access as a component for evaluation and
accreditation of (government and private) hospitals and health care
centres. WASH programs to be inclusive for vulnerable groups and follow
accessibility standards.
10. Expense on accessible transport and higher cost of medical services
deter people with disabilities and other vulnerable groups from
accessing health services. Ensure people with disabilities, rare
diseases and other vulnerable groups are provided health and
rehabilitation services including dissemination / maintenance of
assistive aids at their doorstep.
11. Include all vulnerable groups in PMJAY - Ayushman Bharat Scheme
irrespective of their socio- economic level.
12. Ensure all health insurance policies and products are fully
accessible for all persons with disabilities. Towards this, full
medical insurance must be extended to all people with disabilities,
elderly, people with rare diseases, chronic health conditions and other
vulnerable groups without any condition or restriction. Insurance cover
must include diagnostic measures, curative treatments, rehabilitation /
maintenance therapies, assistive aids / technology, palliative care
and OPD consultations. Subsidised insurance premiums may be introduced
with a cover of 1 crore towards treatment of health conditions that
need expensive repeated therapies. Insurance cover should be available
for every child from birth to enable screening and treatment of
congenital and other health defects / impairments.
13. Health information/ awareness material should be accessible to all
people with disabilities. This should include all Tele health and e
health services as well. Usage of health technology such as Remote
sensing for health and wellbeing should be extensively promoted in
accessible formats. ABHA.. DIGITAL HEALTH MISSION SHOULD be made
ACCESSiBLE TO persons with disabilities, ELDERLY AND CHRONICALLY AILING
AND PEOPLE WITH RARE DISEASES. Large scale awareness programs on
various health schemes and programs of the government should be
organised across India, in accessible formats.
14. A trained cardre of community health and rehabilitation workers may
be evolved at village and block level to support the accessible health,
rehabilitational, palliative care and social support needs of people
belonging to all vulnerable communities.
15. Periodic training and orientation programs on inclusive and
accessible health care services for persons with disabilities, Rare
diseases, elderly, LGBTQIA+ and other vulnerable communities should be
carried out among health professionals and health workers.
16. Demystification of disabilities and stigma (against leprosy,
psychosocial disabilities etc) at the level of health care workers to
be carried out systematically at the ground level.
17. For facilitating the above points setup an accessibility and
inclusion cell as well as inclusion focal points from the under
represented communities at national, state, district and block levels
within the Ministry of Health and Family Welfare and State Health
Ministries / departments.
Pl feel free to edit as you think will suit best.
Thanks and regards
Smitha
On Mon, 10 Feb, 2025, 11:22 Smitha Sadasivan, <[email protected]>
wrote:
Sorry didn't mean services but sensitisation domains.
Regards
Smitha
On Sun, 9 Feb, 2025, 21:05 Smitha Sadasivan, <[email protected]>
wrote:
Dear Percy
Thanks for your email. Yes thats right. I saw the document drafted by
both you and Radhika Ji which excellently points out the accessibility
requirements for any service and am still figuring how to include
specific health aspects into it, as I remember Amita ji saying in one
of the meetings, only focus on accessibility and not to get other
domains like data, services into it. So thinking about it. Will be able
to comeback on Thursday 13th feb with some points from my side. -
basically about the health care accessibility guidelines.
Sorry about the silence, as I also got tied up with continuous work and
parents health.
Best regards
Smitha
On Sun, 9 Feb, 2025, 14:33 Percy Cardozo, <[email protected]>
wrote:
Dear Smitha,
Hope this email finds you well. I am reaching out to you to check about
the annexure for health services. I believe you had offered to work on
this. Not sure if I have got it right.
Do let me know. --
Best wishes
Percy
--
Best wishes
Percy
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