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Secondary Research: Nagpur
Secondary Research: Nagpur
Secondary Research: Nagpur
An extensive secondary research was done in the preliminary stage to determine the existing and required data
points for the study. The main objective of this secondary research was to understand the demographics, economy,
disease profile, and other such factors that have a direct or indirect impact on healthcare-seeking behavior. The
analysis was carried out in order to triangulate and validate findings from secondary research.
The sources included previous research reports, newspapers, magazine and journal content, and statistics released by
governmental & international development bodies. A few of these are listed below:
Transport-
Nagpur is situated in central India.it has well maintained road network that prevents congestion and it is connected to
India’s four metropolitan cities i.e., Mumbai, Delhi, Kolkata and Chennai by roads rail and air. Auto rickshaws are used
for the local conveyance in most parts of the city.
Roads- Nagpur has India’s two major national highways pass through the city and that is why its is a
major road junction. It has been the junction of two Asian highways i.e., AH43 (Agra to Sri Lanka) and
AH46 (Kharagpur to Dhule). The Mumbai-Aurangabad-Nagpur highway connects the state capital
(Mumbai) to Nagpur via Aurangabad. Bus service. Nagpur is the headquarters of the Maharashtra State
Road Transport Corporation (MSRTC) for Intercity transportation and has one of the state’s three bus
workshops.
Railways- The city use Nagpur Junction Railway Station as city’s main station by almost 150,000
passengers daily. In addition to Nagpur junction there are some local stations mainly situated at Itwari,
Ajni, Kalamna, Khapri, Godhni, Bharatwada, Gumgaon, Kapmtee, Kanhan, Ramtek and Butibori which is
primarily used by residents of central, western, south-western and southern Nagpur. Nagpur Metro
project worth Rs. 4,400 crore has been announced by the state government.
Air Transport- Dr. Babasaheb Ambedkar International Airport situated at Sonargaon, is 8 kilometres
south-west of the city. It has the busiest air traffic control in India. Air India, IndiGo, Kingfishers airlines,
GoAir and Air Deccan offer service to major cities such as Mumbai, Delhi, Ahmedabad, Pune, Bangalore,
Hyderabad and Kolkata. Connections with Sharjah, Bangkok, Doha and Dubai are recently started with
the intentions to tap the strong demand for international travel in central India.
As per the Census India, In 2011, Nagpur District comprising 14 tahsils had a population of 46,53,171 and Nagpur
city had 2,405,665; of which male and female are 1,225,405 and 1,180,260 respectively. Its metro population is
24,97,870 of which 12,74,138 are males and 12,23,732 are females. It is estimated that Nagpur metro
population will be 35,34,000 by 2030.
The percentage of child population of Nagpur is 247,078. The average literacy rate is stated to be 91.92 % with
male literacy at 94.44 % and female literacy at 89.31 %. The sex ratio has been recorded to be 963 females per
1000 males and child sex ratio to be 926 girls per 1000 boys
As of 2011 Indian Census, Sonipat city had a total population of 278,149, of which 148,364 were males and
129,785 were females. The population within the age group of 0 to 6 years was 32,333. The total number of
literates in Sonipat was 210,112, which constituted 75.5% of the population with male literacy of 79.7% and
female literacy of 70.8%. The effective literacy rate of 7+ population of Sonipat was 85.5%, of which the male
literacy rate was 90.8% and the female literacy rate was 79.5%. The Scheduled Castes population was 42,013.
Sonipat had 55,599 households in 2011.
Economic Profile:
Maharashtra is divided into six divisions for administrative purposes viz. Amravati, Aurangabad, Konkan, Nagpur,
Nashik, Pune. The economy of the state is primarily agriculture, forestry, energy production, manufacturing
industry, Tourism, cottage and trade driven. Nagpur is a central hub for business and healthcare. Nagpur is the
third largest city of the state after Mumbai and Pune. Nagpur is also called Orange city for the huge orange
producing area surrounding the city. It also has the largest timber market of Asia. The city has Reserve Bank of
India’s regional office and its two branch which makes it important for the banking sector. Nagpur district is
moderately rich in minerals. Deposits of Coal, Manganese ore, Dolomite, Limestone, Iron Ore, Clay, Copper Ore,
Chromites, Tungsten Ore, Zinc Ore, Lead Ore, Granite, Quartz etc. are found in the district. It is richly gifted with
Manganese Ore and the district is well positioned in the country as far as production of Manganese ore is
concerned. Manganese Ore India, Mineral Exploration Co. Ltd., and Western Coalfields are some major CPSEs
situated in Nagpur. It has a very prominent power sector as compared to the rest of Maharashtra. Koradi
Thermal Power Station and Khaparkheda Thermal Power Station are two major thermal power stations located
near the district. The Multi-Modal International Hub Airport (MIHAN) is an ongoing project at Nagpur
International Airport. Various IT companies like TCS, HCL, Infosys, GlobalLogic, Tech Mahindra etc. are also
situated in IT parks in Nagpur.
The per capita income of Maharashtra is ₹207,727. According to the Economic survey of Maharashtra in 2015
the per capita income of Nagpur is ₹123,610. The lowest is in Gadchiroli with about Rs. 43,058 and Mumbai has
a high per capita income of about Rs. 2.58 lacs. This has led to the migration of highly qualified and well-paid
individuals to the city, which has in turn facilitated growth in healthcare services. Nagpur which is in Vidarbha
region of state is now emerging as a healthcare hub for central India and caters to a large area surrounded by
Delhi, Kolkata, Mumbai-Pune and Hyderabad.
The purpose of health care services is to improve the health status of the population and deliver the health care
services. It operates in the context of the socio economic and political framework of the state and involves
management and organizational matters. The health care delivery system in the state can be grouped into 5
types:
a) Public Health Sector, which includes Primary Health care, Hospitals/Health Centres, Health Insurance
Schemes and other agencies such as Defense Services and Railways.
b) Private Sector, which includes all private hospitals, clinics and rest healthcare center.
c) Indigenous Systems of Medicine, such as Ayurveda, Yoga, Siddha, Unani, Homeopathy and un
registered practitioners.
d) Voluntary Health Agencies are responsible in the promotion of community health and social
development was one of their important continuing initiatives undertaken towards healthy, secure and
stable communities throughout the State.
e) National Health Programme- Various national health programs such as National reproductive Health &
Child Programme, AIDS Control Programme, Leprosy Eradication Programme, Cancer Control
Programme, Mental Health Programme, Revised National Tuberculosis Control Programme, Epidemic
Control Programme etc. are running by the Maharashtra state government which are fully or partially
supported by the central government. For 55% percent of the rural population in Maharashtra, the
Sub-Centres and the Primary Health care centers are the principal source of providing health care
facilities and also of service to the needy and vulnerable groups. The state has welfare programs like
National Rural Health Mission (NRHM) and the health Insurance program for assisting those needy
group of people who cannot afford health coverage. The State does not have enough Community
Health Centres to meet the demand of the rural population. There is almost 37% shortage of CHCs in
the state as only 364 CHCs are functioning against the required 574 CHCs. One CHC in Maharashtra
covers about 1,76,629 of the rural population, which is almost the double of the National Norms of
1,20,000, indicating the inadequacy of the CHC to meet the demands of the rural population. There has
been a very less or slight increase in the number of PHCs and CHCs in the state, indicating a lack of
effort on the part of the government to take initiative in the development of primary health
institutions.
There is still reduction in public health investment and expenditure that has slowed down the further
gain in rural health in the state. However, in the last decade, there has been a drastic change in terms
of infrastructure, resources, advanced technology, expenditure, improved expertise in the healthcare
scenario in Maharashtra, mostly in the private sector. There are many Private Super Specialty Hospitals
came up in the region which offer high end diagnostic and treatment facilities. In Maharashtra, places
like Mumbai, Pune, Nagpur, has managed to attract most of the patients. Most of the district hospitals
in the state offer secondary level of care and patients needing tertiary care for the ailments cannot be
treated, except for some hospitals situated in above mentioned cities. Many health sub-centers of
Maharashtra have been upgraded as Heath and wellness centers for the better healthcare delivery.
CHCs provide Operations, Delivery X-rays etc. However, for few tests in special cases like in
orthopedics, oncology, ECG tests the patients have to go to outside centers for accurate diagnosis.
This medical reach ha been extended to many other states, which are not medically well-equipped,
provided the city gets the state-of-the-art infrastructure in all branches, specialities and super
specialities of medicine and the expert doctors in these fields.
f) Health Indicators- The Total Fertility Rate of the State is 1.9. The Infant Mortality Rate is 24 and
Maternal Mortality Ratio is 61 (NITI Aayog 2016) which are less than the National average. The Sex
Ratio in the State is 929 (as compared to 940 for the country). Comparative figures of major health and
demographic indicators are as follows:
Maharashtra is focused in progressing the healthcare wheel and the availability of trained workforce is a
prerequisite to the growth of the sector.
According to the Central Bureau for Health Intelligence (CBHI) Maharashtra have the worst doctor to patient
ratio as 1 doctor serving 27,790 patients against a national figure 1:1000. It has got a population of about 50
million in an area of about 2.6 Lakh square kms covered by about 800 government hospitals, with an overall 50%
deficiency in total health sector though it has started producing surplus amount of MBBS doctors. Shortage of
government doctors means people will continue to incur heavy medical expenditure in private health care
system. Availability of adequate trained manpower in the forthcoming years will change the landscape of the
healthcare sector thereby acting as the biggest growth driver in the region.
Growth Drivers:
Increasing Expenditure on Healthcare- Healthcare expenditure in India is expected to increase by 15 per cent
per annum. Budget has been allocated by the government for year 2021 (Rs. 65,0001 crore) and the public
heath expenditure is expected to be increased by 2.5 percent of the GDP by 2025. Increased purchasing power
among the middle- to upper-tier economic groups. Along with the increasing wealth of Indians is the emergence
of a more Westernized attitude which brings along also increased health awareness
Demand-supply gap- There is a growing demand for better public health infrastructure, manpower availability,
etc. due to the country’s high population and increasing disease profile. The rapidly increasing non-
communicable disease burden on Indian population, without forgetting the rural masses who still struggle with a
vast number of communicable diseases. There is an urgent need of better healthcare delivery system.
Preference for private treatment- in India, private healthcare accounts for nearly 80 per cent of the country’s
total healthcare expenditure, although it is more expensive as compared to public healthcare services. The
preference for private healthcare can be attributed to better perceived quality and accessibility as much of the
innovation in healthcare delivery is happening in the private sector. Key healthcare players are shifting from Tier
II and III cities.
Policy Support-
Quality Accreditation- In India, the Quality Council of India (QCI) operates the national accreditation structure
and obtains international recognition for its accreditation schemes. Accreditation is the single most important
approach for improving the quality of hospitals as it improves clinical outcomes and customer satisfaction.
Rise in Medical Tourism- Indian medical tourism market is growing at the rate of 22-25 per cent and is expected
to reach US$ 6.0 billion by 2018 from US$ 3.0 billion in 2017. Superior quality healthcare, with low treatment
costs in comparison to other countries, is benefiting Indian medical tourism which has, in turn, enhanced the
prospects of the Indian healthcare market.
Mumbai’s healthcare is an illustration of the urban India’s healthcare challenges. It is one of India’s fastest
growing and most densely populated cities. It has hospitals and dispensaries running by Municipal Corporation
of Greater Mumbai (MCGM), state government and private trusts. MCGM, the largest Municipal Corporation in
India, is the major providers of public health care services in Mumbai with a wide network of primary,
secondary, tertiary level hospitals and healthcare institutions. There are abundant facilities like gynecology,
cosmetic surgeries, Orthopaedic etc. but oncology centers and cancer treatment are the main pull. People from
several states travel to Mumbai for cancer treatment. Hospitals of Mumbai provides excellent medical services
at comparatively cheaper rates with international standards of treatment, Branding & marketing of hospitals, &
presence of foreign players in the city that might be the reason for its exceptional medical tourism.
Economy of India is witnessing a remarkable growth at a pace which many believe is sustainable and expected to
escalate further. Healthcare is one of the sectors which are one of the largest, both in terms of employment and
revenue. The economic growth has brought about a „health transition‟ in terms of changing disease patterns,
shifting demographics and socio economic changes. Healthcare Industry in India currently stands at around $40
billion which is expected to reach $75 billion in 2012 and is expected to become a US$ 280 billion industry by
2020. There is a significant scope for enhancing healthcare services considering that healthcare spending as a
percentage of Gross Domestic Product (GDP) is rising. Rural India, which accounts for over 70 per cent of the
population, is set to emerge as a potential demand source. To address the issues of accessibility, affordability
and improvement in health infrastructure, it is imperative to come out with strategies and innovations to
enhance the access of care.
The private sector has emerged as a vibrant force in India’s healthcare industry, lending it both national and
international repute. Large investments by private sector players are likely to contribute significantly to the
development of India’s hospital industry, which comprises around 80 per cent of the total market In India.
Private healthcare accounts for almost 72 per cent of the country’s total healthcare expenditure. Private sector’s
share in hospitals and hospital beds is estimated at 74 per cent and 40 percent respectively. The main factor
contributing to rising medical tourism in India is presence of a well-educated, English-speaking medical staff in
state-of-the art private hospitals and diagnostic facilities.
The healthcare delivery market in Maharashtra currently stands at INR 15,919 crores. Nagpur could be termed
as a medical hub for central India. Among the Government hospitals, Nagpur has Government Medical College
and Hospital, Daga Hospital & Indira Gandhi Medical College & Hospital, while, Wockhardt Heart Hospital,
Orange City Hospital, Lata Mangeshkar Hospital are the leading hospitals on the private side. The city has 750
nursing homes; also, 39 dispensaries, 10 RCH, 12 Health Post Centres and 6 mobile dispensaries run by the
Nagpur Municipal Corporation (NMC). It also has 15 colleges both in public and private domain for providing
education in the field of medical sciences. Among these, Government Medical College has capacity of 200
students. Other than that, Indira Gandhi Medical College has a sanctioned intake capacity of 100 students.
Cancer Relief Society‘s RST Regional Cancer Hospital is another private medical college in the city.
Nagpur Maharashtra
District Hospital 0 23
Sub Divisional Hospital 2 91
Community Health Centre 10 401
HWC-SCs 0 939
HWC-PHCs 0 479
Primary Health Centre 77 1887
Sub-Centre 316 9729
In Maharashtra, health insurance includes any program that helps pay for medical expenses, whether through
privately purchased insurance, social insurance or a social welfare program funded by the government. This
includes private insurance and social insurance programs such as National Health Mission, which pools resources
associated with major medical expenses across the state, as well as social welfare programs such as National
Rural Health Mission (NRHM) and the Health Insurance Program like Ayushman Bharat and MJPJAY scheme,
which provide assistance to people who cannot afford health coverage. According to the NFHS-4 data there is
only 19.5% health insurance coverage among the household in the city.
1. Pradhan Mantri Jan Aarogya Yojana (Ayushman Bharat Scheme)- The PMJAY has empanelled
90 government and 404 private hospitals in Maharashtra. The scheme is running parallel to the
state’s existing health insurance scheme ‘Mahatma Jyotiba Phule Jan Arogya Yojana (MJPJAY)’ in
a hybrid model, similar to the Gujarat and Rajasthan. As of January 2020, about 62,73,326
beneficiaries had generated e-cards and 2,90,944 poor patients were provided hospital
treatment under the insurance scheme.
2. Mahatma Jyotiba Phule Jan Arogya Yojana (MJPJAY)- There is a state specific health insurance
scheme applicable in the State of Maharashtra called MPJAY. As per the census 2011, about 55%
population in Maharashtra resides in rural areas,. There were merely 12% of the total
empanelled hospitals belonged to the 12 least urbanized districts of Maharashtra including
Beed, Bhandara, Gadchiroli, Gondia, Hingoli, Jalna, Nandurbar, Osmanabad, Ratnagiri, Satara,
Sindhudurg and Washim. On the other hand, about 44% of the total empanelled hospitals were
concentrated in six urban centers, including Mumbai, Thane, Pune, Nagpur, Nashik, and
Aurangabad. Apart from that, MPJAY scheme in Maharashtra has some serious limitations with
continued OOP expenditure, inter district travelling to avail health care and poor accountability
and overall lack of adequate monitoring mechanisms.
Distribution of empaneled hospitals under MJPJAY scheme across regions & type of hospitals-
Competitive Landscape
Specialties
General √ √ √ √ √ √ √ √ √
Medicine
OBG √ √ √ √ √ √
Pediatrics √ √ √ √
General √ √ √ √ √ √ √ √ √
Surgery
Dental √ √ √
Ophthalmol √ √ √
ogy
ENT √ √ √ √ √ √
Psychiatry √ √
Dermatology √ √ √
Orthopedics √ √ √ √ √ √ √ √ √
Urology √ √ √ √ √ √ √
Nephrology √ √ √ √ √ √ √
Geriatric √
Cardiology √ √ √ √ √
Cardiac √ √ √ √ √
Surgery
CTVS √ √ √ √
Neurology √ √ √ √ √ √
Neuro √ √ √ √ √ √ √
Surgery
Oncology √ √ √ √ √ √ √
Vascular √ √ √ √ √ √
Surgery
Endocrinolo √ √
gy
Gastroenter √ √ √ √ √ √ √
ology
GI Surgery √ √ √ √ √ √
Rehabilitatio √ √ √
n
Diagnostic Services
X-Ray √ √ √ √ √ √ √ √ √
USG √ √ √ √ √ √ √ √ √
CT Scan √ √ √ √ √ √ √ √
MRI √ √ √
ECG/EMG √ √ √
Mammograp √ √ √ √
hy
Robotic
surgery
PET-CT √
Cath lab √ √ √ √
Laboratory Services
Hematology √ √ √ √ √ √ √
Serology √ √
Histopatholo √ √ √ √ √
gy
Microbiolog √ √ √ √ √ √
y
Biochemistry √ √ √ √ √ √ √
Rapid PCR √
2. Eye Hospitals-
Services Madhav Jasleen Eye Mahatma Eye Evista Eye Care Centre
Netralaya Hospital Bank & Hospital
Corneal Treatment √ √ √ √
Refractive surgery & √ √ √
Lasik
Cataract surgery √ √ √ √
Glaucoma √ √ √
Oculoplastic √ √ √ √
Retina & Laser √ √ √
surgery
Paediatric √ √ √ √
ophthalmology
Ocular Immunology √
& Uveitis
Low Vision √ √ √ √
Treatment
Dry Eye Treatment √
C3R √
Phacoemulsification √ √
3. Dental Hospitals-
Market Rates-
SL. NO ROOM CATEGORY RATE/ DAY
1 Suite 3000-4000
6 ICU 4000-6000
2 OPD 100-900
3 IPD 250-800
1 MRI 6000-10000
4 ECG 150-300
5 EEG 2000-3500
6 USG 1000-3000
7 Mammography 2000-3500
8 BMD 2000-4000
1 Dialysis 500-3000
3 C- section 30000-60000