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Public-Private Partnership for Dialysis in Districts of Assam

Assam will take the public-private partnership (PPP) route to set up dialysis facilities in district hospitals in the state. “Based on consultation with experts and discussion with some of the states implementing the dialysis program on the PPP mode, the Assam government has decided to adopt the PPP model as it was found to be the ideal and most cost-effective approach,” an official source said. At present, dialysis facilities in the government sector are available only at Gauhati Medical College and Hospital, Silchar Medical College and Hospital and Assam Medical College and Hospital, Dibrugarh. He said the government has also decided to set up dialysis units in the remaining three medical college and hospitals at Barpeta, Tezpur and Jorhat through PPP mode.

According to the source, the dialysis program will be implemented under the National Health Mission (NHM). “The service provider will be selected through national competitive bidding,” he said. He said the rationale behind extending dialysis facilities to the district hospitals is the fact that every year about 2.2 lakh new patients of end stage renal disease (ESRD) get added in the country resulting in additional demand for 3.4 crore dialysis every year. “With approximately 4950 dialysis centers, largely in the private sector in India, the demand is less than half met with existing infrastructure.”

He said since every dialysis has an additional expenditure tag of about ₹2000, it results in a monthly expenditure for patients to the tune of ₹3 to ₹4 lakh annually, which causes financial hardships for most of the families with such patients. “It was felt that a government-sponsored dialysis program can provide a big relief to such patients and their families,” the source said. According to the proposal, the service provider/private partner will provide medical human resource, RO water plant infrastructure, dialyzer and consumables while NHM/government of Assam will provide space (200 square feet per machine) in district hospitals, dialysis machine, drugs, power and water supply. Some of the states which are providing dialysis facilities in PPP mode are Telangana, Delhi, Haryana and Madhya Pradesh. – Telegraph India