Jayesh Saini

  In Africa, most of the health facilities are concentrated in the urban and surrounding areas and generally leave out the rural areas. Unfortunately, too these areas are also left out when emergency rescue services set ups are considered. These two scenarios have had negative impact with increased mortality rates especially when there has been an emergency, whether of a sudden disease or a hazard such as a fire or other catastrophe. In some cases, child mortality and mother-child mortalities could have been avoided. Discussing the impact of distance of health facilities to actualization of UHC, Jayesh Saini said a country cannot purport to have attained UHC if people are travelling more than 5 kilometres to receive the required medical attention, especially primary healthcare. He indicated that such facilities are also owned mostly by private investors and may not even be covered or recognised for the national social insurance. This means that any person seeking services in such f...

The world is more and more becoming digitalized and manual records of most things are becoming obsolete, and healthcare has not been left behind in this change. With the drive and focus towards attaining UHC comes an increased amount of data to be gathered, to ensure that entire populations data in a country are captured in the systems for easy management of the UHC, mainly being spearheaded by governments. Biodata is the least of the problems, compared to data required for billing and claims processing. The higher the population, the greater the risk of fraudulent practices and errors that would expose service providers to liability investigations, with instances of being barred from providing services while investigations are going on. To avoid such scenarios, Jayesh Saini, a notable name in the healthcare industry, suggests that there be a sure way of collection of data once a patient enters the health facility. The information should me stored in the patient’s medical records (vi...

The Democratic Republic of Congo has gone through seasons of war and pandemics of great magnitude. Despite this, one can see a resilient country that seeks to rebuild itself and move to greater heights, not just by establishing a stable country but also in development. DRC is in the process of revamping healthcare services delivery to ensure it meets the needs of her citizenry. The Ministry of Health, which is responsible for the health system and creates national strategies, defines policies and priorities and sets standards and guidelines for medical service delivery is working tirelessly to make affordable healthcare a reality in DRC. Even though the public sector is the main player in offering health facilities in DRC, the private sector, mainly through Faith Based Organisations (FBOs) and Non-Governmental Organisations (NGOs) play a significant role, accounting for about 35% of medical facilities compared to the 54% of the public sector facilities. Private facilities are common ...

  The phrase “ a healthy nation is a wealthy one ” remains a cliché for most countries that are still suffering or displaying poor health results especially amongst the developing countries. This is because disease is not the only thing they have to contend with. There is the issue of housing, access to clean water, battling with high levels of unemployment and insecurity amongst many others which are competing for the limited financial resources available.  And all these issues have a direct or indirect impact on the health of a person and of a population. The question begs, when timelines are set as to when a nation should attain Universal Health Coverage, are all the connected issues taken into consideration? for example, how can one be healthy while they are living in the streets, or in poorly ventilated houses in over congested regions with no proper drainage or under poor sanitary conditions or when there is no access to clean water and evidence of poor food handling and...

 With a population of over 200 million people, Nigeria is the most populated country in Africa and the seventh in the world. With this kind of population, Nigeria would be considered a land of opportunities, including for consumption of services and products and availability of human capital. Many investors would thus give it a top consideration. That is coupled with the reputation that Nigerians are known for wanting finer things in life and living in the fast lane, especially out of their own country. According to Jayesh Saini, there is no doubt there is great potential in the country, especially in the healthcare industry where he has vested interests in healthcare service delivery. The industry, he points out is not as developed as would be expected of such a vast land and human capital. It is unbelievable with all resources the country is endowed with, their still have not managed to meet the 15% of the national budget for healthcare and the total health facilities for the abo...

 More than before, due to the COVID-19 pandemic, people have realized that the world is a global village where all countries are connected in one way or another and what happens in one region has direct or indirect effect on the other whether positively or negatively. A virus, originating from one city, in one country, in one continent spread like a wild fire, within a short time, to the rest of the world, affecting people even in very remote regions that sometimes do not even know what is happening in the urban places. The pandemic did not care whether one is a developed, developing or underdeveloped country or region. In fact, it hit more severely the more developed regions more than the developing ones. Resources were redirected to tackle the pandemic head on, and the economy was adversely affected. Businesses were closed, people lost jobs, adverse economic hardships were experienced and continue to be experienced as medical bills skyrocket and families are forced to sell their ...

 Availing affordable quality healthcare when required, to all the citizens is every government’s desire. Unfortunately, resources can be a limiting factor due to competing needs of the country. Governments continue to seek ways of making UHC a reality, especially in finding the most credible financing mechanisms. According to Jayesh Saini using available data on search factors as disease patterns, population and health facilities distribution is one of the strategies that governments can use in designing mechanism for funding and distribution of services to all. Unnecessary allocation of resources would be curbed as they would be distributed based on the need of a region.” Factors that affect a people group for example can be weighted and a DRG package with its fixed payment rates created which would be accessed for all including the indigent. Though the collection of data and computation may be complex on the onset, once this is achieved the system would be almost flawless and eas...

  Since inauguration of the new constitution, the Kenyan Healthcare is devolved with respective counties undertaking the healthcare delivery for their residents. However, they all have to depend on supplies from the centralized KEMSA. KEMSA, is the government agency that procures and distributes the required pharmaceutical products across all the 47 county government facilities. The processes that has been used has opened loopholes for pilferage and theft of the pharmaceutical products. This is because the system sends same products across the counties and only variable has been the quantities, irrespective of need in that county. Without proper monitoring systems of product usage, some products have ended up expiring in the counters, others have found themselves in private health facilities and chemists, with full labels of the GOK. This means the government ends up loosing not only supplies but the income it should have received from sale of these products. A private practitioner...

 With over two decades of conflict, DRC went through much damage to its infrastructure despite the great wealth and resources. Now, as calm and peace is taking effect, the government and the people of DRC are determined to build their country to a stable, economically endowed and prosperous nation. It is evident that healthy population is a key pillar in achieving that kind of a nation. DRC has an estimated population of 85 million people as at July 2018 with 63% of the population being under the age of 24 and another 31% being between 25 – 54 years. This clearly shows that DRC is made up of a generally young population of productive ages. This is the population that must remain healthy to build the country to a latter glory. Remaining healthy is paramount for the rebuilding of the nation. Being an investor, Jayesh Saini says there is great potential in healthcare industry –in development of infrastructure for pharmaceutical manufacturing, healthcare service delivery and also in ...

  Provision of drugs is a very key component in any healthcare delivery. Once a patient is diagnosed with a condition, the almost sure bet is that they shall get a prescription for drugs. For clarity, the prescription drug here means medication that is prescribed by a medical practitioner and not necessary only those that are referred to as “prescription only” medications. Prescribed drugs in most circumstances from the bulk of the bill that have to be paid. Whereas consultation fee in most facilities is a known amount from the onset, other parameters are dependent on what the doctor requests to be carried out – whether any diagnostics are required and what medications will be needed. Even for individuals suffering from same condition, drugs can be as different as the route of treatment is also different and yet it remains very highly priced. With high prices of medications, attaining UHC can be a very expensive affair or completely unattainable. It begs the question why prescripti...