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INTERNATIONAL ROUNDTABLE: Work-site Health Promotion in INDIA Dr. Vishal Marwah www.vishwas.org.in Founder and Physician Leader VISHWAS Hello … my friends from across the globe! I am Dr. Vishal Marwah. I am sorry I could not make it to the conference, but I send my best wishes! Dr. Vishal Marwah Founder and Physician Leader VISHWAS Key discussion points • • • • • • INDIA – demographics and cultural diversity Burden of disease Drivers of WSHP Programs and successes Future trends and challenges Strategic vision for WSHP in India INDIA - Demographics • • • • • 1.2 Billion people (as of 2012) Life expectancy – 67 years Population growth rate – 1.3% Urban/Rural – 30/70 % Health expenditure – 2.3 % GDP • Total GDP –$ 1.9 trillion One country or many?! CULTURAL DIVERSITY Diversity in food and lifestyles Cultural hallmarks • • • • • High Power distance (especially in workplace) The society is collectivist (vs individualist) More affective than reasoning English is widely used across the organized sector Religion and tradition have strong influence on work-place culture • Multi-ethnic, multi-cultural setting requires customized intervention design Burden of disease – Epidemiologic transition Chronic diseases – a time-bomb waiting to explode By 2020….. • World capital of Diabetes • World capital of Heart Disease Diversity of Workforce Unorganized Sector Organized Industrial Sector Organized Service Sector Evolution of WSHP Managers 1950’s – 2000’s Occupational Health Physician •Toxicology and Environment health •Ergonomics •Factories Act •Occupational health •Safety and Compliance •Disability management •Rehabilitation 2000’s – future Health coach •Health promotion •Counseling •Motivation •Behavioral medicine •Health program planning •Health policy •Insurance and benefits Employers Insurance Companies Drivers of WSHP Corporate Hospitals/ clinics/labs ? Missing in Action • WSHP Vendors •Lobby groups •WSHP Consortiums •Government initiative The early adopters and facilitators Does WSHP make business sense in INDIA? • Group insurance premiums set to increase by 30-50% in 2012-13 • Medical costs inflating • Cost offering health insurance to employees < cost of offering WSHP • CONCLUSION: Managing health care costs/insurance premiums CANNOT BE the sole value proposition for WSHP Challenges to WSHP to INDIA • • • • • Lack of policy framework to support WSHP Paucity of health promotion professionals Focus primarily on occupational health Lack of organized players Cultural diversity – a challenge for program development • Weak knowledge and research base • Not yet a priority for many companies OPPORTUNITIES • • • • • A market still evolving A great unmet need for health promotion Insurance premiums on the rise Health being seen as human capital First movers advantage Strategic Vision for WSHP in INDIA • Create a knowledge base and policy framework • Create a Human resource base • Create organizational capacity for delivery of services About VISHWAS VISHWAS is a model of Physician Leadership seeks to reorient physicians towards family medicine and place them in community settings where they will assume leadership for a variety of health promotion programs www.vishwas.org.in Thank you! Contact: Dr. Vishal Marwah [email protected] www.vishwas.org.in