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(GIST OF YOJANA) HE COOPERATIVE APPROACH TO JAN AUSHADHI KENDRAS

(JANUARY-2025)

HE COOPERATIVE APPROACH TO JAN AUSHADHI KENDRAS

Introduction

The Jan Aushadhi Initiative, launched in 2008 and revised as the Pradhan Mantri Bharatiya Jan Aushadhi Pariyojana (PMBJP) in 2016, seeks to guarantee affordable access to high-standard generic medications for everyone. Through this initiative, Jan Aushadhi Kendras offer medicines at prices 50-90% lower than those of branded alternatives. The Pharmaceuticals and Medical Devices Bureau of India (PMBI) manages its execution. The establishment of the Ministry of Cooperation in 2021 has infused new energy into the scheme by integrating Primary Agriculture Credit Societies (PACS), particularly in rural locales.

Key Features of PMBJP

Objective

To minimize out-of-pocket costs for medications among rural and urban communities.
To deliver budget-friendly generic drugs priced at a maximum of 50% of the average cost of the top three branded medications.

Implementation Framework

PMBI utilizes parallel rate contracts, an SAP-driven inventory management system, and NABL-accredited laboratories for quality control.
The initiative offers over 1,800 medications and 285 surgical aids.

Financial Model

PACS benefit from a 20% margin on the MRP of each medication.
A creative assistance initiative provides up to ₹5 lakhs at 15% of monthly purchases.
₹2 lakhs is allocated for IT and infrastructure development.
Technology Integration: The Jan Aushadhi Sugam Mobile Application allows users to locate outlets, verify medicinal availability, and compare prices.

The Role of PACS in the Jan Aushadhi Initiative:

Why PACS?

PACS have a strong presence in rural regions, acting as the foundation of India’s cooperative movement.
Their involvement in various sectors such as credit distribution, seed provision, and fair-price markets makes them well-suited for Jan Aushadhi Kendras.

Process for PACS Involvement

Eligibility Criteria: Engaging pharmacists with B.Pharma/D.Pharma qualifications.
Application Requirements: PAN details, Aadhaar, bank transactions, and a payment of ₹5,000.
Operational Framework: Obtain a drug license and upload it onto the Jan Aushadhi portal.
Download and utilize POS software for inventory control.
Place orders for medications through PMBI.

Current Status

Uttar Pradesh is at the forefront of implementation, with over 5,200 PACS functioning as community service centers.
To date: 464 PACS have received preliminary approval.
36 PACS Jan Aushadhi Kendras are operational, while others are undergoing various approval stages.

Advantages of the Cooperative Approach

Rural Outreach: PACS provide essential connectivity, ensuring access to affordable medications in isolated areas.
Economic Empowerment: Kendras produce revenue for PACS, enhancing their financial stability.
Improved Pharmaceutical Care: The availability of pharmacists allows the provision of healthcare guidance and pharmaceutical services.
Awareness Generation: Cooperative societies can inform rural communities about the advantages of generic medicines.

Challenges and Solutions

Supply Chain Gaps

Issue: Stock shortages of popular medications and delays in replenishing supplies.
Solution: Optimize inventory management and guarantee prompt payments to suppliers to prevent interruptions.

Delay in Incentives

Issue: Delayed transfer of financial incentives to PACS and pharma vendors.
Solution: Establish a clear and timely incentive distribution framework.

Awareness and Patient Load

Issue: Insufficient public awareness of Jan Aushadhi Kendras.
Solution: Conduct national campaigns to advocate for generic medicines and boost patient presence.

Way Forward

Enhanced Coordination: Regular collaboration between the Department of Cooperation and PMBI to address operational challenges.
Infrastructure Support: Expanding the IT framework and POS systems to facilitate smooth operations.
Training Initiatives: Skill enhancement programs for PACS members to improve efficiency in managing Kendras.

Conclusion

The incorporation of PACS into the PMBJP initiative under the Sahkar se Samriddhi model holds substantial promise to transform access to affordable healthcare in India. By capitalizing on PACS's deep rural engagement and cooperative ethos, Jan Aushadhi Kendras can reconcile the disparity in healthcare access between urban and rural areas. Tackling initial implementation challenges will sustain the scheme's objectives of providing quality medications at reasonable prices for everyone.