INTERNATIONAL ROUNDTABLE: Work-site Health Promotion in INDIA

1. INTERNATIONAL ROUNDTABLE:Work-site Health Promotion in INDIA Dr. Vishal Marwah Founder and Physician Leader VISHWAS www.vishwas.org.in

2. 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

3. 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

4. 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

5. One country or many?!

6. CULTURAL DIVERSITY

7. Diversity in food and lifestyles

8. 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

9. Burden of disease – Epidemiologic transition

10. Chronic diseases – a time-bomb waiting to explode By 2020….. • World capital of Diabetes • World capital of Heart Disease

12. Diversity of Workforce Unorganized Sector Organized Industrial Sector Organized Service Sector

13. Evolution of WSHP Managers 2000’s – future 1950’s – 2000’s Occupational Health Physician Health coach • Toxicology and Environment health • Ergonomics • Factories Act • Occupational health • Safety and Compliance • Disability management • Rehabilitation • Health promotion • Counseling • Motivation • Behavioral medicine • Health program planning • Health policy • Insurance and benefits

14. Drivers of WSHP • WSHP Vendors • Lobby groups • WSHP Consortiums • Government initiative

15. The early adopters and facilitators

16. 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

17. 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

18. 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

19. 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

20. 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

21. Thank you! Contact: Dr. Vishal Marwah marwahvishal10@gmail.com www.vishwas.org.in