Doctors, Activists Criticize Tamil Nadu's Haemodialysis PPP Plan
Madurai: The Tamil Nadu government’s initial plan to explore the possibility of implementing a Public-Private Partnership (PPP) model for hemodialysis units, inspired by Telangana’s model, has raised concerns among doctors and activists, who fear it may not yield the desired results.
The ongoing case in the Madras High Court, which seeks to improve both the quality and quantity of hemodialysis machines in government hospitals, underscores the urgency of addressing these issues. On December 4, 2024, the National Health Mission-Tamil Nadu (NHM-TN) convened a meeting to discuss the development of a "policy-driven roadmap" for hemodialysis services. Chaired by NHM-TN Mission Director A. Arun Thamburaj, the meeting aimed to establish an expert committee tasked with improving dialysis care across government hospitals. The initiative seeks to enhance the accessibility, efficiency, and quality of services, particularly in addressing the growing burden of chronic kidney diseases and the challenges patients face in accessing dialysis care.
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As per the recent media report in The Hindu, although the idea was lauded as timely, some of the key objectives of the committee—“studying and documenting the best practices available under government and PPP models for hemodialysis units, with a focus on recommending suitable modalities for effective implementation, analyzing the financial aspects of operationalizing dialysis services under the PPP model, and suggesting engagement strategies that are sustainable and efficient”—have been assumed by some doctors to be aimed at privatizing one of the most important and critical medical services.
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