New Delhi - It's early morning but already "Medicine Baba"
Omkarnath Sharma is pounding the pavement in one of New Delhi's
upscale neighbourhoods, collecting the wellheeled's leftover pills,
capsules and syrups.
Like a modern-day town crier, the 79-year-old calls to residents
to bring out their medicines, rather than throw them away, to
donate to the Indian capital's millions of desperate poor.
"All of us have some medicines lying around in our houses but we
end up throwing them in the dustbin," said Sharma, whose
affectionate title means wise man.
Sharma is hopeful his unorthodox service is making a difference,
albeit small, in a country where 65 percent of the population lacks
regular access to essential medicines, according to the World
Health Organisation.
In his trademark bright orange smock, Sharma cuts a familiar
figure in Delhi's leafy neighbourhoods, and residents routinely
carry out handfuls of medicines for him.
"This idea struck me a few years back when I saw how the poor
struggled to buy medicines. When I first started, I was ridiculed
and called a beggar but now people respect what I am doing," he
said.
Medical treatment is free in Indian government-funded hospitals,
but drug supplies at their dispensaries run out, forcing patients
to fork out for medicines at nearby chemists.
Overburdened public hospitals blame a lack of resources, saying
they can only budget a certain amount for medicines, with funding
stretched across the board.
- Mothers clutch sick babies -
At his rundown Delhi home, Sharma painstakingly checks and sorts
his haul that includes everything from calcium tablets to
antibiotics, before the queues form outside.
"Some medicines have to be stocked in the fridge, so I have to
be very careful," said Sharma, a retired blood bank technician.
"All these medicines lying here are worth more than two million
rupees ($30,864)."
India spends just 1.3 percent of its gross domestic product
(GDP) on health, according to a 2013 World Bank report, lower than
war-torn Afghanistan on 1.7 percent.
"The health care costs have increased greatly over the years,"
said doctor S.L. Jain, as he examined a newborn at his charity
clinic that receives some of Sharma's medicines.
"So many people do not seek treatment simply because they do not
have the money to pay for medicines," he said as mothers line up
clutching their sick babies.
More than 60 percent of the population's out of pocket expenses
for health are for medicines, according to government
estimates.
With her carpenter husband earning just 5,000 rupees ($77) a
month, mother-of-four Pushpa Kamal fears for the future of her
family as she waits at the clinic for treatment.
"My youngest son has asthma. He needs regular medication. The
other kids also fall sick. Tell me how can I afford to buy so many
medicines each time?"
India's generic drugs industry is a major supplier to the world
of cheap, life-saving treatments for diabetes, hypertension, cancer
and other diseases.
But experts say even these are out of reach of many of the 363
million Indians living below the poverty line, who make up about 30
percent of the country's mammoth population.
"There are hardly any checks and balances because health is
unfortunately not a priority in our country," said Ajay Lekhi,
president of the Delhi Medical Association.
"Consumers are highly vulnerable as their requirement is urgent
and they are not in a position to compare prices or bargain," he
told AFP.
- Universal health plan -
Prime Minister Narendra Modi, who swept to power at elections
last May, promised in his poll manifesto to introduce an ambitious
universal health care plan that assures free drugs and insurance
for serious ailments.
But the plan, pegged initially at $26 billion over the next four
years and envisioned to be fully operational by 2019, has been
pushed back because of budget constraints.
A senior health ministry official said the scheme, with a
planned roll out from April this year, was now on the back
burner.
"It (the plan) could have been a game-changer," he told AFP on
the condition of anonymity. "We are not sure now if it will see the
light of the day."
Jagdish Prasad, director general of health services,
acknowledged the problem facing those living on the margins, and
that the government needed to do more.
"People are spending 60 to 70 percent out of their pockets for
purchasing medicines which is a great burden for the poor," he told
AFP.
"(We) must make a policy so that essential medicines are made
available to those who cannot afford it."
