Better Preventive and Curative Health Care

India's health indicators are not improving as fast as other socio-economic indicators. Good healthcare is perceived to be either unavailable or unaffordable. How can we improve healthcare conditions, both curative and preventive, especially relating to women and children?

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How can we improve both the health and the care of expecting mothers?

How can we improve both the health and the care of expecting mothers?

Postby 12fypmgr » Fri Dec 03, 2010 6:52 am

How can we improve both the health and the care of expecting mothers?

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Re: How can we improve both the health and the care of expecting mothers?

Postby munnanu4013@gmail.com » Wed Feb 02, 2011 12:02 pm

For improving the health and the care of expecting mother, In my thought mostly rural areas, the poor class of urban and the footpath population of metro cities.
For rural india, "AASHA" programme is nice but it need more improvement. For their improvement the following things
- Seperate care centre for 100 house in each ward or village with 2 para medical nurses and ambulance.
- Mobile health care centre, where tat ven consist Doctor, nurse, medicine centre and lab.
- Each sub block have one vehicle like this, so that weekly once they visit each village of that respective sub block.
- AASHA's need more trainning and provide certificate so that young generation may focus to join this.

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Re: How can we improve both the health and the care of expecting mothers?

Postby Paulsingh@jadoo.com.au » Thu Feb 03, 2011 10:24 am

12fypmgr wrote:How can we improve both the health and the care of expecting mothers?

To help improve our health system firstly we have to remove cash transactions from the medical providers. Money makes doctors corrupt. Follow the cashless medical system where levy is enforced to each tax payer and in return free medical where you don't pay doctors any money. Health funds and insurance companies to run their own hospitals to cut excess on medical treatment and only procedures performed which are necessary. For details study Australian Medicare system not all is good in the system but lot to take for Indian medical system.

Regards
Paul Singh
Sydney
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Re: How can we improve both the health and the care of expecting mothers?

Postby dsousagoa@gmail.com » Thu Feb 03, 2011 12:12 pm

i would suggest that:
1) the area specific/ community specific best practices being followed as "hereditary family practices" need to be identified and and piloted in other areas to check its compatibility ( i mean our grandmom's remedies)

2) Anaemia in women in the reproductive age group must be minimized. for this, local nutritious foods/ seasonal foods must be identified and the community must be made aware of the same.

3) The JSY should provide mothers with basic nutrition supplements for the mother and clothes for the child other than the conditional money transfer. As the money given is usually not utilized for the purpose it is intended for.
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Re: How can we improve both the health and the care of expecting mothers?

Postby dsousagoa@gmail.com » Thu Feb 03, 2011 12:12 pm

i would suggest that:
1) the area specific/ community specific best practices being followed as "hereditary family practices" need to be identified and and piloted in other areas to check its compatibility ( i mean our grandmom's remedies)

2) Anaemia in women in the reproductive age group must be minimized. for this, local nutritious foods/ seasonal foods must be identified and the community must be made aware of the same.

3) The JSY should provide mothers with basic nutrition supplements for the mother and clothes for the child other than the conditional money transfer. As the money given is usually not utilized for the purpose it is intended for.

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Re: How can we improve both the health and the care of expecting mothers?

Postby me.davinderyadav@gmail.com » Thu Feb 03, 2011 5:05 pm

to improve both the health and the care of expecting mother, we should provide nutritious food at subsidized rate to these mothers in rural as well as in urban areas..........And the foremost thing needed is to bring awareness in the expecting mothers about the quality of food taken by them. This can be done with the help of Doordarshan and radios. They should be told names of easily available and cheap eatables (nutritious).............:)
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Re: How can we improve both the health and the care of expecting mothers?

Postby km.santhalakshmi@gmail.com » Fri Feb 04, 2011 1:42 am

First of all, enrolling all rural girl children in schools must be top priority. As of now, urban women are empowered with better medical help than their rural counterparts. Once girl child education and preventing child marriages are made mandatory (not in principle, but in practice) women tend to take care of themselves. Also the primary health centres in rural areas must be provided with all required infrastructure. Doctors & nursed should be available round the clock.
In urban areas too, indifference of govt. hospitals towards poor people should be checked. Malnutrition in pregnant women should be checked at PHCs. ----For all these to be done, politicials and officials should have clean hands and pure minds.
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Re: How can we improve both the health and the care of expecting mothers?

Postby chanakyathegreat@rediffmail.com » Fri Feb 04, 2011 3:48 am

The pathetic state of affairs in healthcare is the lack of quality standards, efficiency and responsiblity in Government hospitals. Try to set quality standards, improvement of efficiency, rout out corruption and also fix responsiblity. This will improve a lot with these simple measures. But this need to be ruthlessly implemented.
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Re: How can we improve both the health and the care of expecting mothers?

Postby suryakant.iitm@gmail.com » Fri Feb 04, 2011 1:10 pm

I would like to bring to notice the unabated population growth of India. This is the single most demonic situation we are facing with resource crunch. I suggest following measures:-
1. All employed youth(at least men) shouldn't be allowed to get married before 30.
2. Promotion should have a criteria of no. of children.(This is already practiced in Rajasthan, I guess)
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Re: How can we improve both the health and the care of expecting mothers?

Postby anu.shini@gmail.com » Fri Feb 04, 2011 7:28 pm

I would like to give my suggestions regarding the health care system as a whole.

The PHCs must be improved a lot. Medical officers in PHCs should be relieved from administrative duties, this practice is also encouraging corruption. administration should be done by Panchayati Raj Institutions or bodies constituted specially to maintain hospitals. Accountability must be fixed.
Staff quarters must be provided in rural and tribal areas. Couples must be posted in the same PHC or in the nearest PHC to encourage staying in rural areas. OR There should be no separate Medical Officer for a PHC! doctors in area/mandal/district/teaching hospitals must posted in PHCs for a few days.
In PHCs emergency drugs can be made available with the help of pharmacy companies (An 'emergency drug kit' maintained by pvt companies, paid by govt.)
Every pregnant woman must be registered as soon as the pregnancy is confirmed. Registration should be made mandatory, the family and the health care workers should be made responsible. Health care of a pregnant woman is not just an issue of health. It is about women education and empowerment also! often women are not in a position to make decisions on their own health. Health education is very important in case of pregnant women as there are several taboos.
Villagers, SC/ST colonies/communities must be encouraged to grow trees like mango, guava, chickoo etc by horticulture depts. It along with food security programmes helps preventing nutrition related diseases.
The staff in all hospitals must receive behaviour training, they must be trained to be sympathetic with poor, uneducated and often helpless patients. Their rights must be respected by the staff. Corruption is much prevalent in fourth class employees also. A common scene in Govt hospitals is patients lying on the floor! The worst forms of human rights violation are seen in govt hospitals.
Malnutrition and infectious diseases are the predomint ones among the poor. Waste management in general and in hospitals must be given high importance.
Entire medical education needs to be revamped, needs much discussion. Professors in govt medical colleges won't teach! in pvt colleges there are neither professors nor patients!!!
Traffic constables must be trained in first aid and basic life support as they are readily available in case of Road traffic accidents. knowledge in first aid and BLS must be made mandatory for all driving license seakers.
websites on health care in regional languages must be encouraged.
finally and most importantly corruption should be reduced by reduced by increasing transparency and fixing accountability at every stage.

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