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?

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

Postby dr.rajatjain@gmail.com » Mon Feb 07, 2011 1:04 pm

To improve the health and child and maternal health there are various steps to be taken:
1) There is no doubt that radio and tv are good means of communication to inform people about the nutritious food and healthcare tips for the expected mother and people. But in india the major problem for the people is illiteracy and ignorance. When a woman cant even read and write her name how a newspaper ad or poster can help her. The people in rural areas are do not get electricity most of the time and when they get they are busy in farms or other chaos of the day. The situation is not equal to the city in rural areas.
2) This problem can be solved only by assigning work to public health workers who can inform them and help them. It is important to take PHCs more seriously as they can only play a role in preventive care
3) It is the time to move from curative approach to preventive approach. Only adding infrastructure couldn’t help but also distributing the same according to the area is required.
4) The government either should take initiative to improve medical facilities in the rural area itself or should enter the PPP to outsource the same to the NGOs so that a better framework coulf=d be developed.
5) Financing in the healthcare is a major problem. The government should motivate people to get themselves insured by proving tax benefits and other perks.
6) The medical workforce is being added at a larger extent to the country but their employment is still not available, this is the reason the doctor prefer to practice in urban areas and also involve in malpractices.
7) The length of study and capital involved due to scarcity of government infrastructure and no control over the fees for the medical studies is not allowing more people to join the medical field.
8) Why a doctor who has spend 25 lacs to 1 crore on his studies will practice in a rural area and give his services at a nominal price or free. While on the other hand even a clerk of the bank or a company has assured job and better starting salary. A doctor after 12 years of study has to start from the scratch while his counterparts in other fields are much more prosperous.
9) This can be controlled by whipping fee control, corruption in education, government participation or allowing corporate to enter the field of education which will maintain the quality of education.
10) It should be made mandatory for a corporate hospital to adopt PHC or start a 20-30 bedded hospital in rural area operated and maintained by it for the rural population if it wants to start operation in a urban area. For this the government can give them subsidies for land and equipment for the whole project.
11) It is important to harness various innovative ideas to bring down the cost of medical treatment and government should motivate them to evolve
dr.rajatjain@gmail.com
 
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Re: How can we improve both the health and the care of expecting mothers?

Postby dkarthikreddy.dkr@gmail.com » Tue Feb 08, 2011 6:01 am

Here is a paper on "Health Care in India" by Dr. Jaya Prakash Narayan,ex- IAS officer, Ex-Member- National Advisory Council, Member - 2nd Administrative Reforms Commission, President Lok Satta party, MLA-Kukatpally,Hyderabad.

http://loksatta.org/cms/documents/advocacy/health.pdf.

Do read this, atleast a bit of patience is required. But you get answer to every damn question on Health Care in India.

Thank you

With Regards
Karthik.
dkarthikreddy.dkr@gmail.com
 
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Re: How can we improve both the health and the care of expecting mothers?

Postby rewritequran@gmail.com » Tue Feb 08, 2011 9:41 am

Andhra Pradesh is providing Free Health Care for 1000 crore rupees/year to 2 crore BPL citizens viz Aarogyasri Health Insurance Scheme.
With 50,000 crore rupees/year, Govt can provide Free Health Care to 100 crore Indians. http://goo.gl/LXMG
rewritequran@gmail.com
 
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Re: How can we improve both the health and the care of expecting mothers?

Postby sss@sdlindia.com » Tue Mar 22, 2011 10:14 am

• Suggest on the following components of Management reforms: 1.Where and how do we need to invest in human resource for health, women & child care delivery system? 2.How do we improve availability and reduce cost of drugs, vaccines and other health technologies? 3.What innovative monitoring mechanisms should be used to bring in accountably into the health, women & child care delivery systems?
• Centers of excellence for integrated healthcare (modern and AYUSH) delivery and research should be established in every district to foster medical pluralism which will benefit the recipient. This will attract health professionals. These centers should also act as center for epidemiological research
• There should be significant incentive for a health professional to establish practice in rural areas. There should be soft loans for setting up clinics and hospitals.
• Taking the well being of patients, medical pluralism should be encouraged. It should be permissible for a medical practitioner to prescribe common drugs of AYUSH as well as modern system of medicine.
• Diagnostic support for rural areas should be available at subsidized rates from nearby towns.
• Medical treatment including drugs should be free for below-poverty line persons
• Government should buy medicines at cost price + 10% from manufacturers for this purpose.
• AYUSH health practitioners should be available at all government dispensaries
• Treatment protocols must be formulated for all common ailments taking the best from all systems and they should be followed.
sss@sdlindia.com
 
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Re: How can we improve both the health and the care of expecting mothers?

Postby sss@sdlindia.com » Tue Mar 22, 2011 10:40 am

• The most important factors are malnutrition and repeated pregnancy.
• Malnutrition can be tackled by providing free meals, nutritional supplements and necessary medicines at subsidized rates. AYUSH has potential for providing nutrients through bhasmas. This potential should be exploited.
• Repeated pregnancy is a matter of education and awareness which should be addressed as suggested above. Counseling of the couple where warranted should be done through NGOs.
sss@sdlindia.com
 
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Re: How can we improve both the health and the care of expecting mothers?

Postby sunilpatel2020@gmail.com » Fri Jul 22, 2011 8:48 pm

First option violation of Fundamental Rights.
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Re: How can we improve both the health and the care of expecting mothers?

Postby rishabhgupta12@yahoo.co.in » Tue Sep 13, 2011 10:46 am

he project ASHA under NHRM has been a great move in this direction and as a result people in my village have started getting delivery done in govt. hospitals due to monetary benefits but still there are few loopholes:
People only get the delivery done in hospital and reach hospital at latter stages, no proper child care is taken after birth abstaining from immunization and people who can afford also take monetary benefits.
This can be improved by following ways:
Involvement of Panchayats: when a marriage happens pancahayats people are generally invited. so we need to start registration of marriages i.e. marriage certificate at Panchayat Level. this will help know the prospective mothers (as in villages generally within 1 year of marriage a child is born). The ASHA women can take info from this marriage registration and counsel the ladies in the family regarding care in case of pregnancy and males about the care that needs to taken and facilities/care needs to be taken
Enrollment should be made essential within 3months of pregnancy so that regular check ups and care can be taken.
Improvisation of infrastructure and facilities at PHC level with two lady doctors such that one of them should be available 24X7
Increase in recruitment of ASHA workers
The monetary benefit should be given in installments after delivery this will ensure care after delivery and immunization of child
Better control while giving compensation it should reach the needy not all.
rishabhgupta12@yahoo.co.in
 
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Re: How can we improve both the health and the care of expecting mothers?

Postby rahil.ahmar@gmail.com » Thu Oct 13, 2011 7:00 am

This is really a challenge and is plunging some states like AP, Gujrat, Bihar in IMRs. We can do one thing - Gram Sabaha/Panchayats to seek application through Anganwadi Worker/Helper in this regarding necessities to be facilitated to the pregnant women in their/circle etc. Gram Sabha/Panchayat to scrutinize the application about its real needs and Govt. can disburse the required sum of maoney to the concerned pregnant women through Post Office/Gramin Banks etc. Post Office/Gramin Banks to distribute the required resource (Money etc.) as an independent body which will further act as regulation for its Authenticity and Meaningful utilization. Like: Needy Women => Anganwadi Worker => Panchayat => Post Office/Gramin Bank (Volunteer) => Needy Women. It may look to be a very long process but active participation of all will make the thing unique.
rahil.ahmar@gmail.com
 
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