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?

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?

Postby chanana.ak@nic.in » Fri Feb 11, 2011 12:09 pm

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?
chanana.ak@nic.in
 
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Re: 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?

Postby bhargavasekhar@gmail.com » Wed Feb 16, 2011 12:29 pm

On your question of how to reduce the cost of drugs, vaccines and other health technologies -
1)The only way of reducing the cost of drugs is by Government establishing a Pharmaceutical company. Subsidizing drugs or giving drugs through various insurance schemes is very costly and cannot run on a long term basis. So establishing such companies to produce the very basic and costly drugs is necessary and also complicated as the quality control is difficult.
2) And about Vaccines, govt must fund various research activities in medical college so that the government can patent new vaccines to be sold worldwide and the revenue out of it can be used to subsidize the production of vaccines.
3) IITs must have medical college in them so that there is a proper amalgamation of Technology and Medicine which is very important
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Re: 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?

Postby cayogeshmittal@gmail.com » Fri Feb 25, 2011 5:16 pm

(1) Good hospitals should be in every district and block levels. Doctors should be appointed based on merit. CMO of the district and other health officers of village, block and district should be made accountable. The salary of CMO should be based on the number of deaths of children , women and other citizens in the district.
No bribe should be taken for any appointment or posting of health officers. Persons/individuals who are found to make personal wealth out of funds meant for poor children and needy women should be given exemplary punishment so that nobody else dares to do corruption in Independent India

(2) Government should facilitate drug research and manufacturing in india. It should have a strong corruption free regulatory mechanism. Companies/persons involved in making spurious medicines and compromising on health related services (eg HIV infected blood and syringes etc) should be given harshest of the punishments.

(3) Hospitals and doctors that turn away the road/other accident victims or waste time before treating them; their medical licence should be cancelled immediately and Parliament should every month discuss in parliament the names of the hospitals whose licences have been cancelled because they have turned away road/other accident victims.

Appraisal and salary of health officers in the district should be based on the feedback of the citizens of respective villages/block and district residents. In every district on prominent place on a hoarding should be displayed that shows the three things as below
- The names of CMO and Block health officers.
- The funds ( in Rupees) that have been provided to the district for medical / health services during last year.
- Number of deaths of children , women and other citizens in that district during last year.
In Every district hospital on first Sunday of every month for 1 hour CMO, DM, MLA and MP of the district should be available to address to problems of the citizens of that that district. Problems of the most poor/destitute should be heard first. It should be a strictly non political meeting and any person trying to show/exercise political power should be immediately put behind the bars.
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Re: 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?

Postby arun.ibfan@gmail.com » Wed Mar 02, 2011 9:32 am

We need to invest in human resources for nutrition at block level to create a set of block level counsellors and trainers.
Secondly we should create a nutrition counsellor for each habitation.
This way we can reach out universally to all for nutrition.

Arun Gupta
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Re: Suggest on the following components of Management reforms: 1.Where and how do we need to invest in human resource for health,

Postby ushamahajan07@gmail.com » Tue Sep 13, 2011 8:07 am

Where and how do we need to invest in human resource for health?
Disability has been on low priority although nearly 5% of population is disabled.
Suggest: To reach disability therapy services to villages where 70% of disabled live include therapy services in primary health services. For this train CBR workers / 'para' therapy workers to be based in PHCs. They will need to be backed up by a team of professionals at the Block level - physio therapist, speech therapist, professional trained at NIMH (or similar Institute)for the mentally challenged. With this staffing we will be able to reach the disabled children in villages specially the 0-6 age group and thus prevent wastage of human potential which will in the long run save money for the country as that many more persons will be able to earn and not be dependent.

For this message the author ushamahajan07@gmail.com has received Like:
dhrvmankad@gmail.com (Tue Oct 11, 2011 4:35 pm)
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Re: 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?

Postby dhrvmankad@gmail.com » Tue Oct 11, 2011 4:41 pm

The Planning Commission 's Approach Paper on Health has indicated that there should be at least 1 subcenter. I agree with Ms Usha Mahajan that CBR is an important issue as the R is usually missed from the definintion of health system - curative, preventive, promotion, rehabilitation - . My suggestion is that there should be 1 Female MPW focusing on Women and Child Care and 1 Male MPW for communicable diseases like malaria, non communicable diseases like BP mental health illnesses and disabilities. One CBR supervisor be posted per 3 sub centres for visual, auditory, physical and intellectual disabilities.
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Postby vyasprashantvyas@gmail.com » Fri Dec 23, 2011 5:33 am

(1) We should start a mobile healthcare services to provide better healthcare in remote and tribe areas. Mobile vans with proper a team of ANMs or GNMs and Doctors should move to these area where community hospitals are not available. This team also provide pre-natal and post-natal facilities in these areas. Moreover, the incentives should be given to these workforce so that they will do the work more efficiently. The mobile vehicle should be a small moving hospital with all necessary facilities including facility for child delivery, life saving drugs, ECG machines, Vaccines, and others.
(2)In our country, there is free drug price policy and this will increase the drug price for common man. So we should make a drug pricing policy that will curb the price of drugs and health technology. Due to free drug pricing policy the retail and wholesale mark ups are very high for branded and generic medicines both. So to reduce it government can introduce the Drug Formulary with a minimum price of Drug. We should also increase the list of National Essential Drug List. The Mark ups for Low Price Generic in India is 416% which is very high.
For Vaccine, government can bound the pharmaceutical company to provide vaccines at low price by add the vaccine in essential drug price list.
(3) Monitoring Mechanisms: In Urban areas, government can use software to make a record which should be directly connected to central government. Moreover, in rural areas only paper work can be done but to make it authenticate we can use the identity number of the person like ration card no., Pan card no.
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