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THE ROLE OF PUBLIC AND PRIVATE SECTORS IN HEALTH CARE: PowerPoint PPT Presentation


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THE ROLE OF PUBLIC AND PRIVATE SECTORS IN HEALTH CARE:. EMERGING ETHICAL DILEMMAS IN INDIA. By Dr.Aruna Sivakami.

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THE ROLE OF PUBLIC AND PRIVATE SECTORS

IN HEALTH CARE:

EMERGING ETHICAL DILEMMAS IN INDIA

By

Dr.Aruna Sivakami


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  • The two factors, which are very important in public health, is urbanization and the health hazards which is due to over crowding and other is due to environmental quality of the surroundings.


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Definition of Health

Health is ascribed to be a dynamic equilibrium, out come of which is determined by a wide variety of biological,socio,cultural,economic, political, physical, psychological and environmental factors.


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Significance of the Study

  • Government in developing and under developed Countries don’t take sufficient measures of Public Health Ethics even though it is the major provider of health care for its citizens.

  • The people living in the developing world and especially 70 percent of them who live in rural areas have little or no access to modern medicine and health care.


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AFFORD

Beneficiary

ABILITY

The Health care utilization pattern by the people

R esourceful clients

I nfluential

C ommunity affiliation

H aves

Private Sector

Ethics in provision of Health Care ?

  • Below Poverty Line

  • Lower and Middle Income

  • Group

  • Orphans / People living in

  • Streets and Slums

  • People who needs medical

  • attention for chronic diseases

  • Rural People

Avail

Access

Public Sector

Ability

The Health care utilization pattern by the people


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Public Health Programme for Communicable Diseases

  • National Malaria Eradication Programme

  • National Tuberculosis Control Programme

  • National AIDS Control Programme (Sexually Transmitted Diseases are 26 entities)

  • National Filaria Control Programme

  • National Cancer Control Programme


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Public Health Programme for Non-Communicable Diseases

  • National Programme for Control of Blindness

  • National Nutrition Programme

  • National Mental Health Programme

  • National Diabetes Control Programme

  • National Oral Health Programme

  • National Cancer Control Programme

  • National Leprosy Eradication Programme

  • National Goitre Control Programme

  • National Programme for Cardio Vascular

  • Diseases, Cerebral Palsies


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Programmes and Services that affects

the Quality of Health

Programmes and Services that affects the quality of health

Influence on Public Sector

Influence on Private Sector

Low CommitmentSeldom Affect the

Lack of support fromSector

personnel

National Health Programme

Non-communicable Disease Undertake research

Control Program activities to understand

Change in sedentary pathological pattern

life style has resulted in

increase of non-communicable

diseases

Non-communicable Disease Control Program

Communicable Disease problem

DNA of bacteria and virusCommunicable diseases

Have not been changedare treated well


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Care of the Instrument and Linen

Lacks availability Maintained well to

And technical support keep the brand name

Bio Medical Diagnostic

Equipment

Non availability of Constant updating or

infrastructure and replacement done

bureaucraticbottle necks

Bio Medical Diagnostic Equipment

Unequal ratio and notThey are pressurized

much hospitable. Receives to work for long and

less training receives less remuneration hence have no compassion.

Whereas in VHOs, they are

doing with compassion,

passion, integrity, tollerance

and sympathy

Nursing Services


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Computer Technology and MIS

Unavailable at most of the Seldom share with

delivery points, hencegovernment

complete details are not to

be captured

Computer Technology and MIS

Finds difficult to meet annual Competitive with

Budgetlarge margin of profit

Fee Structure

Poor maintenance and does Maintained well but

Not share with researchers/ information are not shared

Patients. It should be handled

By experienced and continued

Expert staff.

Medical Records


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Health Partnership

  • With Voluntary sector and NGOs in Partnerships, with State and Central Governments, should be able to effectively respond to the health needs of vulnerable population groups, such as workers, women, children and elders in the society this needs to be more vigorously pursued.


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Health Partnership

  • Healthy public policies need to be developed to ensure supportive environments for individual and community health action, and to protect people from lifestyle-related problems such as those addicted to tobacco drugs and alcohol. Documentation and dissemination of health promotion outcomes are also critical to the legitimization of the cause of health promotion in the region.


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The challenges have been well taken by private sector but public sector hasn’t, why?


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Intervention and Inclusion of

feasible strategy

  • Catalytic steps needed to be adhered to reduce the wide disparity in the quality of health care in India are –

  • Setting up of standards for Public Health Care system in order for equitable fair distributions and having a fully equipped medical team with the required infrastructure.

  • Recruitment of well qualified nursing and administrative staff.

  • Training module to include the suitable behavioural approach to patients.


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  • Review the pay and allowance for the physician and surgeon.

  • Need for building an awareness amongst public by the government at all levels on the availability of a suitable policy that supports the improvement in health care delivery at both preventive and curative state.

  • To device a system that would require private health sector to directly support, participate and improve the quality of health care provision by the public sector.


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Thank you


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