Public health in india moving ahead
Download
1 / 26

Public Health in India Moving Ahead? - PowerPoint PPT Presentation


  • 106 Views
  • Uploaded on

Public Health in India Moving Ahead?. Prof. Shiv Chandra Mathur [email protected]

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' Public Health in India Moving Ahead?' - kirby-galloway


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Public health in india moving ahead

Public Health in IndiaMoving Ahead?

Prof. Shiv Chandra Mathur

[email protected]


Objective of this presentation is to let viewers get an overview on the progress of Public Health in India, and the contribution of interventions by health systems in the public sector in this process particularly in context of first decade of the new millennium.

Shiv Chandra Mathur


Understanding india
Understanding India overview on the progress of Public Health in India, and the contribution of interventions by health systems in the public sector in this process particularly in context of first decade of the new millennium.

  • Over a billion people in over a million places.

  • Persistence of poverty and under nutrition.

  • Low public exp./high out of pocket on health.

  • Regional disparities – Kerala/Bihar.

  • Large unregulated private sector

  • Medicalized versus health – water, sanitation.

  • Several systems concurrently

  • Human resource challenges - urban - rural.

Shiv Chandra Mathur


Deaths In India (2005) overview on the progress of Public Health in India, and the contribution of interventions by health systems in the public sector in this process particularly in context of first decade of the new millennium.

Shiv Chandra Mathur

Source : WHO


Children under 3 who are underweight
Children Under 3 Who Are Underweight overview on the progress of Public Health in India, and the contribution of interventions by health systems in the public sector in this process particularly in context of first decade of the new millennium.

All India

1998-99 46.7%

2005-06 45.9%

Negligible change in 7 years

Source: NFHS – 3, 2005-06

Shiv Chandra Mathur


Anemia
Anemia overview on the progress of Public Health in India, and the contribution of interventions by health systems in the public sector in this process particularly in context of first decade of the new millennium.

Married women (15-49 years) who are anemic (%)

1998-99 51.8%

2005-06 56.1%

Situation worsened in 13 states; improves in 7

Source: NFHS – 3, 2005-06

Shiv Chandra Mathur


Children 6 35 months who are anemic
Children (6-35 months) who are Anemic (%) overview on the progress of Public Health in India, and the contribution of interventions by health systems in the public sector in this process particularly in context of first decade of the new millennium.

All India

1998-99 74.2%

2005-06 79.1%

Situation worsened in 13 states; improves in 7

Source: NFHS – 3, 2005-06

Shiv Chandra Mathur


Children 12 23 months fully immunized bcg measles and 3 doses each of polio dpt
Children 12-23 months fully immunized overview on the progress of Public Health in India, and the contribution of interventions by health systems in the public sector in this process particularly in context of first decade of the new millennium.(BCG, measles and 3 doses each of polio/DPT)

All India

1998-99 42.0%

2005-06 43.5%

Negligible improvement …

Source: NFHS – 3, 2005-06

Shiv Chandra Mathur


Shiv Chandra Mathur overview on the progress of Public Health in India, and the contribution of interventions by health systems in the public sector in this process particularly in context of first decade of the new millennium.


RISING CHRONIC DISEASE BURDENS overview on the progress of Public Health in India, and the contribution of interventions by health systems in the public sector in this process particularly in context of first decade of the new millennium.

Shiv Chandra Mathur


SICK INDIVIDUALS overview on the progress of Public Health in India, and the contribution of interventions by health systems in the public sector in this process particularly in context of first decade of the new millennium.

ARISE FROM

SICK POPULATIONS

- Geoffrey Rose

Shiv Chandra Mathur


NEGLECTED CHRONIC DISEASES CARRY ECONOMIC COSTS overview on the progress of Public Health in India, and the contribution of interventions by health systems in the public sector in this process particularly in context of first decade of the new millennium.

  • In 2005, it is estimated that India lost 9 billion USD in national income from premature deaths due to heart disease, stroke and diabetes.

  • These losses are expected to cumulatively lead to 237 billion USD over the next 10 years.

Source: World Health Organization

Shiv Chandra Mathur


“Medicine has imperceptibly led us into the social field and placed us in a position of confronting directly the great problems of our time”.

- Rudolf Virchow, Report on the Typhus Epidemic in Upper Silesia, 1848

Shiv Chandra Mathur


Handicaps
Handicaps and placed us in a position of confronting directly the great problems of our time”.

Lack Of Sufficient Public Health Expertise

needed for

  • Policy Development

  • Program Design, Delivery And Evaluation

  • Health System Management

  • Public Health Research

Shiv Chandra Mathur


BIOLOGICAL SCIENCES and placed us in a position of confronting directly the great problems of our time”.

EPIDEMIOLOGY & ALLIED SCIENCES

ECONOMICS AND MANAGEMENT

PUBLIC HEALTH

SOCIAL SCIENCES

Shiv Chandra Mathur


SCIENCE and placed us in a position of confronting directly the great problems of our time”.DISCOVERS

TECHNOLOGY DEVELOPS

PUBLIC HEALTH DELIVERS

Shiv Chandra Mathur


Crafting credible public systems in health

CRAFTING CREDIBLE PUBLIC SYSTEMS IN HEALTH and placed us in a position of confronting directly the great problems of our time”.

NRHM - MAKING MDGs ACHIEVEABLE


What is the change
What is the Change ? and placed us in a position of confronting directly the great problems of our time”.

  • Health – a priority in States as never before.

  • Public health thrust recognized.

  • NRHM – A platform for innovations.

  • NRHM – A Framework for decentralization.

  • Human Resource as priority.

  • Community Worker – connecting households

  • A statement that public systems can deliver.

  • Managers of the system – professional skills.

Shiv Chandra Mathur


Nrhm in india has made a difference
NRHM in India has made a difference and placed us in a position of confronting directly the great problems of our time”.

  • A true partnership with States.

  • Space for innovations.

  • Distrust to trust.

  • Community institutions as focus.

  • Public health focus – addressing local specific mortality and morbidity.

  • Building capacities for local action.

  • Recognizing the need for management skills.

Shiv Chandra Mathur


Nrhm has created in each indian village
NRHM has created in each Indian Village and placed us in a position of confronting directly the great problems of our time”.

  • A worker : she is ASHA

  • An institution : that is VH&SC

  • An event : which is VHND.

Shiv Chandra Mathur


Examples of innovations
Examples of Innovations and placed us in a position of confronting directly the great problems of our time”.

  • Making PHCs 24X7 in Tamil Nadu – 3 Nurse model.

  • Assam’s initiative – Boat Clinics

  • Rajasthan’s initiative – CMJRK; SNCUs.;108

  • MP’s initiative –HSC Delivery, SNCUs.

  • Haryana’s initiative – Free drugs, 102; surgery package.

  • Gujarat’s initiative – Chiranjeevi, 108,

Shiv Chandra Mathur


Examples of innovations1
Examples of Innovations and placed us in a position of confronting directly the great problems of our time”.

  • Kerala’s initiative –Ban private practice; Quality.

  • Bihar – Block pooling; PPPs – Diagnostics.

  • Chhatisgarh – Mitanin, VHSCs.

  • Orissa – ASHAs; AYUSH doctors;

  • Andamans – High salary for Specialists; RKS.

Shiv Chandra Mathur


The impact of nrhm 1
The impact of NRHM - 1 and placed us in a position of confronting directly the great problems of our time”.

  • MMR significantly down – 450 to 230 - SRS.

  • IMR decline – 60 in 2004; 53 in 2008; <50now

  • TFR steadily declining – 2.9 in 05 to 2.6 in 2008.

  • Institutional deliveries – 41% to 73%

Shiv Chandra Mathur


The impact of nrhm 2
The impact of NRHM - 2 and placed us in a position of confronting directly the great problems of our time”.

  • TB, Malaria, NPCB, Surveillance better.

  • Substantial addition of human resources.

  • Infrastructure – more and better managed.

  • Doctors, drugs and diagnostics – OPD, IPD.

Shiv Chandra Mathur


What doctors in public systems can do further

What Doctors in Public Systems can do further? and placed us in a position of confronting directly the great problems of our time”.

Strengthen medical care

Help strengthen HMIS

Sanitary Stringency

Induce Behavior Change

Disease Surveillance

Educate on Better Food Practices

Rational Drug Use


A Health Professional Must and placed us in a position of confronting directly the great problems of our time”.

ELUCIDATE - As a health researcher

EDUCATE - As an informed facilitator

ALLEVIATE - As a care giver

ADVOCATE - As a health activist

and if need be

AGITATE - As a concerned citizen

Shiv Chandra Mathur


ad