Comprehensive Community and Home-based Health Care. Projected deaths in India 2010 Source : ICMR Tenth Plan documents. Fig 2: Share in health care spending among the different sectors Source: National Health Accounts 2007, MoHFW.
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Home-based Health Care
Source: ICMR Tenth Plan documents
Source:National Health Accounts 2007, MoHFW
Fertility rate is 2.72 children born/woman (NFHS-3, 2008) and Infant mortality rate is 30.15 deaths/1,000 live births (2009 estimated). India has the largest illiterate population in the world. The literacy rate of India as per 2001 Population Census is 65.38%, with male literacy rate at 75.96% and female at 54.28%. Kerala has the highest literacy rate at 90.86%, Mizoram (88.80%) is on the second position and Lakshadweep (86.66%) is on third.
The model for comprehensive community- and home-based health care (CCHBHC) has been developed to ensure better accessibility to health and quality community health care.
CCHBHC is defined as an integrated system of care designed to meet the health needs of individuals, families and communities in their local settings.
Equity - equitable access is ensured to all services and resources with a focus on the vulnerable and underprivileed groups.
Effectiveness- special efforts are made to ensure that an intervention or service provided for the patient/client yields the intended result.
Efficiency -optimal use is made of the range and mix of available resources (e.g. financial, human, physical and technical resources) in support of the delivery of evidence-based practice.
This model provides one response to improve the equity of, and accessibility to, quality health services within a local community. It includes a particular emphasis on involving all members of the community in identifying their needs and agreeing on priorities. It acknowledges the contribution made by those outside the formal health system to health and health care, and provides additional support.
A group of students were asked to list what they thought were the present "Seven Wonders of the World." Though there were some disagreements,the following received the most votes:
1. Egypt's Great Pyramids2. Taj Mahal3. Grand Canyon4. Panama Canal 5. Empire State Building 6. St. Peter's Basilica 7. China's Great Wall
So she asked the girl if she was having trouble with her list. The girl replied, "Yes, a little. I couldn't quite make up my mindbecause there were so many."
The room was so quiet you could have heard a pin drop.The things we overlook as simple and ordinary and thatwe take for granted are truly wondrous!