As we know, In India, fertility, mortality and morbidity remain unacceptably high, both compared to countries in the region and those at similar income levels. Although poverty and low levels of education are the root causes, poor stewardship over the health system bears some responsibility. India’s primary healthcare system is based on the Primary Health Centre (PHC) which is not spared from issues such as the inability to detect diseases early due to lack of multi-disciplinary medical expertise and laboratory facilities and insufficient quantities of general medicines. At the same time, patients usually do not visit PHCs in the early stages of their diseases, while healthcare providers (if at all present) are forced to focus only on seriously ill patients due to the volume of cases.
Studies from developed countries demonstrate that an orientation towards a specialist-based system enforces inequity in access. Health systems in low income countries with a strong primary care orientation tend to be more pro-poor, equitable and accessible. At the operational level, the majority of studies comparing services that could be delivered as either primary health care or specialist services show that using primary care physicians reduces costs, and increases patient satisfaction with no adverse effects on quality of care or patient outcomes.
In India, Primary Health Centres are the cornerstone of rural healthcare; a first port of call for the sick and an effective referral system; in addition to being the main focus of social and economic development of the community. It forms the first level of contact and a link between individuals and the national health system; bringing healthcare delivery as close as possible to where people live and work.
Henceforth, as said health is wealth...
so we should all join hands to promote this concept of health care and not be negligent about it!
Sunday, August 3, 2008
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2 comments:
i feel the whole blame lies with vision of people who oversee the health delivery. why can't we have corporates who sing from the top of the roofs about CSR pitch in primary health. i feel we are just not serious about it and hence come up with half baked solutions. india is a vast and diverse country and solutions have to native to regions rather than single solutions applying to all.
but nevertheless a grt post..
keep it up
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