DOCSLIB.ORG

Review of Healthcare in India

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Review of Healthcare in India Review of Healthcare In India Leena V Gangolli Ravi Duggal Abhay Shukla Centre for Enquiry into Health and Allied Themes, Research Centre of Anusandhan Trust, Survey No. 2804 & 2805, Aaram Society Road, Vakola, Santacruz East, Mumbai – 400055, Maharashtra, India; Ph:(+91-22) 26673154, 26673571; Fax :26673156; Email :[email protected]; www.cehat.org PDF created with pdfFactory Pro trial version www.pdffactory.com Published in January 2005 By Centre for Enquiry into Health and Allied Themes Survey No. 2804 & 2805 Aram Society Road Vakola, Santacruz (East) Mumbai - 400 055 Tel. : 91-22-26673571 / 26673154 Fax : 22-26673156 E-mail : [email protected] Website : www.cehat.org © CEHAT ISBN : 81-89042-40-8 Cover Design By : Kiran Nagda Poonam Dadlani Printed at : Satam Udyog Parel, Mumbai-400 012. Preface The twenty fifth anniversary of Alma Ata Uncontrolled privatisation and the Declaration was observed last year. Along with international privatisation of pubic sector and other countries, India had also formulated paucity of funds are leading to the collapse of various targets to be achieved by the year the public health institutions. The patent rule 2000. However, the achievements were changes and the weakening of the public minimal even after half a century of health sector pharmaceutical industries have further planning, and most of the goals could not be deprived the people of essential medicines. realized. The health situation in our country There is an escalation of medical expenses continues to be dismal. on an unprecedented scale and more and more people are denied even primary health Infant and Child mortality takes away the life care. of 2.2 million children every year. The target for 2000 was to reduce Maternal Mortality The situation demands concerted action from Ratio to less than 200 per 100,000 live births. civil society organizations, People’s Health However, the MMR remains as high as 407 Movements and other concerned groups and even today. The most recent estimate of movements to pressurize the Government complete immunization coverage indicates both at the national and state levels to that only 54% of all children under age three radically alter the way the health services are were fully protected. The number of people organized and funded. Priorities are to be dying of Tuberculosis is almost unchanged changed taking into consideration the health since Independence and remains at 500,000 problems affecting the marginalized people every year. 2 million new cases of TB are and the vulnerable sections of the society. The added each year and the total number of TB National Government should also resist the patients presently is estimated to be around pressure from the International Financial 14 million, the largest number in any country Institutions to further privatize the health in the world. India is experiencing a sector, since the Indian health sector is one resurgence of various communicable diseases of the most privatized in the world. including Diarrhoeal Diseases, Cholera, Malaria, Encephalitis, Kala azar, Dengue and It is in this context that CEHAT has compiled Leptospirosis. The number of cases of Malaria the volume “Review of Health Care in India” has remained at a high level of around 2 as an input to support the activities of the million cases annually since the mid eighties. Peoples Health Movement-India (Jan It is estimated that more than 5 million people Swasthya Abhiyan-JSA). This document is are suffering from HIV/AIDS and within a few qualitatively and conceptually different from years India will be overtaking South Africa in similar books published by other agencies having the highest number of HIV/AIDs cases discussing the health situation in India. The in the world. articles in the present volume try to analyse and reinterpret the health situation and Meanwhile, the international financial health statistics from people’s perspective and institutions like World Bank, IMF and the with a view to strengthen the emerging World Trade Organization are thrusting their movement demanding a people’s health policy neo liberal economic agenda on the for our country. Government of India, with the effect that there is a virtual withdrawal of the state from social The document contains 18 chapters and service sectors like health and education. discusses such varied topics ranging from the Review of Health Care in India iii state of the preventive health and nutritional The publication of the document has come at services for children to the community health a most appropriate time. JSA is today involved worker program and the public health system. in popular mobilisation by organising Jan Ritu Priya has written an illuminative article Sunwais (Public Hearings) across the country, on the public health services in India from a documenting specific cases of denial of health historical perspective. The population policies care thereby reaching out to people across the in India are critically analysed by Mohan Rao, country, mobilising the people for their just while Ravi Duggal has reviewed other health health rights. The document reinforces the policies. Control of communicable disease has view expressed by JSA that India today been critically analysed and alternative possesses the human power, infrastructure, proposals based on national priorities are national financial resources and appropriate presented by Leena V Gangolli and Rakhal health care know-how to ensure quality health Gaitonde. The role of community health care for all its citizens. What is needed is a workers in public health is described by major restructuring and strengthening of the T. Sundararaman. In the section on women health system. This involves two major and children, Vandana Prasad examines ingredients: popular mobilisation for nutritional services for children, NB Sarojini operationalising the Right to Health Care, and discusses reproductive services for women the political will to implement policy changes and Padma Deosthali and Purnima necessary to transform the health system. Manghnani write on the issues related to Gender based violence and the role of the The present volume shall definitely be a public health system. The section on Health guiding inspirational document for the Systems and Resources contains notable People’s Health Movement activists all over articles on financing by Ravi Duggal, access the country, for building up a popular issues by TR Dilip, essential drugs by movement to realise health as a fundamental Srinivasan and Indian Systems of Medicine right for the citizens of India. The CEHAT team by Leena Abraham and regulation of the members deserve kudos for compiling this private health sector by Rama V Baru. The extremely valuable document. material presented in all the chapters is distilled into the conclusion by Abhay Shukla. The volume as a whole throws light on some of the not much discussed areas of the health sector of the country. The articles in the volume carry conceptual clarity and Dr.B.Ekbal ideological lucidity. In addition to the articles, National Convenor the book contains an appendix of statistical Jan Swasthya Abhiyan and data, a valuable tool for researchers and Former Vice Chancellor activists. University of Kerala Review of Health Care in India iv Acknowledgements This review of healthcare is the result of the Finally, we would like to thank NOVIB and hard work and dedicated efforts of a number Ford Foundation for the financial resources of people. which made the publication of this book possible. We would like to individually thank the authors for their contributions. There were some unavoidable circumstances, which resulted in the delay of the release of We also express our sincere gratitude to Dr. the book and we are sincerely grateful to Amita Pitre for her participation in the initial everyone who was a part of this process for planning of the book as well as reviewing some the patience and cooperation extended. of the chapters ; Ms. Margeret Rodrigues and Ms.Muriel Carvalho who have provided invaluable assistance in expediting the printing and final publishing of the book and Dr. Leena V Gangolli Ms.Sunanda Bhattacharjea, who assisted in Ravi Duggal the editing. Dr. Abhay Shukla Review of Health Care in India v List Of Abbreviations AFP Acute Flaccid Paralysis AIDS Acquired Immunodeficiency Syndrome ANC Antenatal Care ANM Auxiliary Nurse Midwife API Active Pharmaceutical Ingredients ART Anti Retroviral Therapy ARV Anti Retroviral AWC Anganwadi Centres AWW Anganwadi Worker BPL Below Poverty Line CAG Comptroller And Auditor General CDA Central Drug Administration CGHS Central Government Health Service CHW Community Health Worker CIPR Commission On Intellectual Property Rights CME Continuing Medical Education CSR Child Sex Ratio CSSM Child Survival And Safe Motherhood CT Computerized Tomography DALYS Disability Adjusted Life Years DOTS Directly Observed Treatment, Short Course DPCO Drug Price Control Order DPCRC Drug Price Control Review Committee ECG Electrocardiogram EDL Essential Drug List EMR Exclusive Marketing Rights EPI Expanded Program Of Immunization ESIS Employees Social Insurance Scheme FDA Food And Drug Administration FPP Family Planning Program GDP Gross Domestic Product GOBI Growth Montoring Oral Rehydration Therapy Breast Feeding Immunization GOI Government Of India GPEI Global Polio Eradication Initiative HAART Highly Active Anti Retroviral Therapy HIV Human Immunodeficiency Virus HSR Health Service Reform ICDS Integrated Child Development Services ICPD International Conference
Load more

Recommended publications
  • Fd W`C Vrc]J C"! !!! Tc Z Gvde^V Ed Z ;Yrc\YR U
    6 ! <! & . *= > # ( = > # > 5- / $$ 5 ( 3 . ## * /+,012 +345. "*+,-. !"#$ "%&' ( )# *" )33 -3&3 7-3 ) &9! !4 7)8 3!4 !; 3- )-!3& 26 )#%)*'!(*+ +*'#$ 78 !8 14! !! +*$%+ #*' $,*+# 94 N!'3&3 9'! &3& !4&)3& !#+* %' #- !+*)* .$/*-(* * !"#$#%#&"'$ 13 1 ! " " # he Government of TJharkhand signed Memorandums of Understanding worth nearly 10,000 crore with leading industrial houses of the coun- try on the concluding day of the two-day Investor’s Meet organized by the Department of Industries, Government of Jharkhand on Saturday. The industrial giants including, TATA Steel, Dalmia Group, SAIL, Adhunik Power and Prem Rubber Works will make investments in the State, which is likely to generate employment opportunities for over 1.7 lakh people through direct and indirect means in Jharkhand. ! " During the launch of the $ % Jharkhand Industrial and Investment Promotion Policy ing to turn Jharkhand into an 2021, Chief Minister Hemant Electronics Manufacturing Hub. Soren said, “The State A Question and Answer Government wants to move session was also organized dur- forward with the cooperation !! # $% ing the event, where prospective of the investors. We are trying investors put up their queries & to leverage the infinite & & '&( ! suggestions in front of the CM. "$ ) ! % * !$% + & '# ( ) # # % * resources, which nature has # # , ( # The Chief Minister, the Chief gifted to Jharkhand and walk % % Secretary & Secretary Industries the path of development.” - . /% answered the queries of investors “In this quest, we expect Renewable Energy, I would like work out some solutions. Our provide land to medical equip- healthy and very law-abiding. ( ) . %0 and invited everyone to come to your cooperation. The to inform you all that very soon internal resources came to the ment manufacturers also.
    [Show full text]
  • Ford Foundation Annual Report 2005
    Ford Foundation Annual Report 2005 our mission Strengthen democratic values, reduce poverty and injustice, promote international cooperation and advance human achievement. mission statement The Ford Foundation is a resource for innovative people and institutions worldwide. Our goals are to: strengthen democratic values, reduce poverty and injustice, promote international cooperation and advance human achievement. This has been our purpose for more than half a century. A fundamental challenge facing every society is to create political, economic and social systems that promote peace, human welfare and the sustainability of the environment on which life depends. We believe that the best way to meet this challenge is to encourage initiatives by those living and working closest to where problems are locat- ed; to promote collaboration among the nonprofit, government and business sectors; and to ensure participation by men and women from diverse communities and at all levels of society. In our experience, such activities help build common understand- ing, enhance excellence, enable people to improve their lives and reinforce their commitment to society. The Ford Foundation is one source of support for these activities. We work mainly by making grants or loans that build knowledge and strengthen organizations and networks. Since our financial resources are modest in comparison to societal needs, we focus on a limited number of problem areas and program strategies within our broad goals. Founded in 1936, the foundation operated as a local philanthropy in the state of Michigan until 1950, when it expanded to become a national and international foundation. Since its inception it has been an independent, nonprofit, nongovernmental organization.
    [Show full text]
  • Integrated Coastal Zone Management Plan for Udupi Coast Using Remote Sensing, Geographical Information System and Global Position System
    Journal of Applied Remote Sensing, Vol. 2, 023515 (14 April 2008) Integrated coastal zone management plan for Udupi coast using remote sensing, geographical information system and global position system G. S. Dwarakish,a S. A. Vinay,b S. M. Dinakar,c Jagadeesha B. Pai,d K. Mahaganesha,e and Usha Natesanf a Asst. Professor, Department of Applied Mechanics and Hydraulics, National Institute of Technology Karnataka, Surathkal, Srinivasnagar. P. O. 575 025, India. [email protected], [email protected] b P.G. Student, Department of Applied Mechanics and Hydraulics, National Institute of Technology Karnataka, Surathkal, Srinivasnagar. P. O. 575 025, India. [email protected] c Research Assistant, Department of Applied Mechanics and Hydraulics, National Institute of Technology Karnataka, Surathkal, Srinivasnagar. P. O. 575 025, India. [email protected] d Research Scholar, Department of Applied Mechanics and Hydraulics, National Institute of Technology Karnataka, Surathkal, Srinivasnagar. P. O. 575 025, India. [email protected] e Research Scholar, Department of Applied Mechanics and Hydraulics, National Institute of Technology Karnataka, Surathkal, Srinivasnagar. P. O. 575 025, India. [email protected] f Asst. Professor, Centre for Environmental Studies, Anna University, Chennai- 600 025, India. [email protected] Abstract: Coastal areas are under great pressure due to increase in human population and industrialization/commercialization and hence these areas are vulnerable to environmental degradation, resource reduction and user conflicts. In the present study an Integrated Coastal Zone Management Plan (ICZMP) has been developed for Udupi Coast in Karnataka, along West Coast of India. The various data products used in the present study includes IRS-1C LISS-III + PAN and IRS-P6 LISS III remotely sensed data, Naval Hydrographic Charts and Survey of India (SOI) toposheets, in addition to ground truth data.
    [Show full text]
  • “Best Hospital in Ophthalmology” for Year 2014 Eyelights February 2015
    eyelights NABL Accreditation NABH Accreditation for Sankara Nethralaya Main Number : 68 February 2015 SN confers high SN’s devout Keracon 2014 Nobility honours on its call to defy Cornea Society through 36th 3 Diabetic 4 6 7 of India’s 2nd Charity Foundation Day Retinopathy annual meet Sankara Nethralaya confers high honours on its 36th Foundation Day The Week- Nielsen survey declares Sankara Nethralaya as the “Best Hospital in Ophthalmology” for year 2014 eyelights February 2015 R e c o g n i t i o n s & A w a r d s “Best Hospital in A research paper on the molecular diagnostic tests PCRs for rapid Ophthalmology” diagnosis of tuberculosis, from Sankara Nethralaya is adjudged as for year 2014 by the best published paper in bacteriology. The Week - Nielsen The highly prestigious “The The research paper by Dr. K.Lily Therese, HOD & Sr. Prof. L&T Microbiology Week-Nielsen” survey for Research Centre, KNBIRVO was adjudged as the best paper in bacteriology rating the best hospitals in published in the Indian Journal of Medical Microbiology for year 2013, at the the country has declared XXXVIIIth National Conference of the IAMM held at SMS Medical College, Jaipur Sankara Nethralaya as the between 17th and 19th October 2014 and the presenter was honoured with a Medal. “ B e s t H o s p i t a l i n Sankara Nethralaya Academy students bag merit Ophthalmology” once again. The survey was scholarships from TechMed Healthcare, Chennai conducted on stringent Techmed healthcare organized a state level q u a l i t y m e a s u r e s b y quiz competition for the “LIFE SCIENCE experts, covering 15 cities AWARD, 2014” on 18th October, 2014.
    [Show full text]
  • The SOUTH ASIA INITIATIVE Year in Review 2011-2012 TABLE of CONTENTS
    the SOUTH ASIA INITIATIVE Year in Review 2011-2012 TABLE OF CONTENTS ABBREVIATION KEY HIGHLIGHTS OF 2011-2012 4 FAS Faculty of Arts and Sciences GSAS Graduate School of Arts and Sciences GSD Graduate School of Design HBS Harvard Business School HDS Harvard Divinity School HGSE Harvard Graduate School of Education HKS Harvard Kennedy School of Government HLS Harvard Law School FACULTY 8 HMS Harvard Medical School HSPH Harvard School of Public Health SAI South Asia Initiative SEAS School of Engineering and Applied Sciences STUDENT 14 IN-REGION 20 COMMUNITY 23 FY12 BUDGET 24 IN THE NEWS 25 2011 Best Photo in South Asia Office of International Programs Photo Contest SAI Sponsored Prize Woman in Red Sari Sophia Angelis, 2013 Sophia participated in a SAI sponsored internship at the Bandra East Community Center in Mumbai, India during the summer of 2011. A YEAR IN REVIEW 2011-2012 | c Dear Friends, Since its inception in 2003, Harvard’s South Asia Initiative (SAI) has sought to catalyze intellectual exchange among faculty and students in different parts of Harvard, and between the University and the South Asia region. Thanks to a growing sense of community, I am happy to report several significant achievements during this past academic year. While Harvard’s engagement in South Asia goes back almost a century, Harvard has only recently broadened its intellectual reach to embrace several areas of contemporary and interdisciplinary interest, without losing sight of DIRECTOR’S REPORT the importance of culture, tradition and history. Senior faculty from across the University currently head efforts in Water, Urbanization, and Social Enterprise, for example.
    [Show full text]
  • Mangalore Electricity Supply Company Limited
    Mangalore Electricity Supply Company Limited Scheduled Outage Information Details of Power Shut Down due to maintenance of Distribution System from 20.12.2020 to 26.12.2020 Division: UDUPI RAPDRP FROM TO APPROXIMATE DIVISION SUBDIVISION SUBSTATION FEEDER_NAME SECTION DURATION OF AREA EFFECTED REASON FOR POWER OUTAGE DATE TIME DATE TIME POWER OUTAGE Kukkikatte Grama Alevoor Grama Korankrapadi Grama Udupi Manipal 110/33/11Kv Manipal Udayavara-II Katapady 22.12.2020 9:00 22.12.2020 17:30 8:30 MaintenanceOf 33 Kv Lines, Tree Trimming Udyavara Grama Katapady Grama Mattu Grama Kote Grama Division: UDUPI NON-RAPDRP FROM TO APPROXIMATE DIVISION SUBDIVISION SUBSTATION FEEDER_NAME SECTION DURATION OF AREA EFFECTED REASON FOR POWER OUTAGE DATE TIME DATE TIME POWER OUTAGE Udupi Manipal 110/33/11Kv Hiriyadka Hirebettu Hiriadka 23.12.2020 9:00 23.12.2020 17:30 8:30 Guddeyangadi, Kajaraguthu, Kodibettu, Pernankila Maintenance Bantakal, Grama, Polipu Grama Polipu Grama Mudabettu Grama Udupi Kaup 33/11Kv Shirva Bantakal Katapady/Shirva / Kaup 22.12.2020 9:00 22.12.2020 17:30 8:30 Maintenanceof 33 KV Lines, Tree Trimming And Pangala Grama Udupi Kaup 33/11Kv Shirva Shankarapura Katapady/Shirva 22.12.2020 9:00 22.12.2020 17:30 8:30 Shankarpura Grama , Kurkalu Grama Innanje Grama Maintenanceof 33 KV Lines, Tree Trimming Udupi Kaup 33/11Kv Shirva Shirva Shirva 22.12.2020 9:00 22.12.2020 17:30 8:30 Shirva Grama Maintenanceof 33 KV Lines, Tree Trimming Udupi Kaup 33/11Kv Shirva Mudarangadi Shirva/Kaup 22.12.2020 9:00 22.12.2020 17:30 8:30 Punchalakadu Grama
    [Show full text]
  • How Does Eye Care Seeking Behaviour Change with Increasing Age and Visual Impairment? Intersectional Analysis of Older Adults In
    Barman and Mishra BMC Geriatrics (2020) 20:71 https://doi.org/10.1186/s12877-020-1438-y RESEARCH ARTICLE Open Access How does eye care seeking behaviour change with increasing age and visual impairment? Intersectional analysis of older adults in the Indian Sundarbans Debjani Barman* and Manasee Mishra Abstract Background: Visual impairment disproportionately affects people in the low-income countries. A high proportion of visual impairment can be prevented or cured. Yet, care seeking for eye health is restricted for women and older adults. This article uses the intersectionality approach to understand how eye care seeking behaviour changes in men and women with increase in age and visual impairment in a poor and underserved region of India. It brings forth the commonalities and differences between the various groups. Methods: The article is based on qualitative data. Persons aged 50 years and more are categorized into young-old, middle-old and old-old. Men and women with low vision/ high visual impairment have been selected from each of the three age groups. In-depth interviews have been carried out with 24 study participants. Data saturation has been attained. The JHPIEGO Gender Analysis Framework underpins the study. The narrative data has been coded in NVivo 10 software. Results: Various symptoms are associated with visual impairment. The young-old with low vision do not report much difficulty due to visual impairment. Study participants with high visual impairment, and in the older age groups do. Difficulty in the discharge of regular chores due to visual impairment is rarely reported. Impaired vision is considered to be inevitable with advancing age.
    [Show full text]
  • District Disaster Management Plan- Udupi
    DISTRICT DISASTER MANAGEMENT PLAN- UDUPI UDUPI DISTRICT 2015-16 -1- -2- Executive Summary The District Disaster Management Plan is a key part of an emergency management. It will play a significant role to address the unexpected disasters that occur in the district effectively. The information available in DDMP is valuable in terms of its use during disaster. Based on the history of various disasters that occur in the district, the plan has been so designed as an action plan rather than a resource book. Utmost attention has been paid to make it handy, precise rather than bulky one. This plan has been prepared which is based on the guidelines from the National Institute of Disaster Management (NIDM). While preparing this plan, most of the issues, relevant to crisis management, have been carefully dealt with. During the time of disaster there will be a delay before outside help arrives. At first, self-help is essential and depends on a prepared community which is alert and informed. Efforts have been made to collect and develop this plan to make it more applicable and effective to handle any type of disaster. The DDMP developed touch upon some significant issues like Incident Command System (ICS), In fact, the response mechanism, an important part of the plan is designed with the ICS. It is obvious that the ICS, a good model of crisis management has been included in the response part for the first time. It has been the most significant tool for the response manager to deal with the crisis within the limited period and to make optimum use of the available resources.
    [Show full text]
  • India's Health Under Modi: Agenda for the Next Two Years
    India’s Health Under Modi: Agenda for the Next Two Years Aparna Pande November 2016 Husain Haqqani Briefing Paper South Asia Program India's Health Under Modi: Agenda for the next Two Years Aparna Pande, Director, India Initiative Husain Haqqani, Director, South and Central Asia South Asia Program © 2016 Hudson Institute, Inc. All rights reserved. For more information about obtaining additional copies of this or other Hudson Institute publications, please visit Hudson’s website, www.hudson.org ABOUT HUDSON INSTITUTE Hudson Institute is a research organization promoting American leadership and global engagement for a secure, free, and prosperous future. Founded in 1961 by strategist Herman Kahn, Hudson Institute challenges conventional thinking and helps manage strategic transitions to the future through interdisciplinary studies in defense, international relations, economics, health care, technology, culture, and law. Hudson seeks to guide public policy makers and global leaders in government and business through a vigorous program of publications, conferences, policy briefings and recommendations. Visit www.hudson.org for more information. Hudson Institute 1201 Pennsylvania Avenue, N.W. Suite 400 Washington, D.C. 20004 P: 202.974.2400 [email protected] www.hudson.org Table of Contents Overview 5 India’s Healthcare Trends 8 India’s Statistical Healthcare Profile 8 India’s Health Compared with Other Nations 13 Modi Government’s Two Year Performance 25 National Health Policy 25 Swaach Bharat (Clean India) 28 Infrastructure and Services 32 The Private Sector 34 Challenges & Opportunities: The Next Two Years 37 Accessibility 37 Affordability and Innovation 40 Challenges and Opportunities 43 India’s Health Under Modi 4 India’s Health Under Modi Overview rime Minister Narendra Modi came to power in May 2014 promising changes in a number of areas, including healthcare.
    [Show full text]
  • Coastal Zone Environmental Management in Udupi District, Karnataka State, India
    RESEARCH INVENTY: International Journal of Engineering and Science ISSN: 2278-4721, Vol. 1, Issue 3 (Sept 2012), PP 08-11 www.researchinventy.com Coastal Zone Environmental Management in Udupi District, Karnataka State, India 1. 2 3 Dodda Aswathanarayana Swamy, .Dr.B.E.Basavarajappa, .Prof.E.T.Puttaiah, Research Scholar 1Dept. of PG Studies & Research in Environmental Science, Kuvempu University Shankaraghatta-577451, Karnataka State 2Professor, Department of Chemistry, Bapuji Institute of Engineering and Technology, Davangere, Karnataka State, India 3Professor, Department of Environmental Science, Kuvempu University Shankaraghatta-577451, Karnataka State, India Abstract: The Udupi coastal zone represents varied and highly productive ecosystems such as mangroves, coral reefs and sand dunes. These ecosystems are under pressure on account of increased anthropogenic activities such as discharge of industrial and municipal sewage, land use, tourism, maritime transport, dumping at sea degrade the coast. It is necessary to protect these coastal ecosystems to ensure sustainable development. This requires information on habitats, landforms, coastal processes, water quality, natural hazards on a repetitive basis. The Coastal zone environmental management plan tool is also required for protection of environmental components. I. Introduction. Karnataka’s coast stretches for 320 kilometres along the three districts of Dakshina Kannada, Udupi and Uttara Kannada. Of these, Uttara Kannada has 160-kilometre long coastline while 98 kilometres are in Udupi district and the rest in Dakshina Kannada. It’s three distinct agro-climatic zones range from coastal flatlands in the west with undulating hills and valleys in the middle and high hill ranges in the east that separates it from the peninsula. There is a narrow strip of coastal plains with varying width between the mountain and the Arabian Sea, the average width being about 20 km.
    [Show full text]
  • Sustainable Strategies for a Healthy India: Imperatives for Consolidating the Healthcare Management Ecosystem
    Sustainable Strategies for a Healthy India: Imperatives for Consolidating the Healthcare Management Ecosystem For private circulation only June 2013 www.deloitte.com/in Contents Health in India 1 Emerging trends and imperatives 3 Collaborate to Innovate 6 Creating and facilitating a collaborative environment 13 References 14 Contacts 16 2 Health in India – Status and successes India rightly brands itself as incredible. in-patient treatment, possibly making The country’s remarkable political, quality healthcare and private sector economic and cultural transformation facilities accessible to the poor. over the past few decades has made it a geopolitical force. Healthcare is However, these exciting opportunities one of the industries that marks this often mask certain urgent predicaments. strengthened global presence. The healthcare sector in India is As per industry reports, healthcare is currently at a cusp. Issues of access, poised to grow at an estimated annual affordability, quality of care and rate of 19 per cent to reach USD efficiency remain significant. A number 280 billion by 20201 with India being of reports have been published about recognized as a destination for world the poor health status of India, class healthcare. During the last decade compared to its Low and Middle the private sector grew to become the Income Country (LMIC) peers. In terms major provider of healthcare services. of vital statistics like infant mortality Its share of beds increased from 49 (IMR) and maternal mortality, India has per cent in 2002 to 63 per cent in lagged behind significantly. Even life 20102. As per NSSO 2008, the private expectancy, at 62 years, is three years sector accounted for 60 percent of all below the LMIC average.
    [Show full text]
  • Healthcare Tourism in India
    C M Y K 3 Healthcare Tourism In India 3.1 HEALTHCARE SCENARIO IN INDIA 3.1.1 Overview India’s health system can be categorized into three distinct phases31: a) In the initial phase of 1947-1983, health policy was assumed to be based on two broad principles: (i) that none should be denied healthcare for want of ability to pay, and (ii) that it was the responsibility of the state to provide healthcare to the people. This phase saw moderate achievements. b) In the second phase of 1983-2000, a National Health Policy was announced for the first time in 1983, which articulated the need to encourage private initiative in healthcare service delivery and encouraged the private sector to invest in healthcare infrastructure through subsidies. The policy also enhanced the access to publicly funded primary healthcare, facilitating expansion of health facilities in rural areas through National Health Programmes (NHPs). c) The third phase, post-2000, is witnessing a further shift and broadening of focus; the current phase addresses key issues such as public-private partnership, liberalization of insurance sector, and the government as a financier. 31 Report of the National Commission on Macroeconomics and Health, Ministry of Health and Family Welfare, Government of India, August 2005 77 C M Y K C M Y K Healthcare Tourism: Opportunities for India The National Health Policy, 200232 outlines improvement in the health status of the population as one of the major thrust areas in social development programme. It focuses on the need for enhanced funding and an organizational restructuring of the national public health initiatives in order to facilitate more equitable access to the health facilities.
    [Show full text]