Public Health

Public Health
Last Date Aug 11,2015 00:00 AM IST (GMT +5.30 Hrs)
Submission Closed.

This discussion theme is in continuance to our first discussion titled ‘Health System in India: Bridging the Gap between Potential and Performance’. To review what others have ...

This discussion theme is in continuance to our first discussion titled ‘Health System in India: Bridging the Gap between Potential and Performance’. To review what others have commented on this subject earlier in the first discussion, visit our Blog.

How can we maximize health returns through strengthening Public Health?

1. Issues

1.1. There is insufficient focus on primary prevention and public health within the health system.

1.2. There is less than universal cover of cost effective strategies for improving basic health outcomes.

1.3. Ineffective public health regulation and management limits the implementation of public health activities.

2. Suggestions

2.1. The enactment and enforcement of a Public Health Act must be prioritized.

2.2. A Public Health cadre may be developed to be centrally or state recruited and professionally trained. This cadre would cater specifically to public health management and improve the overall efficiency of public health delivery systems.

2.3. Responsibility and capacity may be assigned to Public Health officers/Public health cadre for the implementation of regulations such as PCPNDT Act (Pre-Conception and Pre-Natal Diagnostic Techniques), Food Standard Safety Act, Drugs and Cosmetics Act.

2.4. Public health regulations must be enacted and implemented that effectively address public health priorities, illustratively, prevention of exposure to risk factors for non- communicable disease (NCDs), enactment and enforcement of civic and building by-laws to reduce mosquito breeding sites.

2.5. Strengthening of existing campaigns for health education and behaviour change communication must be carried out. These may include a focus on preventive strategies against NCDs, illustratively, salt reduction in processed food/daily intake of salt in food prepared at home, screening for cancer, counselling for quitting tobacco, health education on diet and physical activity, intensive glycaemic control, promotion of physical activity in schools; occupational health promotion such as encouraging safety measures at the workplace; prevention of communicable diseases such as public awareness on reduction of mosquito breeding sites; mass media campaigns on mental health issues may be launched to reduce stigma and encourage family members to be supportive and sensitive.

2.6. The strengths of alternate systems of medicine, i.e. AYUSH (Ayurveda Yoga and Naturopathy, Unani Siddha and Homeopathy) for health promotion and prevention, rehabilitative care, especially in the case of non-communicable diseases and care of the elderly may be utilized.

2.7. Screening of workers may be introduced to promote occupational health.

2.8. Teaching self-care to patients and care-givers of chronic diseases may be undertaken to improve long term outcomes for patients.

2.9. The ease and certainty of access to early diagnosis of tuberculosis (TB) and Directly Observed Treatment Short-course (DOTS) therapy including Programmatic Management of Drug Resistant TB (PMDT) should be ensured.

2.10. The midwifery model of care for women during pregnancy, labour and post-partum may be developed. This promotes safety and low-cost care in the absence of gynaecology services and increases skilled attendance at birth1 (offering women the option to adopt midwife- led care during delivery decreases the risk of preterm births and loss of the fetus before 24 weeks gestation).

2.11. Simple strategies for prevention of pre-term births and low birth weight such as a pre-conception care package, ante-natal care, provider education for promoting appropriate induction and caesarean, care of the premature baby and management of pre-term labour may be emphasized.

2.12. Maternal death review should be strengthened to improve reporting systems, increase coverage, include data from the private sector and the data may be made public.

2.13. Emphasis on spacing methods in addition to limiting methods of contraception increases the uptake of family welfare services.

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470
Dr Sanket Hansora 5 years 2 days ago

To ensure public good health, we must focus on preventive measures.food and drug department shud vry strict.There shud be modernization and speciality care at district level hospital whih is not the case for every district in india.

22820
VISHWAS TAKSALEE 5 years 3 days ago

Sir, At present there is no check on food officers about selecting a food item for sampling. This area is very grey and food officers are choosy in taking food samples. Because of an unholy nexus with big food businessmen, food officers never take a sample from them and target only those who fail to entertain them. Sir, please pass orders that every food officer SHALL COMPULSORILY TAKE AT LEAST ONE FOOD SAMPLE IN A MONTH FROM BIG FOOD BUSINESS OPERATOR AND SEND THE SAME TO LAB FOR TESTING.

1400
nayan kumar mukund 5 years 3 days ago

मेरे विचार से यदि पर्यावरन विभाग द्वारा देश के हर शहर में पेट्रौलिग गाङी २४ घंटे इस बात का नि्रणय करने के लिए घुमे किस गाङी से वतावरण को ंखतरा हैं ,तथा चिन्हित कर उसे चेतावनी के साथ आर्थिक दंड दे एवं दूसरी बार में आर्थिक दंड दूगूना कर दें एवं तीसरी बार में गाङी को वहीं रोक कर गाङी ओनर को यह कहा जाय कि आपका रजिस्ट्रेशन कैंशिल कर दिया गया हैं इसलिए आप इसे ठीक कराकर एवं विभाग से NOC प्राप्त करने के पश्चात ही गाङी का पूनः परिचालन कर सकते हैं तो शायद इस देश के नागरिकों का स्वास्थ्य संबंधि कुछ भला हो।

16010
Esver 5 years 3 days ago

Every 3km circumference entire country should have small clinic,performs delivery,complete child care,ailments for fracture,illness,small ophthalmology,vaccines,immunization program,ambulance,blood bank/able to get blood in local by keeping directory,mobile tower,basic ENT procedure,life saving drugs,Xray,scan,ECG,pharmacy,it can have 2 dr family from near by village/stay in hospital,where husband & wife be dr or paramedics,cctv,every 3hr finger print attendance,visit patient place in emergency.

500
kirti kansal 5 years 6 days ago

Sir I had all the substance to support why pH of the blood is very important I had all the substance in a pen drive if u will let me meet the concerned authority or will give ur mail id I can send u a details of that

500
kirti kansal 5 years 6 days ago

Sir this is continuation of my previous comment sir I want to tell u about why swami ramdevji medicine are so effective in treating such disease which alopathy has no cure this is bcoz in ayurveda there are many such medicine giloy babchi chirayta ransont etc which are strong blood purifier and maintain blood pH and if u will see and kind of disease the pH of the blood is disturbed weather it is bcoz of virus parasite etc or colestrol etc thus every disease are cured by these pls let me meet

500
kirti kansal 5 years 6 days ago

Sir this is a continuation of first comment sir I want to tell u why Swami ramdevji medicine is so effective there are around 24 such medicine in ayurveda which are strong blood purifier that maintain blood pH thus many autoimmune disease liver kidney heart and other disease can be get cured which has no remeady in alopathy since people don't take those in desired quantity thus some result varies sir please allow me to meet desired authority so that I can show u how these medicine can be panacia

500
kirti kansal 5 years 6 days ago

Sir I had sent my research on cureing cancer to american cancer society they had my survey with them and mail me that they value my opinion the work is under progress the medicine is 5-10ml of neem oil and 2gm of raw hing per day sir how this affect and how pH is maintained by it I can show my entire research to u pls allow me to meet ur concerned authority

5730
Saji Namboothiri 5 years 1 week ago

Sir, Large number of fraud charity appeals are appearing in facebook every day with some bank account number with intention of cheating the public, mostly asking for 40 or 50 Lakh rupees as surgery expense, creating some sensational story. Having done a lot of social work, I know that in most of the cases, they get many many times larger amounts. Police should verify to know if the case is genuine. If the public comes to know that all are cheaters, then even genuine people will not get any help.

5240
mannepalli venkateswarlu 5 years 1 week ago

(Page-2). become doctors and the govt.also can provide more number od docters to the Govt.Hospitals and the public can be provided good medical services for public health. So, at 1st Govt.should eradicate block money donations to get seats in colleges. Like so, the adulteration should be arrested through strict implementaion of concerned Acts.