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1st of August Editorial Analysis of the HINDU Newspaper
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This lesson describes about the Editoral Analysis of the HINDU Newspaper

Nithin K
I am a District level Table Tennis Player

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  2. Health Care System in India Important for GS-3 Preparation/ Syllabus (Under Health) Healthcare

  3. Constitution Provision 1. Health care delivery is in State List 2. Most provisions related to health are in Part-IV {Directive Principles3. These are: Article 38, 339(e), 41,42, 47 and 48 A Panchayats and Municipalities also have some provisions related to health. These include drinking water, health and sanitation, family welfare, women and child development, social welfare etc 3. 4. The right to life provided under Art. 21 of the Constitution of India have been used time and again to demand access to health care.

  4. 1. Health Infrastructure Insufficiency of Hospital Beds: Penetration of healthcare infrastructure, much lower than that of developed countries and even lower than the global average, the bed density in the country is 0.7 per 1,000 population, far below the global average of 2.6 and WHO benchmark of 3.5. Shortage of staff: India faces a shortage of about 6 lakhs doctors, one million nurses, 2 lakhs dental surgeons and a large number of paramedical staff OSPITAL-BEDS (PER 10,000 PEOPLE) 137 30 24 33 27 1 8 20 21 1620 9T

  5. Less government spending on Public health: Government spending on public health- just about 1 per cent of its gross domestic product (GDP), compared to 3 per cent in China and 8.3 percent in the United States Dependency on Private Hospital: Private sector funding in India's annual health burden is about 75%. It is amongst the highest in the world in percentage terms. Public spending on the other hand, is amongst the lowest and is even lower than the global average 2. Health expenditure per person Among the BRICS and other newly industrialised nations, India spends the least on health per capita. S947 Brazil Russia South Africa Turkey Malaysia China S893 S570 $568 Out-of-pocket expenses cover most of the healthcare expenditures in India. S456 $420 Private Spending Public Spending 30% Indonesia99 India $75 70% Source: Worid Health Organization

  6. 4. Neglect of Rural Population: According to health information 3 1 5% of hospitals and 1 6% hospital beds are situated in rural areas where 75% of total population resides. Moreover the doctors are also unwilling to serve in rural areas 5. Neglect of traditional health care system:The health system of India depends almost on imported western models. It has no roots in the culture and tradition of the people 6. Social Inequality: Rural, hilly and remote areas of the country are under served while in urban areas and cities, health facility is well developed. The SC/ST and the poor people are far away from modern health service ack of Regulations: The lack of regulation by the government in private sector allows doctors and hospitals to adopt unethical practices 8. Inadequate health insurance Government contribution to insurance stands at roughly 32%, as opposed to 83.5% in the UK. 75% of the Indian population paying for healthcare services from their own pockets, it puts tremendous financial burden 9. Geography of India: Sub Tropical Climate provides a ground for germination of diseases. Due to a cumulative effect of poverty, population load and climatic factors India's population is seriously susceptible to diseases 10. Fragmented Health Information System: Data is incomplete and often it is duplicated 11. Poor educational status leads to non-utilisation of scanty health services and increase in avoidable risk factor:s States under financial constraints cut expenditure on heal

  7. mmi Recommendati 1. NITI AayogAction plan VIt aimed at reducing the out-of pocket spending on health to 50% by 2020 from 63.4% at present. It Recommend to focus on public health through significantl Heallh priorities are changing,here is growng burden on acount o no canmunicable das d ome inlectious dieaso A nising cconomic growth enables increasing government expenditure on it and prioritize preventive care rather than provide curative care NITI report. It aims to establish an annual systematic tool to measure and understand the heterogeneity and complexity of the nation's respnsiet performance in Health, The emergence anedfial NEED OFA ofa nobas health care industry Aayogrecently released a comprehensive Health Index Ca refore a newNEW HEALTH esmated to le health policy these contextual required POLICY growing at double digit s 15 2. National Health Policy, 2017 A health policy is the expression of what the health care system should be so that it can meet the health care needs of the people Growingincidences of atastryphic expenditue due to health care costs, which are preseatly estimated to be oe f the major coatributors to poverty, VT he changes since the last Health Policy in 2 formulation of a New National Health Policy to address the 002 necessitated the current and emerging challenges

  8. Key Objectives Progressively achieve Universal Health Coverage v Strengthening the trust of the common manin public health care system by making it predictable, efficient, patient centric, affordable andeffective VAlign the growth of private health care sector with public health goals

  9. Recommendations v'The policy proposes a potentially achievable target of raising public health expenditure to 2.5% of the GDP in a time bound manner v' Address the primarv health care needs of the urban population with special ocus on Poor populations living in listed and unlisted slums and other vulnerable populations Strengthen existing medical colleges and converting district hospitals to new medical colleges Y Need to improve regulation and quality management of nursing education Certification programme for ASHAs for their preferential selection into ANM, nursing and paramedical courses Creation of Public Health Management Cadre in all States based on public health or related disciplines, as an entry criteria Allocate two-thirds of resources to primary care followed by secondary and tertiary care v'"Make in India" could be used to provide customized indigenous medical devices to the health sectorand in creation of forward and backward linkages for medical device production v Effective use of Health Information System V It advocates strengthening of six professional councils (Medical, Ayurveda Unani& Siddha, Homeopathy, Nursing, Dental and Pharmacy) through expanding membership of these councils Setting up of National Allied Professional Council to regulate and streamline all allied health professionals and ensure quality standards The policy identifies coordinated action on seven priority areas for improving the environment for health 1. The Swachh Bharat Abhiyan 2. 3. Balanced, healthy diets and regular exercises Ad 4. 5. 6. dressing tobacco, alcohol and substance abuse YatriSuraksha-preventing deaths due to rail and road traffic accidents NirbhayaNari-action against gender violence Reduced stress and improved safety in the work place Reducing indoor and outdoor air pollution

  10. Challenges 1. It reiterates health spend targets set by the High Level Expert Group (HLEG) set up by the erstwhile Planning Commission for the 12th Five Year Plan (which ends on March 31, 2017) It also fails to make health a justiciable right through National Health Rights Actlike the RightUniversal, easily accessible, affordable primary healthcare to Education Act 2005 did for school education National Health Policy 2017 2. It has removed all reference to instituting a National Health Rights Act, which was mentioned in the 2015 draft A health cess was a path-breaking idea in the Health Ministry's draft policy; it has been dropped out of the final policy Level of public investment(2.5%Of GDP by 2025) is inadequate for achieving the goals, targets and approaches proposed to achieving them mentioned in NHP 2017 Comprehensive primary health care package with geriatric, palliative and rehabilitative care. Health Card for access to primary healthcare facility services anytime anywhere 3. Free drugs and diagnostics along with low cost pharmacy chains (Jan Aushadhi stores) Free health care to victims of gender violence in public and private sector 4. 93