Six building blocks of health system.

1. GROUP 6 Roll no
 DIKSHA SHARMA 32
 DISHA GUPTA 33
 DOYEL ROY 34
 EISHA SANGWAN 35
 ETI KHATRI 36
 FARHEEN SIDDIQUE 37
BUILDING
BLOCKS
OF HEALTH
CARE
SYSTEM

2. 1. SERVICE DELIVERY
With fastest growing population and changing
disease profile health care delivery system in India is
a very big challenge. Following are the 5 major issues-
Lack of/or absence of infrastructure.
Paucity of manpower.
Ineffective implementation of laws and policies.
Fragmented and uncontrolled nature of private
health care delivery system.
Inequity – Differentiation in healthcare delivery
between urban and rural population due to
personal and regional bias.

3. 2. HEALTH WORKFORCE
The misdistribution of healthcare workers across various regions of
the country.
Limited health professional education and training capacity to as per
the growing demand for health care workers.
Inadequate work place cultures that can attract and retain health care
workers specially in rural and remote areas.
Limited means for development of health professional knowledge and
skills required to care for patients in an increasingly complex
environment.
Incompetence of health care system to care for geriatric patients.

4.  How to make better use of institution based data?
 Issues about data ownership.
 How to consolidate the data collected.
 How to increase data analytical skills among data producers.
 Strategies to advocate for Healthcare Information System.
 How to improve issues around cost and effective means of data
transmission.

5. 4. MEDICAL PRODUCTS
 Troubling practices that big pharmaceutical company uses to
promote its goods like marketing for off label use.
 Wealth related and intersectional inequalities in immunization
needs to be reformed.
 Research in information and communication technologies which
can revolutionize health care and act as a tool of global
convergence through cross-border supply of services.
 Resolvement of issues of decentralization and procurement is
required.
 Disease insertion consists of disease mongering in which drug
companies promote overuse of pharmaceuticals and sell products.

6. 5. HEALTH ECONOMICS AND FINANCING
 In India public health expenditure is very less, as per
WHO standard 4.5% of GDP is necessary.
 Out of pocket expenditure is very high, which is
approx. 80% in India.
 Health insurance is aware by very less percentage of
population and only one health insurance policy by
government( RSBY- Rashtriya swasthya bima yojana).
 Inadequate funds for health research in india.
Inappropriate choice of technology in healthcare
system.

7. 6. LEADERSHIP AND GOVERNANCE
How to initiate or support major change in healthcare sector.
There is need for improvement in how leaders perform in
competency.
Thought leadership is needed to educate public.
Leadership required to produce and demonstrate expertise.
Lack of motivation in hospital managers in the government sector.

8. REFERENCES
www.uq.ed.au/hishub
Theory and practice of health economics in India by Yasodha
Shanmugasundaram.
Health economics and health care management by Dr. I.
Sundar.
Thought Leadership by Laurie Young.
Health care systems by Himanshu Sekhar Rout.
International journal of health issues volume 44 number 2 2014.
Health policy and planning volume 30 no 4 may 2015.
Health care information system book by Caroline Gelisle.
Joint Commission Public Policy Initiative.
Journal of the academy of hospital administration.