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Responsibility for health


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responsibility for health by jeevana

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Responsibility for health

  1. 1. BY JEEVANA
  2. 2. Health is on one hand a highly personal responsibility and on the other hand a major public concern. It thus involves the joint efforts of the whole social fabric The individual The community The state
  3. 3.  Although health is now recognised a fundamental right , it is essentially an individual responsibility.  In large measure , it has to be earned and maintained by the individual himself , who must accept a broad spectrum of responsibilities , now known as “self care”
  4. 4.  It is defined as “ those health generating activities that are undertaken by the persons themselves”  It refers to those activities individuals undertake in promoting their own health , preventing their own disease , limiting their own illness , restoring their own health.  The generic attribute of self care is its non- professional , non bureaucratic , non industrial character , its natural place in social life.
  5. 5. Self care activities comprise observance of simple rules of behaviour relating to diet , sleep , exercise , weight , alcohol , smoking , drugs , personal hygiene , cultivation of healthful habits , lifestyle , submitting oneself to selective medical examinations, screening , accepting immunisation and carrying out other specific disease preventive measures , reporting early when sick , accepting treatment , undertaking measures for the prevention of a relapse or of the spread of the disease to others , family planning.
  6. 6.  The individual and community responsibility are complementary , not antithetical.  The current trend is to “demedicalize” health and involve the communities in a meaningful way. This implies a more active involvement of families and communities in health matters , “planning , implementation , utilisation , operation , evaluation of health services”. In other words , the emphasis has shifted from “health care for the people to health care by the people”  The Village Health Guides scheme in India launched in 1977 is an example of community participation.
  7. 7. There are three ways in which a community can participate  The community can provide in the shape of facilities , manpower , logistic support , and possibly funds  It also means the community can be actively involved in planning , management , and evaluation  An equally important contribution that people can make is by joining in and using the health services.
  8. 8. Long ago Henry Sigerist , the medical historian stated that “ The people’s health ought to be the concern of people themselves . They must struggle for it and plan for it. The war against disease and for health cannot be fought by physicians alone. It’s a people’s war in which the entire population must be mobilised permanently”.
  9. 9. The state shall , in particular , direct the policy towards securing That the health and strength of workers , men and women and the tender age of children are not abused and that citizens are not forced by economic necessity to enter avocations unsuited to their age or strength. That childhood and youth are protected against moral and material abandonment.
  10. 10.  That state shall , within the limits of its economic capacity and development , make effective provision for securing the right to work , to education , and to public assistance in cases of unemployment , old age , sickness and disablement and in other cases of undeserved want.  The state shall make provision for securing just and humane conditions of work and maternity itself.  The state shall regard the raising of the level of nutrition and standard of living of its people and the improvement of public health as among its primary duties.
  11. 11.  The WHO is a major factor in fostering international cooperation in health.  The TCDC (Technical Cooperation In Developing Countries) , ASEAN (Association Of South East Asian Nations ), SAARC (South Asia Association for Regional cooperation) The eradication of smallpox , the pursuit of “ Health For All” and the campaign against smoking and AIDS are a few recent examples of international responsibility for the control of disease and promotion of health.