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CHALLENGES IN THE PUBLIC HEALTH SECTOR
IN
INDIA
WHERE ARE WE?
INDIA HAS GAINED 30 YEARS IN LIFE
EXPECTANCY SINCE INDEPENDENCE.
INFANT MORTALITY RATE HAS DROPPED FROM
145.6/1000 LIVE BIRTHS IN 1947 TO 37/1000
FROM 725 PHCs in 1947, THERE ARE AROUND
29000 PHCs IN THE COUNTRY TODAY
WHERE ARE WE?
Key Healthcare Challenges
1. Complexity- Health is a state subject- governance variations,
multiple sectors & actors,
2. Inequity- Interstate, intra-state, rich –poor and urban-rural etc
3. Affordability- High out of Pocket Expenditure,
4. Social Determinants of Health
5. Availability of Health care - Paucity of HR, poor Infrastructure &
logistics
6. Accessibility- geographical (mountains, forests, deserts)
7. Lack of investments in public health systems and primary health
care - sick care rather than health/ wellness care
8. Quality
9. Poor regulation
10.Growing burden of lifestyle diseases
11.Lack of development and implementation of IT standards
Public health is squarely a State
responsibility. It has to go hand-in-hand
with sanitation, drinking water, health
education and disease prevention.
CHINA 1.37 BILLION
INDIA 1.34 BILLION -2017
PROJECTED TO REACH 1.7 BILLION BY 2050
EVIDENCE BASED, INFORMED HEALTH
POLICIES REQUIRE DATA
FLIP SIDE OF COMPUTERISED HEALTH
CARE
LITTLE ACCOUNTABILITY
DIFFICULT TO GET RID OF SILOS IN GOVT.
EFFECTIVE REFERRAL SYSTEM
OVERCROWDING IN SECONDARY & TERTIARY FACILITIES
THE MATA KA MANDIR SYNDROME
REGULATORY OVER REACH
THANK YOU
Centre Plain Area Hilly/Tribal/Diffi
cult
Sub Centre 5000 3000
Primary Health
Centre
30000 20000
Community
Health Centre
120000 80000
POPULATION NORMS FOR HEALTH FACILITIES
Challenges in public health in india
Challenges in public health in india
Challenges in public health in india

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Challenges in public health in india

  • 1. CHALLENGES IN THE PUBLIC HEALTH SECTOR IN INDIA
  • 2.
  • 3.
  • 4. WHERE ARE WE? INDIA HAS GAINED 30 YEARS IN LIFE EXPECTANCY SINCE INDEPENDENCE. INFANT MORTALITY RATE HAS DROPPED FROM 145.6/1000 LIVE BIRTHS IN 1947 TO 37/1000 FROM 725 PHCs in 1947, THERE ARE AROUND 29000 PHCs IN THE COUNTRY TODAY
  • 6.
  • 7.
  • 8.
  • 9. Key Healthcare Challenges 1. Complexity- Health is a state subject- governance variations, multiple sectors & actors, 2. Inequity- Interstate, intra-state, rich –poor and urban-rural etc 3. Affordability- High out of Pocket Expenditure, 4. Social Determinants of Health 5. Availability of Health care - Paucity of HR, poor Infrastructure & logistics 6. Accessibility- geographical (mountains, forests, deserts) 7. Lack of investments in public health systems and primary health care - sick care rather than health/ wellness care 8. Quality 9. Poor regulation 10.Growing burden of lifestyle diseases 11.Lack of development and implementation of IT standards
  • 10.
  • 11.
  • 12.
  • 13. Public health is squarely a State responsibility. It has to go hand-in-hand with sanitation, drinking water, health education and disease prevention.
  • 14. CHINA 1.37 BILLION INDIA 1.34 BILLION -2017 PROJECTED TO REACH 1.7 BILLION BY 2050
  • 15.
  • 16. EVIDENCE BASED, INFORMED HEALTH POLICIES REQUIRE DATA
  • 17. FLIP SIDE OF COMPUTERISED HEALTH CARE
  • 19. DIFFICULT TO GET RID OF SILOS IN GOVT.
  • 20.
  • 22. OVERCROWDING IN SECONDARY & TERTIARY FACILITIES
  • 23. THE MATA KA MANDIR SYNDROME
  • 25.
  • 26.
  • 28.
  • 29. Centre Plain Area Hilly/Tribal/Diffi cult Sub Centre 5000 3000 Primary Health Centre 30000 20000 Community Health Centre 120000 80000 POPULATION NORMS FOR HEALTH FACILITIES