Understanding Health & CHN Current situation of CHN Changing scenario in country Solution - Scope and Opportunities

1. Interdisciplinary design in
community to combat prevailing
issues
(CHN-Scope & Opportunities)
Dr. Niraj Pandit
Professor & Head
Department of Community Medicine
SBKS MIRC, Sumandeep Vidyapeeth,
Piparia
drniraj74@gmail.com

2. Overview
 Understanding Health & CHN
 Current situation of CHN
 Changing scenario in country
 Solution - Scope and Opportunities

3. Health
 Are we interested in
Health or Disease?
 Definition of Health
 What is Disease?
 Iceberg
phenomenon of
diseases

4. Community Health Nursing
 Only branch of health sciences
- is able to understand
community
 There are various professional
experts here – community
physicians, community nurses,
community physiotherapy,
community dentist etc.
 Only these people understand
the social aspect of diseases
Physical
health
Mental
health
Spiritual
health
???
Social health
Area of
opportunity
Doctor
and
team

5. Social aspect of Health & Disease
 Most neglected branch
 Root cause analysis of
disease and disability
 Only formal training in
Community Health

6. Current situations of community
speciality
 Community medicine – MD, Diploma and MPH
 Jobs – in government system
 MD degree holders – Academician in MC
 Only one class -1 entry in GoG as District TB officer
 Otherwise MD (CM) has to start with Medical officer PHC
post in public health system
 Diploma has to work as Medical officer level and get
opportunity as programme officer after time as
promotion
 MPH – recently famous course – every one is doing
now after bachelor degree

7. Current … CM
 Job scope in other areas
 Consulting to NGO
 Consulting to government in various programme
(contract base service)
 Industrial physician with additional courses like AFIH
 Private practice as specialist in Diabetes or
(upcoming)
 In nutshell less government job opportunities but
many other scopes

8. Current situation
 Community Dentistry
 Secure job – academicians in dental college
 Government job – No job for them (limited to even
BDS)
 Private practice actually no reorganization

9. Current situation
 Community Physiotherapy
 No identity, even no separate department – still
the subject is taught by medical college teachers
 Community pharmacy –
 Not even teachers have clear concept, only
teaching with concept - how to run medical store
 Still needs to go long to reach community

10. Current situation - CNH
 Course and curriculum is quite mature
 Secure job – again academician in nursing
college
 Government in public health - yet to find space
 Private care givers – roles needs to define

11. Changing scenario in country
Increasing population – old age population – Big challenge

12. Non-communicable diseases and injuries increase, Disable population

13. National Health Policy 2017
 aims to raise public healthcare expenditure to
2.5% of GDP from current 1.4%, with more than
two-thirds of those resources going towards
primary health care
 providing a larger package of assured
comprehensive primary healthcare through the
‘Health and Wellness Centers’


14. Solutions -Scope & Opportunities
 Government jobs
 Wellness centre
 NGO sector
 Industry
 Private sector
 Entrepreneurship
 Consulting services
 Research and EBNursing practice

15. Government sector
 Current situation form academic to service –
need strong political-will is required to change
the government rules & regulation – Role of
association
 Explore new opportunity in changing
environment
 1,50,000 Health and Wellness
Centres which will bring health care closer to
the homes of the people under NHP or

16. Wellness centre - CCCH

17. NGO sector & Industry sector
 Service sector
 Occupational Health Center (OHC)
 CSR (Corporate Social Responsibility)
 Service at the door of disable, old age or
healthy population (vaccination, family
planning etc.)

18. Private sector in Hospital
 Specialist as Community Nursing
 Counsellor
 As member of health team
 Service at door step as expert in this area
 Social therapist – as exert

19. Entrepreneurship
 Entrepreneur is a person who organizes and
operates a business and takes a financial risk
in doing so

20. Sharing few examples

21. LiveHealth

22. Porte- Post operative home care

23. Few ideas which can be converted
 Second opinion (for doctor)
 Care at door step (Like anganwadi – geriatric
care at home)
 Injection care at door step
 Wound care at home (for dressing)
 Pre-operative counselling service

24. Big question
 Are we ready for changing environment?
 Curriculum – at par to expected changes?
 Training – at par to future requirement?
 Educational institutes are ready to support?
 Looking as big opportunity = Not threat

25. Are we ready to leave comfort
zone?

26. Thank You
If any query please write -
drniraj74@gmail.com