Private hospitals in India are least monitored by the government, which leads to violation of the roles and responsibility they have to offer for the community. Indeed, it is a more serious issue in a country like India where people are forced below poverty line (BPL) after every hospitalization. Of the four different models of health expenditure, India and, in fact, many developing countries follow the out-of-pocket (OOP) expenditure model rampantly. This is very evident from the recent working article (2015) published by NITI Aayog-Health Division, which reveals that OOP expenditures are high in India accounting for 69.5 per cent of total health expenditure. These are catastrophic economic damages for the poor and push an estimated 37 million into poverty each year. Furthermore, 66.4 per cent of the total expenditure is on medicines. A major part of these expenditures are invariably the money spent by a huge section of the community, both rich–poor and rural–urban, on healthcare services availed from the privately run corporate hospitals in India. The sector needs to be sensitive for an inclusive healthcare. However, the situation appears to be the opposite in India and the private health sector creates a divide in the society by virtue of which the rich get medical care and the poor stay sick or die. This article discusses various ethical concerns and remedial measures relating to the functionality of private hospitals which poses serious pressure on the community and marginalized sections of the society.
Post-natal care and traditional post-partum practices have important bearings in maternal and child health outcomes. A study was conducted to understand the traditional post-partum practices by the tribal mothers in rural areas of Vikramgad taluka, Maharashtra, India. A qualitative methodology has been adopted by using data collection methods like focus group discussions (FGDs) and in-depth interviews. Key informant interview methods were adopted to understand the mother's post-natal diet, personal hygiene, physical activity and rest, neonatal feeding and care practices during pregnancy. Respondents reported that the mother in the post-partum period, locally called balantini, has to follow certain specific practices regarding diet, hygiene and rest to keep herself and her baby healthy. The study reflects on how traditional beliefs and practices affirm gender biases, traditional beliefs and practices when it comes to new mothers and their care. To address the health needs of these 'last women', the government and civil society have to work for the reduction of poverty, removal of harmful practices, gender equity and empowerment.
Introduction: The health and well-being among children is an important parameter for the measurement of the progress of a nation, which is also most precious asset in the community for socio-economic development in long run. It is not wise to neglect the health rights of the children in the process of nation building. The under-five children are the most vulnerable group in a society in which there is lack of guarantee for adequate nutrition and social protection. The lack of essential health services ultimately leads to childhood diseases like diarrhoea, respiratory infections, and measles in various parts of India. Aim: To understand the socio-demographic and morbidity pattern among the children of under five years in a district of Telangana state, India. Materials and Methods: A cross-sectional study was undertaken by interviewing mothers with the help of a predesigned and pretested questionnaire to understand the morbidity pattern of children under five years in the rural areas of Adilabad district, Telangana, India. The study was conducted in March 2015 in 30 villages. The study assessed various determinates of morbidity by applying scientific principles. The sample size was calculated as 210. The data was analysed by using MS Excel spread sheet and Statistical Package for the Social Sciences (SPSS) software to understand the morbidity pattern. Descriptive statistical tests were done to find out the results. Results: The result confirms that 154 (73.33%) of the children under five years have several forms of morbidities. The most common morbidity was Acute Respiratory Infection (ARI) (25.71%), which is followed by worm infestation (8.09%), diarrhoea (20%), fever (7.61%), scabies (7.61%), asthma (2.3%) and seizure (fits) (1.9%) in last three months from the data collection. All these diseases are prevalent in rural areas of high concern due to the impeding morbidity and mortality. Conclusion: The ARI and diarrhoea were found to be the cause of concern among under-five children, which dominate the morbidity pattern. The factors responsible with such precarious situation were deeply entrenched conditions like illiteracy, poor socio-economic conditions, poor environmental sanitation, and increased birth order among the population.
Financing is an important aspect of any program for successful transformation. Financial commitment of government is considered to be the highest form of commitment for successful work. Without budgetary provision, no program can achieve the desired target. The role of health financing of central government, international donor agencies, provincial government, and local bodies have been identified. The paper focused on monitoring and evaluation mechanisms for health financing in the context of recent developments. Health financing models have been discussed to gain an understanding about relation of financing and overall healthcare development. The search engines like PubMed, Scopus, Web of Sciences, and jstor (journal storage) were consulted to unearth the mechanism of health finances for development of good health. The paper put forth various themes and sub-themes according to financial implications on health structure of India. All healthcare programs need a continuous stream of resources like medicine, workforce, physical infrastructure, monitoring, and evaluation to achieve good health. Whereas, different stakeholders also need financial support to evolve with great vigour and vivacity. There is a pressing need to infuse financial resources into public health system for achievement of universal health care rather than incremental growth in traditional financial processes spreading over several decades. The specific roles and responsibilities of central, provincial, local governments and international donors have to be delineated to expedite resource mobilisation. However, while implementing programs, there should be coordination among all the stakeholders.
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