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THE ROLE OF PUBLIC AND PRIVATE SECTORS IN HEALTH CARE:

THE ROLE OF PUBLIC AND PRIVATE SECTORS IN HEALTH CARE:. EMERGING ETHICAL DILEMMAS IN INDIA. By Dr.Aruna Sivakami.

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THE ROLE OF PUBLIC AND PRIVATE SECTORS IN HEALTH CARE:

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  1. THE ROLE OF PUBLIC AND PRIVATE SECTORS IN HEALTH CARE: EMERGING ETHICAL DILEMMAS IN INDIA By Dr.Aruna Sivakami

  2. The two factors, which are very important in public health, is urbanization and the health hazards which is due to over crowding and other is due to environmental quality of the surroundings.

  3. Definition of Health Health is ascribed to be a dynamic equilibrium, out come of which is determined by a wide variety of biological,socio,cultural,economic, political, physical, psychological and environmental factors.

  4. Significance of the Study • Government in developing and under developed Countries don’t take sufficient measures of Public Health Ethics even though it is the major provider of health care for its citizens. • The people living in the developing world and especially 70 percent of them who live in rural areas have little or no access to modern medicine and health care.

  5. AFFORD Beneficiary ABILITY The Health care utilization pattern by the people R esourceful clients I nfluential C ommunity affiliation H aves Private Sector Ethics in provision of Health Care ? • Below Poverty Line • Lower and Middle Income • Group • Orphans / People living in • Streets and Slums • People who needs medical • attention for chronic diseases • Rural People Avail Access Public Sector Ability The Health care utilization pattern by the people

  6. Public Health Programme for Communicable Diseases • National Malaria Eradication Programme • National Tuberculosis Control Programme • National AIDS Control Programme (Sexually Transmitted Diseases are 26 entities) • National Filaria Control Programme • National Cancer Control Programme

  7. Public Health Programme for Non-Communicable Diseases • National Programme for Control of Blindness • National Nutrition Programme • National Mental Health Programme • National Diabetes Control Programme • National Oral Health Programme • National Cancer Control Programme • National Leprosy Eradication Programme • National Goitre Control Programme • National Programme for Cardio Vascular • Diseases, Cerebral Palsies

  8. Programmes and Services that affects the Quality of Health Programmes and Services that affects the quality of health Influence on Public Sector Influence on Private Sector Low Commitment Seldom Affect the Lack of support from Sector personnel National Health Programme Non-communicable Disease Undertake research Control Program activities to understand Change in sedentary pathological pattern life style has resulted in increase of non-communicable diseases Non-communicable Disease Control Program Communicable Disease problem DNA of bacteria and virus Communicable diseases Have not been changed are treated well

  9. Care of the Instrument and Linen Lacks availability Maintained well to And technical support keep the brand name Bio Medical Diagnostic Equipment Non availability of Constant updating or infrastructure and replacement done bureaucraticbottle necks Bio Medical Diagnostic Equipment Unequal ratio and not They are pressurized much hospitable. Receives to work for long and less training receives less remuneration hence have no compassion. Whereas in VHOs, they are doing with compassion, passion, integrity, tollerance and sympathy Nursing Services

  10. Computer Technology and MIS Unavailable at most of the Seldom share with delivery points, hence government complete details are not to be captured Computer Technology and MIS Finds difficult to meet annual Competitive with Budget large margin of profit Fee Structure Poor maintenance and does Maintained well but Not share with researchers/ information are not shared Patients. It should be handled By experienced and continued Expert staff. Medical Records

  11. Health Partnership • With Voluntary sector and NGOs in Partnerships, with State and Central Governments, should be able to effectively respond to the health needs of vulnerable population groups, such as workers, women, children and elders in the society this needs to be more vigorously pursued.

  12. Health Partnership • Healthy public policies need to be developed to ensure supportive environments for individual and community health action, and to protect people from lifestyle-related problems such as those addicted to tobacco drugs and alcohol. Documentation and dissemination of health promotion outcomes are also critical to the legitimization of the cause of health promotion in the region.

  13. The challenges have been well taken by private sector but public sector hasn’t, why?

  14. Intervention and Inclusion of feasible strategy • Catalytic steps needed to be adhered to reduce the wide disparity in the quality of health care in India are – • Setting up of standards for Public Health Care system in order for equitable fair distributions and having a fully equipped medical team with the required infrastructure. • Recruitment of well qualified nursing and administrative staff. • Training module to include the suitable behavioural approach to patients.

  15. Review the pay and allowance for the physician and surgeon. • Need for building an awareness amongst public by the government at all levels on the availability of a suitable policy that supports the improvement in health care delivery at both preventive and curative state. • To device a system that would require private health sector to directly support, participate and improve the quality of health care provision by the public sector.

  16. Thank you

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