"Good health" is one of the key goals under SDG(number 3) adopted for duration 2015-30. It has high correlation with other goals like clean environment, quality education, ending hunger etc.
India being a welfare state, primary responsibility lies on state for providing quality & affordable healthcare to its citizen. Under our constitutional framework, health has been enlisted in List II(State List). Nevertheless, successive Central government has provided necessary help in achieving a healthy society.
India has dubious distinction as being one of the most lucrative destination for medical tourism while being poor performer in several health indicator(on some worse than its Asian neighbors & African countries)
Why is health so significant to an economy? And more so for India?
In this blog, we will have an eagle-eye view on health related issues and later zoom in to sub-topics giving more focus on recent trends e.g TB, MDR, Mental healthcare bill etc.
Of particular significance, in this thread will be recent initiatives :
In the upcoming blogs we will zoom-in to individual sub-topics and explore in detail ....
India being a welfare state, primary responsibility lies on state for providing quality & affordable healthcare to its citizen. Under our constitutional framework, health has been enlisted in List II(State List). Nevertheless, successive Central government has provided necessary help in achieving a healthy society.
India has dubious distinction as being one of the most lucrative destination for medical tourism while being poor performer in several health indicator(on some worse than its Asian neighbors & African countries)
Why is health so significant to an economy? And more so for India?
- Moral & constitutional obligation - DPSP + modern conception of liberty is linked with individual's capacity.
- Economic rationale - the healthier the workforce, more productive the economy(demographic dividend). Further, if health expense
- To fight poverty - For a country like India, where 22% of its population is below its official poverty limit, every year significant earning is spent for better health as out of pocket expense keeping them under perpetual poverty.
- International commitment - SDG
In this blog, we will have an eagle-eye view on health related issues and later zoom in to sub-topics giving more focus on recent trends e.g TB, MDR, Mental healthcare bill etc.
- Diseases specific
- TB, HIV/AIDS
- Vector borne - Kala Azar
- Leprosy
- Non-communicable diseases/ Life-style diseases : poor more affected than rich
- Mental illness - suicides , new bill .
- Age/Group specific
- Pregnant & Lactating(P&L) women & new born - MMR, IMR etc
- Children - stunting, wasting , poor vaccination etc. (Eco Survey - Early intervention)
- Adolescent - anemia(girls), tobacco, drugs etc.
- Dependent/ Elderly
- Health related Legislative framework & policies
- General challenges in health care in India
- affordability
- accessibility
- quality
- data collection and monitoring
- less than required doctor to population ratio
- poor budgetary support - high Out of Pocket expense(OOP) ;
- poor medical education (MCI reform)
- drugs - IPR, pricing, quality, manufacturing (API drugs dependence on China)
- Some generic suggestions
- time for "health" to be moved in Concurrent list ?
- health budget as % of GDP demand not less than 2.5%
- Universal insurance a panacea to all problems ?
- Kerala Model , TN model(mass procurement of drugs)
- Miscellaneous
- Palliative health care ?
- NITI Ayog's proposal - PPP for NCDs in District Hospitals
- Superbugs / Drug resistance
- AYUSH particularly Yoga
- euthanasia
Of particular significance, in this thread will be recent initiatives :
- Indradhanush Immunization scheme
- Swachh Bharat Abhiyan - Kayakalp for making hospitals clean
- Budget 2017-18 : Action plan to eliminate
- Kala-Azar +Filariasis by 2017,
- Leprosy by 2018 and
- Measles by 2020
- New National Health Policy
- RSBY
In the upcoming blogs we will zoom-in to individual sub-topics and explore in detail ....
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