Indian Health Care : The Recession on Board

 

 


Problems faced by doctors:

According to the Indian Express Report, just in year 2019 there have been more than 100 cases of violence against the doctors only within the Bengal, numbers are greater with respect to country.

According to the Lancet Medical Report, 75% of country's doctor have been victim of physical or verbal violence at least once in our country.

Doctors wearing helmets while diagnosed by patients and also taking the lessons of taekwondo for their protection, now you can imagine how bad is situation.

Root Causes are numerous:

The long waiting time for the patients, the delay in getting medial care is one of the main reason that arises anger in patients whose result comes out physically.

Another vital reason is shortage of doctors in our country, there are              overworked doctors where they are supposed to do 48 hours per week, they are doing 108 hours per week which automatically increases mental stress.

We don't have developed infrastructure or good facilities in our government    hospitals where humungous amount of proportion of our country diagnosed.

Now if we talk about the input , money spent by our country on healthcare    system is as percentage of GDP is less than 2% whereas in all developed nation it's around 8-9%.

According to the WHO, the ratio of Doctors to patients is very high in our      country which signifies that there is enough shortage of doctors, it's 1:11000 whereas ideally it should be 1:1000.

Privatization in medical industry:

The Private Health System is subsidized and supported instead which has resulted in rising health care cost. Every year 7% of Indians are pushed under the Below Poverty Line due to such high expenses of the private hospitals in our country.

These private hospitals constituted nearly 70% of our Indian healthcare system has only played peripheral role in our country's epidemic situation. According to the Reports, the denial of care and overcharging have emerged from private hospitals.

The Covid-19 pandemic has created an unprecedented once in century due to which public health , socio-economic problems have been aroused. It's Doctors and Nurses of government hospitals who have been standing in the frontier in pandemic response, risking their lives everyday.


Collapse due to Covid-19:

  • This is despite the chronic neglect of the government health system which is underfunded and overstretched with a shortage of doctors, nurses, beds, ventilators, adequate PPEs and testing facilities that gives again a mainstream reason for government to analysis the critical condition of the Indian healthcare system.

  • This epidemic starkly reminds us that a robust public health system is a core social institution necessary for our sheer survival. At the end of the day, it is the public health system which will stand by our side in times of epidemics and crisis. We must give the highest priority to strengthening it.


Concluding Note: Implementation Framework and the Way Forward

A Policy is only as good as its implementation. Past policies, have faced innumerable constraints in implementation. The National Health Policy therefore envisages that an implementation framework be put in place to deliver on these policy commitments.

Such an implementation framework would specify approved financial allocations and linked to this measurable numerical output targets and time schedules. The implementation framework would also reflect learning from past experience and identify administrative reforms required for more appropriate rules and regulations to governs public financing, institutional design, human resource policies for this sector, re-structuring of institutions required for better governance and management at national, state and district levels, measures for improving institutional capacity to deliver, and most important the division of powers, functions and accountability between Center and States with respect to health sector performance.


~by

Nitin chandak

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