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An Alternative Model of Health Delivery System to Improve Public Health in India.
Indian J Public Health ; 2014 Oct-Dec; 58(4): 261-266
Article in English | IMSEAR | ID: sea-158777
ABSTRACT
Three distinct groups of people, the sick, at risk and a healthy population constitute the benefi ciaries of any health services. Available health care packages are based on the paradigm of the “natural history of the disease and the fi ve levels of the prevention.” Patient-centric “personal care services” and community centric “public health care” are the two packages universally provided to a community. A health care system can only be effective and effi cient if there is balanced mix of the personal and public health care delivered as a comprehensive package in a regionalized graded manner by a well-trained manpower. The current health care delivery system is mostly personal care centered and public health component is in the fringes and being delivered as vertical programs through the multipurpose health worker. The alternative model speaks about bi-furcating the two types of services and delivering both as a comprehensive package to the community. As per the constitution of India health services including major public health services are state subject but the nature of emerging public health problems relates to mass movement of people and goods, environmental changes due industry and other developmental activities etc. resulting in the spread of the same beyond the manmade geographical boundary, some public health activity may be included in the union/concurrent list. To deliver the packages a public health cadre may be created at the state and center and be equipped with public health knowledge and skill to deliver well-defi ned evidence-based service package to control the existing problem and keep strict vigilance to prevent entry/emergence of new health problems.

Full text: Available Index: IMSEAR (South-East Asia) Type of study: Prognostic study Language: English Journal: Indian J Public Health Year: 2014 Type: Article

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Full text: Available Index: IMSEAR (South-East Asia) Type of study: Prognostic study Language: English Journal: Indian J Public Health Year: 2014 Type: Article