Health for All
through Primary Health care
Health
for all became the slogan for a movement. It was not just an ideal but an
organizing principle: everybody needs and is entitled to the highest possible
standard of health. The principles remain indispensable for a coherent vision
of global health turning that vision into reality calls
for clarity both on the possibilities and on the obstacles that have slowed and
in some cases reversed progress towards meeting the health needs of all people.
We have a real opportunity now to make progress that will mean longer,
healthier lives for millions of people, turn despair into realistic hope, and
lay the foundations for improved health for generations to come
The ultimate goal of primary health care is better health for
all and it should include the following
·
Reducing exclusion and
social disparities in health
·
Organizing health
services around people's needs and expectations
·
Integrating health
into all sectors (public policy reforms);
·
Pursuing collaborative
models of policy dialogue and Increasing stakeholder participation
People are often
unaware of the full scope of Health inequalities. Most Swedish citizens,
for example, were probably unaware that the difference in life expectancy
between 20-year-old men from the highest and lowest socioeconomic groups was
3.97 years in 1997: a gap that had widened by 88% compared to 1980.A small
example will prove this facts.As per WHO approximately 1 million die due to
lack knowledge of hand wash.In Developed countries the People are knowledgeable
and affordable enough to overcome this problem. Most of the these one million
deaths form underdeveloped and developing countries
Securing the health of
communities
People do not think
about health only in terms of sickness or injury, but also in terms of what
they perceive as endangering their health and that of their community.
Whereas cultural and political explanations for health hazards vary
widely, there is a general and growing tendency to hold the authorities
responsible for offering protection against, or rapidly responding to such
dangers. This is an essential part of the social contract that gives legitimacy
to the state. Politicians in rich as well as poor countries increasingly ignore
their duty to protect people from health hazards at their peril: witness the
political fall-out of the poor management of the hurricane Katrina disaster in
the United States in 2005, or of the 2008 garbage disposal crisis in Naples,
Italy. Access to information about health hazards in our globalizing world is
increasing. Knowledge is spreading beyond the community of health professionals
and scientific experts. Concerns about health hazards are no longer limited to
the traditional public health agenda of improving the quality of drinking water
and sanitation to prevent and control infectious diseases. In the wake of
the 1986 Ottawa Charter for Health Promotion, a much wider array of issues
constitute the health promotion agenda, including food safety and environmental
hazards as well as collective lifestyles, and the social environment that
affects health and quality of life In recent years, it has been complemented by
growing concerns for a health hazard that used to enjoy little visibility, but
is increasingly the object of media coverage: the risks to the safety of
patients
Care that puts people
first
People obviously want
effective health care when they are sick or injured. They want it to come from
providers with the integrity to act in their best interests, equitably and
honestly, with knowledge and competence. The demand for competence is not
trivial: it fuels the health economy with steadily increased demand for
professional care (doctors, nurses and other non-physician clinicians who play
an increasing role in both industrialized and developing countries) For
example, throughout the world, women are switching from the use of traditional
birth attendants to midwives, doctors and obstetricians. Only people-centred
services will minimize social exclusion and avoid leaving people at the mercy
of unregulated commercialized health care, where he illusion of a more
responsive environment carries a hefty price in terms of financial expense and
iatrogenesis
Health systems left to
drift towards
Unregulated
commercialization in many, if not most low- and middle-income countries,
under-resourcing and fragmentation
of health services has
accelerated the development of commercialized health care, defied here as the
unregulated fee-for-service sale of health care, regardless of whether or not
it is supplied by public, private or NGO providers
Necessary steps I propose
Availability of Qualified Person to every
village for Primary health care is necessary, so appeal the Government for
necessary steps.
Government Health care Advertising does help the
underprivileged if Given with moral support from Government
I will Encourage Private firms to Voluntarily
Fund for Health care programs .This funding helps Private firms as well on
Advertisements
I encourage the advertising agencies as well
to include the Programs oriented to Public Health in their Adds
I encourage colleges to conduct
Medical Camps
Obstacles on the way
Government works very slowly here. This can be
overcome by conducting epidemiological studies locally and presenting reports
to Chief Ministers of state and ministers of Health and emphasize the
necessity.
Negligence of government officers: Should be
punished by law
Mindset of money among Health care Professionals: This is
because of costs of Education,
so this can be overcome by providing education at cheaper cost and making
mandatory for students especially those who studied with Govt. Scholar ships to
work at least for 2 or 3 years up on their completion
PHC reforms: driven by
demand
The core values
articulated by the PHC movement three decades ago are, thus, more powerfully
present in many settings now than at the time of Alma-Ata. They are not just
there in the form of moral convictions espoused by an intellectual vanguard.
Increasingly, they exist as concrete social expectations felt and asserted by
broad groups of ordinary citizens within modernizing societies. Thirty years
ago, the values of equity, people-contentedness, community participation and
self-determination embraced by the PHC movement were considered radical by
many. Today, these values have become widely shared social expectations for
health that increasingly pervade many of the world’s societies – though the
language people use to express these expectations may differ from that of
Alma-Ata. This evolution from formal ethical principles to generalized social
expectations fundamentally alters the political dynamics around health systems
change. It opens fresh opportunities for generating social and political
momentum to move health systems in the directions people want them to go. It
moves the debate from a purely technical discussion on the relative efficiency
of various ways of “treating” health problems to include political
considerations on the social goals that define the direction in which to steer
health systems. The subsequent chapters outline a set of reforms aimed at
aligning specialist-based, fragmented and commercialized health systems with
these rising social expectations. These PHC reforms aim to channel society’s
resources towards more equity and an end to exclusion; towards health services
that revolve around people’s needs and expectations; and towards public
policies that secure the health of communities. Across these reforms is
the imperative of engaging citizens and other stakeholders: recognizing that
vested interests that tend to pull health systems in different directions
raises the premium on leadership and vision and on sustained learning to do
better
Pharm.D Graduates plays a great Role here working with Physician and deceasing the gap between Society and Health care System
