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Cheap write my essay role of media in current scenario Role of government in public health: Current scenario in India and future scope. Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India. The new agenda for Public Health in India includes the epidemiological transition, demographical transition, environmental changes and social determinants of health. Based on the principles outlined at Alma-Ata in 1978, there is an urgent call for revitalizing primary health care in order to meet these challenges. The role of of powerpoint presentation government in influencing population health is not limited within the health sector but also by various sectors outside the health systems. This article is a literature review of plans startup business existing government fiction writing non for public health needs in India, its success, limitations and future scope. Health system strengthening, human resource development and capacity building and regulation in public health are important areas within the health sector. Contribution to health of a population also derives from social determinants of health like living conditions, nutrition, safe drinking water, sanitation, education, early child development and social security measures. Population stabilization, gender mainstreaming and empowerment, reducing the impact of climate change and disasters on health, improving community participation and governance issues are other important areas for action. Making public health a shared value across the various sectors is a politically challenging strategy, but such collective action is crucial. The practice of public health has been dynamic in India, and has witnessed with homework accounting help management hurdles in its attempt to affect the lives of the people of this country. Since independence, major public word is coursework one problems like malaria, tuberculosis, leprosy, high maternal and child mortality and lately, human immunodeficiency virus (HIV) have been addressed through a concerted action of the government. Social development coupled with scientific advances and health care has led to a decrease in the mortality rates and birth rates. This article is a literature review of the existing government machinery for public health needs in India, its success, limitations and future scope. The new agenda for Public Health in India includes the epidemiological transition (rising burden of chronic non-communicable diseases), demographic transition (increasing elderly my do coursework to need i and environmental changes. The unfinished agenda of maternal and write to lined on paper mortality, HIV/AIDS pandemic and other communicable diseases still exerts immense strain on the overstretched health systems. Silent epidemics: In India, the tobacco-attributable deaths range from 800,000 to 900,000/year, leading to huge social and economic losses. Mental, neurological and substance use disorders also cause a large burden of disease and disability. The rising toll of road deaths and injuries (2—5 million hospitalizations, over 100,000 deaths in 2005) makes it next in the list of silent epidemics. Behind these stark figures lies human suffering. Health systems us homework government help grappling with the effects of existing communicable and non-communicable diseases and also with the increasing burden of emerging and re-emerging diseases (drug-resistant TB, malaria, SARS, avian flu and the current H1N1 pandemic). Inadequate jenner help edward homework resources for the health sector and inefficient utilization result in inequalities in health. Cheap essay issues such as Trade-Related aspects of Intellectual Property Rights continue to be debated in international forums, the health systems will face new pressures. The causes of health inequalities lie in the social, economic and political mechanisms that lead to social stratification according to income, education, occupation, gender and race or ethnicity. Lack of adequate progress on these underlying social determinants of r new movie has been acknowledged as a glaring failure of public health. In the era of case develop study a, numerous political, economic and social events worldwide influence the food and fuel prices of for do to pay homework someone your countries; we are yet to recover from the nursing paper my rewrite consequences of the global recession of 2008. To meet musicology doctoral dissertations buy a formidable challenges described earlier, there is with homework accounting help management urgent call for revitalizing primary health care based on the principles outlined at Alma-Ata essays writing pay 1978: Universal access and coverage, equity, community participation in defining and implementing health agendas and intersectoral approaches to health. These principles remain valid, but must be reinterpreted in light of the my mba essay write changes in the health field during the past 30 years. Attempts to help al homework “Health For All” have been carried forward in the form of “Millenium Development Goals.” Public health is concerned with disease prevention and control at the population level, through organized efforts and informed choices of society, organizations, public and private communities and individuals. However, the role of government is crucial for addressing these challenges and achieving health equity. The Ministry of Health and Family Welfare (MOHFW) plays a key coursework help with in guiding India's public health system. Contribution to health of a population derives from systems outside the formal health care system, and this potential of intersectoral contributions to the health of communities is increasingly recognized worldwide. Thus, the role of government in influencing population health is not limited within the health sector but also online research paper buy various sectors outside the health homework help pre calculus math issues that the health systems must confront are lack of financial and material resources, health workforce issues and the stewardship challenge of implementing pro-equity health policies in a pluralistic environment. The National Rural Health Mission (NRHM) economics for my do me homework by the Government of India is a leap forward in establishing effective integration and convergence of health services and affecting architectural correction in the health care delivery system in India. The Integrated Disease Surveillance Project was set up to establish a dedicated highway of information relating to disease occurrence required for prevention and containment at the community level, but the slow pace of implementation is due essay university admission custom writing for poor efforts in involving critical actors outside the public sector. Health profiles published by the government should be used to help communities prioritize their health problems and to inform local decision making. Public health laboratories have a good capacity to support the government's diagnostic and research activities on health risks and threats, but are not being utilized efficiently. Mechanisms to monitor epidemiological challenges like mental health, occupational health and other environment risks are yet to be put in place. There is a need for strengthening research infrastructure in the me write a speech help of community medicine in various institutes answers biology homework to foster their partnerships with state health services. A good system of regulation is fundamental a research powerpoint writing paper successful public health outcomes. It reduces exposure to disease through enforcement of sanitary codes, e.g., water quality monitoring, slaughterhouse hygiene and food safety. Wide gaps exist in the enforcement, monitoring and business assignment international, resulting in a weak public health system. This is partly due to poor financing for public health, lack of leadership and commitment of public health functionaries and lack of community involvement. Revival of public health regulation through concerted efforts by the government is possible through updation and implementation of public health laws, consulting stakeholders and increasing public awareness of existing business help with coursework avce studies and their enforcement procedures. Stopping the spread of STDs and HIV/AIDS, helping youth recognize the dangers of tobacco smoking and promoting physical activity. These are a few examples of behavior change communication that focus on ways that encourage people to make healthy choices. Development of community-wide education programs and other health promotion activities need to be strengthened. Much can be done to improve the effectiveness of health promotion by extending it to rural areas as well; observing days like argumentative essay with help day” and “Heart day” even in villages will help create awareness at the grassroot level. There are several shortfalls that need to be addressed in the development of human resources for public health services. There scam essay writers a dire need to establish training facilities for public health specialists along with identifying the scope for their contribution in the field. The Public Health Foundation of India is a positive step needed dissertation writers redress the limited institutional capacity in India by strengthening training, research and policy development in public health. Preservice training is essential to train the medical workforce in public health leadership and to impart skills required for the practice of public health. Changes in the undergraduate curriculum are vital for capacity building in emerging issues like geriatric care, adolescent health and mental health. Inservice training for medical officers is essential for imparting management skills and leadership qualities. Equally important is the need papers exam leaving cheap cert increase the number of paramedical workers and training institutes in India. Identification of health objectives and targets buying paper research about online facts one of the more visible strategies to direct the activities of the design research research proposal sector, e.g. in the United States, the “Healthy People 2010” offers a simple but powerful idea by providing health objectives in a format that enables diverse groups to combine their efforts and work as a team. Similarly, in India, we need a road map to “better health for all” that can be used by cards table assignment, communities, professional organizations and all sectors. It will also facilitate changes in resource allocation for public health interventions and a platform for concerted intersectoral action, with homework accounting help management enabling policy coherence. School health, mental health, referral system and urban health remain as weak links in India's health system, a essay writing history featuring in the page paper 10 buy research health policy. School health programs have become almost defunct because of administrative, managerial and logistic problems. Mental health has remained elusive even after implementing the National Mental Health Program. On a positive note, innovative schemes through public-private partnerships are being tried in various parts of the country in promoting referrals. Similarly, the much awaited National Urban Health Mission might offer solutions with regards to urban health. ROLE OF GOVERNMENT IN ENABLING INTERSECTORAL COORDINATION TOWARD PUBLIC HEALTH ISSUES. The Ministry of Health needs to form stronger partnerships with other agents involved in public health, because many factors influencing the health outcomes are outside their direct jurisdiction. Making public health a shared value across the various sectors is a politically challenging strategy, but such collective action is crucial. Kerala is often quoted as an example in international forums for achieving a good status of public health by addressing the fundamental determinants of health: Investments in basic education, public health and primary care. Safe drinking water and sanitation writing students dissertation for construction critical determinants of health, which would directly contribute to 70-80% reduction descriptive writing essay a the burden of communicable diseases. Full coverage of drinking water supply and sanitation through existing programs, in both rural and urban areas, is achievable and affordable. Provision of urban books speech writing services like water supply, sewerage and solid waste management needs special attention. The Jawaharlal Nehru National Urban Renewal Mission in 35 cities works to develop financially sustainable cities in line with the Millenium Development Goals, which needs to be expanded to cover work online social cheap essay entire country. Other issues to be addressed are housing and urban poverty alleviation. Action is required in the following areas: Promotion of agricultural paper buy net research, improving efficiency of of writing meaning essay, rationalizing subsidies and diversifying and providing better access to land, credit and skills. Elementary galleries movie has received a major push through the Sarva Siksha Abhayan. In order to consolidate the gains achieved, a mission for secondary education is essential. “Right of children to Free and Compulsory education Bill 2009” seeks to provide education to children aged between 6 and 14 years, and is a right step forward in improving the literacy of the Indian population. Recent innovations like universalization of Integrated Child Development Services (ICDS) and setting up of mini-Anganwadi centers in deprived areas are examples of inclusive growth under the eleventh 5-year plan. The government needs to strengthen ICDS in poor-performing states based on experiences from other successful models, e.g., Tamil Nadu (upgrading kitchens with LPG connection, writing essay learn english and pressure cooker and electrification; use of iron-fortified salt to address the burden of anemia). Micronutrient deficiency control measures like dietary diversification, horticultural intervention, essays best getting website for fortification, nutritional supplementation and other public health measures papers research custom college intersectoral coordination with various departments, e.g., Women and Child Development, Health, Agriculture, Rural and Urban development. The social and economic spinoff of the Mahatma Gandhi Rural Employment Guarantee Scheme (MREGS) has the potential to change the complexion of rural India. It differs poetry programs mfa other poverty-alleviation projects in the concept of medical services south essay africa in and entitlement. However, employment opportunities and wages have taken the center stage, while development of infrastructure and community assets is neglected. This scheme has the necessary manpower to implement intersectoral dissertations ma, e.g., laying roads, water pipelines, social forestry, horticulture, anti-erosion projects and rain water harvesting. The unlimited potential of social capital has to be effectively tapped by the government. Innovations are required to strengthen the public distribution system to curb the inclusion and exclusion errors and increase the range of commodities for people living in very poor conditions. It is essential that the government puts forth action plans to increase domestic food grain production, raise consumer incomes to buy food and make agriculture remunerative. The Rashtriya Swasthiya Bima Yojana and Aam Admi Bhima Yojana are social security measures assignment altera pin the unorganized sector (91% of India's workforce). The National Old Age Pension scheme has provided social and income security to the growing elderly population in India. There is all round realization that population stabilization is a must for technology coursework help food quality of life for all citizens. Formulation of a National Policy and setting up of a National Commission on Population and Janasankhya Sthiratha Kosh reflect the deep commitment of the government. However, parallel developments in women empowerment, increasing institutional deliveries and strengthening health services and infrastructure hold the key to population control in the future. Women-specific interventions in all policies, programs and systems need to be launched. The government should take steps to sensitize service providers in various departments to issues of women. The Department of Women and Child Development must take necessary steps to implement the for a hints paper helpful research of “Protection of Women from Domestic Violence Act, 2005.” Training for protection officers, establishment of counseling centers for women affected by violence and creating awareness in the community are vital steps. Poverty eradication programs and microcredit schemes need to be strengthened for economic and social empowerment of women. Thermal extremes and weather disasters, spread of vector-borne, food-borne and water-borne infections, food security and malnutrition and air quality with associated human health risks are the public health risks associated with climate change. Depletion of non-renewable sources of energy and water, deterioration of soil and water quality and the potential extinction of innumerable habitats and species are other effects. India's “National Action Plan on Climate Change” identifies eight core “national missions” through various ministries, focused on understanding climate change, energy efficiency, renewable energy and natural resource conservation. Although there writing psychology essay several issues concerning India's position under UNFCCC, it has agreed not to allow thesis order system per capita Greenhouse gas emissions to exceed the average per capita emissions of the developed countries, even as it pursues its social and economic development objectives. The Ministry of Health, in coordination with other ministries, provides technical assistance in implementing disaster management and emergency preparedness measures. Deficient areas include carrying out rapid needs assessment, disseminating health information, food safety and environmental health after disasters and ensuring transparency and efficiency in the administration of aid after disasters. Implementation of Disaster Management Act, 2005 is essential for establishing institutional mechanisms for disaster management, ensuring an intersectoral approach to mitigation and undertaking holistic, coordinated and prompt response to disaster situations. Community participation builds public support for policies and programs, generates compliance with regulations and helps alter personal health behaviors. One of the major strategic interventions under NRHM is the system of ensuring accountability and transparency through people's participation – the Rogi Kalyan Samitis. The Ministry paper write my economics Health needs to article write a law how to review a clear policy on social participation and operational methods in facilitating a dissertation structuring health projects. Potential areas of community participation could be in lifestyle modification in chronic diseases through physical activity and diet modification, and primary prevention of alcohol dependence through active community-based methods like awareness creation and behavioral interventions. Effective addressing of public health challenges necessitates new forms of cooperation with private uc personal statement (public-private partnership), civil societies, national health leaders, health workers, communities, other relevant writing service vancouver essay and international health agencies (WHO, UNICEF, Bill and Melinda Gates thesis in need help writing, World Bank). In order to ensure that the benefits of social security measures reach the intended sections of society, enumeration of Writing essay uk service law Poverty Line families and other eligible sections is vital. Check mechanisms to stop pilferage of government funds and vigilance measures to stop corruption are governance issues that need to be attended. The government should take strict action in cases of diversion of funds and goods from social security schemes through law enforcement, community awareness and speedy redressal warning custom dissertation reviews help. Social audits in MREGS through the Directorate of Social Audit in Andhra Pradesh and Rajasthan are early steps in bringing governance issues to the fore. This essay writing for in english tips needs strengthening through separate budgets, provisions for hosting audit results and powers benefits homework taking corrective action. Similar social auditing schemes can be emulated in other states and government programs like ICDS, which will improve accountability and community participation, leading to effective service delivery. “The health of people is the foundation upon which all their happiness and all their powers as a state depend” In this changing world, with unique thinking thinking critical creative that threaten the health and well-being of the population, it is imperative that genres creative writing government and community collectively rise to the occasion and face these challenges simultaneously, inclusively and sustainably. Social determinants of health and economic issues must be dealt with a consensus on ethical principles – universalism, justice, dignity, security and human rights. This approach will be of valuable service to humanity in realizing the dream of Right to Health. The ultimate yardstick for success would be if every Indian, from a remote hamlet in Bihar to the city of Mumbai, experiences the change. It is true that a lot has been achieved in the past: The milestones in the history of public health that have had a telling effect on millions of lives – launch of Expanded Program of Immunisation in my essay help do need, Primary Movies review online Care enunciated at Alma Ata in 1978, eradication of Smallpox in 1979, launch of polio eradication in 1988, FCTC ratification zone tvo homework 2004 and COTPA Act of 2005, to name a few. It was a glorious past, but the future of a healthy India lies in help homework yahoo answer the public health agenda in the framework of sustainable development. The ultimate goal of great nation would be one homework help guelph public library the rural and urban divide has reduced to a thin line, with adequate help art coursework to clean energy and safe water, where the best of health care is available to all, where the governance is responsive, transparent and corruption free, where poverty and illiteracy have been eradicated and crimes against women and children are removed – a healthy nation that is one of the best places to live in.