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Challenges in Public Health: Shiv Chandra Mathur

The document discusses challenges in public health in India. It outlines gains that have been made, such as increased life expectancy and reductions in fertility and diseases like smallpox. However, it also discusses current problems including an aging population, rising rates of multiple diseases, and emerging health issues. It notes challenges providing adequate health facilities, infrastructure, and manpower. Additional challenges include understanding health problems, rural-urban differences, the responsibilities of various sectors, the need for cooperation across sectors, developing the health workforce, and balancing priorities like equity, quality, and roles of public and private organizations.

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Tesfamichael Abathun
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56 views8 pages

Challenges in Public Health: Shiv Chandra Mathur

The document discusses challenges in public health in India. It outlines gains that have been made, such as increased life expectancy and reductions in fertility and diseases like smallpox. However, it also discusses current problems including an aging population, rising rates of multiple diseases, and emerging health issues. It notes challenges providing adequate health facilities, infrastructure, and manpower. Additional challenges include understanding health problems, rural-urban differences, the responsibilities of various sectors, the need for cooperation across sectors, developing the health workforce, and balancing priorities like equity, quality, and roles of public and private organizations.

Uploaded by

Tesfamichael Abathun
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
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Challenges in Public Health

Shiv Chandra Mathur


Director,
SIHFW,Rajasthan,India

Shiv Chandra Mathur


Public Health- Gains
 Increase in life expectancy

 Reduction of Fertility

 Eradication of Smallpox/ Guinea Worm

 Initial Succession in Leprosy/ TB/ Malaria

Shiv Chandra Mathur


Public Health- Current Problems

 Ageing

 Triple Morbidity burden

 Water/ Vector borne diseases

 New Emerging Diseases

 Life Style Diseases


Shiv Chandra Mathur
Public Health- Problems & Resources

 Health Facilities

 Infrastructure

 Health Manpower

Shiv Chandra Mathur


Public Health- Challenges
 Understanding the nature of problems.
 Rural/ Urban Differentials
 Responsibility for Health
 Responsiveness of health system
 HMIS and Early Warning System
 Public, private, corporate and voluntary sector
 Convergence/ Inter-sectoral action for health
 Indian System of Medicine
 Health Manpower Development
Shiv Chandra Mathur
Public Health- Understanding the nature

Population : Asset/ Liability

Health Expenditure : Consumption /Investment

Health as Development : Essential Input/ Outcome

Shiv Chandra Mathur


Public Health– Dilemma:

 Equity and Equality


 Quantity and Quality
 Public/Private/ Voluntary sector
 Education/ Persuasion/ Coercion
 Professional/ Para Prof/ Auxiliaries
 Privatization/ Disinvestment

Shiv Chandra Mathur


Responsibility for Health

 Individual

 Public Health Administrators

Shiv Chandra Mathur

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