Health Posted on March 28, 2017 by Arun Kumar GS123: Q&A Q. What are the major challenges in formulating and implementing a sound health policy in India? 10 marks Arun Kumar M.Sc.(Psy), UGC( NET), R&T Exp: 20+ Yrs, Founder -Beautiful Mind , Delhi Share Next Economy Previous Health You may also like... Substance abuse Developmental Psychology Psychology 7 Responses Comments7 Pingbacks0 Anshumaan Sheel bhadra says: March 28, 2017 at 3:04 pm India is a very challenging country when it comes to health care . The biggest challenges are as follows. …….1. India has wide climatic and geographical range as a result it is an avid breeding ground for a host of pathogens from vector born tropical diseases to high altitude ailments like frost bite hypothermia etc. 2. India has a crippling lack of hygiene particularly in poverty ridden areas and they have become a breeding ground for vector born diseases which could be avoided by cleanliness. 3. Indians powerd by Google indulge in self medication thus india is home to the highest number of antibiotics users leading to antibiotic resistance I.e NDM-1. 4. Indian hospitals specially govt ones lack post op hygiene and india is home to one of the largest incidence of post op staphylococcus infection which are often fatal. 5.Non communicable diseases (ncds) are responsible for 80 percent of deaths largely due to our eating habits and our lifestyle. 6. India us hone to the highest number of smokers,tobacco users and one of the highest numbers of alcoholics and drug users creating a big challenge.7. India’s health care is plagued by budgetary constraints only 2.5 pc of the gdp is alloted to heath care one of the lowest in the world.8. Lack of qualified doctors to cater to patients 7 physicians per 1000 patients and only 33 doctors per 1000 are grossly insufficient. 9. Nurses are poorly trained and Ill equipped and the doctor to nurse ratio is a big limiting factor in quality heath care. 10. The rampant corruption in the medical profession whether it is admission to colleges or indulging in private practice not to mention the insensitive attitude towards poor patients is the biggest challenge. Reply Arun Kumar says: March 30, 2017 at 5:12 am Points you have raised are quite valid. You should also write specifically how all these create challenges for policy formulation. Reply AMIT KUMAR says: March 29, 2017 at 3:27 am India faces multiple challenges in healthcare policy formulation and implementation. One of the biggest challenge is the amount of money we spend on healthcare, which is dismally poor at less than 2.5% of GDP when compared to 5-6% of developed countries. It becomes particularly challenging when 40% of country’s population is living beyond poverty line while 70% of healthcare is driven by private sector. Another irony is while 68% of the population lives in rural area, only 2% doctor are working there. Number of hospital beds in India remains at 1.3/1000 as compared to WHO guideline of 3.5. There is dearth of doctors and nurses in hospitals to cater such huge population. As per NSSO, 80% of Indians do not have health insurance cover. It leads to an out of pocket expenditure and remains one of the biggest reason to drag people into below-poverty-line. While private sector is the major driver of the industry in India, Lack of trust towards public delivery of healthcare is a big challenge too. Health is the function of things we eat, drink and atmosphere we live in. We are yet to becomes “open defecation free country” which is one of the major cause of illness especially in rural areas. We need to follow multiple strategies to improve healthcare scenario in India but all that will be successful only when it is coupled with increase in education level in the country. Reply Arun Kumar says: March 30, 2017 at 5:14 am Rather to focusing on the statistics, underscore specifically the challenges associated with it. Reply AMIT KUMAR says: March 30, 2017 at 6:42 am noted Sir, thanks Reply M.N says: March 29, 2017 at 5:17 am 1.There is need for increasing the level of public finances for health.In india , expenditure is 4.1% of its GDP which is one of the lowest in the world. 2.Poor infrastructures and inadequate skilled human resources.doctor to patient ratio is approx 1:1600 only. 3.The focuss of our policy makers is on addressing the demand side issues rather than supplying side constraints. 4 .There is emphasise on AIIMS like institution while neglecting the importance of health care institutions at local level. 5. Lack of coordination between government agencies and also public and private players while implementing the policy. 6.We don’t have latest data which shows the current level of malnutrition ,maternity entitlements etc and this is serious gap in implementation of policy. 7.Gender biasness is another hurdle while implementing health policy.for ex family planning mainly focussed on women thus indicating biasness while implementing such initiative. 8.Lack of regulatory framework for example; In surrogacy law there is lack of regulatory body to oversee the conduct of operation and clinics. 9.Increassing health care cost: with rising life expectancy a large proportion of our polpulation will became vulnerable to chronic non communicable disease. 10.lack of quality standard of medicine for example: scientific validation of AYUSH has not progressed in spite of large expenditure in the past. Reply Arun Kumar says: March 30, 2017 at 5:19 am Details are enough. Implications of these details should be specified for the policy formulation. Reply Leave a Reply Cancel replyYour email address will not be published. Required fields are marked *Comment Name * Email * Website This site uses Akismet to reduce spam. Learn how your comment data is processed.