meri saheli magazine Published this article The policy identified 7 priority areas for improving the environment for health (a) Swachh Bharat Abhiyan (b) Balanced healthy diets and regular exercises (c) Addressing tobacco alcohol and substance abuse (d) Yatri Suraksha-preventing deaths due to rail and road accidents (e) Nirbhaya Nari-action against gender violence (f) Reduced stress and improved safety at work place and (g) reducing indoor and outdoor air pollution. Shifts in Public Health care Delivery There are 7 shifts in organising public healthcare services
1. Primary care-open selective care to assured comprehensive care with linkages to referral hospitals
2. Secondary and tertiary care-from an input oriented to an output-based strategic purchasing
3. Public hospitals- from user fees and cost recovery to assured free drugs diagnostic and emergency services to all
4. Infrastructure and human resource development-from normative approach to targeted approach to reach under-serviced areas 5. Urban health- from token interventions to on-scale assured interventions to organise primary health care delivery and referral support for urban poor.
6. National Health Programmes- integration with health systems for programme effectiveness and contributing to strengthening of health systems for efficiency and 7. AYUSH services-from stand alone to three dimensional mainstreaming. There is a gender disparity and male bias in health care globally nationally and locally in following ways
1. In 2016 23.8 lakh patients visited AIIMS New Delhi for treatment but of them only 37% were women though it is confirmed that women report more illnesses than men but they are treated less. 2. Male bias is further exacerbated by poverty location and other social factors. 3. In the developed countries too women suffer from heart diseases as much as men but get recognised and treated far less than men. 4. Though womens bodies respond differently to drugs due to smaller organs higher fat & hormones but the medical tests / researches on male bodies are taken as reference point meri saheli magazine subscription.
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