Thursday, August 9, 2012

CHALLENGES OF PEOPLE's HEALTH


Hkkjr ns’k ds ikl i;kZIr LokLF; lalk/ku gSa
1.    Hkkjr esa nqfu;k esa lcls vf/kd eSMhdy dkyst gSaA
2.    fodkl’khy ns’kksa esa lcls vf/kd MkDVj rS;kj fd;s tk jgs gSa
3.                ;s MkDVj cgqr ls nwljs ns’kksa esa tkrs gSa vkSj T;knkrj nqfu;k ds loksZre MkDVjksa esa fxus tkrs gSaA
4.                Ckgqr ls fodflr ns’kksa ls “Medical Tourists” Hkkjr esa bykt ds fy, vkrs gSa ftldk eryc lkQ gS fd ;gka fd eSfMdy gquj  vkSj ,DlizVht maps ntsZ dh gSaA os ;gka ds ^State of the art , high tech hospitals’ esa bykt djokrs gSa tks nqfu;k ds csgrj vLirkyksa dk eqdkcyk djrs gSaA
5.                nokvksa ds mRiknu ds lanHkZ esa gekjk ns’k pkSFks uEcj ij gSA vkSj nokvksa ds fu;kZr esa nqfu;k ds Largest exporters esa ls ,d gSA
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bl lcds ckotwn Hkkjr dh turk ds LokLF; dh D;k gkyr gS\
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blesa dksbZ ‘kd ugha fd bu lc lalk/kuksa dks gkfly djus ds fy, /ku dh vko’;drk gksxhA Hkkjr o”kZ ds yksx vius LokLF; ij [kpZ djus esa cgqr ls fodkl’khy ns’kksa ls vkxs gSaA brus csgrj lalk/kuksa ds gksrs gq, Hkh tc ge xkao vkSj ‘kgjksa ds yksxkksa ls ckrphr djrs gSa rks gSjku djus okyh phtsa ikrs gSa&
1.                bu lc izHkko’kkyh LokLF; ds lalk/kuksa ds ckotwn] T;knkrj yksxksa dks csgrj LokLF; lsok,a miyC/k ugha gSaA
2.                LokLF; dks izfrfcfEcr djus okys vkadM+s Hkh larks”ktud ugha gSaA
3.                Vhdkdj.k dk Lrj cgqr uhps gSAvk/ks ls de cPpksa dk gh iw.kZ Vhdkdj.k gqvk gS vkSj ;g izfr’kr Hkh /khjs /khjs fiNys dqN lkyksa esa de gksrk tk jgk gSA
4.                blh izdkj ,d xHkZorh efgyk ds rhu pSdvi gksus pkfg,a exj ipkl izfr’kr ds rhu pSd ugha gks ikrsA
5.                LokLF; lsokvksa dh miyC/krk dk Lrj Hkh xjhc vkSj vehj ejhtksa ds chp cgqr vleku gSA
6.                vLirky esa nkf[ky gksus okys vehjksa dh la[;k xjhcksa ds eqdkcys Ng xq.kk T;knk gSA
7.                brus Hkkjh nok m|ksx ds ckotwn tks iwjh nqfu;k esa nokvksa dk fu;kZr djrk gS Hkkjr dh nks frgkbZ turk dks vko’;d nok,a miyC/k ugha gSa ;k mudh igqap ls ckgj gSaA
8.                lg ns’k IkSjkMksfDll okyk ns’k gS tgka [kkrs ihrs ?kjksa dh efgykvksa dks rks blfy, ijs’kku gksuk iM+rk gS fd mudks vukO;’kd lhtsfj;u vkijs’kuksa dk na’k >syuk gksrk gSA dqN ‘kgjh dsUnksa esa vk/ks ds yxHkx iz’kwfr;ka vkijs’ku ds }kjk dh tkrh gSaA tcfd mudh xzkeh.k xjhc cguksa dks ekSr dk lkeuk blfy, djuk iM=rk gS fd okLro esa vkijs’ku dh t#jr ds oDr mudks ;g lqfo/kk miyC/k ugha gksrhA
9.                                  gkykafd yksx LokLF; lqfo/kkvksa ij dkQh [kpZ( lcls xjhc yksx viuh dqy vk; dk 1/8 Hkkx LokLF; lqfo/kkvksa ij [kpZ djrs gSa)A ljdkj cgqr de [kpZ djrh gSA fiNyh Iyku ds 1% GDP ls 1.58 % GDP djus dh flQkfjl tcfd WHO tSlh ,tSalh Hkh th Mh ih dk 5% LokLF; ij [kpZ djus dh flQkfjl djrh gS vkSj High Level Expert Group(HLEG) dh 2.5% dh flQkfjl gSA uhps ds nl ns’kksa esa GDP % [kpZ ds fglkc ls Hkkjr dh txg cuh jgsxhA caxyk ns’k vkSj usiky tSls xjhc ns’k gels vkxs gSa bl ekeys esaA Jh yadk dk mnkgj.k gekjs lkeus gSA
Hkkjr LokLF; dk flLVe nqfu;k ds lcls T;knk izkboSVkbTM flLVeksa esa ls ,d dgk tk ldrk gSA
10.Ikakp ckj vLirky esa ;fn dksbZ nkf[ky gksrk gS rks nks ckj mls ;k rks m/kkj ysdj ;k viuh lEifr csp dj fcy pqdkuk iM+rk gSA ,sls yksxksa dh la[;k fnuks fnu c<+rh tk jgh gS tks vius bykt dk [kpZ ogu ugha dj ldrsA
11. ,d vuqeku ds fglkc ls MkDVjksa }kjk fy[kh xbZ yxHkx nks frgkbZ nokbZ;ka ;k rks irrational gSa ;k unnecessary gSaA Out patients dk yxHkx 50% T;knkrj unnecessary injections ikrk gSA
12. ,d rjQ xjhc esa Communicable diseases T;knk rsth ls c<+ jgh gSa rks nwljh rjQ [kkrs ihrs lEiUu eqB~Bh Hkj yksxksa esa Non communicable diseases rsth ls c<+ jgh gSaA
13. ,d rjQ ljdkjh vLirkyksa dh [kLrk gkyr gksrh tk jgh gS rks nwljh rjQ dkjiksjsV lSDVj cM+s iSekus ij Curative medicine ds {ks= esa csjksd Vksd ljdkjh izksgRlku ds lkFk vkxs c<+rk tk jgk gSA
14. ,slk yxrk gS fd ljdkj vc LokLF; ds [ks= esa ,d ( Purchager) dh Hkwfedk fuHkkuk pkgrh gS vkSj bl izdkj izkbZosV dkjiksjsV LokLF; ds [ks= dks turk ds iSls ls vkSj vf/kd rkdroj cukuk pkgrh gSA
      bl lcds ckotwn ;g lEHko gS fd ge viuh LokLF; lsokvksa dks vxj vyx Universal access to decent health care for their population ds liuksa dks gdhdr esa rcnhy fd;k gSA

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