Rural Urban Health of India


India is on the verse population explosion. Till a decade ago we were happy that our skilled population will drive business from outsourcing the global services and our cursed liability with turn into valuable asset! but with a 72% rural population with minimum or no education, who are actually not able to manage nutritional demand of their household, lack of education is further amounting the family size of rural ignorant families on the other hand educated urban families are firm with two child theory. This implies that burdened population is increasing more that shouldering population.

As per the data facts on 6% of the total young Indians are getting sufficient education to get respectful employment! This indeed does not guarantee the financial stability of their households. If such is the situation than India is going to be in deep trouble. 

Indians are second largest in the numbers of engineers and scientists but 10 largest in medical officers. A big gap that too about 75% of health infrastructure, medical man power and other health resources are concentrated in urban areas where 27% of the population live. Nearly 716 million rural people (72% of the total population), half of which are below the poverty line (BPL) continue to fight a hopeless and constantly losing battle for survival and health.

Nearly 70% of all deaths, and 92% of deaths from communicable diseases, occurred among the poorest 20% of the population. They therefore seek remedies through magico-religious practices, which is tolling the civil crime based upon the myths and orthodoxies. The basic nature of rural health problems is attributed also to lack of health literature and health consciousness, poor maternal and child health services and occupational hazards. The majority of rural deaths, which are preventable, are due to infections and communicable, parasitic and respiratory diseases. Infectious diseases dominate the morbidity pattern in rural areas (40% rural: 23.5% urban). Waterborne infections, which account for about 80% of sickness in India, make every fourth person dying of such diseases in the world, an Indian. Annually,1.5 million deaths and loss of 73 million workdays are attributed to waterborne diseases.

Today there are 12 million TB cases (an average of 70%). Over 1.2 million cases are added every year and
37 000 cases of measles are reported every year.

Malnutrition is one of the most dominant health related problems in rural areas. There is widespread prevalence of protein energy malnutrition (PEM), anaemia,vitamin A deficiency and iodine deficiency. Nearly 100 million children do not get two meals a day. More than 85% of rural children are undernourished (150,000 die every year).

Very early marriage: 72.5% of women aged 25–49 years marry before 18, where the literacy rate is 80%.
2. Very early pregnancy: 75% married women had their first pregnancy below 18 years of age 3. All women invariably do hard physical work until late into their pregnancy.

Only 28% of pregnant women had their antenatal checkup before 16 weeks of pregnancy. 6. Only 67% of pregnant women had complete antenatal checks (minimum of three checkups). Only 30% of women had postnatal checkups. 1. 80% of general practitioners practice western medicine (allopathic medicine) without proper training.2. 73% consider cost to be the most important factor when prescribing a drug, without considering pharmacological properties.

SOLUTION
I disqualify that India is not capable to win over this problem but yes I doubt at the willingness of the administrators. In a country where pepsico & Coca-Cola can be sold in all the corners of deep trodden villages, where ballot box/ Electronic voting machines can be installed, I refuse the point that the sanitation, clinics and medicals cannot be made availed. So lets talk about the firm action plan. 

Construing the channel Infrastructures
It is good that privatization is being promoted in Rural-Healthcare segment but with what intention? is my concern. Their is no harm in billing profit but unethically? well this is what is happening at he cost of ill-intention implementation of  good objectives.

This is problem is even grave because a medical officer who got his degree by paying millions as donation is actually interested to break even the degree cost as soon as possible and those who got the degree by the luck as we call is reservation are actually inefficient 

So lets bring out a Internet-Video based physician consulting model so that a good doctor can cure the remotely located patient at reasonable cost! This will solve the purpose of all!

Lets control the market effectively so that Multinational Companies cannot dump their banned drugs in Indian rural markets. 

PROMOTE Ayurveda 
Alopathy does not rightly cure the disease, it fixes the issue with shortest possible mechanism for instant relief on the other hand Ayurveda actually heals the sufferer. I have plenty of examples ranging from Diabetes, BP, Nephritic or Hepatic diseases.

It does not operates or uses nostalgia drugs and so it is cost effective!   

                                                                                                                               Will be continued.....









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