Health Care provided by government hospitals in our state
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In 2006, the Public Health Foundation of India was started by the Prime Minister of India as both a private and public initiative. The goal of this organisation is to incorporate more public health policies and diverse professionals into web the healthcare sphere. It also collaborates with international public health organisations to gather more knowledge and direct discussions around needs and improvements to the current system.[15] Oftentimes officials in policy making positions have a gap in their education about public health, and MPH and PhD programs in public health are lacking in their number of students and resources. The Public Health Foundation aims to further these programs and educate more people in this field. The research discovered would be made transparent to the Indian public at large, so that the entire nation is aware of health standards in the country.[15]
Community Health Workers Edit
The Indian government first began to implement community health worker programs in 1977.[16] Community health workers provide advice and support to other women in their community. Sometimes referred to as sakhis, these women capitalize on their familiarity with the community to gain credibility and promote public health measures, usually by leading participatory groups.[17] Community health workers also function to mediate between modern allopathic medicine and traditional indigenous forms of healing,[16] such as by tailoring allopathic health recommendations to include and legitimize traditional beliefs.[18] Community health workers closely cooperate with each other and with other types of health workers (such as auxiliary nurse midwives) to encourage care utilization and deliver health services.[18] Currently, India's largest community health worker program, started in 2005 and now subsumed in the National Health Mission, consists of nearly one million Accredited Social Health Activist, a ratio of one for every 1000 people in rural villages and marginalized urban communities.[19]
Community health workers and participatory groups have been shown to change health behaviors[19] and impact health outcomes such as neonatal mortality.[20] Factors for these positive changes include active inclusion and recruitment of a large portion of women in the community, engagement and participation during skill development, and involvement of the community beyond group participation.[20] Community health workers may also serve as community leaders and change-makers by empowering women and demanding policy action to address health inequities.[21] Addressing these social determinants of health has a direct impact on healthcare utilization.[21] For example, empowered women are less likely to face health problems because they are more likely to be aware of problems with their health and therefore more likely to seek care to address these problems.[22][23]
This grassroots intervention strategy often involves partnerships with local hospitals or government-organized non-governmental organizations (GONGOs),[23] who train female volunteers from the community and help organize participatory groups.[19] Though demonstrated to be effective, community health worker programs can be hampered by a lack of monitoring and accountability as a result of governmental decentralization.[24] Community health workers are not government employees but rather volunteers that state governments are responsible for training and financially incentivizing.[19] Health workers may also lack a sufficient understanding of the public health measure they are trying to promote due to inadequate training and resources.[16]
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