Question

about Saudi Arabia answer that :

Create a new thread, and identify what you think is the number one community health problem in your hometown and why. Defend your response with appropriate statistics or information.

Answer 1

Good health is an integral component of human well being. No individual should fail to secure adequate medical care because of inability to pay it and should get all facility for diagnosis and treatment which is also recommended by the BHORE committee in 1946.It is a fundamental human capacity that enables every individual to achieveher/his potential to actively participate in social, economic and political processes. In particular, a growing body of evidence highlights the importance of the early years in the development of individual potential.

Lack of Consideration in urban area: Urban area has got very poor health infrastructure to provide health services due to lack of manpower. Even Urban Slum is not covered under Urban Health scheme (Urban Health Scheme is not implemented by the GOB for Patna district) which cover urban Population.

2. Non availability of specialists at Block level/Attrition rate: As per IPHS norms, there are vacancies of specialists in most of the PHCs. Many a times only Medical Officer is posted, they are busy with routine OPD and medico legal work only, so PHC do not fulfill the criteria of ideal referral centers and that cause force people to avail costly private services.The HR structure is further crippled by the high attrition rate of staff. DHAP-Patna 2012-13

3. Non availability of ANMs at PHCs to HSCs level - As per IPHS norms, there are vacancies of ANMs in most of the HSCs. Out of 418 Sanctioned posts of contractual ANMs only 353 ANMs are Selected so HSCs do not fulfill the criteria of ideal Health Sub Centre and that cause force people to travel up to PHCs to avail basic health services.

4. Apathy to work for grass root level workers: - Since long time due to lack of monitoring at various level grass root level workers are totally reluctant for work. Even after repeated training desired result has not been achieved. Most of the MO, Paramedical & other Health workers do not stay at HQ. Medical Officers, who are supposed to monitor the daily activity of workers, do not take any interest to do so. For that reason workers also do not deliver their duties regularly and qualitatively. Due to lack of monitoring & supervision some aim, object & program is suffering alot.

5. Lack of proper transport facility and motarable roads in rural area: - There are lacks of means of transport and motarable roads in rural areas. Rural roads are ruled by ‘Jogad’, a hybrid mix of Motor cycle and rickshaw, which is often inconvenient mean of transport. The fact that it is difficult to find any vehicle apart from peak hours is still the case in numerous villages.

6. Illiteracy and taboos:-The literacy rate in rural area has still not reached considerable mark. Especially certain communities have constant trend of high illiteracy. This causes prevalence of various taboos that keep few communities from availing benefits of health services like immunization or ANC, institutional delivery…etc.