Lessons from Regulation of Private Health Sector in South Africa The key lessons learned from the government policies of South Africa for regulating health care in the private sector are [ 42 , 43 ]: Second, it is difficult to place the trained doctors in remote rural areas which lack in basic amenities and services at a health centre as well as the locality. In developing countries, ethical questions which may arise for health providers, especially for evolving private hospitals are:. Applied Health Economics and Health Policy. Paradoxically, a robust framework was not developed for the regulation of these health care providers, resulting in disorganized health sector, inadequate financing models, and lack of prioritization of services, as well as a sub-optimal achievement of the Millennium Development Goals MDG.
This act broadly failed in achieving its objectives, as it did only little to curb medical negligence and malpractices and is often counter-productive, promoting unethical practices of over-investigations and unnecessary subspecialty referrals [ 31 ]. The brand NRHM that has succeeded in winning over the trust of clients who have been attracted to the health centers may end up in disappointment and carry a negative message back to the society. We systematically reviewed the evidence base regarding regulation of private hospitals, applicability of private-public mix, state of health insurance and effective policy development for India, while seeking lessons on regulation of private health systems, from South African a developing country and Australian a developed country health care systems. Ethical and social issues in the care of the newborn. Sharma AYUSH graduates can provide primary health care and help fill in the human resource gaps in rural areas Planning Commission b:
We found almost similar pattern on the RII and the effects between wealth and education measures of socioeconomic position. Financing universal health coverage—effects of alternative tax structures on public health systems: Tax subsidies are encouraged for the training of health care workers in private sector.
Issues in Medical Ethics.
Planning Commission, Government of India, 67—72, http: A word of caution also emerges from Australia, for a more equitable case-mix of utilization of services. Search Strategy A systematic search strategy was developed, to understand the broad issues of ethics, management and equitable delivery of health services within the health systems in India.
The goal of appointing ASHAs has been achieved to a large extent.
Open University Press; Should the goal not be to reduce them to the lowest possible levels say around 3—5, the levels already attained in the developed countries for all states and social groups? Annual health survey, 7 4http: As is evident at present, the patient flow among various social classes is highly demarcated, with public health facilities being utilized predominantly by the lower income quintiles [ 21 ].
Scaling up of facilities for the reduction of neonatal services at a district health system in south India has been shown by upgrading of the neonatal services at public district hospitals by private funds from NGOs [ 56 ].
(PDF) The National Rural Health Mission: A Critique | Arun Kumar Sharma –
For example, the central government has focused on reducing the maternal mortality rate MMR the most. Indian Journal of Community Medicine. Spatial pattern of private health care provision in Ujjain, India: The same search strategy was used for relevant policy issues of South Ot and Australia.
Study protocol for a cluster-randomised controlled trial. Public policy and private health insurance: International Journal of Gynecology and Obstetrics.
We systematically reviewed the evidence base regarding regulation of private hospitals, applicability of private-public mix, state of health insurance and effective policy development for India, while seeking lessons on regulation of private health systems, from South African a developing country and Australian a developed country health care systems. At the base, there is a vast network of 22, Primary Health Centers PHC which coordinate six sub-centrer and serve refiew population of about 30, people.
EVALUATION OF JANANI SURAKSHA YOJNA UNDER NATIONAL RURAL HEALTH MISSION IN KASHMIR VALLEY
Three commonly used models are: Although other measures of inequalities are available, such as concentration index and absolute slope index of inequality, the RII is recommended for performing comparisons over time or across populations Kunst and Mackenbach ; Ernstsen et al. Who can do it best, if not the local, trusted doctor?
Regulation of the private health sector in India. The second important regulatory act is the Consumer Protection Act which was enacted in We then provide a model for the ethical delivery of services by taking a potential example of services undertaken for sick newborns and infants by private hospitals in India. We will now discuss some of the insights gained from the review of literature from South Africa and Australia. Intra-house information, resource and asset sharing and demographic balancing lower the prevalence of illness.
The core objective of NRHM is to create fully functional health facilities within the public health system. The forced survival of such a baby if the baby was born in a public sector hospital with all facilities may be more devastating for the family than its demise.
We will now discuss some of the insights gained from the review of literature from South Africa and Australia. Characteristics reeview private medical practice in India: Village meetings or any collective meeting for health promotion, an indicator of the mobilisation role was varied, with six districts- Andhra Pradesh and Kerala and Orissa reporting a higher than 70 per cent activity level, while it was less than 50 per cent in all the rest.
Hospital doctors are considered to be certainly more competent. There is a need for rigorous testing of the proposed model, to provide further evidence literahure its utility.