Art and Science of Essay Writing

Kapil Sikka, ex faculty, JMI

Health and Vulnerable Section

Kapil Sikka, ex faculty, JMI

Topic: Healthcare

• The focus of health care is increasingly getting skewed towards the ‘haves’ of our society. -2009

• Or

• Neglect of primary health care and education in India are reasons for its backwardness

Intro:

• Rule no 1: Nature of Topic i.e. binary, where you can prove both right and wrong and same time

• Rule no. 2: Try to relate to current affairs

• Rule no: 3: Should be interesting and captivating

Intro: • Gorakhpur Tragedy

• Ministry of Health Survey (1198/Citizen)

• SC stand as Fundamental Right

• HDI (130/189)

• Gandhi’s Idea

Aspect

• PSIC Approach

– Prospects

– Success

– Issues

– Challenges

Structure • Why • Why Good Health

– Concept of Healthy Nation

• What – What are the Steps – Issues and Challenges

• How – Solutions and Way forward

Concept of healthy nation

Individual

Social

Economic Political

Concept of healthy nation

Family

Standard of Living

Social Cohesion

Social Unity

Concept of healthy nation

National

Demographic Dividend

National Indicator

(GDP) GNP

Issues

Quality

Availability

Affordability

Accessibility

3A-Q Approach

Availability

• Infrastructure

• Workforce

• Regional Divide

Accessibility

• Demand

• Supply

Affordability

• Urban

• Poor

Quality

• Private

• Public

Facts • An estimated 469 million people in India do not have regular access to essential medicines. Source:

WHO

• While 63% of primary health centres did not have an operation theatre and 29% lacked a labour room, community health centres were short of 81.5% specialists–surgeon, gynecologists and pediatricians. Source: India Spend, January 2018

• In 2014, 58% Indians in rural areas and 68% in urban areas said they use private facilities for inpatient care, according to the 71st round of the National Sample Survey Source: India Spend, January 2018

• Various studies have shown the rising out-of-pocket expenditures on healthcare is pushing around 32-39 million Indians below the poverty line annually. Source: First Post

Facts

• Heart disease (1/4 people) and stroke is the biggest killer of men and women in India.

• 7% of Indians fall below the poverty line just because of indebtedness due to this expenditure, as well as that this figure hasn’t changed much in a decade.

• About 23% of the sick can’t afford healthcare because of these payments.

• 55 million Indians were pushed into poverty in a single year due to unaffordable healthcare. (PHFI, 2018)

• 33 out of 55 million fell under the poverty line due to expenditure on medicines alone. (PHFI, 2018)

Health Care Schemes

• Reproductive, Maternal, Newborn, Child and Adolescent Health

• Rashtriya Bal Swasthya Karyakram

• The Rashtriya Kishor Swasthya Karyakram

• Janani Shishu Suraksha Karyakaram

• TB Control, Diabetes etc

Challenges • Awareness

• Spending

• Corruption

• MCI

• Facilites

Solutions • Promotive

• Preventive

• Curative

• Schemes: AYUSH, PMJAY, AYUSHMAN

Conclusion • Idea of New India

• Idea of Gandhi

• SDG 2030

• Sarvashreshth Bharat 2047

Quote Bank • It is health that is real wealth and not pieces of gold and silver:

Gandhi

• He who has health has hope; and he who has hope has everything: Anonymous

• Healthy citizens are the greatest asset any country can have. Winston Churchill

Vulnerable Section

• There can be no keener revelation of a society's soul than the way in which it treats its children

• Nelson Mandela

No PIC Approach

• Start with Facts/Figures

• Case Study

• Recent Govt Reforms if any

Poshan Abhiyan

Conclusion

• Futuristic Vision

• SDG Goals

• The idea of New India

• Ek Bharat Sarvashrestha Bharat