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Challenges in Public Health. Shiv Chandra Mathur Director, SIHFW,Rajasthan,India. Public Health- Gains. Increase in life expectancy Reduction of Fertility Eradication of Smallpox/ Guinea Worm Initial Succession in Leprosy/ TB/ Malaria. Public Health- Current Problems. Ageing
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Challenges in Public Health Shiv Chandra Mathur Director, SIHFW,Rajasthan,India Shiv Chandra Mathur
Public Health- Gains Increase in life expectancy Reduction of Fertility Eradication of Smallpox/ Guinea Worm Initial Succession in Leprosy/ TB/ Malaria Shiv Chandra Mathur
Public Health- Current Problems Ageing Triple Morbidity burden Water/ Vector borne diseases New Emerging Diseases Life Style Diseases Shiv Chandra Mathur
Public Health- Problems & Resources Health Facilities Infrastructure Health Manpower Shiv Chandra Mathur
Public Health- Challenges Understanding the nature of problems. Rural/ Urban Differentials Responsibility for Health Responsiveness of health system HMIS and Early Warning System Public, private, corporate and voluntary sector Convergence/ Inter-sectoral action for health Indian System of Medicine Health Manpower Development Shiv Chandra Mathur
Public Health- Understanding the nature Population : Asset/ Liability Health Expenditure : Consumption /Investment Health as Development : Essential Input/ Outcome Shiv Chandra Mathur
Public Health– Dilemma: • Equity and Equality • Quantity and Quality • Public/Private/ Voluntary sector • Education/ Persuasion/ Coercion • Professional/ Para Prof/ Auxiliaries • Privatization/ Disinvestment Shiv Chandra Mathur
Responsibility for Health Individual Public Health Administrators Shiv Chandra Mathur