CHALLENGES IN THE DECENTRALISATION OF HEALTH CARE AND DISASTER PREPAREDNESS IN ANDHRA PRADESH, INDIA (IPPHEC)
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Lack of proper commitment by state government towards decentralization. Political Decentralization.( Control of Local Politicians on Non-Teaching Hospitals). Indian Medical Association Against Political Decentralization.
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![EXISTING
DISASTER
MANAGEMENT
STRUCTURE
Disaster Management Act,
2005.
National Institute of Disaster
Management.
National Disaster Response
Force.
National Disaster Mitigation
Resource Center.
National Disaster
CHALLENGES IN DISASTER
PREPAREDNESS
Need for comprehensive Public Health Strategy to
meet all expected needs through enhanced
relationship and communication with private Health
•Lack of proper commitment by state government towards decentralization.
•Political Decentralization.( Control of Local Politicians on Non-Teaching
Hospitals).
•Indian Medical Association Against Political Decentralization.
•Health administrators and
bureaucrats are protected .
•State Protection of Regional
Employees.
•Limited transfer of power.
•District Collector Chairman of
Selection Committee Instead of Zilla
Parishad Chairman (Against 73rd Act)
PROBLEMS IN DECENTRALISATION OF
HEALTH CARE IN AP, INDIA.
PROBLEMS IN HEALTH
SERVICE DELIVERY
Non-availability of staff during duty
hours
Lack of funds
National Disaster
Management Authority.
National Crisis Management
Committee.
National Exec. Committee.
State Disaster
Management
Authority
(SDMA)
District
Disaster Response
Force.(NDRF)
Calamity
Relief
Fund.
Emergenc
y Medical
Relief
Division of
DGHS in
MOHFW.
CONCLUSIONS
No Political decentralization.
Positive and Negative effects of Aarogya shri on
Decentralization and Disaster Preparedness.
Failure of State Government in conducting training
workshops and Periodic Drills of all stake holders in
the preparation and implementation of Disaster
Preparedness Plan.
relationship and communication with private Health
sectors for improving Psychological Preparedness
help in event of disaster crisis.
Need interventions for Hospital staff Training on
use of Multi-user System for Emergency Response.
(MUSTER) at semi-urban and Rural Levels.
Need for development of Community Mental
Health Services in rural areas.
Need for Gold Standards on Humanitarian Health
Interventions.
•Lack of accountability .
•Improper implementation of
Decentralization as District Mayor
not included in the committee.
(against 74th Amendment Act)
•Corruption
•Impact of Aarogya
shri on
Decentralization.
•Delay in payments
• Local Institutions
Depend on State
government for funding
Non-utilization of
funds and Budget by
Local Government due
to limited budget
spending Facility.
•Deficiency in efficiency and
Leadership of Chairmanship and
composition of Hospital Development
Society (HDS) In conducting regular
Meetings to address issues Health care
improvements.
EXAMPLE OF MUMBAI TERROR ATTACKS ON 27 NOV, 2008.
Lack of funds
Corruption
Quality of spending
Lack of accountability
Lack of proper incentives
Shortage of medicines
Inadequate supervision
Lack of proper infrastructure
INTRODUCTION
Indian Planning Commission opted for
Decentralisation to overcome the problems
in public health care delivery.
To increase the accountability of health
care providers.
To improve the health outcomes.
Preparedness Plan.
No focus on Psycho-social Interventions.
Delay in Payment by Central Government & State
government & Non-utilization of funds for appro-
priate Decentralization of Health care & Disaster
Preparedness.
REFERENCES
Mazzaferro C. & Zanardi A. (2008): Centralization versus Decentralization of public policies: Does the
Heterogeneity of Individual Preferences Matter? Fiscal studies, 29(1), pp-35-73.
Mooji (2003): Smart Governance ? Politics in the policy process in Andhra Pradesh , India; Working Paper
228; Overseas Development Institute, London
Mosca (2006): Is decentralization the real solution? A Three country study. Health Policy .vol.77, pp 113-120
Rondinelli D.A., Nelis J.R., & Cheema.G.S (1983): Decentralization in developing countries, Staff Working
Paper 581. Washington, DC, World Bank.
Singh, N (2008) Decentralization and Public Delivery of Health Care Services in India Munich Personal
RePEc Archive. Available Online at http://mpra.ub.uni-muenchen.de/7869/ [Accessed on Nov 14 2009]
http://www.searo.who.int/linkfiles/EHA_cp_India.pdf. (Accessed on Nov 14, 2009)
RECOMMENDATIONS
Increase in resources, Marked improvement of
Public Health infrastructure, medical and Para-medical
staff availability, involvement of key stake holders &
also community will help state government in proper
implementation of Decentralization & Disaster
Preparedness.
Training and orientation programs for Disaster
Preparedness.
Quick approval of New Disaster Management policy
& Training Module on Mass causality Management.My sincere thanks to J Agustín Ozamiz, Program Director of the EMSRHS and deep appreciation to my family, friends & colleagues.](https://image.slidesharecdn.com/ipphec-210110105708/85/CHALLENGES-IN-THE-DECENTRALISATION-OF-HEALTH-CARE-AND-DISASTER-PREPAREDNESS-IN-ANDHRA-PRADESH-INDIA-IPPHEC-1-320.jpg)
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The document summarizes healthcare financing in India. It discusses that healthcare financing aims to ensure access to health services. The key principles are generating revenue, pooling funds for cross-subsidization between rich/poor and healthy/sick, and purchasing efficient services. In India, healthcare is financed primarily through out-of-pocket payments by households, while government expenditure is low compared to other countries. Reforms like NRHM and RSBY aim to increase public allocation to healthcare. Challenges include expanding coverage with limited resources and improving spending efficiency.
Health economics
This document provides an overview of health economics. It begins by defining health economics as the study of how scarce resources are allocated for healthcare and the promotion of health. It discusses concepts in health economics like resources, scarcity, buyers, and sellers. It also covers microeconomics which looks at individual interactions, and macroeconomics which takes a broader view. The document then addresses topics like health financing through public and private support, economic indicators like GNP and GDP, and issues around health costs and access in India.
Health Economics
The document discusses key concepts in health economics including economic efficiency, cost-effectiveness analysis, and the importance of defining value from multiple perspectives. It also outlines several important health indicators used to measure and analyze population health, such as birth rate, death rate, infant mortality rate, and maternal mortality ratio. Quality-adjusted life years and disability-adjusted life years are introduced as metrics for evaluating health interventions.
Public financing of healh in developing countries: a cross-national systemati...
Public financing of healh in developing countries: a cross-national systemati...Institute for Health Metrics and Evaluation - University of Washington
This presentation discusses IHME's research in public financing of health in developing countries, including study design, findings, study limitations, and recommendations for governments and future research.
For more information please visit www.healthmetricsandevaluation.orgHealth Economics
- Health economics is a branch of economics concerned with issues related to efficiency, effectiveness, value and behaviour in the production and consumption of health and healthcare.
- Economic efficiency implies that society makes choices which maximise health outcomes from resources allocated to healthcare. Cost-effectiveness analysis examines costs and health outcomes of interventions.
- Health indicators are quantifiable characteristics of a population used to describe population health. Common indicators include birth rate, death rate, infant mortality rate, and maternal mortality ratio.
Week 3 - Fiscal Sustainability of Ontario's Health Care System
The %growth in Ontario's HC spending for 2011 was greater than the %growth in Ontario's revenue. This suggests that without further action, Ontario will not have a fiscally sustainable health care system under McGuinty.
Monitoring progress towards universal health coverage at country and global l...
Monitoring progress towards universal health coverage at country and global l...The Rockefeller Foundation
A movement towards universal health coverage (UHC) – ensuring that everyone who needs health services is able to get them, without undue financial hardship – has been growing across the globe (1). This has led to a sharp increase in the demand for expertise, evidence and measures of progress and a push to make UHC one of the goals of the post-2015 development agenda (2). This paper proposes a framework for tracking country and global progress towards UHC; its aim is to inform and guide these discussions and assessment of both aggregate and equitable coverage of essential health services as well as financial protection. Monitoring progress towards these two components of UHC will be complementary and critical to achieving desirable health outcome goals, such as ending preventable deaths and promoting healthy life expectancy and also reducing poverty and protecting household incomes.
This paper was written jointly by the World Health Organization (WHO) and The World Bank Group on the basis of consultations and discussions with country representatives, technical experts and global health and development partners (3). A draft of this paper was posted online and circulated widely for consultation between December 2013 and February 2014. Nearly 70 submissions were received from countries, development partners, civil society, academics and other interested stakeholders. The feedback was synthesized and reviewed at a meeting of country and global experts in Bellagio, Italy, in March 2014 (4). The paper was modified to reflect the views emerging from these consultations.Health economics
The document defines health economics as the application of economic principles to the health care system. It discusses key concepts in health economics including supply and demand of health care, costs associated with health care like fixed vs variable costs, and methods of economic evaluation used in health care planning like cost-benefit analysis. The document also outlines factors that influence health expenditures like changing demographics and disease patterns, new technologies, and rising public expectations. Overall, the document provides a broad overview of the basic concepts and scope of health economics as a field of study.
Week 2 - Ontario's Health System
The document provides an overview of Ontario's health care system. It discusses how the Ontario government operates under a Westminster system with a Liberal minority government led by Premier Dalton McGuinty. It outlines the roles of the Ministry of Health and Long-Term Care and Local Health Integration Networks in developing health policy and overseeing service delivery. It also describes how physicians and hospitals are major private providers that receive public financing in Ontario's mixed public-private system.
Tendances (20)
Level and Determinants of Medical Expenditure and Out of Pocket Medical Expen...
Level and Determinants of Medical Expenditure and Out of Pocket Medical Expen...
Fuzzy Bi-Objective Preventive Health Care Network Design
Fuzzy Bi-Objective Preventive Health Care Network Design
Health ecosystem achieving impact in community health through public private ...
Health ecosystem achieving impact in community health through public private ...
Public financing of healh in developing countries: a cross-national systemati...
Public financing of healh in developing countries: a cross-national systemati...
Week 3 - Fiscal Sustainability of Ontario's Health Care System
Week 3 - Fiscal Sustainability of Ontario's Health Care System
Monitoring progress towards universal health coverage at country and global l...
Monitoring progress towards universal health coverage at country and global l...
Similaire à CHALLENGES IN THE DECENTRALISATION OF HEALTH CARE AND DISASTER PREPAREDNESS IN ANDHRA PRADESH, INDIA (IPPHEC)
Sanjeevani2
This document discusses improving primary healthcare in India through a public-private partnership (PPP) model called PCT. The PCT model involves PPP where private partners manage public primary health centers and provide free services. It also involves a community-based health insurance program where premiums are indexed to income to subsidize healthcare for the poor. The model leverages telemedicine to expand access to healthcare in rural and remote areas. While this approach could improve access, efficiency and quality of care, challenges like lack of policy strategy and oversight would need to be addressed through pilot testing and performance evaluations.
Is universal health coverage sustainable
The slides are a point of statement on the feasibility of Universal health coverage. It talks about what is UHC and can it be sustained by India over time
Towards affordable health care .
This document discusses healthcare in India and proposes ways to make it more affordable and accessible. It notes that healthcare costs are rising and most people rely on private healthcare, while public healthcare is underfunded and understaffed. It analyzes issues like disease burdens, the growth of private sector, health insurance schemes, use of generics, and medical tourism. It recommends increasing public spending on healthcare to at least 5% of GDP, improving infrastructure, enhancing the health workforce, and promoting primary healthcare to achieve universal coverage in an equitable manner.
Overdiagnosis. astana 2018
The document discusses overdiagnosis, which refers to identifying health problems that would never actually cause harm. This can occur through overdetection of issues in healthy people or overly broad disease definitions. Overdiagnosis diminishes healthcare quality, overburdens systems, and undermines population health. It can lead to overtreatment and overmedicalization. The document calls for moderation from providers, discussing overdiagnosis risks openly, and pressuring authorities to address overdiagnosis given its threats to universal healthcare sustainability.
Public Private Partnership
Public-private partnerships (PPPs) in healthcare aim to improve universal access, equity, and affordability of primary care through collaboration between government and private sectors. PPPs can help address India's shortage of healthcare professionals and facilities, which are disproportionately located in urban areas despite most of the population living rurally. Common forms of PPPs in India include contracting private providers for service delivery, outsourcing management of public facilities, health insurance schemes, and joint ventures. Successful PPPs require transparency, impartiality, value for money, integrated services, and financial viability to equitably meet public health goals through shared responsibilities between sectors.
Need for strategic revamping to prevent and control
This document discusses the need for strategic revamping to prevent and control non-communicable diseases (NCDs) like cardiovascular disease, cancer, diabetes and respiratory disease in India. It notes that NCDs account for the majority of deaths globally and in India. The main risk factors for NCDs in India like tobacco use, unhealthy diet, physical inactivity and air pollution are discussed. The large economic burden of NCDs in India is also outlined. The document calls for a comprehensive, multi-sectoral approach involving legislation, health promotion, strengthened primary care and surveillance to achieve India's national NCD targets and reduce the NCD burden.
Challenges in Indian Healthcare Sector
The document discusses the Indian healthcare system and its key challenges. It notes that the system faces substantial challenges in providing quality healthcare due to factors such as a fast growing population, changing disease profiles, a multilayered healthcare landscape, lack of infrastructure, shortage of manpower, low public expenditure on health, and inaccessibility of services - especially in rural areas. It also examines the disease burden in India and initiatives by the government to improve the system. However, it concludes that India still lags in key healthcare indicators and there is need for improved healthcare planning, resources, and financing to address the country's growing healthcare challenges.
Community-based health financing: CARE India's experience in the maternal an...
Abstract
In a rural Indian population beset with inadequate health access to people owing to socio-cultural and economic factors, CARE India under the Maternal andInfant Survival Project encouraged village women to form Community Based Oragnisations (CBOs) and collectively save funds for health.
15 months of implementation showed that CBOs were formed in 345 of 447 project villages and health funds were operational in 203. 292 persons benefited from health funds through loans for treatment. 56% loans being repaid within the grace/low interest period.
The experience shows that village women when appropriately encouraged are capable of evolving rules and managing health funds. The process empowers village women (through access to resources and information and the strength of social capital) to take decisions and act to improve their well being.
Health funds have been have proved to be useful in addressing obstetric complications, infant illnesses and have also led to additional initiatives (social marketing of disposable delivery kits, village drug bank and plugging gaps in government supplies), that improve health care.
Coerced hysterectomies in india
Development, safety nets and welfare measures could become serious threat to the human rights if governance measures are weak with regard to the game plan of business. This is a challenge in several developing countries and by the same token the millennium development goals (MDGs) could be jeopardized if the governance is tainted and laden with corrupt practices. There are often suggestions that human rights discourse ought to sit beyond economic indicators of progress and ensure well being. Here's a case study of forced hysterectomies in Medak district in India. Women that experience poverty were robbed off their bodies and life by conniving mechanisms in the society that included the abuse of health insurance policies.
Dr. Bobby Milstein | Beyond Reform and Rebound
Bobby Milstein, PhD, MPH, director of the ReThink Health and visiting scientist at MIT Sloan School of Management, gave the October 9 Grand Rounds on the Future of Public Health at Columbia's Mailman School of Public Health. Dr. Milstein's talk, "Beyond Reform and Rebound: Frontiers for Rethinking and Redirecting Health System Performance," was part of this year's Grand Rounds series focusing on the decline in the health status of the U.S. population compared to peer nations, as well as the opportunities for public health leadership that are needed to close this gap. While at the Mailman School, Dr. Milstein also met with a group of doctoral students and Prof. Ronald Bayer to discuss approaches to effectively improve health systems in the United States.
Visit the events page to find out more, http://www.mailman.columbia.edu/events/grand-rounds.
Data Analysis ....Stepping Towards Achieving Universal Health Coverage(UHC) b...
The document discusses a study on Shasthya Surokhsha Karmasuchi (SSK), a special health care project in Bangladesh aimed at ensuring quality health services without financial hardship. The study aims to assess if SSK can meet universal health coverage requirements and reduce out-of-pocket health expenditures. Interviews were conducted with SSK patients and health providers. Findings indicate SSK successfully eliminates costs for admitted patients but many still face health costs. SSK coverage and services need expansion to better achieve financial protection goals. Challenges include limited treatments covered, scarce resources, and poor infrastructure.
KHIFAS5
Team KHIFA'S 5 presented on universalizing access to quality primary healthcare in India. India's current healthcare system paints a dismal picture with low government expenditure, poor infrastructure like a shortage of hospitals and doctors, and high private spending. The team proposed several strategic interventions like increasing funding, improving rural health infrastructure with ambulances and mobile clinics, providing health education in schools, training local quacks, and increasing healthcare staffing and resources to help reduce costs and ensure equitable access to healthcare across India.
Florida Blue Health Care Policy Overview: Agent CEU Course
The document provides an overview of health care policy in the United States, covering the history and development of the system, current issues around costs, access, and quality, and various proposals for reform. It discusses how the system has transformed over time, with growing roles for the government, employers, and health insurers. It outlines key stakeholders and examines trends in health care expenditures, costs drivers, and international comparisons. The summary also looks at challenges around access and quality, opportunities for improvement, and various proposals to expand coverage while improving efficiency and outcomes.
Encarnacion Garcia Presentation 6/1/2017
Foundational Learning in Social Determinants of Health for Health Professionals by Dr. Haydee Encarnacion Garcia. Presented at the Emerging Trends in Nursing Conference at Indiana Wesleyan University on June 1, 2017.
Macro-trend PPW draft
1. Five macro-trends that affect the US healthcare system are identified: economy, demographics, personal lifestyle and behavior, technology, and government policies.
2. These macro-trends impact factors like poverty rates, health issues, and job opportunities in the healthcare industry.
3. Recommendations are made to control issues in the US healthcare system by promoting safety, managing hazards, and facilitating environmental plans.
DEVELOPMENT OF AN ADVOCACY CAMPAIGN (Part 2) .docx
The document discusses developing advocacy campaigns to address frontotemporal degeneration (FTD). It summarizes two existing campaigns - the Food for Thought Campaign, which raises awareness and funds across 37 U.S. states and 10+ countries, and a campaign at One World Trade Center focusing on social media. The document proposes a new advocacy campaign utilizing celebrities and evidence to increase understanding of FTD symptoms, diagnosis, treatment and prevention through education and collaboration between patients, families and medical professionals.
Macro-trend PPW draft
The document discusses 5 macro-trends that will impact the future of the US healthcare system: 1) Economy, 2) Demographics, 3) Personal lifestyle and behavior, 4) Technology, and 5) Government policies. It analyzes factors within each trend, such as the aging population, rise of chronic diseases, development of new technologies, and laws/regulations. The document recommends developing policies, plans, and job opportunities to address issues related to these macro-trends and ensure access to quality healthcare. It emphasizes managing personal lifestyles and the need for healthcare professionals to navigate changes in the system.
NavG1Jyoti
This document proposes a new model to improve primary healthcare access in India by developing a parallel healthcare and judicial system from the national to local level. The healthcare system would focus on improving facilities and availability of doctors and medicines in rural areas. The independent judicial system would oversee the proper functioning of the healthcare system and ensure accountability. If implemented, this model could help reduce many healthcare problems in India by providing universal access to quality primary care.
Healthcare delivery in CHINA.pptx
The document provides information on healthcare delivery in China. It begins with definitions of healthcare delivery systems and their components. It then provides demographic profiles of China and India, comparing various metrics like population size, density, health outcomes, expenditures, and common health problems. The profile sections of China and India are quite extensive. It also provides historical background on China's healthcare system, from the pre-revolutionary era to the establishment of the basic health insurance system in recent decades. It describes the key reforms to China's healthcare system over time that aimed to decentralize control and increase coverage. It outlines China's current universal healthcare system, which utilizes a mix of public health programs, primary care facilities, hospitals, and basic medical insurance schemes to cover
arpit health-sector in india
India faces several issues in its health sector including a shortage of doctors, inequities between urban and rural access to healthcare, and poor facilities even in large government hospitals. While private providers and hospitals have become major sources of healthcare, rising costs and commercialization have created new problems. However, India also has strengths like lower healthcare costs compared to other nations, world-class facilities, and a variety of medical traditions that it can leverage to grow its healthcare industry and better serve its population.
Similaire à CHALLENGES IN THE DECENTRALISATION OF HEALTH CARE AND DISASTER PREPAREDNESS IN ANDHRA PRADESH, INDIA (IPPHEC) (20)
Need for strategic revamping to prevent and control
Need for strategic revamping to prevent and control
Community-based health financing: CARE India's experience in the maternal an...
Community-based health financing: CARE India's experience in the maternal an...
Data Analysis ....Stepping Towards Achieving Universal Health Coverage(UHC) b...
Data Analysis ....Stepping Towards Achieving Universal Health Coverage(UHC) b...
Florida Blue Health Care Policy Overview: Agent CEU Course
Florida Blue Health Care Policy Overview: Agent CEU Course
DEVELOPMENT OF AN ADVOCACY CAMPAIGN (Part 2) .docx
DEVELOPMENT OF AN ADVOCACY CAMPAIGN (Part 2) .docx
Plus de Ruby Med Plus
Journal of Sustainable Regional health systems issue
Background: Creating a culture of safety has received great attention to ensure that patients receive the safest possible care. A key
precept of patient safety programs is the removal of the “culture of blame.” Patient safety has been and still is a priority in Italian
Hospitals. The aim of this study was to measure the safety culture in teaching and non-teaching hospitals of Italy.
Methods: Data were collected from 261 staffs working in the teaching and non-teaching hospitals by means of the Italian version
of the Safety Attitudes Questionnaire-Short form 2006.
Results: Mean response rate from returned valid questionnaires was 60%. Both hospitals did not differ significantly in SAQ
dimensions except unit management. Clinical departments differ with each SAQ dimension as indicated by Kruskal Wallis test.
Regression analysis showed positive trend between safety climate and other SAQ dimensions except for stress recognition dimension.
Physicians scored high in team climate, safety climate and job satisfaction and non-physicians scored high in stress recognition
and job satisfaction. Comparing the gender scores, stress recognition and job satisfaction dimensions scored high with females and
Males scored high in team climate and job satisfaction. Both at professional and gender level hospital management scores were
low.
Conclusion: This cross sectional survey provides benchmark data for both hospital safety cultures. Results point out critical
attention to patient safety at teaching and nonteaching hospitals. Further research is needed to check safety culture impact on
patient outcomes in both the hospitals.
Keywords: patient safety, safety culture and safety attitudes
Medical Records Management – Evolution, Regulation & Disruptors
eed for Medical Records and Management Structure Three Primary Reasons • Ensures continuity of care • Can be retrieved at later date on re-admission, for F/U or medico legal requirements • For medical audit, research & training Challenges Gross inadequacies of health information Cumbersome retrieval process Hosp statistics collected by paramedics e.g. nurses Medical certification of cause of death not maintained Few hospitals report data to state health authorities No proper maintenance of health statistics at state & national level.
Record maintenance was emphasized by American College of Surgeons & American College of Physicians in first quarter of 20th century JCAHO (Joint Commission on Accreditation of Healthcare Organizations) Assumed responsibility of standardization, leading to improvement of medical care 1946 Bhore Committee – Stressed on it’s importance and recommended maintenance of MR 1962 Mudaliar Committee – Reiterated recommendation of Bhore CMC, Vellore first to organize MRD & hold training courses for technicians Computerized medical records in present era-GAME CHANGER
Infection Prevention and Control for COVID 19
IPC strategies for COVID-19
• Standard precautions
• Triage, Early identification and source control
• Additional precautions
• Additional control measures
• Environmental cleaning and disinfection
• Biomedical waste management
To reduce transmission of healthcare associated
infections
2. To enhance the safety of staff, patients and visitors
3. To enhance the ability of the organization/health
facility to respond to an outbreak
4. To lower or reduce the risk of the hospital (health
care facility) itself amplifying the outbreak
covid19-preparedness and response
Preparedness planning is essential in order to respond effectively to outbreaks and epidemics. Sharing and aligning activities in the area of public health emergency preparedness adds value to the efforts of single countries to strengthen their capacities and ensure coordinated and effective support when faced with cross-border health threats.
Standard Infection Control Precautions
Standard Precautions are the minimum infection prevention practices that apply to all patient care, regardless of suspected or confirmed infection status of the patient, in any setting where health care is delivered. These practices are designed to both protect DHCP and prevent DHCP from spreading infections among patients.
COVID-19- Its Impact on Employment in India
Kasireddy Venkata Reddy Government College for Women (A) conducted one day national webinar on COVID-19-its Impact on Employment in India. This webinar highlighted that Job loss is the most severe immediate impact of COVID-19 crisis while lower economic growth and rise in would be the long-term effects. job creation, cash transfers and social security while the long-term measures included need for building a stronger public health system, universalisation of social security and policies for welfare and rights of migrants.The Central Government as well as few State Governments such as Haryana, Uttar Pradesh, Maharashtra, Karnataka have issued advisories/ orders asking employers to refrain from terminating or reducing wages of their employees pursuant to Covid-19. CMIE report says India’s urban unemployment rate soars to 30.9% even as overall rate rises to 23.4%, indicating covid-19’s impact on the economy.CMIE’s estimates on unemployment shot up from 8.4% in mid-March to the current 23%. Based on a rough calculation, about 50 million people might have lost jobs in just two weeks of the lockdown.
Data Science Using R programme
R Programming Data Science was conducted by Mahaveer Institute of Science and Technology.
The Faculty development programme covered practical issues in statistical computing which includes programming in R, reading data into R, accessing R packages, writing R functions, debugging, profiling R code, and organizing and commenting R code. It was excellent programme.
Climate change and disaster response
The document is a scanned receipt from a grocery store purchase on January 15th, 2023 for $58.43. It lists the items bought which include milk, eggs, bread, cereal, orange juice, bananas, and ground beef. The payment was made with a credit card ending in 4321.
8th International Patient Safety Conference 2019
The 8th International Patient safety conference 2019 highlightED the theme “Imagine, Innovate, Inspire” and provided an excellent opportunity to share views, exchange knowledge and establish research collaborations & networking. This event was supported by various knowledge partners including National Accreditation Board for Hospitals (NABH), Joint Commission International (JCI), World Innovation Summit for Health (WISH), the APAC Forum, World Health Organization (WHO), and Imperial College London.
Risk management in Health Care Industry
The document is a scanned receipt from a restaurant showing a total of $47.12 paid for a meal. It lists items purchased including drinks, appetizers, entrees and dessert. The receipt provides details of the date, time, payment method and server for the transaction.
24 CME / PD 11TH MAKKAH INTERNATIONAL DENTAL CONFERENCE
Earned 24 continuing professional development credits accredited by SCHS Saudi Dental Society BY ATTENDING AND UPGRADING DENTAL EDUCATION AWARENESS AT 11 TH Makkah INTERNATIONAL DENTAL CONFERENCE.
CDE IDA Dental Education Program
IDA's Continuing Dental Education (CDE) programmes are designed to offer ongoing education which is intrinsic to deliver high quality dental and oral health care services. cde PROGRAMS ATTENDANCE PROVES HOW ACTIVE YOU ARE IN LEARNING other than regular course work.
Participation of Oral Health Awareness of the Community
Colgate Bright smiles and Bright future awareness program on Brushing twice daily for prevention of dental caries, plaque accumulation, and prevention of periodontal diseases.
Fellow Membership @ Management Studies Promotion Institute
MSPI AFFILIATED with the University of Delhi offers Management courses.
Rural Health Fellow at Rural Health Society
Rural Health Fellows program is an intensive program that develops leaders who can articulate a clear and compelling vision for rural India. The goal of the Rural Health Society is to educate, develop and inspire a networked community of rural health leaders who will step forward to serve in key positions in the National Rural Health Mission.
National Conference on Leadership in Health Care @ CMC Vellore
Effective leadership drive changes at all levels of the health system for optimum delivery of health care. Leadership is the most potent factor in shaping organizational culture and ensuring the necessary leadership behaviors, strategies, and
qualities. Direction ensures to achieve, consistent with vision, values and strategy.
Role of P53 TSG in Oral Cancers @ 58th IDC Vijaywada
p53 is the most commonly inactivated TSG in human oral cancers. p53 is a TSG which is located on chromosome 17p13. p53 plays a major role in cell-cycle progression, cellular differentiation, DNA repair and apoptosis, and it is regarded as a guardian of the genome. TSG p53 is known to be mutated in approximately 70% of all oral and other tumors.In squamous cell carcinoma of head and neck region (SCCHN) 40–50% of the tumors have mutation P53 gene
State Level Symposium on HIV disease@ Guntur
Paper presented on "Application of CDC and Occupational Safety and Health Administration (OSHA) standards in dental settings". Dental patients and DHCP can be exposed to pathogenic microorganisms including cytomegalovirus (CMV), HBV, HCV, herpes simplex virus types 1 and 2, HIV, Mycobacterium tuberculosis, staphylococci, streptococci, and other viruses and bacteria that colonize or infect the oral cavity and respiratory tract. These organisms can be transmitted in dental settings through 1) direct contact with blood, oral fluids, or other patient materials; 2) indirect contact with contaminated objects (e.g., instruments, equipment, or environmental surfaces); 3) contact of conjunctival, nasal, or oral mucosa with droplets (e.g., spatter) containing microorganisms generated from an infected person and propelled a short distance (e.g., by coughing, sneezing, or talking); and 4) inhalation of airborne microorganisms that can remain suspended in the air for long periods. OSHA sets and enforces standards that address potential workplace hazards; provides training, outreach, and education; establishes partnerships; and encourages continual improvement in workplace safety and health.
Spanish Learning Certificate
Spanish is one of the most widely-spoken languages in the world. Spanish Language Proficiency certificate proves you have the language abilities necessary to succeed. It is a way of proofing the competency of a person’s ability to speak and write the Spanish language.
Plus de Ruby Med Plus (20)
Journal of Sustainable Regional health systems issue
Journal of Sustainable Regional health systems issue
Medical Records Management – Evolution, Regulation & Disruptors
Medical Records Management – Evolution, Regulation & Disruptors
24 CME / PD 11TH MAKKAH INTERNATIONAL DENTAL CONFERENCE
24 CME / PD 11TH MAKKAH INTERNATIONAL DENTAL CONFERENCE
Participation of Oral Health Awareness of the Community
Participation of Oral Health Awareness of the Community
Fellow Membership @ Management Studies Promotion Institute
Fellow Membership @ Management Studies Promotion Institute
National Conference on Leadership in Health Care @ CMC Vellore
National Conference on Leadership in Health Care @ CMC Vellore
Role of P53 TSG in Oral Cancers @ 58th IDC Vijaywada
Role of P53 TSG in Oral Cancers @ 58th IDC Vijaywada
Dernier
DECODING THE RISKS - ALCOHOL, TOBACCO & DRUGS.pdf
Introduction: Substance use education is crucial due to its prevalence and societal impact.
Alcohol Use: Immediate and long-term risks include impaired judgment, health issues, and social consequences.
Tobacco Use: Immediate effects include increased heart rate, while long-term risks encompass cancer and heart disease.
Drug Use: Risks vary depending on the drug type, including health and psychological implications.
Prevention Strategies: Education, healthy coping mechanisms, community support, and policies are vital in preventing substance use.
Harm Reduction Strategies: Safe use practices, medication-assisted treatment, and naloxone availability aim to reduce harm.
Seeking Help for Addiction: Recognizing signs, available treatments, support systems, and resources are essential for recovery.
Personal Stories: Real stories of recovery emphasize hope and resilience.
Interactive Q&A: Engage the audience and encourage discussion.
Conclusion: Recap key points and emphasize the importance of awareness, prevention, and seeking help.
Resources: Provide contact information and links for further support.
Hypotension and role of physiotherapy in it
This particular slides consist of- what is hypotension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is the summary of hypotension:
Hypotension, or low blood pressure, is when the pressure of blood circulating in the body is lower than normal or expected. It's only a problem if it negatively impacts the body and causes symptoms. Normal blood pressure is usually between 90/60 mmHg and 120/80 mmHg, but pressures below 90/60 are generally considered hypotensive.
Pneumothorax and role of Physiotherapy in it.
This particular slides consist of- what is Pneumothorax,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is a summary of Pneumothorax:
Pneumothorax, also known as a collapsed lung, is a condition that occurs when air leaks into the space between the lung and chest wall. This air buildup puts pressure on the lung, preventing it from expanding fully when you breathe. A pneumothorax can cause a complete or partial collapse of the lung.
CCSN_June_06 2024_jones. Cancer Rehabpptx
About this webinar: This talk will introduce what cancer rehabilitation is, where it fits into the cancer trajectory, and who can benefit from it. In addition, the current landscape of cancer rehabilitation in Canada will be discussed and the need for advocacy to increase access to this essential component of cancer care.
Can Allopathy and Homeopathy Be Used Together in India.pdf
This article explores the potential for combining allopathy and homeopathy in India, examining the benefits, challenges, and the emerging field of integrative medicine.
Pediatric Emergency Care for Children | Apollo Hospital
Pediatric Emergency Care for Children | Apollo HospitalApollo 24/7 Adult & Paediatric Emergency Services
At Apollo Hospital, Lucknow, U.P., we provide specialized care for children experiencing dehydration and other symptoms. We also offer NICU & PICU Ambulance Facility Services. Consult our expert today for the best pediatric emergency care.
For More Details:
Map: https://cutt.ly/BwCeflYo
Name: Apollo Hospital
Address: Singar Nagar, LDA Colony, Lucknow, Uttar Pradesh 226012
Phone: 08429021957
Opening Hours: 24X7Tips for Pet Care in winters How to take care of pets.
Tips for Pet Care in winters How to take care of pets.
LGBTQ+ Adults: Unique Opportunities and Inclusive Approaches to Care
This webinar helps clinicians understand the unique healthcare needs of the LGBTQ+ community, primarily in relation to end-of-life care. Topics include social and cultural background and challenges, healthcare disparities, advanced care planning, and strategies for reaching the community and improving quality of care.
Let's Talk About It: Breast Cancer (What is Mindset and Does it Really Matter?)
Your mindset is the way you make sense of the world around you. This lens influences the way you think, the way you feel, and how you might behave in certain situations. Let's talk about mindset myths that can get us into trouble and ways to cultivate a mindset to support your cancer survivorship in authentic ways. Let’s Talk About It!
NEEDLE STICK INJURY - JOURNAL CLUB PRESENTATION - DR SHAMIN EABENSON
NEEDLE STICK INJURY - JOURNAL CLUB PRESENTATION - DR SHAMIN EABENSON
Can coffee help me lose weight? Yes, 25,422 users in the USA use it for that ...
The South Beach Coffee Java Diet is a variation of the popular South Beach Diet, which was developed by cardiologist Dr. Arthur Agatston. The original South Beach Diet focuses on consuming lean proteins, healthy fats, and low-glycemic index carbohydrates. The South Beach Coffee Java Diet adds the element of coffee, specifically caffeine, to enhance weight loss and improve energy levels.
Champions of Health Spotlight On Leaders Shaping Germany's Healthcare.pdf
This edition features a handful of Champions of Health: Spotlight On Leaders Shaping Germany's Healthcare that are leading us into a better future.
CANSA support - Caring for Cancer Patients' Caregivers
International Cancer Survivors Day is celebrated during June, placing the spotlight not only on cancer survivors, but also their caregivers.
CANSA has compiled a list of tips and guidelines of support:
https://cansa.org.za/who-cares-for-cancer-patients-caregivers/
Professional Secrecy: Forensic Medicine Lecture
Professional Secrecy: Forensic Medicine Lecture , Medical jurisprudence
Top Rated Massage Center In Ajman Chandrima Spa
The best massage spa Ajman is Chandrima Spa Ajman, which was founded in 2023 and is exclusively for men 24 hours a day. As of right now, our parent firm has been providing massage services to over 50,000+ clients in Ajman for the past 10 years. It has about 8+ branches. This demonstrates that Chandrima Spa Ajman is among the most reasonably priced spas in Ajman and the ideal place to unwind and rejuvenate. We provide a wide range of Spa massage treatments, including Indian, Pakistani, Kerala, Malayali, and body-to-body massages. Numerous massage techniques are available, including deep tissue, Swedish, Thai, Russian, and hot stone massages. Our massage therapists produce genuinely unique treatments that generate a revitalized sense of inner serenely by fusing modern techniques, the cleanest natural substances, and traditional holistic therapists.
U Part Wigs_ A Natural Look with Minimal Effort Jokerwigs.in.pdf
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Discover the groundbreaking advancements in stem cell therapy by R3 Stem Cell, offering new hope for women with ovarian failure. This innovative treatment aims to restore ovarian function, improve fertility, and enhance overall well-being, revolutionizing reproductive health for women worldwide.
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GEMMA Wean is a high end larval co-feeding and weaning diet aimed at Artemia optimisation and is fortified with a high level of proteins and phospholipids. GEMMA Wean provides the early weaned juveniles with dedicated fish nutrition and is an ideal follow on from GEMMA Micro or Artemia.
GEMMA Wean has an optimised nutritional balance and physical quality so that it flows more freely and spreads readily on the water surface. The balance of phospholipid classes to- gether with the production technology based on a low temperature extrusion process improve the physical aspect of the pellets while still retaining the high phospholipid content.
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Chandrima Spa Ajman is one of the leading Massage Center in Ajman, which is open 24 hours exclusively for men. Being one of the most affordable Spa in Ajman, we offer Body to Body massage, Kerala Massage, Malayali Massage, Indian Massage, Pakistani Massage Russian massage, Thai massage, Swedish massage, Hot Stone Massage, Deep Tissue Massage, and many more. Indulge in the ultimate massage experience and book your appointment today. We are confident that you will leave our Massage spa feeling refreshed, rejuvenated, and ready to take on the world.
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Call : 052 987 1315
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CHALLENGES IN THE DECENTRALISATION OF HEALTH CARE AND DISASTER PREPAREDNESS IN ANDHRA PRADESH, INDIA (IPPHEC)
- 1. EXISTING DISASTER MANAGEMENT STRUCTURE Disaster Management Act, 2005. National Institute of Disaster Management. National Disaster Response Force. National Disaster Mitigation Resource Center. National Disaster CHALLENGES IN DISASTER PREPAREDNESS Need for comprehensive Public Health Strategy to meet all expected needs through enhanced relationship and communication with private Health •Lack of proper commitment by state government towards decentralization. •Political Decentralization.( Control of Local Politicians on Non-Teaching Hospitals). •Indian Medical Association Against Political Decentralization. •Health administrators and bureaucrats are protected . •State Protection of Regional Employees. •Limited transfer of power. •District Collector Chairman of Selection Committee Instead of Zilla Parishad Chairman (Against 73rd Act) PROBLEMS IN DECENTRALISATION OF HEALTH CARE IN AP, INDIA. PROBLEMS IN HEALTH SERVICE DELIVERY Non-availability of staff during duty hours Lack of funds National Disaster Management Authority. National Crisis Management Committee. National Exec. Committee. State Disaster Management Authority (SDMA) District Disaster Response Force.(NDRF) Calamity Relief Fund. Emergenc y Medical Relief Division of DGHS in MOHFW. CONCLUSIONS No Political decentralization. Positive and Negative effects of Aarogya shri on Decentralization and Disaster Preparedness. Failure of State Government in conducting training workshops and Periodic Drills of all stake holders in the preparation and implementation of Disaster Preparedness Plan. relationship and communication with private Health sectors for improving Psychological Preparedness help in event of disaster crisis. Need interventions for Hospital staff Training on use of Multi-user System for Emergency Response. (MUSTER) at semi-urban and Rural Levels. Need for development of Community Mental Health Services in rural areas. Need for Gold Standards on Humanitarian Health Interventions. •Lack of accountability . •Improper implementation of Decentralization as District Mayor not included in the committee. (against 74th Amendment Act) •Corruption •Impact of Aarogya shri on Decentralization. •Delay in payments • Local Institutions Depend on State government for funding Non-utilization of funds and Budget by Local Government due to limited budget spending Facility. •Deficiency in efficiency and Leadership of Chairmanship and composition of Hospital Development Society (HDS) In conducting regular Meetings to address issues Health care improvements. EXAMPLE OF MUMBAI TERROR ATTACKS ON 27 NOV, 2008. Lack of funds Corruption Quality of spending Lack of accountability Lack of proper incentives Shortage of medicines Inadequate supervision Lack of proper infrastructure INTRODUCTION Indian Planning Commission opted for Decentralisation to overcome the problems in public health care delivery. To increase the accountability of health care providers. To improve the health outcomes. Preparedness Plan. No focus on Psycho-social Interventions. Delay in Payment by Central Government & State government & Non-utilization of funds for appro- priate Decentralization of Health care & Disaster Preparedness. REFERENCES Mazzaferro C. & Zanardi A. (2008): Centralization versus Decentralization of public policies: Does the Heterogeneity of Individual Preferences Matter? Fiscal studies, 29(1), pp-35-73. Mooji (2003): Smart Governance ? Politics in the policy process in Andhra Pradesh , India; Working Paper 228; Overseas Development Institute, London Mosca (2006): Is decentralization the real solution? A Three country study. Health Policy .vol.77, pp 113-120 Rondinelli D.A., Nelis J.R., & Cheema.G.S (1983): Decentralization in developing countries, Staff Working Paper 581. Washington, DC, World Bank. Singh, N (2008) Decentralization and Public Delivery of Health Care Services in India Munich Personal RePEc Archive. Available Online at http://mpra.ub.uni-muenchen.de/7869/ [Accessed on Nov 14 2009] http://www.searo.who.int/linkfiles/EHA_cp_India.pdf. (Accessed on Nov 14, 2009) RECOMMENDATIONS Increase in resources, Marked improvement of Public Health infrastructure, medical and Para-medical staff availability, involvement of key stake holders & also community will help state government in proper implementation of Decentralization & Disaster Preparedness. Training and orientation programs for Disaster Preparedness. Quick approval of New Disaster Management policy & Training Module on Mass causality Management.My sincere thanks to J Agustín Ozamiz, Program Director of the EMSRHS and deep appreciation to my family, friends & colleagues.