scholarly journals Reiterating The Importance of Publicly Funded and Provided Primary Health Care for Non-Communicable Diseases: The Case of India; Comment on "Universal Health Coverage for Non-Communicable Diseases and Health Equity: Lessons From Australian Primary Healthcare"

2021 ◽  
Author(s):  
Sulakshana Nandi
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Healthcare Access ◽  
Communicable Diseases ◽  
Income Country ◽  
Health Coverage ◽  
Publicly Funded ◽  
Non Communicable Diseases ◽  
Primary Health ◽  
Comprehensive Primary Health Care

India has established Health and Wellness Centres (HWCs) and appointed Mid-level Healthcare Providers (Community Health Officers) to provide free and comprehensive primary health care, through screening, prevention, control, management and treatment for non-communicable diseases (NCDs), in addition to existing services for communicable diseases, and reproductive and child health. The range of services being provided and the number of people accessing ambulatory care in these government centres have increased, leading to more equitable healthcare access and financial protection. In policy debates, contestations exist prioritising between primary health care or hospital services, and between publicly-provided healthcare or privatised and "purchased" services. Nationally and globally the influence of industries and corporations in health governance has weakened the response against NCDs. Primary health care initiatives for NCDs must be publicly funded and provided, located within communities, and necessitate action on the determinants of health. The experiences from Australia (a High-Income Country) and India (a Low-and Middle-Income Country) amply illustrate this.

scholarly journals The COVID-19 Pandemic and Non-communicable Diseases—A Wake-up Call for Primary Health Care System Strengthening in Sub-Saharan Africa

2020 ◽  
Vol 11 ◽  
pp. 215013272094694
Author(s):  
Christian Kraef ◽  
Pamela Juma ◽  
Per Kallestrup ◽  
Joseph Mucumbitsi ◽  
Kaushik Ramaiya ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Systems ◽  
Health Spending ◽  
Communicable Diseases ◽  
Sub Saharan Africa ◽  
Primary Health Care System ◽  
Health Coverage ◽  
Non Communicable Diseases ◽  
Primary Health

Strengthening Primary Health Care Systems is the most effective policy response in low-and middle-income countries to protect against health emergencies, achieve universal health coverage, and promote health and wellbeing. Despite the Astana declaration on primary health care, respective investment is still insufficient in Sub-Sahara Africa. The SARS-CoV-2019 pandemic is a reminder that non-communicable diseases (NCDs), which are increasingly prevalent in Sub-Sahara Africa, are closely interlinked to the burden of communicable diseases, exacerbating morbidity and mortality. Governments and donors should use the momentum created by the pandemic in a sustainable and effective way by pivoting health spending towards primary health care.

scholarly journals Steps towards Universal Health Coverage through Health and Wellness Center under Ayushman Bharat Programme Delivering Comprehensive Primary Health Care in Bhandara District

2021 ◽  
pp. 34-38
Author(s):  
Shrikant Madhukar Ambekar ◽  
S. Z. Quazi ◽  
Abhay Gaidhane ◽  
Manoj Patil
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Facility ◽  
Health Coverage ◽  
Health And Wellness ◽  
Primary Health ◽  
Comprehensive Primary Health Care ◽  
Different Types ◽  
Wellness Center ◽  
Universal Health

Background: In 2018-19 as recommended by National Health Policy an Ambitious health care scheme as Ayushman Bharat programme was started by Government of India steps toward the Universal health coverage. Ayushman Bharat is also known as Healthy India having two major component. Creation of Health and Wellness Centres and Pradhan Mantri Jan Arogya Yojana (PM-JAY). Comprehensive primary health care services will be delivered up gradation of existing health facility in various 10 core area and 13 different types of health services will be delivered at HWC health facility. Progress in Health and Wellness under Ayushman Bharat Programme: First HWC was inaugurated by GOI in state of Chhattisgarh within Bijapur district at jangla village of Bhairamgarh Taluka on On 18th April 2018. Till 06th Feb 2021 total 58961 Health and wellness cneters are operational in India and In Maharashtra total 8423 Health and wellness cneters are operational where in Bhandara district total 177 Health and wellness cneters are operational which include 143 SHC Health and wellness center, 33 PHC Health and wellness center and 1 UPHC Health and wellness center. Achievements in Health and Wellness Center: In Bhandara district 98% of Medical Officer, 90% of Staff Nurse, 93% of MPW Female, 88% of MPW Male and 99% of ASHA trained NPCDCS Programme. Where 10,69,219 screening test for Hypertension and 10,81,901 screening test for Diabetes conducted in HWC health facility. Total 4097 Yoga sessions conducted at HWC health facility. Conclusion: 13 different types of health services which are delivered at Health and Wellness Centres health facility under Ayushman Bharat is step towards the Unvarsal health coverage provision in rural area of bhandara district.

scholarly journals Lifestyles and non-communicable diseases status among primary health care staff in Kuantan, Pahang

2016 ◽  
Vol 15 (1) ◽  
Author(s):  
Mohd Aznan Md Aris ◽  
Tin Myo Han ◽  
Nor Azwani Mohd Shukri ◽  
Fa'iza Abdullah
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Registered Nurses ◽  
Communicable Diseases ◽  
Overweight And Obesity ◽  
Care Staff ◽  
Health Staff ◽  
Non Communicable Diseases ◽  
Primary Health ◽  
Balance Diet

Introduction:  Unhealthy lifestyle is one of the risks of non-communicable diseases (NCDs) in our population even among the healthcare provider. They should be as the role model for their NCDs patients in the clinics. Therefore, this study was to determine the lifestyle practice and lifestyle-related NCDs (LR-NCDs) status among primary health care staffs. Methods:  A cross-sectional survey was done among 69 health-staff (20- physicians (PCPs), 16-nurses and 33-Para-Med) aged between 20-60 years from 3 selected governments primary health care clinics in Kuantan on April 2015. A pre-tested questionnaire is used to the collect history of LR-NCDs, smoking, exercise status and 24-hours- dietary recall. The BMI, systolic and diastolic blood pressure of the participants were also measured. The Nutritionist-Pro-(g) software was used to extract macronutrients (Carbohydrate, Protein and Total-Fat %) and balance-diet (within recommended %). Results: The most common LR-NCDs among health-staff were overweight (34.8%) and followed by obesity (24.6%), DM (8.7%) and hypertension (3.2%). The majority (95.7%) were non-smokers and 69.6% did not exercise regularly. Diet-recall analysis showed that only 8.9% (2-PCPs, 1-nurse & 3-ParaMed) had balanced-diet. The status of the DM, hypertension and smoking and practicing balance-diet were not significantly different (p>0.05) among the PCPs, registered-nurses and Para-Med except for the exercise. Most PCPs (90%) have inadequate exercise compared to registered-nurses (43.8%) and Para-Med (69.7%) (p<0.05). Conclusions: There is a high prevalence of overweight and obesity, inadequate exercise and having an unbalance-diet were noticed among all levels of health-staff.

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