scholarly journals Out of Pocket Expenditure Associated with COVID 19 Pandemic in India

Author(s):  
Hanitha Rajasekar ◽  
U. Sharath ◽  
S. Lokesh Kumar

Corona virus 2019, popularly known as COVID-19 is a viral illness which has caused a threat in the minds of people across the world in recent times. Even developed countries are facing major challenges in preventing and treating this dreadful disease. In view of unavailability of effective vaccine and healthcare facilities, the burden of this disease is growing day by day. An important concern among the people living in these countries is the Out of Pocket Expenditure, which is ‘an expenditures borne directly by a patient, where insurance does not cover the full cost of the health goods or service’. As of 2014 data, Public expenditure on health in India has remained at 1% of GDP, very low compared to emerging BRICS (Brazil, the Russian Federation, India, China and South Africa) economies and even below neighbouring countries like Nepal and Sri Lanka. Hence it is high time that Government of India focuses on strengthening the primary healthcare system, community participation and Public private partnership so that disparity in healthcare needs is addressed and OOPE is reduced.

Author(s):  
Oksana Rybachok

Infectious diseases in the modern world continue to claim millions of human lives despite the achievements of medicine. While in developed countries the main cause of death is cancer and diseases of the cardiovascular system, it is the infectious processes that occupy leading positions in the structure of mortality in the third world countries. About 1.7 million children die from infections that could have been avoided by vaccination according to the World Health Organization. In contrast to the countries of Western Europe, where preventive vaccinations for the population are carried out for a fee, preventive vaccination in the Russian Federation is funded by the state. Immunoprophylaxis includes not only prevention of 12 major infections included in the calendar of preventive vaccinations (diphtheria, polio, tetanus, whooping cough, tuberculosis, measles, rubella, mumps, hepatitis B, pneumococcal infections and haemophilus influenzae, influenza), but also vaccination against 17 additional infections in case of epidemiological indications.


Author(s):  
_______ Archana ◽  
Charu Datta ◽  
Pratibha Tiwari

Degradation of environment is one of the most serious challenges before the mankind in today’s world. Mankind has been facing a wide range of problem arising out of the degradation of environment. Not only the areas under human inhabitation, but the areas of the planet without human population have also been suffering from these problems. As the population increase day by day, the amenities are not improved simultaneously. With the advancement of science and technologies the needs of human beings has been changing rapidly. As a result different types of environmental problems have been rising. Environmental degradation is a wide- reaching problem and it is likely to influence the health of human population is great. It may be defined the deterioration of the environment through depletion of resources such as air, water, and soil. The destruction of ecosystem and extinction of wildlife. Environmental degradation has occurred due to the recent activities in the field of socio-economic, institute and technology. Poverty still remains a problem as the root of several environmental problems to create awareness among the people about the ill effect of environmental pollution. In the whole research it is clear that all factors of environmental degradation may be reduced through- Framing the new laws on environmental degradation, Environment friend policy, Controlling all the ways and means of noise, air, soil and water pollution, Through growing more and more trees and by adapting the proper sanitation policy.  


2020 ◽  
Vol 93 (4) ◽  
pp. 101-108
Author(s):  
I. S. Khvan ◽  

Development institutions are an important modern instrument of government regulation of the economy in all developed countries. The system of development institutions of the Russian Federation includes the federal and regional development institutions. Key federal development institutions include such well-known state corporations as the investment fund of the Russian Federation; the State Corporation "Bank for Development and Foreign Economic Activity (Vnesheconombank)"; the state corporation "Russian Corporation of Nanotechnologies," etc. According to experts of the Ministry of Economic Development of the Russian Federation, about 200 regional development institutions operate on the territory of the constituent entities of the Russian Federation. The objectives of this extensive system of development institutions so far have been to overcome the so-called "market failures," which cannot be optimally realized by the market mechanisms, and to promote the sustained economic growth of a country or an individual region. In November 2020, the Government of the Russian Federation announced the reform of the system of development institutions in the country. The article analyzes the goals and main directions of the announced reform. On the example of the system of development institutions of the Far East, an attempt was made to assess its possible consequences.


2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Fathimath Shifaza ◽  
David Evans ◽  
Helen Bradley

This study aims to explore the barriers to evidence based practice (EBP) experienced by nurses working in a Maldivian healthcare organisation. A total of 400 questionnaires were distributed to nurses in 5 healthcare facilities and 198 completed questionnaires were returned. The results of this study show that the perceived barriers by the nurses in the Maldives are not significantly different from those reported in developed countries. For healthcare organisations in the Maldives, it is necessary to have a clear understanding of the barriers and facilitators to research practice in order to implement EBP. The study showed that the major barriers to research use were that “the relevant literature is not compiled in one place,” there is “insufficient time on the job to implement new ideas,” and “administration will not allow implementation.” The key facilitating factors for EBP include support, encouragement, and recognition by the management and administration. The findings of this study can be useful for determining strategies that can be introduced in the clinical setting to use EBP. Healthcare organisations must continue their support in order to decrease the barriers and optimise care in healthcare facilities.


2021 ◽  
pp. 36-41
Author(s):  
Lata Ghanshamnani ◽  
Ambily Adithyan ◽  
Shyamala K. Mani ◽  
Manisha Pradhan

Due to enhanced healthcare needs brought upon by the COVID-19 pandemic, the amount of biomedical waste generated has also increased manifold across the globe. With the world in global crisis due to the recent outbreak of the COVID-19 pandemic, it has put great pressure on the biomedical waste management system in India and around the world. To control the spread of the COVID-19 virus, proper disposal of the waste is essential to reduce any risk of secondary transmission. This paper investigates the situation of biomedical waste management in the city of Thane in Maharashtra due to the onset of COVID-19 and suggests some key recommendations to the policymakers to help handle biomedical waste from possible future pandemics. The study found that there was an 81% increase in the total biomedical waste (BMW) generation in 2020, when compared to 2019 and the yellow category waste from COVID-19 centres was the highest contributor to this waste. It was also found that though there was a slight increase in yellow category waste, the total biomedical waste from non- COVID healthcare facilities (HCFs) was comparable to that of the waste generated in HCFs during 2019, revealing that there was conscious reduction in the usage of single use PPEs at non- COVID HCFs. The city, despite owning a Central Biomedical Waste Treatment Facility (CBWTF), was dependent on another incinerator at the Hazardous Waste Management Treatment facility (HWTF) for treatment of the additional waste generated. Unforeseen situation like these, expose the vulnerability of our existing biomedical waste management system and reinforces the need for investing and improving them for strengthening preparedness in the future. The situation also demands periodic education on importance of source segregation and waste reduction through rational use, disinfection and disposal of PPEs.


Author(s):  
A.V. Matyushin ◽  
◽  
A.G. Firsov ◽  
Yu.A. Matyushin ◽  
V.S. Goncharenko ◽  
...  

Normative legal acts of the Russian Federation establish that the criteria for assigning control objects to the categories of risk of causing harm should be formed based on the results of the assessment of the risk of causing harm. In the developed countries of the world, as a rule, the distribution of objects of control by risk categories and the substantiation of the frequency of their inspections are carried out depending either on the point risk assessment, or on the number and importance of the violations of mandatory fire safety requirements revealed during the inspection of the object of control. The purpose of this work is to substantiate the frequency of scheduled inspections of the objects of control by the state fire supervision bodies depending on whether the objects of protection belong to a particular category of risk of causing harm. As a criterion for assigning control objects to various categories of risk of causing harm, it is proposed to use the risk of causing harm (damage) as the result of fire in the buildings of various classes of functional fire hazard, which is understood as the product of the probability of fire occurrence, the probability of causing socio-economic harm (damage) as the result of fire and the value terms of socio-economic harm (damage). A mathematical model was developed to determine the risk of causing harm (damage) as the result of a fire in a building, and an assessment of its values for the buildings of various classes of functional fire hazard is given. Distribution of the buildings by categories of risk of causing harm (damage) was carried out depending on the calculated value of the risk of causing harm. It is shown that the distribution of control objects by risk categories significantly depends on the degree of detail in the fire record card of the characteristics of the building in which the fire occurred. The optimal terms for carrying out scheduled inspections of the objects of control are proposed depending on the category of risk to which they are assigned. Proposals are formulated concerning the improvement of the risk-oriented approach in the activities of the state fire supervision bodies of the EMERCOM of Russia.


2016 ◽  
Vol 6 (1) ◽  
pp. 20-37
Author(s):  
Zahra Kazemi ◽  
Ahmad Jafari Samimi ◽  
Hamed Fazlollahtabar

One way to finance government expenditures is to collect taxes. Regarding to this financial source compared with other sources positive tax knowledge sharing amongst people or tax payers lead to effective investment. Unlike developing countries in developed countries - that taxes have little effects - almost all government expenditures is financed by taxes. One of the main challenges in the tax system is how to collect taxes due to tax evasion. The main reason is the uncertainty surrounding how government uses the taxes paid by the people. A major factor in the outbreak of the sense of failure to pay taxes, is the discussion and sharing the viewpoint of each other. If there is any positive tax effect prevalence of speech among people motivate them to pay more and if not, paying taxes is impaired. Therefore in order to avoid disorderliness in paying taxes that lead to a reduction in the development growth rate of investing taxes in industry and services sectors procedures should be designed so that taxes spread in speech with more quality. In this article five categories that people share their knowledge about them with each other, have been proposed. Defining risk structure and using data from surveying form the risk values of tax payment the results indicate that sharing tax knowledge amongst people have positive effects on tax payments.


1970 ◽  
Vol 2 (1) ◽  
pp. 53-59
Author(s):  
Ralph K. Davidson

Today, the need for economic development is self-evident to the millions of people in Asia, Africa and Latin America who suffer from malnutrition, are ill-housed, poorly educated, and either unemployed or grossly underemployed. The ultimate objective of economic development is to raise the standard of life – the quality of life - for the mass of the people, to widen their area of choice, to open up new opportunities for human well-being. The less developed countries have two-thirds of the 3.5 billion people but receive only 12.5 percent of the world's gross national product. Life appears to be an economic treadmill with the future blighted by an excessive rate of population growth for millions of people. India provides a good illustration of the problem. With an estimated population of 525 million at mid-1968, India had 15 percent of the world's population, 2.4 percent of the world's land area, hardly 2 percent of the world's income, and an annual per capita income level of around $75.


2020 ◽  
Vol 13 (1) ◽  
pp. 180-202
Author(s):  
E. V. Antonov

Currently, Russia has declared the need to develop a federal law “On urban agglomerations”; the development of urban agglomerations is declared as a necessary condition for ensuring economic growth and innovative development in the country. However, there are no evident approaches to the allocation and delimitation of urban agglomerations; the definitions given in the Russian spatial development strategy are very general. In this regard, the purpose of this article is to summarize the existing approaches to working with agglomerations in foreign and Russian science and practice. The article shows that in economically developed countries, the main approach to the allocation of agglomerations is functional, in which the area of interaction between the “core” of the agglomeration and its “hinterland” is determined, first of all, by the intensity of pendulum labor migrations; the functional approach is gradually transformed into a network approach, implying the polycentricity of agglomerations. The allocation and delimitation of agglomerations in a country can be based on a unified or individual approach. The article suggests using both options in Russia: a unified approach for improving statistical accounting of changes in the settlement system, which is close to the OECD methodology, and an individual approach for strategic planning and development of inter-municipal cooperation. The advantage of the OECD methodology is that there is no need to rely on the existing territorial boundaries of local self-government, which differ markedly across the subjects of the Russian Federation. It is also proposed to conduct a broad discussion of the approaches to the allocation and delimitation of agglomerations for the law “On urban agglomerations”; to improve the system of statistical accounting for pendulum population migrations, including in population censuses.


2021 ◽  
Author(s):  
Divyesh Kumar

World over life was going at its normal pace when an outbreak occurred in Hubei province of China in the later part of the year 2019. This outbreak was soon found to be caused by a virus named coronavirus (COVID-19). Rapidly the virus spread globally leading to a pandemic. The mortality rate was increasing day by day and helplessly everyone was wondering what actually could be done to prevent the spread. Lessons from the past epidemic made it possible to think that maintaining social distancing and adequate hygiene might help to combat the ailment. In India, majorly affected were the people from poor strata and the businessmen who were earning their daily bread by selling things of daily need. The health sector too witnessed an alarming ratio of patients suffering from COVID-19. The second wave, which soon followd the first wave, caused much more havoc. Overall, the COVID-19 pandemic, exposed and challanged the health security system of every country. As the danger of pandemic still prevails, steps to curtail the spread of disease and future management strategies should be formulated from the lessons learnt through the COVID-19 phase.


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