Changing Dimensions of Rural Health


Mrs. Shilpee Adhikari
Sr. Lecturer
Department of MBA
Saroj Institute of Technology and Management

The change in Rural management is day by day becoming an essential ingredient of the Indian society, Development and progress has been done in the rural health, but active involvement of the community to realize the goals of Rural Health Dimensions

Concept of Health

Health:  In English the literal meaning of the word health is wholeness and to Heal. Both these two words are derived from the English word  "HAL" and German word "Heil".In the Greek language , the word " Hygeia (living well )And "Fiesta". (Well- -habited ness) have been used for health.

The most widely accepted definition   of the term" Health" is the one given by the world Health Organization (W.H.O.), according to which "Health is a state of complete physical, mental and social well being, not merely an absence of disease or infirmity.

Health is a pendulum oscillating between the ranges, one end of which represents the minimum and the other end the maximum. It implies that health is a state not to be attained once and for all but ever to be renewed. There are degrees of well-beings as there are degrees of severity of illness.

Health Care covers a broad spectrum of personal health services ranging from health education and information through prevention of disease, early diagnosis, treatment and rehabilitation.

Health services implies organization, delivering staffing regulation and Quality control. Health has vital link with such diverse aspects of national life as absenteeism rate, morale productivity, intelligence civic consciousness, and leadership.

Rural Health Care and its Administration

Public Health care activities are vital for all sections of the sections of country's population irrespective of their residential, regional religious caste, sex, economic status and such other differences. Of special significance in the context of rural masses there are two factors to be consider:

1. The magnitude of the problem of rural health care coverage
2. The special problems and challenges that are to be faced by the health care.

Rural Health lays special attention and emphasis on :

* Environmental sanitation
* Weak economic base
* Communicable disease
* High birth rate.
* High infant mortality rate
* Lack of health consciousness and health services.

There were different committees set up in the pre and post independence Era, Like the

* Joseph Bohre committee –1946,
* Mudliar committee- 1959,report was submitted in 1952
* Dr.Chadda committee:- 1963
* Kartar committee; -1972
* Alma ata USSR: - 1978
* Ram Linga Swami, Kripa Narian Report; - for 2000 A.D.

Some of the recommendations of these committees have been implemented which gives a bit Fruitful result, but how ever the Health of the rural people are still deprived of the coverage of Rural Health.

After Independence and Pre Independence have rural Health care infrastructure, which has tremendously increased. It covers sub centers PHC, CHC catering the needs of Health Care delivery in tribal and desert areas population. These services resulted in decline of Birth rate, death rate, Infant mortality rate, but health care delivery is effectively utilized and access to the services are uniform due to in efficiency of the Public Health Care system.

National Rural Health Mission

Keeping in view of the above facts, the Government of India has launched a National Rural Mission on 12th April 2005. This mission covers only 18 states of the country including Uttar Pradesh . The Aim of mission is to provide integrated comprehensive and effective Primary Health Care to the poor section of the society especially women and Children  .At present the duration of the mission is 7 years from 2005 to 2012.

The mission aim to give wide coverage of Rural Health care delivery at village level by providing trained and accredited social Health Activitist (ASHA) per 1000 population.

The National Rural Health Mission (2005-2012), seeks to provide effective health care to the rural population through out the country with special focus on 18 states.

Accredited Social Health Activists (ASHA)

The government of India decided to launch a National Rural Health Mission (NRHM), to address the health needs of rural population, mainly the vulnerable sections of the society.

ASHA is first to port of call for any health related demands of deprived sections of the population, especially women and children.

ASHA is Primarily a woman resident of village –Married, widow, Divorced and preferably in the age group of   25 to 45 yrs. She will be a literate woman with Formal education upto Eighth class. There is One ASHA per 1000 population

Some Roles played by ASHA are

* To create Awareness and provide information to the community regarding Health.
* Counsel Women on Birth preparedness, importance of safe delivery and other complementary information.
* She mobilize the community and facilitate them in accessing health and other related services like immunization Checkup etc.
* To arrange and accompany pregnant Women and children requiring treatment , community Health center.
* To inform about Birth and Deaths in her village and any unusual health problems and diseases.
* To Promote under Sanitation Campaign.

Conclusion: -

The Health is of paramount importance not only to the individual but to the society as well. The effective coverage of health care along with reducing the Infant Mortality rate and Maternal Mortality rate is an aim of this mission. ASHA constitute a vital strategic link in the rural health care system in India.

This new programmed proposes to radically overhaul the health system by giving more powers to the villages and states council to implement health care plans.

Mrs. Shilpee Adhikari
Sr. Lecturer
Department of MBA
Saroj Institute of Technology and Management

Source: E-mail January 12, 2008


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