Universal Health Coverage

• • • • • • Who When Where What Why How

How Does Society See The Dream Health Professional
• A Film/ Story You Remember with an Ideal Doctor/ Nurse • Nurse/ Doctor Visits Patient’s Home • Takes A Cup of Tea • Spends Time • Empathizes • Knows Everybody By Name • The “Family Physician”

Evolution Of The Community Health Professional
• Patient As Extended Family • A bit like All Things Great and Beautiful • Modeled On The Family Priest (jajman/ pastor) • 3 Plays for Puritans - GB Shaw • Social Role of a Community Nurse/ Family Doctor

Birth of The Clinic
• Why? • Bethune • Motorcycle • Gonoshashthya • Uttaranchal
Henrik Ibsen 1882 Norway Satyajit Ray 1990 West Bengal

If Family Health Worker Is What We Want..
• • • • • • • Covers 2000 population Lives There Has Family There Has Friends There Teacher Mayor/ Pradhan May be from there

With Quality
• • • • • • Trained For 5 to 10 years (in phases) Interaction With University and Hospital Interaction With Colleagues In Similar Areas Influences Research Gets Latest Information Helps Train Next Generation

• Whom do We Select? • Where Do We Train? • Who Gives Training? • How Do We Place?

So….

• What Is The Mode of Communication (Centre-Periphery) • Why Do We Need Feedback? • When Do We Start?

Health Professional and Family

Dreaming !

Links
• • • • • • • • http://www.thehindu.com/opinion/lead/doctor-in-the-house/article3529179.ece Medical Nemesis http://www.soilandhealth.org/03sov/0303critic/030313illich/Frame.Illich.Ch1.html http://www.word-power.co.uk/books/the-birth-of-the-clinic-I9780415307727/ http://www.4shared.com/office/p0VXw06e/An_Enemy_Of_The_People.html The Devils Disciple http://books.google.co.in/books?id=QqojeZdmyS4C&source=gbs_book_similarbooks Ganashatru www.youtube.com/watch?v=U7kDbmhKvSo

Opposite View http://rationallibertariancorner.com/education/facilitating-health-care-in-indian-villages.h prabirkc@yahoo.com

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