Challenges in Public Health

Shiv Chandra Mathur

Director,
SIHFW,Rajasthan,India

Shiv Chandra Mathur

 Public Health- Gains
 Increase in life expectancy

 Reduction of Fertility

 Eradication of Smallpox/ Guinea Worm

 Initial Succession in Leprosy/ TB/ Malaria

Shiv Chandra Mathur

Public Health- Current Problems

 Ageing

 Triple Morbidity burden

 Water/ Vector borne diseases

 New Emerging Diseases

 Life Style Diseases

Shiv Chandra Mathur
Public Health- Problems & Resources

 Health Facilities

 Infrastructure

 Health Manpower

Shiv Chandra Mathur

 Public Health- Challenges
 Understanding the nature of problems.
 Rural/ Urban Differentials
 Responsibility for Health
 Responsiveness of health system
 HMIS and Early Warning System
 Public, private, corporate and voluntary sector
 Convergence/ Inter-sectoral action for health
 Indian System of Medicine
 Health Manpower Development
Shiv Chandra Mathur
Public Health- Understanding the nature

Population : Asset/ Liability

Health Expenditure : Consumption /Investment

Health as Development : Essential Input/ Outcome

Shiv Chandra Mathur

Public Health– Dilemma:

 Equity and Equality

 Quantity and Quality
 Public/Private/ Voluntary sector
 Education/ Persuasion/ Coercion
 Professional/ Para Prof/ Auxiliaries
 Privatization/ Disinvestment

Shiv Chandra Mathur

Responsibility for Health

 Individual

 Public Health Administrators

Shiv Chandra Mathur