How Might India’s Public Health Systems Be Strengthened?
The central government s policies, though well-intentioned, have inadvertently de-emphasized environmental health and other preventive public health services in India since the 1950s, when it was decided to amalgamate the medical and public health...
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| Format: | Policy Research Working Paper |
| Language: | English |
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2012
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| Online Access: | http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000158349_20091125082536 http://hdl.handle.net/10986/4332 |
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okr-10986-4332 |
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| recordtype |
oai_dc |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English |
| topic |
AVIAN FLU AVIAN INFLUENZA BASIC LEGISLATION BEDDING BLINDNESS BURDEN OF DISEASE CANCER CHILD HEALTH CHILD HEALTH SERVICES CHILD MORTALITY CHOLERA CITIZENS CLINICAL SERVICES CLINICS COMMUNICABLE DISEASE COMMUNICABLE DISEASES COMMUNITY MEDICINE COMMUNITY PARTICIPATION CONTAGIOUS DISEASES COST-EFFECTIVENESS COSTS OF TREATMENT DEATHS DEMAND FOR SERVICES DENGUE DEVELOPING COUNTRIES DIABETES DISASTERS DISEASE CONTROL DISEASE OUTBREAKS DISEASE PREVENTION DISEASE PREVENTION AND CONTROL DISEASE SURVEILLANCE DISPENSARIES DRINKING WATER DRUG RESISTANCE DRUGS ECONOMIC CHANGE ECONOMIC GROWTH ECONOMIC OUTCOMES ECONOMIC PERSPECTIVES EMERGENCIES ENDEMIC DISEASES ENVIRONMENTAL HEALTH EPIDEMIC EPIDEMICS EXERCISES EXPENDITURES EXTERNALITIES FAMILY HEALTH FAMILY PLANNING FAMILY WELFARE FLU PANDEMIC FOOD HANDLING FOOD SAFETY FOOD STORAGE GLOBAL POLIO ERADICATION INITIATIVE GOVERNMENT CAPACITY GRASSROOTS WORKERS HAZARDS HEALTH AUTHORITIES HEALTH BUDGETS HEALTH CARE HEALTH CONDITIONS HEALTH ECONOMICS HEALTH EDUCATION HEALTH EXPENDITURE HEALTH FACILITIES HEALTH FINANCING HEALTH INTERVENTIONS HEALTH LEGISLATION HEALTH MANAGEMENT HEALTH NEEDS HEALTH OFFICIALS HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH PLANNING HEALTH POLICIES HEALTH POLICY HEALTH REGULATIONS HEALTH RESOURCES HEALTH RISKS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH SPECIALIST HEALTH SYSTEM HEALTH SYSTEMS HEALTH TRAINING HEALTH WORKFORCE HEPATITIS HOSPITALS HUMAN DEVELOPMENT HYGIENE ILL-HEALTH ILLNESS IMMUNIZATION IMMUNIZATIONS INFANT INFANT MORTALITY INFANT MORTALITY RATE INFECTIONS INFECTIOUS DISEASES INFLUENZA INFRASTRUCTURE DEVELOPMENT INJURIES INTERNATIONAL ECONOMIC RELATIONS IODINE DEFICIENCY LABOR FORCE LACK OF FOOD LATRINES LAWS LEPROSY LIFE EXPECTANCY LOCAL AUTHORITIES MALARIA MALARIA CONTROL MALARIA INCIDENCE MALE HEALTH MALE HEALTH WORKERS MALNUTRITION MATERNAL AND CHILD HEALTH MEDICAL CARE MEDICAL DOCTORS MEDICAL EDUCATION MEDICAL FACILITIES MEDICAL OFFICER MEDICAL RESEARCH MEDICAL SERVICES MEDICAL TRAINING MEDICINE MIDWIFE MIDWIVES MIGRANTS MINISTRY OF HEALTH MORBIDITY MORTALITY MORTALITY DECLINE MORTALITY DECLINES NATIONAL HEALTH NATIONAL HEALTH POLICY NATIONAL POLICY NATURAL DISASTER NATURAL DISASTERS NURSE NURSING NUTRITION OCCUPATIONAL DISEASES OCCUPATIONAL HEALTH PERSONAL COMMUNICATION PLAGUE PLAGUE CONTROL POLICY DECISIONS POLICY GOALS POLICY RESEARCH POLICY RESEARCH WORKING PAPER POLICY SERIES POLIO POLIO ERADICATION POLIO ERADICATION PROGRAM POPULATION DISCUSSION POPULATION GROWTH POPULATION STUDIES PREVALENCE PREVENTIVE HEALTH SERVICES PREVENTIVE MEDICINE PROGRESS PUBLIC ADMINISTRATION PUBLIC ATTENTION PUBLIC AWARENESS PUBLIC EXPENDITURE PUBLIC EXPENDITURE ON HEALTH PUBLIC HEALTH PUBLIC HEALTH ADMINISTRATION PUBLIC HEALTH ENGINEERS PUBLIC HEALTH EXPENDITURE PUBLIC HEALTH INTERVENTIONS PUBLIC HEALTH LAWS PUBLIC HEALTH PERSONNEL PUBLIC HEALTH POLICIES PUBLIC HEALTH POLICY PUBLIC HEALTH PROGRAMS PUBLIC HEALTH SERVICES PUBLIC HEALTH SYSTEM PUBLIC HEALTH WORKERS PUBLIC SERVICES QUARANTINE RABIES RESEARCH INSTITUTIONS RESOURCE MOBILIZATION RURAL DEVELOPMENT SANITARY CONDITIONS SANITATION SCHOOL HEALTH SCREENING SEPTIC TANKS SEXUALLY TRANSMITTED DISEASES SMALLPOX SOCIAL POLICY STATE GOVERNMENTS T.V. TB TECHNICAL EDUCATION TECHNICAL INFORMATION TECHNICAL RESOURCES TREATMENT TROPICAL MEDICINE TUBERCULOSIS TYPHOID URBAN AREAS URBAN DEVELOPMENT URBANIZATION VACCINATION VACCINATION PROGRAMS VACCINE VECTOR BORNE DISEASES VECTOR CONTROL VENTILATION VITAL STATISTICS WASTE WATER SUPPLIES WORKERS WORLD HEALTH ORGANIZATION YAWS |
| spellingShingle |
AVIAN FLU AVIAN INFLUENZA BASIC LEGISLATION BEDDING BLINDNESS BURDEN OF DISEASE CANCER CHILD HEALTH CHILD HEALTH SERVICES CHILD MORTALITY CHOLERA CITIZENS CLINICAL SERVICES CLINICS COMMUNICABLE DISEASE COMMUNICABLE DISEASES COMMUNITY MEDICINE COMMUNITY PARTICIPATION CONTAGIOUS DISEASES COST-EFFECTIVENESS COSTS OF TREATMENT DEATHS DEMAND FOR SERVICES DENGUE DEVELOPING COUNTRIES DIABETES DISASTERS DISEASE CONTROL DISEASE OUTBREAKS DISEASE PREVENTION DISEASE PREVENTION AND CONTROL DISEASE SURVEILLANCE DISPENSARIES DRINKING WATER DRUG RESISTANCE DRUGS ECONOMIC CHANGE ECONOMIC GROWTH ECONOMIC OUTCOMES ECONOMIC PERSPECTIVES EMERGENCIES ENDEMIC DISEASES ENVIRONMENTAL HEALTH EPIDEMIC EPIDEMICS EXERCISES EXPENDITURES EXTERNALITIES FAMILY HEALTH FAMILY PLANNING FAMILY WELFARE FLU PANDEMIC FOOD HANDLING FOOD SAFETY FOOD STORAGE GLOBAL POLIO ERADICATION INITIATIVE GOVERNMENT CAPACITY GRASSROOTS WORKERS HAZARDS HEALTH AUTHORITIES HEALTH BUDGETS HEALTH CARE HEALTH CONDITIONS HEALTH ECONOMICS HEALTH EDUCATION HEALTH EXPENDITURE HEALTH FACILITIES HEALTH FINANCING HEALTH INTERVENTIONS HEALTH LEGISLATION HEALTH MANAGEMENT HEALTH NEEDS HEALTH OFFICIALS HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH PLANNING HEALTH POLICIES HEALTH POLICY HEALTH REGULATIONS HEALTH RESOURCES HEALTH RISKS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH SPECIALIST HEALTH SYSTEM HEALTH SYSTEMS HEALTH TRAINING HEALTH WORKFORCE HEPATITIS HOSPITALS HUMAN DEVELOPMENT HYGIENE ILL-HEALTH ILLNESS IMMUNIZATION IMMUNIZATIONS INFANT INFANT MORTALITY INFANT MORTALITY RATE INFECTIONS INFECTIOUS DISEASES INFLUENZA INFRASTRUCTURE DEVELOPMENT INJURIES INTERNATIONAL ECONOMIC RELATIONS IODINE DEFICIENCY LABOR FORCE LACK OF FOOD LATRINES LAWS LEPROSY LIFE EXPECTANCY LOCAL AUTHORITIES MALARIA MALARIA CONTROL MALARIA INCIDENCE MALE HEALTH MALE HEALTH WORKERS MALNUTRITION MATERNAL AND CHILD HEALTH MEDICAL CARE MEDICAL DOCTORS MEDICAL EDUCATION MEDICAL FACILITIES MEDICAL OFFICER MEDICAL RESEARCH MEDICAL SERVICES MEDICAL TRAINING MEDICINE MIDWIFE MIDWIVES MIGRANTS MINISTRY OF HEALTH MORBIDITY MORTALITY MORTALITY DECLINE MORTALITY DECLINES NATIONAL HEALTH NATIONAL HEALTH POLICY NATIONAL POLICY NATURAL DISASTER NATURAL DISASTERS NURSE NURSING NUTRITION OCCUPATIONAL DISEASES OCCUPATIONAL HEALTH PERSONAL COMMUNICATION PLAGUE PLAGUE CONTROL POLICY DECISIONS POLICY GOALS POLICY RESEARCH POLICY RESEARCH WORKING PAPER POLICY SERIES POLIO POLIO ERADICATION POLIO ERADICATION PROGRAM POPULATION DISCUSSION POPULATION GROWTH POPULATION STUDIES PREVALENCE PREVENTIVE HEALTH SERVICES PREVENTIVE MEDICINE PROGRESS PUBLIC ADMINISTRATION PUBLIC ATTENTION PUBLIC AWARENESS PUBLIC EXPENDITURE PUBLIC EXPENDITURE ON HEALTH PUBLIC HEALTH PUBLIC HEALTH ADMINISTRATION PUBLIC HEALTH ENGINEERS PUBLIC HEALTH EXPENDITURE PUBLIC HEALTH INTERVENTIONS PUBLIC HEALTH LAWS PUBLIC HEALTH PERSONNEL PUBLIC HEALTH POLICIES PUBLIC HEALTH POLICY PUBLIC HEALTH PROGRAMS PUBLIC HEALTH SERVICES PUBLIC HEALTH SYSTEM PUBLIC HEALTH WORKERS PUBLIC SERVICES QUARANTINE RABIES RESEARCH INSTITUTIONS RESOURCE MOBILIZATION RURAL DEVELOPMENT SANITARY CONDITIONS SANITATION SCHOOL HEALTH SCREENING SEPTIC TANKS SEXUALLY TRANSMITTED DISEASES SMALLPOX SOCIAL POLICY STATE GOVERNMENTS T.V. TB TECHNICAL EDUCATION TECHNICAL INFORMATION TECHNICAL RESOURCES TREATMENT TROPICAL MEDICINE TUBERCULOSIS TYPHOID URBAN AREAS URBAN DEVELOPMENT URBANIZATION VACCINATION VACCINATION PROGRAMS VACCINE VECTOR BORNE DISEASES VECTOR CONTROL VENTILATION VITAL STATISTICS WASTE WATER SUPPLIES WORKERS WORLD HEALTH ORGANIZATION YAWS Das Gupta, Monica Shukla, Rajendra Somanathan, T.V. Datta, K.K. How Might India’s Public Health Systems Be Strengthened? |
| geographic_facet |
South Asia South Asia South Asia Asia India |
| relation |
Policy Research working paper ; no. WPS 5140 |
| description |
The central government s policies,
though well-intentioned, have inadvertently de-emphasized
environmental health and other preventive public health
services in India since the 1950s, when it was decided to
amalgamate the medical and public health services and to
focus public health services largely on single-issue
programs. This paper discusses how successive policy
decisions have diminished the Health Ministry s capacity for
stewardship of the nation s public health. These decisions
have introduced policies and fiscal incentives that have
inadvertently enabled states to prioritize medical services
and single-issue programs over broader public health
services, and diminished the capacity of the public health
workforce to deliver public health services. Diseases
resulting from poor environmental health conditions continue
to impose high costs even among the more affluent, and
hinder development. There are many approaches to
strengthening the public health system, and the authors
suggest one that may require relatively little modification
of existing structures and systems. They suggest
establishing a focal point in the Health Ministry for public
health stewardship, and re-vitalizing the states public
health managerial cadres as well as the grassroots public
health workers. The central government could consider
linking its fiscal support to states with phased progress in
four areas: (1) the enactment of state Public Health Acts;
(2) the establishment by states of separate public health
directorates; (3) the re-vitalization of grassroots public
health workers; and (4) health department engagement in
ensuring municipal public health. The central focal point
could provide the needed support, oversight, incentives, and
sanctions to ensure that states build robust public health
systems. These measures can do much to help governments use
public funds more effectively for protecting people s health. |
| format |
Publications & Research :: Policy Research Working Paper |
| author |
Das Gupta, Monica Shukla, Rajendra Somanathan, T.V. Datta, K.K. |
| author_facet |
Das Gupta, Monica Shukla, Rajendra Somanathan, T.V. Datta, K.K. |
| author_sort |
Das Gupta, Monica |
| title |
How Might India’s Public Health Systems Be Strengthened? |
| title_short |
How Might India’s Public Health Systems Be Strengthened? |
| title_full |
How Might India’s Public Health Systems Be Strengthened? |
| title_fullStr |
How Might India’s Public Health Systems Be Strengthened? |
| title_full_unstemmed |
How Might India’s Public Health Systems Be Strengthened? |
| title_sort |
how might india’s public health systems be strengthened? |
| publishDate |
2012 |
| url |
http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000158349_20091125082536 http://hdl.handle.net/10986/4332 |
| _version_ |
1764390964913242112 |
| spelling |
okr-10986-43322021-04-23T14:02:17Z How Might India’s Public Health Systems Be Strengthened? Das Gupta, Monica Shukla, Rajendra Somanathan, T.V. Datta, K.K. AVIAN FLU AVIAN INFLUENZA BASIC LEGISLATION BEDDING BLINDNESS BURDEN OF DISEASE CANCER CHILD HEALTH CHILD HEALTH SERVICES CHILD MORTALITY CHOLERA CITIZENS CLINICAL SERVICES CLINICS COMMUNICABLE DISEASE COMMUNICABLE DISEASES COMMUNITY MEDICINE COMMUNITY PARTICIPATION CONTAGIOUS DISEASES COST-EFFECTIVENESS COSTS OF TREATMENT DEATHS DEMAND FOR SERVICES DENGUE DEVELOPING COUNTRIES DIABETES DISASTERS DISEASE CONTROL DISEASE OUTBREAKS DISEASE PREVENTION DISEASE PREVENTION AND CONTROL DISEASE SURVEILLANCE DISPENSARIES DRINKING WATER DRUG RESISTANCE DRUGS ECONOMIC CHANGE ECONOMIC GROWTH ECONOMIC OUTCOMES ECONOMIC PERSPECTIVES EMERGENCIES ENDEMIC DISEASES ENVIRONMENTAL HEALTH EPIDEMIC EPIDEMICS EXERCISES EXPENDITURES EXTERNALITIES FAMILY HEALTH FAMILY PLANNING FAMILY WELFARE FLU PANDEMIC FOOD HANDLING FOOD SAFETY FOOD STORAGE GLOBAL POLIO ERADICATION INITIATIVE GOVERNMENT CAPACITY GRASSROOTS WORKERS HAZARDS HEALTH AUTHORITIES HEALTH BUDGETS HEALTH CARE HEALTH CONDITIONS HEALTH ECONOMICS HEALTH EDUCATION HEALTH EXPENDITURE HEALTH FACILITIES HEALTH FINANCING HEALTH INTERVENTIONS HEALTH LEGISLATION HEALTH MANAGEMENT HEALTH NEEDS HEALTH OFFICIALS HEALTH ORGANIZATION HEALTH OUTCOMES HEALTH PLANNING HEALTH POLICIES HEALTH POLICY HEALTH REGULATIONS HEALTH RESOURCES HEALTH RISKS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICES HEALTH SPECIALIST HEALTH SYSTEM HEALTH SYSTEMS HEALTH TRAINING HEALTH WORKFORCE HEPATITIS HOSPITALS HUMAN DEVELOPMENT HYGIENE ILL-HEALTH ILLNESS IMMUNIZATION IMMUNIZATIONS INFANT INFANT MORTALITY INFANT MORTALITY RATE INFECTIONS INFECTIOUS DISEASES INFLUENZA INFRASTRUCTURE DEVELOPMENT INJURIES INTERNATIONAL ECONOMIC RELATIONS IODINE DEFICIENCY LABOR FORCE LACK OF FOOD LATRINES LAWS LEPROSY LIFE EXPECTANCY LOCAL AUTHORITIES MALARIA MALARIA CONTROL MALARIA INCIDENCE MALE HEALTH MALE HEALTH WORKERS MALNUTRITION MATERNAL AND CHILD HEALTH MEDICAL CARE MEDICAL DOCTORS MEDICAL EDUCATION MEDICAL FACILITIES MEDICAL OFFICER MEDICAL RESEARCH MEDICAL SERVICES MEDICAL TRAINING MEDICINE MIDWIFE MIDWIVES MIGRANTS MINISTRY OF HEALTH MORBIDITY MORTALITY MORTALITY DECLINE MORTALITY DECLINES NATIONAL HEALTH NATIONAL HEALTH POLICY NATIONAL POLICY NATURAL DISASTER NATURAL DISASTERS NURSE NURSING NUTRITION OCCUPATIONAL DISEASES OCCUPATIONAL HEALTH PERSONAL COMMUNICATION PLAGUE PLAGUE CONTROL POLICY DECISIONS POLICY GOALS POLICY RESEARCH POLICY RESEARCH WORKING PAPER POLICY SERIES POLIO POLIO ERADICATION POLIO ERADICATION PROGRAM POPULATION DISCUSSION POPULATION GROWTH POPULATION STUDIES PREVALENCE PREVENTIVE HEALTH SERVICES PREVENTIVE MEDICINE PROGRESS PUBLIC ADMINISTRATION PUBLIC ATTENTION PUBLIC AWARENESS PUBLIC EXPENDITURE PUBLIC EXPENDITURE ON HEALTH PUBLIC HEALTH PUBLIC HEALTH ADMINISTRATION PUBLIC HEALTH ENGINEERS PUBLIC HEALTH EXPENDITURE PUBLIC HEALTH INTERVENTIONS PUBLIC HEALTH LAWS PUBLIC HEALTH PERSONNEL PUBLIC HEALTH POLICIES PUBLIC HEALTH POLICY PUBLIC HEALTH PROGRAMS PUBLIC HEALTH SERVICES PUBLIC HEALTH SYSTEM PUBLIC HEALTH WORKERS PUBLIC SERVICES QUARANTINE RABIES RESEARCH INSTITUTIONS RESOURCE MOBILIZATION RURAL DEVELOPMENT SANITARY CONDITIONS SANITATION SCHOOL HEALTH SCREENING SEPTIC TANKS SEXUALLY TRANSMITTED DISEASES SMALLPOX SOCIAL POLICY STATE GOVERNMENTS T.V. TB TECHNICAL EDUCATION TECHNICAL INFORMATION TECHNICAL RESOURCES TREATMENT TROPICAL MEDICINE TUBERCULOSIS TYPHOID URBAN AREAS URBAN DEVELOPMENT URBANIZATION VACCINATION VACCINATION PROGRAMS VACCINE VECTOR BORNE DISEASES VECTOR CONTROL VENTILATION VITAL STATISTICS WASTE WATER SUPPLIES WORKERS WORLD HEALTH ORGANIZATION YAWS The central government s policies, though well-intentioned, have inadvertently de-emphasized environmental health and other preventive public health services in India since the 1950s, when it was decided to amalgamate the medical and public health services and to focus public health services largely on single-issue programs. This paper discusses how successive policy decisions have diminished the Health Ministry s capacity for stewardship of the nation s public health. These decisions have introduced policies and fiscal incentives that have inadvertently enabled states to prioritize medical services and single-issue programs over broader public health services, and diminished the capacity of the public health workforce to deliver public health services. Diseases resulting from poor environmental health conditions continue to impose high costs even among the more affluent, and hinder development. There are many approaches to strengthening the public health system, and the authors suggest one that may require relatively little modification of existing structures and systems. They suggest establishing a focal point in the Health Ministry for public health stewardship, and re-vitalizing the states public health managerial cadres as well as the grassroots public health workers. The central government could consider linking its fiscal support to states with phased progress in four areas: (1) the enactment of state Public Health Acts; (2) the establishment by states of separate public health directorates; (3) the re-vitalization of grassroots public health workers; and (4) health department engagement in ensuring municipal public health. The central focal point could provide the needed support, oversight, incentives, and sanctions to ensure that states build robust public health systems. These measures can do much to help governments use public funds more effectively for protecting people s health. 2012-03-19T19:14:09Z 2012-03-19T19:14:09Z 2009-11-01 http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000158349_20091125082536 http://hdl.handle.net/10986/4332 English Policy Research working paper ; no. WPS 5140 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank Publications & Research :: Policy Research Working Paper South Asia South Asia South Asia Asia India |