Establishment of Free Old-Age Homes for Elderly/Destitute parents

The Indian Constitution makes the provision of healthcare in India the responsibility of thestate governments, rather than the central federal government. It makes every state responsiblefor "raising the level of nutrition and the standard of living of its people and the improvementof public health as among its primary duties".

The National Health Policy was endorsed by the Parliament of India in 1983 and updated in2002, and then again updated in 2017. The recent four main updates in 2017 mentions the need tofocus on the growing burden of non-communicable diseases, on the emergence of the robusthealthcare industry, on growing incidences of unsustainable expenditure due to health care costsand on rising economic growth enabling enhanced fiscal capacity. In practice however, the privatehealthcare sector is responsible for the majority of healthcare in India, and most healthcareexpenses are paid directly out of pocket by patients and their families, rather than through healthinsurance. Government health policy has thus far largely encouraged private sector expansion inconjunction with well-designed but limited public health programmes.

A government funded health insurance project was launched in 2018 by the Government ofIndia, called  Ayushman Bharat .

According to the World Bank, the total expenditure on health care as a proportion of GDP in2015 was 3.89%. [6]  Out of 3.89%, the governmental health expenditure as a proportion of GDP isjust 1% and the out-of-pocket expenditure as a proportion of the current health expenditure was65.06% in 2015.

Public healthcare is free and subsidized for those who are below the poverty line. The Indianpublic health sector encompasses 18% of total outpatient care and 44% of total inpatientcare. Middle and upper class individuals living in India tend to use public healthcare less thanthose with a lower standard of living. Additionally, women and the elderly are more likely to usepublic services. The public health care system was originally developed in order to provide ameans to healthcare access regardless of socioeconomic status or caste. However, reliance onpublic and private healthcare sectors varies significantly between states. Several reasons are citedfor relying on the private rather than public sector; the main reason at the national level is poorquality of care in the public sector, with more than 57% of households pointing to this as thereason for a preference for private health care. Much of the public healthcare sector caters to therural areas, and the poor quality arises from the reluctance of experienced healthcare providers tovisit the rural areas. Consequently, the majority of the public healthcare system catering to therural and remote areas relies on inexperienced and unmotivated interns who are mandated tospend time in public healthcare clinics as part of their curricular requirement. Other major reasonsare long distances between public hospitals and residential areas, long wait times, andinconvenient hours of operation.

Different factors related to public healthcare are divided between the state and nationalgovernment systems in terms of making decisions, as the national government addresses broadlyapplicable healthcare issues such as overall family welfare and prevention of major diseases, while

the state governments handle aspects such as local hospitals, public health, promotion andsanitation, which differ from state to state based on the particular communitiesinvolved. [12]  Interaction between the state and national governments does occur for healthcareissues that require larger scale resources or present a concern to the country as a whole.

Following the 2014 election which brought Prime Minister  Narendra Modi  to office, thegovernment unveiled plans for a nationwide universal health care system known as the NationalHealth Assurance Mission, which would provide all citizens with free drugs, diagnostic treatments,and insurance for serious ailments. In 2015, implementation of a universal health care system wasdelayed due to budgetary concerns. In April 2018 the government announced the  AayushmanBharat scheme  that aims to cover up to Rs. 5 lakh to 100,000,000 vulnerable families(approximately 500,000,000 persons – 40% of the country’s population).

There are 1.4 million doctors in India. Yet, India has failed to reach its Millennium DevelopmentGoals related to health. [24]  The definition of 'access is the ability to receive services of a certainquality at a specific cost and convenience. The healthcare system of India is lacking in three factorsrelated to access to healthcare: provision, utilization, and attainment. Provision, or the supply ofhealthcare facilities, can lead to utilization, and finally attainment of good health. However, therecurrently exists a huge gap between these factors, leading to a collapsed system with insufficientaccess to healthcare. Differential distributions of services, power, and resources have resulted ininequalities in healthcare access. Access and entry into hospitals depends ongender, socioeconomic status, education, wealth, and location of residence (urban versusrural). Furthermore, inequalities in financing healthcare and distance from healthcare facilities arebarriers to access. Additionally, there is a lack of sufficient infrastructure in areas with highconcentrations of poor individuals. Large numbers of tribes and ex-untouchables that live inisolated and dispersed areas often have low numbers of professionals. Finally, health services mayhave long wait times or consider ailments as not serious enough to treat. Those with the greatestneed often do not have access to healthcare.

ABHINAV SAMAJ had undertaken different activities with an aim of Service to Humanity withoutany cost since its inception (2010). In this regard, we are now committed to establish several MultiSuper-Speciality Hospitals in states of Kashmir, Uttrakhand, Uttar Pradesh, Orissa and Gujarat.However our proposed project is in several states but it is important to state that Medical facilitiesare almost the same on ground-level all over INDIA. Poor people have no access to best medicalfacilities. They cannot even pay consultation-fees to good doctors, medicines and good diet are adream for them. All the above states needs such hospitals which may provide best medical-facilities and treatment to under-privilige.



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