The Public Health Infrastructure Of Pakistan Essay

While the majority of the population of Bangladesh live in rural areas, the majority of health professionals live in urban areas. However, there have been great strides made to remedy this dilemma. Bangladesh has managed to develop nationwide network of medical facilities, colleges, and institutions. According to the World Health Organization, Bangladesh has constructed almost 60 Medical colleges (The majority of them private), 13 nursing colleges (majority private), 69 nursing institute (22 of them are private), 17 medical assistant training schools (10 of them are private), and 16 institute of health technology (13 of them are private). In spite of this growth to health workforce production, the country is still having health workforce shortage and geographical imbalances. The World Health Report 2006 identified Bangladesh among 57 countries with a serious shortage of doctors, paramedics, nurses and midwives (World Health Organization).

The healthcare system has come under heavy criticism from experts from all over the world. According to Schroder, 44% of the population has no access to the healthcare system. (Schroder, 2003) There are many clinics which charge are free of cost or are charging lesser fees, but all of these are burdened and do not have the capability to meet the requirements. There are certain ethnic communities that are by enlarge poor who are of the opinion that they have been deliberately been left out of the healthcare system. These have led to the

The increases of children that don’t receive any medical attention are prone to more cases of illness in United States. The more the child is at risk, the less the child is able to attend school with normal children. There are also over 40 million Americans a year that do not get medical care when it is needed, even if they are insured (Sweeney). More than 8 out of 10 uninsured Americans are from average working families (Sweeney). If an injury or sickness occurs, Americans that do not receive proper health care pray for the best because they cannot afford it. In most cases, lacking proper health care leads to thousands of deaths every year (Sweeney). Today, there are five major problems in the current health care systems. Those problems include: Accessibility, Cost/Affordability, Lack of portability, technologically deficient, and Lack of data availability (Sweeney). These problems have not been solved yet because of lack of central planning of the healthcare system.

The lack of access in developing countries to the cheap drugs that we take for granted in our "developed" society and that would solve more than 90% of the health problems that afflict underprivileged countries”( Serrano,3 ). The less-developed countries that provide healthcare for all its citizens and those countries are more successful than our own because in developed countries like Hong Kong’s universal health care system has heavy government participation -- in Hong Kong health care system public hospitals accounts for 90 percent of in-patient procedures, while the many private options are used by the rich people.

The WHO report (3) estimates there are slightly more than 59 million health care workers in the world. Of the 4.3 million shortages, India appears as one of the dozens of countries with a critical shortage of health care providers (4-6). A Critical shortage of health care providers means for every given birth, less than 80 percent have skilled birth attendants present. The data further suggests that a country must have between 2.02 and 2.54 skilled birth attendants (doctors, nurses, or midwives) per 1000 population to support growth and maintain a strong health care system. Estimates place India at 1.87 skilled birth attendants per 1000 population (7).

The government of Saudi Arabia has identified its first two priorities as healthcare services and education. A huge part of the Saudi’s government budget goes to the Ministry of Health every year. Hence, the Ministry of Health

Their social structure is built on a caste system or social stratification where people are categorized based on their socioeconomic status. There is an upper, middle, and lower class which are all subdivided into stratum. Gender also plays a part in social order and role expectations. The caste system can even go as far as interfering with the healthcare system. Those of lower socioeconomic status and/or women have the most difficulty getting their health needs met. India still has an ongoing issue of healthcare inequality. The National Center for Biotechnology Information says, “…there are marked variations in general hospitalization rates by gender, wealth, and urban-rural residence. Some of this variation may be due to differences in actual and perceived need and health seeking behavior; indeed, there is evidence of gender inequalities in untreated morbidity with the likely underreporting of illness among women.” There is low government spending, lack of insurance, and most bills are paid out-of-pocket. India has top quality healthcare facilities located in the cities, but with lack of transportation, people living in rural areas are unable to gain access.

Geographic maldistribution has creates barriers of care to people living in rural areas. Although there is an oversupply of physician specialists in many of the urban healthcare areas around the world, while the inner cities and rural community are struggling to attract healthcare physician professional to provide high quality care to the local population. “The supply of specialties has increased more than 100% over the last 20 years, while supply of generalists has increased only 18%” (Niles,2014). Any shortage of health workers can prevent good access to health services and is a barrier to universal coverage. The issue of the matter is that maldistribution of health workers between urban and rural is consider to be virtual concern around

Public spending on healthcare in India is one of the lowest in the world. With a 20% of healthcare expenditure is in the public sector. The lack of investment in public health care actually means that India has fewer hospitals and fewer physicians. Because of the fact they have fewer hospitals and fewer physicians, it means the public has reduced access to healthcare. In practical terms, what it means is the public hospitals with a physician is not very close to the individual that needs to be treated and would have to travel long distance in order to receive treatment. When a patient reaches

Public health strategies and interventions have changed drastically over time. Bloodletting is one of the most ancient forms of medical interventions. It originated in the ancient civilizations of Egypt and Greece, persisting through the Medieval, Renaissance, and Enlightenment periods (PBS). Doctors used the bloodletting method for every ailment imaginable; from pneumonia, bone fractures, and even wounds, bloodletting was as trusted and popular as aspirin is today.

The sustainability of an average family in Nigeria is valued at less than 5 dollars a day. Notwithstanding the government’s preposition on the establishment of a health care system that is promotive, protective, preventive, restorative and rehabilitative to every citizen of the country within the available resources so that individuals and communities are assured of productivity, social well-being and enjoyment of living (F.M.H. 1988), the system, as is currently practiced is very inadequate in comparison to the Nigerian growing population and slow-paced economic development. According to the health manpower statistics, the ratio of the registered medical doctors as against the population’s need is put at 1:1,100 with modern medical facilities being administered in mega cities and little or none made available at the rural areas. As a result of lack of supervision or adequate provision for the essential needs of medical practitioners, doctors often times are faced with the conscientious decision to commute to the rural areas to administer Medicare on out-of-pocket expenses, which after a while becomes impossible to carry on. Thus the people in the rural area are left in the care of the traditional healer, who eventually cure their diseases with less charges than the bio-medical practice thereby saving the patients some money. The news of the efficacy of the traditional medical administration soon spreads to the urban cities and an

The current death rate is 29 per 1,000 live births and of the 2.8 million newborns dying at birth worldwide, India accounts for 700,000 children dying at birth or shortly after. The National Health Policy to improve care children and women. Poor neonatal health conditions, widespread illiteracy, poverty, poor sanitation and nutrition have also been identified and India’s hopes to tackle these issues by passing this policy.

Worldwide, approximately 1.3 billion people do not have access to affordable and efficient healthcare and out of those who have access, almost 170 million are forced to spend around 40 % of their income on medical treatment (Asante et al,2016).In low and middle income countries (LMICs), the major constraint to the access of healthcare is financial burden, where out-of-pocket payments (OPP) contribute to approximately 50 % of total health expenditure (WHO, 2010). As a result, in these countries there is high probability of many households being pushed into poverty due to high medical expenses (McIntyre,2006).The matter of concern in LMICS is that poor and disadvantaged groups of population do not have access to adequate quality of healthcare.For instance, according to WHO (2010) up to 20 % of women in rich population are more likely to have a birth attended by skilled health worker than a poor woman. Therefore, taking an action to address health inequities faced in these countries would save up to 700,000 women.

Availability – Health being a state subject, every state government have to make efforts to attain the state led, country and millennium developmental goals. As government alone cannot achieve this alone, it is seeking help of private players to overcome the availability and quality issues of public sector.

The Kingdom of Saudi Arabia has committed vast resources by allocating more than 13 percent of its annual budget in improving the Kingdom’s medical care system, with the ultimate goal of providing free medical care for everyone. This commitment has been translated to more than 330 hospitals operated by the government and the private sector, with a capacity of more than 50,000 beds. Of these hospitals, 184 are run by the government, with more than 16 thousand doctors, 40 thousand nurses, and more than 25 thousand assistant nurses according to the Ministry of Health (2003). Based on these figures and the Saudi population of 20 million people, to satisfy and maintain the current health care standard, one out of every