Health and health care need to be distinguished from each other for no better reason than that the former is often incorrectly seen as a direct function of the latter. Heath is clearly not the mere absence of disease. Good Health confers on a person or groups’ freedom from illness - and the ability to realize one's potential. Health care covers not merely medical care but also all aspects of pro preventive care too. Nor can it be limited to care rendered by or financed out of public expenditure- within the government sector alone but it must include incentives and disincentives for self care and care paid for by private citizens to get over their ill health. Where, as in India, private out-of-pocket expenditure dominates the cost financing health care, the effects are bound to be regressive. Heath care at its essential core is widely recognized to be a public good. Its demand and supply cannot therefore, be left to be regulated solely by the invisible had of the market. Nor can it be established on considerations of utility maximizing conduct alone. 'Pahel' in its attempt to ensure better health facilities for communities keeps introducing new improved techniques, services and products which fulfill our commitments towards the masses. Below are few of our community healthcare initiatives which are being implemented at the grassroots level making the rural lives more 'fit and fine.'
‘Sanjeevani Programme’ aims to reduce morbidity and mortality related to diarrheal disease among children under age of 5 years through deployment of new and improved approaches scaling up Zinc/ORS treatment for Diarrhea through both public and private sector channels in state of Uttar Pradesh. This programme aims to reduce the burden of diarrhea on child health, increase child survival in India, contribute to improved child health outcomes, and provide actionable information for diarrhea treatment. The project goal is to ensure long term sustainability of Zinc/ORS treatment by integrating it into the health department of Uttar Pradesh to increase product usage.
An important component of the program is to promote the use of Zinc tablets/syrup and ORS solution (low osmolarity ORS) as the first line of treatment for childhood diarrhea. Extensive research conducted over the last several years in many countries including India demonstrates the usefulness of giving new low osmolarity ORS and Zinc as the first line of treatment for Diarrhea in children. This treatment reduces stool output, frequency and duration and helps prevent morbidity and mortality due to diarrhea. The fourteen day course of Zinc also helps in reducing the chances of diarrhea recurrence in the next 3 months. WHO and UNICEF have declared this to be the first line of treatment of childhood diarrhea, which has also been endorsed by the Indian Academy of Pediatricians (IAP). Several Indian pharmaceutical companies have introduced Zinc formulations which are being increasingly prescribed by pediatricians in urban areas mainly.
This community programme for eye care aims to provide subsidized reading glasses to destitute rural masses specially ‘poorest of the poor’, so that every citizen of India becomes a change agent in cent percent achieving ‘VISION 2020’ set up by ‘World Health Organization’ (WHO) under its Millennium Development Goals (MDGs). The robust programme primarily involves ‘Rural Medical Practitioners’ (RMPs) who also function as ‘micro-franchise’ for these subsidized reading glasses to be sold in their respective areas. The programme with a primary aim to address vital eye care issues also intends to motivate ‘unprofessional’ RMPs bringing them into ‘ethical’ medical practice via encouraging them to sell clinically certified ‘over the counter’ eye care products. This social business not only ensures sustainable earnings for them but also aims to restrain their medical ‘malpractices’ as much as possible. The RMPs being the primary medical experts available in their area work as key agents in counseling their patients’ mostly senior citizens and women to buy these economical reading glasses which gradually help them overcome general eye problems such as Myopia, Hypermetropia and other similar ailments.