Sector in Rural Sector
A large number of unqualified practitioners are practicing
in the rural areas throughout the country. Efforts should
be made to upgrade their skills and limit the scope of their
practices so that they discontinue exploiting the people.
should be made mandatory for organised and qualified practitioners
to provide immunisation and family welfare services. To ensure
quality of services at reasonable costs in the private sector,
a participatory regularity mechanism should be set up. There
should be a total ban on the private practice of government
Sector in Primary Health Care
The voluntary sector should be involved in providing primary
health care in a more effective manner, particularly in the
neediest areas. A special fund like CAPART should be set aside
for this purpose. They will also play a very important role
in imparting health education through schools and other fora.
The services of qualified voluntary organisations should be
utilised for training of community health workers as well
as for giving continuing education to other health personnel
of the government. Similarly, they should be partners in the
programme of eradication of TB and malaria throughout the
country. National and state level networks of voluntary organisations
should be utilised for ensuring participation from a large
number of voluntary organisations at the grassroots level.
Given the growing professional competency of the voluntary
organisations and their successful experimentations on various
aspects of health care, they should be involved in the process
of planning and monitoring of health services both at the
central as well as at state levels. In this area, the national
networks of voluntary organisations can play particularly
In order to find out successful approaches to implementation
of key programmes of public health, there is a need to do
systematic health systems research in the following areas:
of Indian Systems of Medicine in PHC
and low-cost health management information systems for
rural health care
of rural health systems
methods of health education
coordination and mechanics of convergence of social development
work in rural areas
and effective epidemiological surveillance at the district
Stones of the PHC System
Corner stones for revamping the primary health care system
in future should be:
participation of the people in managing their own health
and that of the communities where they live.
utilisation of existing primary health care infrastructure
to remove the current inertia and to gear them up to meet
the present and future challenges of health care.
participation of voluntary organisations in the planning,
monitoring and implementation of health programmes, particularly
in the vulnerable areas.
a disciplined and responsible growth of the private sector
both in curative as well as preventive and promotive care.
of local health traditions and strengthening of local
practitioners so that they can play important roles in
health promotion, throughout the country.
district level planning with flexibility to cater to the
local needs and constraints.
over the responsibility of health services gradually to
Panchayats and Zila Parishads with technical support,
guidance and leadership from State Health Services.
the outlay for health care to at least 5 per cent of Plan
Sub-plan to uplift the health status of the vulnerable
is not everything but everything else is nothing without health.
paper draws heavily from the Report of the Sub-Group
on Rural Health and Indian Systems of Medicine &
Homeopathy, constituted by the Planning Commission,
Government of India and Chaired by Mr. Alok Mukhopadhyay.