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"Combining the rising cost of Clinical medicine with the decreasing cost of technology can hope to arrive at flattening the cost of care making it accessible to the largest population" - Part 2
Jun 28, 2021

(Continued from Part 1) 

Speaking on the Session on Non-Communicable Diseases Dr K Srinath Reddy President Public Health Foundation of India said that NCDs are the major contributors to avertable death and disability. There is a need for a broad based approach focusing on risk factors and social and environmental determinants of NCDs. This would need collective action of the society along with the public and private healthcare stakeholders. The role of civil society in NCD prevention was underscored by Dr Nalini Saligram Founder & CEO Arogya World. Dr V Mohan Director Dr Mohan’s Diabetes Specialities Centre said that we need to maintain our focus on NCDs because what was experienced in the pandemic was that people with NCDs suffered the most. There is a need for a combination of government policy and vision as well as concerted efforts from industries and NGOs. Dr Vivekanand Jha Executive Director  The George Institute for Global Health said that the upcoming challenges of environmental change, diet and pollution needs to be met with new policy interventions and de-medicalisation of health.

Dr Nachiket Mor, Visiting Scientist, The Banyan Academy of Leadership in Mental Health moderating plenary session 6; Beyond Healthcare: The role of social determinants stated  that the four components that are important to social determinants of health are the social and community context, education, economic stability and neighborhood and built environment. When we talk about health and nutrition, the challenge is that there are so many different facets that need to come together in the right measure for things to have a significant and substantial change over a period of time stated Ms Vinita Bali, Chairperson, CII National Committee on Nutrition and Former MD, Britannia Industries.  Good health care means awareness, education but it also means access to money and access to nutritious food. Culture is a very important  determinant of health.  Mr Tarun Vij, India Country Director, Global Alliance for Improved Nutrition (GAIN), stated poor diet contributes 6 of the top 10 burden of diseases factors in India. Therefore, whether we're looking at different age groups, states or different economic profiles, malnutrition is widespread within the country. Dr Rukmini Banerji, Member, CII National Education Committee and Chief Executive Officer, Pratham stated that there has been a lot of empirical work de-entangling years of schooling and years of learning. Links between education and how it leads to a variety of desirable outcomes needs to be investigated further. It could be based on norms, it could be that you are able to access a variety of information, and many other factors. Dr Shailendra Kumar B Hegde, Head- Public Health Innovations Piramal Foundation highlighted that under the overall umbrella of social determinants of health, cultural determinants will have a very important role to play. Network of community influencers have made  a deep impact of institutional deliveries

Dr Randeep Guleria, Chairman, CII Public Health Council and Director, All India Institute of Medical Sciences (AIIMS) moderating the session on Towards Preventive Healthcare: Lessons from the Pandemic stated that we need to have a good portfolio, and planning in terms of preventive health. We can decrease the disease burden by having good preventive measures, and good screening of NCDs.  Dr Vikram Patel, The Pershing Square Professor of Global Health and Wellcome Trust and Principal Research Fellow, Department of Global Health and Social Medicine, Harvard Medical School, US stated the most important lesson for prevention is that most actions occur outside the health systems. Prevention within the health sector can only happen if we have Universal Health Coverage (UHC), only UHC can help in prevention of disease in  a cost effective way or through a per-capita model.  Dr Naresh Trehan, Chairman, CII National Council on Healthcare and Chairman and Managing Director, Medanta - The Medicity stated if you combine the power of,  Swasth Bharat and Swachh Bharat , you have created the concept that you can decrease the disease burden in the country by at least half in the space of infectious disease. Dr M Vidyasagar, Distinguished Professor, Indian Institute of Technology, Hyderabad stated that telemedicine is a fairly old idea, it has been around for 20-25 years, and the main challenge for telemedicine has been to find the right business model.  If there is a telemedicine system that is highly automated, where does the liability lay in the case of adverse outcomes. If we don’t address these issues we will delay the implementation. This is an area that we need to look into.

 

28 June 2021

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