Achieving the Millennium Development Goals: An Integrated Services Delivery Model
31 Pages Posted: 23 Sep 2011 Last revised: 16 Mar 2015
Date Written: September 22, 2011
Economic development over the years has resulted in economic disparity which reflects in the health statuses of the people by influencing their ability to access health care facilities. Despite progress in medical sciences, deaths result from disease conditions and malnutrition which are preventable due to constraints on access to treatment. In situations where access is available, poor policy and institutional mechanisms make them ineffective in their outcomes. The Millennium Development Goals (MDG’S) were devised out of the necessity to address these problems. They are aimed at reducing poverty, hunger, gender inequality, tackle ill health, lack of education, environmental degradation and provide access to clean water. Goals relating to health form a significant part of MDG’S. India is likely to miss the achievement of MDG’S relating to health, because of large interstate and regional disparities in targeting of interventions and allocation of resources. This; a result of centrally planned, managed and funded public health programmes with an emphasis on the service provider and the intervention; have made them disconnected with the needs of the end user. Continuation with the same is not likely to help India achieve the MDG’S. A paradigm shift in the focus from emphasis on the institution-service provider link to a focus on the service provider-household link is needed. This is necessitated by the fact that health of an individual is influenced by a combination of good sanitation, nutrition, clothing, shelter, early detection of diseases and prompts access to health care service. Therefore, emphasis has to be more on active individual behaviors which drive the emphasis on home based interventions (both preventive and curative) than a mere implementation of health care instructions. This highlights the need for tailoring interventions to accommodate local conditions which influence these home based interventions. This paradigm shift, in the form of a proposed integrated community based health services delivery model backed by a centrally planned and controlled capacity building and resource allocation system for the health sector is more likely to lead to achievement of the MDG’S targets. It is hoped that the model draws the attention of the policy makers who are involved in formulating the strategies for achievement of MDG’S in India.
Keywords: MDGs, implementation
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