Health is defined in the World Health Organization’s Constitution as “a state of complete physical, social and mental well-being and not merely the absence of disease or infirmity”. Thus health “is a positive concept emphasizing social and personal resources as well as physical capabilities”.
India is one of the fastest growing economy. Our GDP doubled between 2000 to 2014 with a projected growth of over 7% for this fiscal year. The Rural population in 2015, was 67% and urbanization is fast increasing with 2.4% annual growth. A ‘demographic dividend’ of 65% of under 35 years is challenged by a growing population of elderly – 8% of total population.
India has made great progress in health. It became polio free in 2014, eliminated guinea worm (2000), yaws and maternal and neonatal tetanus in 2016. Life expectancy is now 68 years; it was 33 in 1947.
Government expenditure on health is around 1.4% of GDP in 2017-18. This has resulted in:
- Inadequate financial protection in health and high out of pocket (OOP) – more than 62% of spending on health by Indians represents OOP and around 60 million people are pushed into poverty due to OOP.
- Relative low health outcomes with high burden of communicable diseases, including neglected tropical diseases, TB and a high risk of premature death due to NCDs.
- Weak public health system and sub-optimal capacities in surveillance and infection control.
To achieve the objective of the Health interventions, the key strategies adopted by KHUSHII to improve the situation are –
- Develop coordination within different health providing agencies – Integrated Child Development Scheme (ICDS) and medical staff (health department)
- Promote and strengthen capacities, create awareness in communities to continue to demand and access healthcare services
- Involve the private sector and non-governmental organizations as partners for delivery of healthcare services
- Forging linkages and referral systems for treatment & care between dispensary and Tertiary care hospital.
- Provide healthcare at the doorstep of the beneficiaries: Periodic integrated Multi – disciplinary health care services through camps
Detrimental and often undetected until sever, undernutrition undermines the survival, growth and development of children and women and diminishes the strength and capacity of Nations.
Nutrition is the core pillar of human development and concrete large-scale programming not only can reduce the burden of under nutrition and deprivation in countries but also can advance the national progress.
Key strategies adopted by Khushii :
- Promoting Health and Nutrition Inter sectoral convergence between Department of Women and Child Development (DWCD) and Department of Health and Family Welfare (DHFW) to accelerate progress
- Nutrition communication for behavioural change, following a positive deviance approach
- Capacity building of community and frontline workers: Auxiliary Nurse Midwife (ANM), Accredited Social Health Activist (ASHA), Anganwadi Worker (AWW)
- Promoting Health and Nutrition inter sectoral convergence between Department of Women and Child Development (DWCD) and Department of Health and Family Welfare (DHFW) to accelerate progress
- Mobilize community & facilitate them in assessing nutrition related services at Anganwadi centres
- Promoting community engagement and role of local leaders in better nutrition service delivery