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RIGHT TO HEALTH
BIROLAL J
LCHR
AGARTALA
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PRINCIPLES AND VALUES
UNDERLYING HUMAN RIGHTS
1. Equality
2. Nondiscrimination
3. Dignity
4. Bodily integrity
5. Self determination
6. Compassion
7. Interdependence
8. Right to life and development
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STATES RESPONSIBILITY
a. To respect:- RemoveObstacles to
enjoy the Rights
b. To protect:- Protect againstviolations
c. To fulfill:- create conditions
to enable rights through
legislations policies budgets
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WHAT DOES ONE MEAN BY A RIGHT?A RIGHT IS AN ENTITLEMENT THATLOCATES THE PARTICULAR CONCERNS,NEEDS AND INTERESTS OF CERTAIN
CLASS(ES) OF INDIVIDUALS AGAINST ASET OF OBJECTIVE STANDARDS SUCHTHAT NEEDS AND INTERESTS CAN BE
CLAIMED AND ASSERTED
IRRESPECTIVE OF AN INDIVIDUALS, ACOMMUNITYS OR A GOVERNMENTSVIEWS ON THE ISSUES AROUND THEM.
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WHY RIGHTS1. Every human being has
rights?2. All human beings have right
to live with dignity & without
fear.
3. Protection of weakest main
objective of human
institutions- formal -
information
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WHY-
Because-
a. I am Human and I have decided to
stay in a social mannerb. I pay my Tax( Direct or Indirect)
c. I follow Rules
d. I allow government even to arrestme or kill me and my family if I go
against society.
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NODEVELOPME
NT
DEPRIVEDPEOPLE
NO VOICE
NOT
EQUAL
EXPLOITATION
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CONSTITUTIONAL PROVISIONS RELATING TO
HEALTH
Directly, Health right is not a Fundamental
Right under the constitution of India But-
Article 21 says that No person shall be
deprived of his life or personal liberty, except
according to the procedure established by
Law.
Directive Principles of state Policy speciallyArticles 41, 42 and 47 also deals with Health
Right.
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HIGHEST ATTAINABLE STANDARD OF
HEALTH- ATTRIBUTES
Availability
Service, facilities, goods, programmes in
sufficient qualities
Trained personnel
Essential drugs
Determinants of health, e.g. water, sanitationetc.
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ACCESSIBILITY
Non- discrimination
Physical accessibility including for vulnerable
groups (old dalits, disabled.etc)
Economic accessibility
Information and language.
Acceptability
Culturally appropriate (life-cycle gender,
minorities)
Medical ethics
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ATTRIBUTES OF GOOD HEALTH CARE
Quality
Scientifically, medically appropriate
Skilled PersonnelRational, unexpired, quality drugs
Aseptic procedures
Safe blood
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AVAILABILITY
AW, ASHAAccredited Social Health
Activist (every village 300-1000)
ANM:-Sub Health center- (Auxiliary Nurse
Midwife (24 hours x7days)
(5000/3000 hilly and tribal area)Immunization
Vaccine carrier, delivery
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PHC(PRIMARY HEALTH CENTER) 30,000
POPULATION20,000 HILLY AND TRIBAL
Who are there:- 1 MBBS Medical officer
1 AYUSH medical officer
2 nos. Health worker and Health Assistants
GNM(General Nurse midwife) Pharmacist
Block extn. Educator
Lab. Technician
Malaria surveillance worker Driver
Clerk.
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PHC SERVICE
24x7 delivery, labor room, generator,
Computer, Internet
Laboratory with microscope for malaria and
TB and simple blood Tests
Deep Freeze for 24 hours cold chain for
immunization
Ambulance for evacuation
Health Supervision in field epidemic control
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CHC (COMMUNITY HEALTH CENTER)
1,00,000(80,000 HILLY/TRIBAL OR BLOCK)
Block Medical officer. 30 bedded Hospital /Firstreferral unit).
Medical, Surgical, women and child specialist.
General/Public Health medical officer.Anesthetist
General Nurses
Malaria supervisor X-ray technician
BCG vaccinator etc.
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WHAT FACILITY
24x 7 Caesarian Section Operation theater
30 bedded Hospital
Post mortem facility Telephone /Internet/ Computer
Ambulance
X-ray Laboratory Blood Transfusion
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HOSPITAL DISTRICT HEAD QUARTER
Chief Medical and Health officer
Joint Director Health
Director of Malaria, TB Leprosy,
Immunization, family welfare and
Public health
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STATE (REFERRAL HOSPITAL FOR SPECIALTY)
ANM TRAINING COLLEGE
Specialist and State in charges of all national
Health Programmes
Facilities :- Facilities for rare cases
Training for Para- Medical workers
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HEALTH PROGRAMME
National Vector Borne Diseases control prog.for- Malaria, Filaria, dengue Japanese(viral)
Reproductive & child health for JSY(1000/1400)for Institutional Delivery
National AIDS Control Prog.- biggest budget-Through NACO
Revised National TB Control Prog. Against TB
National Bildness Control Prog. Universal Immunization Prog.
National Iodine Deficiency Disorder Controlprog.
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OTHERS HEALTH PROGRAMME (FOR BPL)
500 for all BPL pregnant women in 7-8 monthsof pregnancy
Free/ reimbursement ambulance in emergency/
Delivery Free medicines
Free diagnosis and treatment of Malaria, kala-azar
Free phase wise insecticide bed net for BPLfamilies
Free district Level AIDS, TB control Prog.
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ENTITLEMENT- UNIVERSAL IMMUNIZATION
PROGRAMME
Free Immunization, Vaccine Administration of allChildhood Diseases Childhood T>B
Tetanus
Whooping cough (Pertusis)
Diphtheria
Polio
Entitlement NIDDP----Free test of all salt sold in
market. Rastriya Swasthya Bima yojana for all BPL people.
New act under implementation - Assam Public HealthAct
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THANK YOU