RIGHT TO HEALTH

BIROLAL J LCHR AGARTALA

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

STATES RESPONSIBILITY a. To respect:- Remove Obstacles to enjoy the Rights b. To protect:- Protect against violations c. To fulfill:- create conditions to enable rights through legislations policies budgets

WHAT DOES ONE MEAN BY A RIGHT?

A RIGHT IS AN ENTITLEMENT THAT LOCATES THE PARTICULAR CONCERNS, NEEDS AND INTERESTS OF CERTAIN CLASS(ES) OF INDIVIDUALS AGAINST A SET OF OBJECTIVE STANDARDS SUCH THAT NEEDS AND INTERESTS CAN BE CLAIMED AND ASSERTED IRRESPECTIVE OF AN INDIVIDUALS, A COMMUNITYS OR A GOVERNMENTS VIEWS ON THE ISSUES AROUND THEM.

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Every human being has WHY RIGHTS rights? All human beings have right to live with dignity & without fear. Protection of weakest main objective of human institutionsformal information

WHYBecausea. I am Human and I have decided to stay in a social manner b. I pay my Tax( Direct or Indirect) c. I follow Rules d. I allow government even to arrest me or kill me and my family if I go against society.

DEPRIVED PEOPLE

EXPLOITATIO N

NO

DEVELOPME NT

NO VOICE

NOT EQUAL

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 specially Articles 41, 42 and 47 also deals with Health Right.

HIGHEST ATTAINABLE STANDARD OF HEALTH- ATTRIBUTES

Availability Service, facilities, goods, programmes in sufficient qualities Trained personnel Essential drugs Determinants of health, e.g. water, sanitation etc.

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

ATTRIBUTES OF GOOD HEALTH CARE

Quality Scientifically, medically appropriate Skilled Personnel Rational, unexpired, quality drugs Aseptic procedures Safe blood

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

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.

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

CHC (COMMUNITY HEALTH CENTER) 1,00,000(80,000 HILLY/TRIBAL OR BLOCK)

Block Medical officer. 30 bedded Hospital /First referral unit). Medical, Surgical, women and child specialist. General/Public Health medical officer. Anesthetist General Nurses Malaria supervisor X-ray technician BCG vaccinator etc.

WHAT FACILITY
24x 7 Caesarian Section Operation theater 30 bedded Hospital Post mortem facility Telephone /Internet/ Computer Ambulance X-ray Laboratory Blood Transfusion

HOSPITAL DISTRICT HEAD QUARTER

Chief

Medical and Health officer Joint Director Health Director of Malaria, TB Leprosy, Immunization, family welfare and Public health

WORKS
Specialist and super specialist, heart, Bones, chest etc Nationalized Programme info and Resource

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

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 budgetThrough NACO Revised National TB Control Prog. Against TB National Bildness Control Prog. Universal Immunization Prog. National Iodine Deficiency Disorder Control prog.

OTHERS HEALTH PROGRAMME (FOR BPL)

500 for all BPL pregnant women in 7-8 months of pregnancy Free/ reimbursement ambulance in emergency/ Delivery Free medicines Free diagnosis and treatment of Malaria, kalaazar Free phase wise insecticide bed net for BPL families Free district Level AIDS, TB control Prog.

ENTITLEMENT- UNIVERSAL IMMUNIZATION PROGRAMME

Free Immunization, Vaccine Administration of all Childhood 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 Health Act

THANK YOU