Transcript An Ounce of Public Health is Worth a Pound of

COMMUNITY SERVICE
- Rotary
AGTS/DTTS WORKSHOP
AT
SUNRAY VILLAGE
10th & 11th March, 2012
Rtn. Dr. G. SAMARAM
National President , I.M.A. (2009-10)
District Director, Community Service
COMMUNITY SERVICE
The Heart Beat of Rotary
Main Focus of Rotary
1.Peace
2.Disease Prevention & Treatment
3.Water and Sanitation
4.Maternal & Child Health
5.Basic Education & Literacy
6.Economic & Community Development
Community problems - Rotary Action
through Community Service
Committees.
COMMUNITY SERVICE(Medical)
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Vision through Rotary
Blood Banks Promotion
Dental Care
AIDS Awareness
Physically Challenged
Drug Abuse
TB Control
Health Education
Community Service (Non-Medical)
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Care for Street Children
Care for Aged
Rotary Legal Aid Centre
School Adoption
Agricultural Development
Preserve Planet Earth
Art of Living
Culture & Heritage
Women Empowerment
Rural Development
RCC
10 Leading Health Indicators
Ø Physical Activity
Ø Overweight and Obesity
Ø Tobacco Use
Ø Environmental Quality
Ø Responsible Sexual Behavior
Ø Mental Health
Ø Substance Abuse
Ø Injury and Violence
Ø Immunization
Ø Access to Health Care
Public Health achievements
in the 20th century
• Immunizations
• have virtually eliminated:
– Smallpox
– Diphtheria
– Pertussis
– Tetanus
– Polio
– Measles
– Rubella
People are living
longer!
• In 1947, vaccines were available to combat only 5
infectious diseases.
• Now there are vaccines against 26 infectious diseases,
rendered many of the leading causes of mortality in
infants and children completely preventable.
• At the beginning of the century 1/3rd of deaths
were due to – pneumonia, tuberculosis and
diarrhea.
• Now, the 3 leading
causes of death were
chronic diseases
– Heart disease
– cancer
– stroke
India spend its budget
Military:18%, Education:12%; Health: just 3.4%
Medical Consultants
• Urban: 70%
Semi urban: 25%
Rural: 5%
Hospital Beds/1000
• Rural: 0.19
Urban: 2.20.
National average:0.9
comparison
Nurses/
1000
people
Physicians/
1000
people
Per capita
Expenditure
on
Health $
Australia 5
9.1
2.47
3200 $
U.K
5
12
2.3
2900 $
USA
6
10
2.6
6000 $
INDIA
45
3
0.7
60 $
Country
Infant
Mortality
rate!
per!1000!live!
births
Country
Per capita
expenditure on
health 2004
In 2008
In 2010
India
$17
20
25
Srilanka
$44
81
100
Pakistan
$ 17
24
28
Bangla
$11
17
20
Nepal
$17
20
23
Naked reality
• Highest burden of maternal mortality(254 ) is in India.
• MMR & NMR is directly associated with lack of skilled
delivery attendant.
• Adult Mortality - 60% due to NCD(non-communicable
diseases) & 30% due to CD &10% due to accidents.
• Ratio of doctors to the population in India is just 0.7
doctors per 1,000 people compared to a world average
of 1.5 doctors per 1,000.
• Grave Challenge - Metabolic syndrome
Sheer callousness
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one million Indians die every year due to inadequate
healthcare facilities and 70 crore people have no access
to specialist care.
Home delivery: In India, 50% of births take place at home.
1/3rd. of the world’s tuberculosis cases are in India.
India has about 5.6 million child deaths every year, more
than half the world's total.
Polio has not as yet been eradicated in India.
About 700,000 Indians die each year from diarrhea.
Deprived of…
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Only 10% have access to toilets
Only 30% have access to safe water.
Only 10% children completing the 10th.std
70% rural women are anaemic.
growing social inequalities
shortages in primary healthcare facilities.
70% SHORTAGE of specialists at the CHCs.
Alarming…
• About 1.8 million children under age 5 die in
India every year;
• 68,000 mothers die due to maternal causes.
• 52 million children in the country are stunted.
• Nutrition programs currently focus on 3- to 6year olds, rather than children aged 2 years
and under, which are critical years for
preventing under nutrition.
Dampening…
• citizen responsibility at the lowest ebb.
• Open defecation inspite of govt’s promotion
of usage of toilets.
• Addiction to drugs, alcohol & tobacco.
• Non compliance with minimum hygenic
measures.
• Gender biased.
• Social evils, beliefs and discrimination.
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Poor nutritional habits.
Negligence of Family planning.
Callousness over safe sex.
Lazy sedentary life styles.
Lack of character& responsibility.
Decreasing moral values.
Lack of care towards ecology.
No concern for neighbours.
Public Health & Road Accidents
– 15 deaths per one hour in India due to
Road traffic accidents
– Accounting for about 360 deaths per day in
India due to RTA
Accounting for about
1 Lakh 30 thousand
deaths per year
in India due to RTA
Environment & Public Health
Economics at the cost of environment :
High environmental cost of Asia’s
economic development over past few
decades, • including pollution, deforestation,
inadequate sanitation, threatening
depletion and degradation of forests,
fisheries, and other natural resources.
Environment – Air
• Nearly 100,000 premature deaths/year
in southern Asian cities
• 12 of the 15 cities with highest levels
of particulate matter are in Asian and
Pacific regions.
Environment - water
• One in three Asians lack
access to safe drinking
water near their homes
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contamination
sewage,
urban
by
and
agricultural runoff and
saline infusion.
Urban Health
“Over 600 million people in cities of developing
countries cannot meet their basic needs for
shelter, water, food, health and education”
PLAN OF ACTION
The District Community Service Committee has to stimulate,
co-ordinate and promote club community service projects.
Assisting Club Community Service Committee Chairman in
carrying out their responsibilities.
Encourage Clubs to organise RCCs.
Identifying New Trends, Issues within the District and that
your clubs may want to address
Sharing Knowledge with Clubs about local non-rotary service
organisations and identifying areas for co-operation.
www.gsamaram.com