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It is quite well known that global health care threatened by powerful trends – increasing demand, rising costs, uneven quality, inequitable distribution and misleading incentives. In India too, current healthcare systems will be unsustainable if unchanged over the next decade. If ignored, they will overwhelm health systems, creating massive financial burdens and devastating health problems for fellow Indians.
What makes a great health system, even as an ideal in India?
A) Universal access – through a fair distribution of healthcare products and services from a current ~ 30% of the population has access to modern medicine and quality health care.
2) An equitable sharing of the financial cost of access and a constant quest for improvements to a more equitable system.
3) Creation of easy accessibility to these services, combined with training and staffing personnel who deliver quality products and services.
4) Special attention to vulnerable groups such as children, women, disabled and elderly.
I’ve been surprised that despite knowing this, health has never taken its rightful place on the national agenda from the Government of India and even outside. The fact that diseases that affect more than one nation (HIV / AIDS, swine influenza, SARS, etc.) that afflict us have not even inspired a place on the global agenda. National States are still more likely to give security or commercial considerations take priority over health care. Healthcare, like climate change, is relegated to the sidelines.
The recently experienced a growing acceptance of the concept of health security. But there are big differences in the understanding and use of the term in different contexts. Politicians in developed countries stressed that their populations especially against external threats such as terrorism and pandemics, while health workers and politicians in developing countries think of the term in a broader framework for public health. Indeed, the concept is applied unevenly across the world. Divergent views of various states, combined with fears of hidden national security agendas, leading to a breakdown of mechanisms for global cooperation. So much so that some developing countries have begun to doubt that internationally shared health data is used in their best interest. Resolution of these incompatible understandings is a global priority.
This requires a global context of India’s largest and least used “weapons” – soft power.
Soft power has always been a central element in the diplomatic leadership. The power to attract, to get others to want what you want to frame the issues to set the agenda, is rooted in thousands of years of human experience. Skilled leaders have always understood that attractiveness comes from credibility and legitimacy. Power has never flowed solely from the barrel of a gun, even the most brutal dictators relied attraction and fear. India should exercise soft power to get himself some of the best technologies, products, services, talent and
Public Diplomacy is the chosen method of interaction between stakeholders involved in public health and policy for representation, cooperation, resolve conflicts, improving health and ensuring the right to health for vulnerable populations. Through health diplomacy, health priorities can take their rightful place at the national and international agenda. This will merge health expertise with diplomatic skills to alleviate suffering, bring peace, prepare for disasters and to help improve health systems throughout the world.
Role of health diplomacy will vary depending on the specific context and stakeholders. How global health will be a foreign policy issue for states, health diplomacy plays an important role in supplementing or assisting formal diplomatic channels of distribution. In cases where civil society or the private sector is engaged, health diplomacy assumes a leadership role in promoting or multilateral dialogue.
The global health burden that is placed on the international community’s demands effective transnational networks to provide sustainable solutions to the toughest challenges. Health diplomacy is a process and method that can help stakeholders to effectively pursue their interests, overcome obstacles to progress and take advantage of optimum benefit from international partnerships. In a world where the disease is everybody’s tragedy and everybody’s nightmare that is health diplomacy in everyone’s interest.
Filed under: Uncategorized
It is quite well known that global health care threatened by powerful trends – increasing demand, rising costs, uneven quality, inequitable distribution and misleading incentives. In India too, current healthcare systems will be unsustainable if unchanged over the next decade. If ignored, they will overwhelm health systems, creating massive financial burdens and devastating health problems for fellow Indians.
What makes a great health system, even as an ideal in India?
A) Universal access – through a fair distribution of healthcare products and services from a current ~ 30% of the population has access to modern wine cheese medicine and quality health care.
2) An equitable sharing of the financial cost of access and a constant quest for improvements to a more equitable system.
3) Creation of easy accessibility to these services, combined with training and staffing personnel who deliver quality products and services.
4) Special attention to vulnerable groups such as children, women, disabled and elderly.
I’ve been surprised that despite knowing this, health has never taken its rightful place on the national agenda from the Government of India and even outside. The fact that diseases that affect more wine cheese than one nation (HIV / AIDS, swine influenza, SARS, etc.) that afflict us have not even inspired a place on the global agenda. National States are still more likely to give security or commercial considerations take priority over health care. Healthcare, like climate change, is relegated to the sidelines.
The recently experienced a growing acceptance of the concept of health security. But there are big differences in the understanding and use of the term in different contexts. Politicians in developed countries stressed that their populations especially against external threats such as terrorism and pandemics, while health workers and red wine politicians in developing countries think of the term in a broader framework for public health. Indeed, the concept is applied unevenly across the world. Divergent views of various states, combined with fears of hidden national security agendas, leading to a breakdown of mechanisms for global cooperation. So much so that some developing countries have begun to doubt that internationally shared health data is used in their best interest. Resolution of these incompatible understandings is a global priority.
This requires a global context of India’s largest and least used “weapons” – soft power.
Soft power has always red wine been a central element in the diplomatic leadership. The power to attract, to get others to want what you want to frame the issues to set the agenda, is rooted in thousands of years of human experience. Skilled leaders have always understood that attractiveness comes from credibility and legitimacy. Power has never flowed solely from the barrel of a gun, even the most brutal dictators relied attraction and fear. India should exercise soft power to get himself some of the best technologies, products, services, talent and
Public Diplomacy is the chosen method of interaction between stakeholders involved in red wine public health and policy for representation, cooperation, resolve conflicts, improving health and ensuring the right to health for vulnerable populations. Through health diplomacy, health priorities can take their rightful place at the national and international agenda. This will merge health expertise with diplomatic skills to alleviate suffering, bring peace, prepare for disasters and to help improve health systems throughout the world.
Role of health diplomacy will vary depending on the specific context and stakeholders. How global health will be a foreign policy issue for states, health diplomacy plays an important role in supplementing or assisting formal diplomatic channels wine cheese of distribution. In cases where civil society or the private sector is engaged, health diplomacy assumes a leadership role in promoting or multilateral dialogue.
The global health burden that is placed on the international community’s demands effective transnational networks to provide sustainable solutions to the toughest challenges. Health diplomacy is a process and method that can help stakeholders to effectively pursue their interests, overcome obstacles to progress and take advantage of optimum benefit from international partnerships. In a world where the disease is everybody’s tragedy and everybody’s nightmare that is health diplomacy in everyone’s interest.
wine cheese Filed under: Uncategorized
The warnings over product recalls come almost daily to my email inbox: today, public health officials warn consumers over undeclared nuts in Product A. Tomorrow, public health officials will warn me about salmonella or sulfites in Product B. But the big one from this week, the one that really makes me shake my head, was the recall of several common children's pain relievers and fever reducers over fears of bacterial contamination, inappropriate concentrations of active ingredients and dark particles suspended in the medication.
What's really disturbing is that parents had apparently been complaining about foul odors coming from some of the products for weeks or even months before any kind of warning or announcement was made. While even the Food and Drug Administration says the chance of significant injury from the products is remote, that public health agency nonetheless decided that a recall of the products was necessary. But even that recall is voluntary, and it makes me wonder what it takes to truly force a product off the shelves.
I may be reading too much into things here, but I got the sense that public health officials were more offended at the consumer side of the issue – meaning consumers bought a product that didn't meet general quality control standards – than by the safety side of the issue – meaning vulnerable children were potentially taking medications that contained higher dosages of ingredients that are safe for them. One of the products on the recall list is infants' and children's Tylenol. Now, I am a big fan of Tylenol. It works. But it can be dangerous when it's taken in too-high doses, a point company officials drove home a couple of years ago with a series of public service ads. To recap: the manufacturer of these medicines may have increased the concentrations of an ingredient known to be the cause of thousands of overdoses each year – some fatal – and the FDA is content to issue a “voluntary” recall?
Here's what FDA Commissioner Margaret A. Hamburg had to say about it: “We want to be certain that consumers discontinue using these products and that they know what to do if they have concerns about a specific product. While the potential for serious health problems is remote, Americans deserve medications that are safe, effective, and of the highest quality. We are investigating the products and facilities associated with this recall and will provide updates as we learn more.”
Gee, thanks, Commissioner Hamburg. Our top public health official later says in her statement addressing the recall that parents should contact their health care provider if they suspect their child is suffering from side effects of the recalled medications. Do you know what a side effect can be of taking too much of the active ingredient in Tylenol? It's liver failure. I don't know about you, but I'm growing weary of all these public health reports about recalled and unsafe products, whether they are of food or medicines. Given the numbers of reports I read each week, I have no choice to believe that there's no real teeth in quality control enforcement, and that the occasional embarrassment of a warning or recall is just the cost of doing business for some companies. What do you think?
Photo Credit: aussiegall
