Health CareP.S. Chari THE FUNCTIONAL ANALYSIS OF HEALTH NEEDS AND SERVICES By the Department of International Health, The Johns Hopkins University Asia Publishing House, Bombay, 1976, 292, 60.00 DOCTORS FOR THE VILLAGE By Carl E. Taylor et al. Asia Publishing House, Bombay, 1976, 197, 40.00 VOLUME II NUMBER 2 March-April 1977 The web of medical care is both tangled and torn. There is
unhappiness on every side about the way in which medical care is provided. The
hallmark of our present haphazard system is a lack of planning which really
reflects the pitiful inadequacy of research on the provision of medical care.
The Functional Analysis Research Project
concentrated on a systems analysis of the whole health care complex with the
objective of developing a methodology for relating health needs to resources.
Data were gathered through household interviews in Punjab and Mysore, as well
as in three provinces in Eastern Turkey. Their research experience suggests
that the most efficient mechanism is the collection of a limited body of carefully screened and
coordinated information, followed by a standardized, sophisticated analysis
which maximizes the utility of the data obtained. The proposed information
format is described as the Fundamental Information Generating System (FIGS).
Assuming that one is able to quantify both health needs and the provision of
services on a functional basis, the problem remains of translating the
inevitable incongruencies and imbalances into relative priorities for remedial
action.
Doctors for the Villages is a study of the attitude of interns from seven Indian
Medical Colleges towards rural health services and the structural and organizational
changes needed to improve rural health care. Improving the health of village
people is good economics because of the clear relationship between health and
productivity and is good politics because most voters are rural people. It is
also becoming increasingly evident that it makes good sense demographically
because of the synergistic potential of integrating health and family
planning services. Above all, social
justice demands that the rural poor be provided access to the basic services
which are now feasible.
In 1952, health became part
of the national community development programme. Idealistic motivations led to
overoptimistic expectations though without such hope
and enthusiasm, the tremendous progress of the past 25 years would not have
been possible. On the other hand, hopes and ideals are not surrogates of
reality. The need for intensive research is apparent because India's efforts to
develop rural health and family planning services represent one of the most
significant public programmes being undertaken in the world today.
Interns rated social and
preventive medicine and public health very ... Table of Contents >> |