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TB and global health diplomacy

Context

“It was enough for a nation to look after itself but today it is not enough.” This statement is particularly true in the health sector. The extent of health issues has gone beyond national boundaries and requires action by global powers, which determine the health of the people. The widespread political, social and economic impact of health issues has led to the rise of diplomats and public health experts in the field of diplomacy in the health sector. The health of a nation in today’s embedded world is no longer an internal matter ,Rather, recently, health has succeeded in diplomacy and foreign policy. The term ‘global health diplomacy’ is aimed at capturing multi-level and multi-actor dialogue processes that shape global policy for health.

India and Health Diplomacy

  • Health is one of the guiding principles of foreign policy because it has become an integral part of the three global agendas, which are as follows:
  • Security – Inspired by the deliberate spread of pathogens and human conflict, natural calamities and fear of an increase in emergency.
  • Economic   – poor health is not only related to the economic impact on the development of the global market, but also related to the benefits of the growing global market in health related goods and services.
  • Social Justice – Supporting United Nations Millennium Development Goals, strengthening the health of social values ​​and human rights, advocating access to medicines and primary health care and high-income countries to invest in a wide range of global health initiatives Attract for
  • Being a recent area of ​​diplomacy, Indian diplomats and foreign policy practitioners have started developing understanding for India’s diplomatic initiative in the health sector.
  • India has linked employees of international health departments to diplomats. Their common challenge is to navigate a complex system that connects the power lines of domestic and foreign policy and is constantly influenced and where urgent decisions and effective negotiations for disease, security (in the case of spread of threats or other issues) Required.
  • India has played an integral role in the global healthcare sector, by which it has become an integral part of India’s foreign aid program and its importance has increased rapidly in recent years.
  • Indian policy makers believe that the scope of the country’s health care program will continue to find opportunities for the private health sector and civil society in the country in health aid initiatives.
  • Health support can be traced through basic support, human resources , education and capacity building. Health support can generally be seen as bilateral health support , health, IT and pharma etc. Since the year 2009 , India has invested at least US $ 100 million in bilateral health projects for nearly 20 countries in South Asia , Southeast Asia and Africa .
  • It is notable that for the first time this year, Indian Doctor – Sub-TB activist has joined the WHO’s top management team.
  • Eliminating TB will prove to be an important factor in India’s image creation and will also affect the global health diplomacy network.
  • Government of India has also demonstrated political will to improve the health of citizens with two announcements this year, in which first 10 years before the goal of World Health Organization to end tuberculosis (TB) by 2025 resolution and second , a move the world towards achieving universal health care through the Prime Minister’s public health plan (PMJE) Settled promoted as the largest government-sponsored health insurance plan.

The main issue

  • India will have to reduce the TB communication by 15-20% annually to release TB from year 2025 At present , it appears to be a daunting task.
  • However, TB testing and treatment is available free of charge at all public health centers and can claim nutritional incentives of ₹ 500 per month till the patient is fully cured, but the current decline rate of TB in India is 1-2% , which is alarming is.
  • The initial symptoms of TB are non-specific and are more common in situations like normal, such as secondary infection as a result of seasonal flu.
  • Personal physicians prohibit the treatment of other diseases through antibiotic therapy before ordering TB tests. In this way, delayed TB diagnosis is the biggest risk factor for the spread of TB.
  • Half of the estimated patients are either unaware of being infected with TB or their names are not recorded in the government’s e-registry for TB ‘nikshman’. 
  • It is worth mentioning that ‘Nibh’ is a web based solution portal for monitoring TB patients.
  • Infected patients infect others in the community. As long as they are not cured, the spread of TB can not be prevented. Non-specific antibiotic course, the risk increasing by leaps and bounds , making the transition becomes antibiotic resistant.
  • In spite of all the cash incentives, the private sector’s extensive facilities attract TB patients more than public health facilities. The private sector has expanded by permanently availing public sector benefits by patients and their revenues have also increased.

Forward path

  • The long-revised National TB Control Program (RNTCP) of the government has now started an active case based search campaign for selected population groups. This is for those people who are more socially, medically or commercially vulnerable than others, ie target villages, towns, prisons and refugees or AIDS patients.
  • More than 12,000 new patients were identified in the first three stages of this screening and TB cases would be duly checked and treated in the remaining population.
  • About 50-55% of doctors in the private sector are experienced, but they do not have any degree . Actually, this is the place where all the strategies fail, so fake doctors should be evicted from medical practices.
  • It is worth mentioning that new models of public-private partnership in Mumbai and Patna are being tested, in which private practitioners are encouraged to manage patients , provided they complete the notification of ‘e-nischik’ and take care Follow the standards of treatment protocols.
  • In addition to this, a roadmap should be prepared towards elimination of tuberculosis in childhood and it should also be the focal point of primary focus.
  • However, considering an additional budget for TB can create an uncomfortable challenge for the government, but it is unquestionably fair value to achieve leadership in global health diplomacy.
  • In addition to the new provider-focused strategies, it is time demand that society get rid of this stigma and stress on TB testing, if someone’s cough persists for more than a week.
  • Significantly, eradication of polio was an important step for India, and in the same way becoming a first nation to eradicate TB would be a huge leap for India.
Updated: January 3, 2019 — 5:58 am

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