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Universal Health Coverage
        •   Who
        •   When
        •   Where
        •   What
        •   Why
        •   How
How Does Society See The Dream
        Health Professional
• A Film/ Story You Remember with an Ideal
  Doctor/ Nurse
• Nurse/ Doctor Visits Patient’s Home
• Takes A Cup of Tea
• Spends Time
• Empathizes
• Knows Everybody By Name
• The “Family Physician”
Evolution Of The Community
           Health Professional
• Patient As Extended Family

• A bit like All Things Great and Beautiful

• Modeled On The Family Priest (jajman/ pastor)

• 3 Plays for Puritans - GB Shaw

• Social Role of a Community Nurse/
Family Doctor
Birth of The Clinic
• Why?

• Bethune

• Motorcycle

• Gonoshashthya

• Uttaranchal         Henrik Ibsen 1882 Norway
                      Satyajit Ray 1990 West Bengal
If Family Health Worker Is What
               We Want..
•   Covers 2000 population
•   Lives There
•   Has Family There
•   Has Friends There
•   Teacher
•   Mayor/ Pradhan
•   May be from there
With Quality

•   Trained For 5 to 10 years (in phases)
•   Interaction With University and Hospital
•   Interaction With Colleagues In Similar Areas
•   Influences Research
•   Gets Latest Information
•   Helps Train Next Generation
So….
• Whom do We Select?

• Where Do We Train?

• Who Gives Training?

• How Do We Place?

• What Is The Mode of Communication (Centre-Periphery)

• Why Do We Need Feedback?

• When Do We Start?
Health Professional and
        Family




       Dreaming !
Links
•   http://www.thehindu.com/opinion/lead/doctor-in-the-house/article3529179.ece

•   Medical Nemesis
    http://www.soilandhealth.org/03sov/0303critic/030313illich/Frame.Illich.Ch1.html

•   http://www.word-power.co.uk/books/the-birth-of-the-clinic-I9780415307727/
•   http://www.4shared.com/office/p0VXw06e/An_Enemy_Of_The_People.html

•   The Devils Disciple
    http://books.google.co.in/books?id=QqojeZdmyS4C&source=gbs_book_similarbooks

•   Ganashatru www.youtube.com/watch?v=U7kDbmhKvSo

•   Opposite View http://rationallibertariancorner.com/education/facilitating-health-care-
    in-indian-villages.html

•   prabirkc@yahoo.com

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Doctor and family!

  • 1. Universal Health Coverage • Who • When • Where • What • Why • How
  • 2. How Does Society See The Dream Health Professional • A Film/ Story You Remember with an Ideal Doctor/ Nurse • Nurse/ Doctor Visits Patient’s Home • Takes A Cup of Tea • Spends Time • Empathizes • Knows Everybody By Name • The “Family Physician”
  • 3. Evolution Of The Community Health Professional • Patient As Extended Family • A bit like All Things Great and Beautiful • Modeled On The Family Priest (jajman/ pastor) • 3 Plays for Puritans - GB Shaw • Social Role of a Community Nurse/ Family Doctor
  • 4. Birth of The Clinic • Why? • Bethune • Motorcycle • Gonoshashthya • Uttaranchal Henrik Ibsen 1882 Norway Satyajit Ray 1990 West Bengal
  • 5. If Family Health Worker Is What We Want.. • Covers 2000 population • Lives There • Has Family There • Has Friends There • Teacher • Mayor/ Pradhan • May be from there
  • 6. With Quality • Trained For 5 to 10 years (in phases) • Interaction With University and Hospital • Interaction With Colleagues In Similar Areas • Influences Research • Gets Latest Information • Helps Train Next Generation
  • 7. So…. • Whom do We Select? • Where Do We Train? • Who Gives Training? • How Do We Place? • What Is The Mode of Communication (Centre-Periphery) • Why Do We Need Feedback? • When Do We Start?
  • 8. Health Professional and Family Dreaming !
  • 9. Links • http://www.thehindu.com/opinion/lead/doctor-in-the-house/article3529179.ece • Medical Nemesis http://www.soilandhealth.org/03sov/0303critic/030313illich/Frame.Illich.Ch1.html • http://www.word-power.co.uk/books/the-birth-of-the-clinic-I9780415307727/ • http://www.4shared.com/office/p0VXw06e/An_Enemy_Of_The_People.html • The Devils Disciple http://books.google.co.in/books?id=QqojeZdmyS4C&source=gbs_book_similarbooks • Ganashatru www.youtube.com/watch?v=U7kDbmhKvSo • Opposite View http://rationallibertariancorner.com/education/facilitating-health-care- in-indian-villages.html • prabirkc@yahoo.com