RESUMEN
Chhaya Pachauli's editorial in IJME [1] is a firsthand authentic account of The Right to Health Act in Rajasthan. It deals with different aspects of the process of enacting this law and the content of the Act itself in a dispassionate, objective manner. I think three points need to be added to this account in order to make it comprehensive.
Asunto(s)
Derecho a la Salud , Humanos , IndiaRESUMEN
The contradiction between the socialized nature of the modern health-care system (inclusive of both clinical and social medicine) versus the narrow control over it is obvious in private health-care. However, this contradiction is present to some extent, in its own way, even in the public health facilities in India. To formulate a program for health-care for all in India, it is necessary to grasp these contradictions in both private and public health-care and accordingly conceptualize a strategy to overcome, resolve these contradictions.
Asunto(s)
Salud Pública , Cobertura Universal del Seguro de Salud , Países en Desarrollo , Humanos , India , Sector Privado , Sector Público , Medicina EstatalRESUMEN
India has over a century old tradition of development and production of vaccines. The Government rightly adopted self-sufficiency in vaccine production and self-reliance in vaccine technology as its policy objectives in 1986. However, in the absence of a full-fledged vaccine policy, there have been concerns related to demand and supply, manufacture vs. import, role of public and private sectors, choice of vaccines, new and combination vaccines, universal vs. selective vaccination, routine immunization vs. special drives, cost-benefit aspects, regulatory issues, logistics etc. The need for a comprehensive and evidence based vaccine policy that enables informed decisions on all these aspects from the public health point of view brought together doctors, scientists, policy analysts, lawyers and civil society representatives to formulate this policy paper for the consideration of the Government. This paper evolved out of the first ever ICMR-NISTADS national brainstorming workshop on vaccine policy held during 4-5 June, 2009 in New Delhi, and subsequent discussions over email for several weeks, before being adopted unanimously in the present form.
