Page 14 - Tata-Trusts-Annual-Report-2021-22
P. 14

OVERVIEW                                                  community, the Trusts are implementing health                                                                      Communicable Diseases: The focus here is on preventing
                                                                                       interventions under four themes, with a need to                                                                    the spread of communicable diseases through various
                             The biggest barrier to healthcare planning and delivery is   create timely access to primary care and improve                                                                initiatives.  For  example,  the  Malaria-Free  Odisha
                             a lack of real-time data on healthcare needs, disease     quality of care in project areas. These include:                                                                   programme ensures community empowerment to fight
                             burden and its spread, poor governance, and monitoring                                                                                                                       Malaria with resources and awareness, while grants given
                             of existing facilities, especially in Primary Health Centres   Health Systems Strengthening: It involves collaborating                                                       to academic organisations ensure research and advocacy
                             (PHCs) and  Community Health Centres  (CHCs). Training    with central and various state governments, providing                                                              to combat diseases, such as Tuberculosis and AIDS.
                             and capacity  building  at  government health  facilities  is   technical and technological support for capacity building
                             limited only to select health programmes. Interpersonal   among a public health workforce, improved utilisation of
                             communication skills, administrative skills, monitoring and   health facilities, and data driven decision making through
                             supervision, and soft skills are largely absent in the health   technical support units. Interventions are currently
                             system and this lacuna directly a ects service delivery to   ongoing in Maharashtra, Telangana, Madhya Pradesh,
                             the community. The sub-optimal provision of healthcare    and Chhattisgarh.
                             services at primary and secondary care centres further
                             burdens  tertiary care centres, resulting in patient      Non-Communicable Diseases (NCDs): To prioritise early
                             dissatisfaction and inflated out-of-pocket expenditures for   detection of non-communicable diseases across large
                             poor patients. That a significant gap exists in healthcare   populations, the Trusts partnered with the Government
                             human resources in terms of availability, distribution,   of India to provide technical support for a pan-India
                             capacities, and medical infrastructure, is widely known.   NCD screening initiative. NCD technical support units
                                                                                       provide expertise at the national level for policy making,
                             The Trusts are endeavouring to                                                issue guidelines,  as well as
                             address these challenges by helping                                             support    over    25    state
                             build a healthy nation where                                                      governments    in   capacity
                             quality,   a ordable,     and                                                       building for sta  and the
                             patient-centric healthcare is                                                       adoption of technology for
                             accessible to all Indians. The                                                      e cient  NCD screenings.
                             focus remains on improving                                                          The    Trusts   are   also
                             access    to,   and    quality                                                      implementing community-
                             of   primary  healthcare,  by                                                       based screening initiatives
                             addressing   the   underlying                                                       with the help of Mobile
                             challenges in human resources,                                                    Medical Units (MMUs) and
                             infrastructure, technology adoption,                                            have adopted telemedicine as
                             etc. These levers will assist in better                                       an approach in Uttar Pradesh and
                             planning and delivery of healthcare in a                                   Andhra    Pradesh.  Mental   health
                             cost- e ective manner. A considerable                                      initiatives under this theme are being
                             change management e ort, aimed at                                          implemented      for     face-lifting
                             technology  adoption  and  better  management  practices   government-run   mental hospitals and  undertaking
                             among care providers, is crucial for the success of these   district-level screening for mental health issues in the
                             initiatives. Considering the need for supporting public   Nagpur region of Maharashtra.
                             health systems and minimising disease burden in the



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