Annual Report - National Human Rights Commission

Annexure 8
○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○
○
position of Swasthya Lok Ayukta may be created especially to address complaints and to
ensure that rational guidelines are followed.
Budgetary Measures
● Immediate doubling of public health-care expenditure by State governments and further
increase to at least 3% of the State Domestic Product in next five years in keeping with
provisions in the Common Minimum Programme.
●
Per capita allocation for public health care for rural areas should be increased and made
equal to that for urban areas.
●
Immediate doubling of drug budget for rural health facilities.
Measures to improve functioning of the health system and attention
to special groups
● Standard Treatment Protocols should be implemented regarding care to be provided at
various levels of Health Care Facilities, so that the necessary quality is maintained.
●
The full range of comprehensive health services should be guaranteed at all levels of the
public health system, these health services must be ensured as a right. In exceptional cases
of failure by the public system to provide any such health service to a patient, there should
be a mechanism wherein care may sought from designated private facilities following
standard treatment protocols. Such registered and regulated facilities could give relevant
care to the patient, and the state could reimburse them at standard rates, ensuring that the
patient is not deprived of any essential care at the time of need.
●
Guaranteed availability of essential drugs relevant to the level of service, in all public
health facilities. A mechanism to ensure that if any health care facility is unable to provide
any of the essential drugs that are supposed to be available at that level of health care, the
expenses incurred by the patient on this ‘outside prescription’ should be promptly reimbursed.
All health care providers in both public and private sector should prescribe according to the
essential drug list, and prescribe drugs by their generic names.
●
A comprehensive statewide policy to provide Primary Health Services to urban areas.
Adequate health services need to be provided in all cities and small towns. Expansion of
Urban health care infrastructure, especially of health posts and of outreach health services
keeping in mind the needs of the growing slum population.
●
Filling of all the vacant posts and construction of buildings for Sub-centres and
other facilities.
National Human Rights Commission Annual Report - 2004-2005
235
AR-Chapter-1-19-10-6-06.p65
255
7/17/06, 6:31 PM