Annual Report - National Human Rights Commission

Annexure 8
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State and Central health budgets would need to be increased as per the National Health
Policy 2002 and the Common Minimum Programme commitments. Distribution of the
health budget between the primary, secondary and tertiary levels of care would also need
to follow norms, such as 65%, 20% and 15% respectively.
2. Urban health care
There were several instances where the urban poor suffered adversely due to lack of access
to health care and to basic determinants such as lack of access to safe potable water and
sanitation.
Recommendation 2
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The urban poor should have access not just to family welfare services but to comprehensive
primary health care through health centres which cater to 50,000 people.
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Provision of safe potable water and sanitation is necessary to prevent morbidity and
mortality due to water-borne diseases.
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User fees in institutions like NIMHANS need to be reconsidered as they have resulted in
lack of access to care. Urban poor families including migrants often do not have ration
cards and BPL cards. Rural and urban poor patients coming from other places do not
carry all these cards (if they have them) when they come to hospital in times of illness.
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Corruption and rude behaviour in institutions like Kidwai Institute of Oncology as well as
in IPP VIII Centres need to be checked.
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Pourakarmikas from Hyderabad Metro Water Works and those in other cities and towns
need to have access to basic preventive, promotive and curative care, including safety gear
and equipment.
3. Private sector health care
The case of death of a teenaged girl following treatment of gastroenteritis by a private
practitioner (with an unusual medical qualification) raised the need for:
Recommendation 3
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Regulation of the private medical/health sector by government and professional bodies.
Liability of practitioners and payment of compensation where death or disability results
from improper treatment or negligence.
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