Role of the Government in Health with notes (हिंदी में) || Class 7 Chapter 2 Politics ||





Chapter – 2, Class – 7  
Role of the Government in Health
1.       In a democracy, the government work for the welfare (देखभाल) of the people.
2.       They can be provided with the help of education, health, employment, housing or the development of roads, electricity etc.
What is health?
1.       Health means our ability to remain free of illness and injuries (जख्म).
2.       All parameters like education, water, employment etc all is related to health
3.       E.g. if people get clean drinking water or a pollution free environment they will be healthy.
4.       On the other hand, if people do not get enough food to eat or have to live in cramped (तनाव) conditions then it will be more chances to illness.

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How can we healthy
1.       All of us would like to be active and in good spirits (उत्साह) in whatever we may be doing.
2.       To be dull, inactive, anxious (चिंतित) or scared (डरा हुआ) is not a symbol of healthy life.
3.       We all need to be without mental strain (तनाव) & be happy.
4.       All of these various aspects of our lives are a part of health.
Healthcare in India
1.       India has the largest number of medical colleges in the world and is among the largest producers of doctors.
2.       More than 30,000 new doctors qualify is every year.
3.       India gets a large number of medical tourists
4.       They come for treatment in some of the hospitals in India
5.       India is the 3rd largest producer of medicines in the world.

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Problems of Healthcare in India
1.       Most doctors settle in urban areas & people in rural areas have to travel long distances to reach a doctor.
2.       About 5 lakh people die from tuberculosis (सूक्षमब्रण रोग) every year.
3.       Almost 2 million cases of malaria are reported every year
4.       21 % of all communicable diseases are water borne (जन्म) like diarrhoea (दस्त), worms, hepatitis (जिगर में सूजन) etc.
5.     Communicable diseases –spread (फैलना) from one person to another in many ways such as through water, food, air
6.       Half of all children in India do not get enough food to eat and are undernourished (आधे पेट खाना).

Public health care System
1.       In it, hospitals and health centres run by the government.
2.       It looks after (देखभाल करना) the health of a large section of its population scattered in various villages & urban areas.
3.       At the village level a nurse and a village health worker dealing with common illnesses under the training of Primary Health Centre (PHC).
4.       At the district level, District Hospital supervises (संचालन करना) all the health centres.
5.     OPD (Out Patient Department)Place where people are first brought in and treated in a hospital without being admitted to any special ward.
6.       Resources needed to run these health centres are obtained from the money that the public pay to the government as taxes.
7.       It provides quality health care services either free or at a low cost, so that even the poor can get treatment.
8.       Another important function is taken to prevent the spread of diseases such as TB, malaria, jaundice (पीलिया), cholera (हैजा), diarrhoea (दस्त), chikungunya, etc.
9.       According to our Constitution, it is the primary duty of the government to ensure the welfare (कल्याण) of the people and provide health care facilities to all.
10.   The government must safeguard the Right to Life of every person.
11.   Mission Indradhanush is a health mission of the government of India launched in dec 2014 to provide Vaccination (टीकाकरण) like tetanus, polio, and measles (खसरा)

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Private health care system
1.       Doctors run their own private clinics.
2.       In the rural areas, one finds Registered Medical Practitioners (RMPs).
3.       Urban areas, doctors provide specialised services such as tests, X-ray, ultrasound, etc.
4.       There are also shops from where people buy medicines.
5.       It is not controlled by the government.
6.       In private health centres, patients have to pay a lot of money to get service.
Healthcare and equality
1.       Private services are increasing but public services are not.
2.       Private sectors are mainly in urban areas
3.       The cost of these services is very high.
4.       Medicines are expensive (क़ीमती).
5.       Many people cannot afford them or have to borrow (कर्ज़ लेना) money in case of treatment.
6.       Incorrect practices have also done by the private sectors to earn more money.
7.       Doctors prescribe (नुस्खा लिखना) unnecessary medicines, injections when tablets or simple medicines can suffice (संतुष्ट करना).
8.       Only 20 % of the population can afford all the medicines
9.       40 % of people have to borrow money or sell some of their properties to pay for the expenses in some illness or injury.
10.   For poor, every illness in the family is a cause of great anxiety (चिन्ता) and distress (कष्ट).

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Problem solving
1.       It is the responsibility of the government to provide quality healthcare services to all its citizens, especially the poors.
2.       Health depends on basic amenities (सुख-सुविधा) and social conditions of people
The Kerala experience
1.       40 % of the entire state budget was given to panchayats.
2.       They used in proper planning such as  water supply schemes, food, women’s development, education, anganwadis & healthcare.
3.       Health centres were also improved.
The Costa Rican approach
1.       Costa Rica is considered to be one of the healthiest countries in Central America.
2.       Costa Rica took a very important decision and decided not to have an army.
3.       This helped the Costa Rican government to spend the money on health, education, safe drinking water, sanitation (सफ़ाई व्यवस्था), nutrition and housing.
4.       The Costa Rican government believes that a country has to be healthy for its development and pays a lot of attention to the health of its people.




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