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WORSENING DISEASE BURDEN

Ramesh Shankar
Wednesday, November 22, 2017, 08:00 Hrs  [IST]

Last week, the Union Health Ministry released the first ever Comprehensive Estimates and Trends of Disease Burden and Risk Factor for Every State of India. These estimates are based on analysis of all identifiable epidemiological data from India from the year 1990 to 2016. This comprehensive report has brought out some interesting facts and figures about the disease burden in every state in India. It finds that though the health status in India is improving, there are major inequalities in disease burden between the states. Life expectancy at birth improved in India from 59.7 years in 1990 to 70.3 years in 2016 for females, and from 58.3 years to 66.9 years for males. However, there were continuing inequalities between states, with a range of 66.8 years in Uttar Pradesh to 78.7 years in Kerala for females, and from 63.6 years in Assam to 73.8 years in Kerala for males in 2016. Another important finding in the report is the large differences between states in the changing disease profile. The wide variations between the states in this epidemiological transition are reflected in the range of contribution of major disease groups to the total disease burden in 2016: 48% to 75% for non-communicable diseases, 14% to 43% for infectious and associated diseases, and 9% to 14% for injuries. Kerala, Goa, and Tamil Nadu have the largest dominance of non-communicable diseases and injuries over infectious and associated diseases, whereas this dominance is present but relatively the lowest in Bihar, Jharkhand, Uttar Pradesh, and Rajasthan.
 
The significance of this report is that it can be a useful guide for each state of India to plan health and other services that address the specific situation of each state. It will provide a valuable resource for policy-makers, health managers, academics, health providers, agencies supporting health, other stakeholders, and the public at large to understand the heterogeneity of disease burden and risk factors across the states of India, which can be utilised in a variety of ways in the effort to improve the health of people living in each state. The major areas in which these findings could be useful include planning of state health budgets, prioritisation of interventions relevant to each state, informing the government’s Health Assurance Mission in each state, monitoring of health-related Sustainable Development Goals targets in each state, assessing impact of large-scale interventions based on time trends of disease burden, and forecasting population health under various scenarios in each state. This knowledge base can be a crucial aid for more informed policy and interventions to improve population health in every state in reducing health inequalities between the states. These findings could provide important inputs for the data-driven and decentralised health planning and monitoring recommended by the National Health Policy 2017 and the NITI Aayog Action Agenda 2017–2020. Now that the much needed data is in place, it is the responsibility of the central as well as the state governments to take immediate corrective measures on war footing for the overall health improvements in the country and also to reduce health inequalities amongst states. The govt should establish a mechanism for sustained monitoring of health-related development goals across the country. And such a responsibility is more on the states as health being a State Subject. Last but not least, any effort in this direction should begin with the strengthening of healthcare facilities in the lakhs of PHCs across the country where such facilities including the presence of doctors are, very often, found wanting.

 

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pradeep Awasthi Nov 23, 2017 8:35 AM
India's is still on the front of fighting group of diseases for improving health status of our country.The most recent in depth analysis conducted by union minister of health evaluating the diseases burden and risk factors of different states in India has brought some alarming signals for health ministry of India.The analysis of compiled data of different states assessing improvement in health status of India,from 1990 to 2016,has brought some interesting facts that health status had improving in India but it certainly shows inequalities among different states,As life expectancy has improved from for male and females in India but it shows disparities statewise,So is the burden of diseases in India is dominated by NCD which is ranging from 48 to 75%,compared to infectious and injuries.Statewise distribution suggest Kerela,goa and Tamilnadu top the tally of NCD compared to U.P,Bihar,Jharkhand and Rajasthan.
These data's can be a navigator for planning different initiati
 
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