Shiv Chandra Mathur Challenges in Public Health Shiv Chandra Mathur Director, SIHFW,Rajasthan,India

Shiv Chandra Mathur Public Health- Gains   Increase in life expectancy   Reduction of Fertility   Eradication of Smallpox/ Guinea Worm   Initial Succession in Leprosy/ TB/ Malaria

Shiv Chandra Mathur Public Health- Current Problems  Ageing  Triple Morbidity burden  Water/ Vector borne diseases  New Emerging Diseases  Life Style Diseases

Shiv Chandra Mathur Public Health- Problems & Resources  Health Facilities  Infrastructure  Health Manpower

Shiv Chandra Mathur Public Health- Challenges  Understanding the nature of problems.  Rural/ Urban Differentials  Responsibility for Health  Responsiveness of health system  HMIS and Early Warning System  Public, private, corporate and voluntary sector  Convergence/ Inter-sectoral action for health  Indian System of Medicine  Health Manpower Development

Shiv Chandra Mathur Public Health- Understanding the nature Population : Asset/ Liability Health Expenditure : Consumption /Investment Health as Development : Essential Input/ Outcome

Shiv Chandra Mathur Public Health– Dilemma:  Equity and Equality  Quantity and Quality  Public/Private/ Voluntary sector  Education/ Persuasion/ Coercion  Professional/ Para Prof/ Auxiliaries  Privatization/ Disinvestment

Shiv Chandra Mathur Responsibility for Health  Individual  Public Health Administrators