Universal Health Coverage• Who

• When

• Where

• What

• Why

• How

How Does Society See The Dream Health Professional

• A Film/ Story You Remember with an Ideal Doctor/ Nurse

• Nurse/ Doctor Visits Patient’s Home• Takes A Cup of Tea• Spends Time• Empathizes• Knows Everybody By Name• The “Family Physician”

Evolution Of The Community Health Professional

• Patient As Extended Family

• A bit like All Things Great and Beautiful

• Modeled On The Family Priest (jajman/ pastor)

• 3 Plays for Puritans - GB Shaw

• Social Role of a Community Nurse/ Family Doctor

Birth of The Clinic

• Why?

• Bethune

• Motorcycle

• Gonoshashthya

• Uttaranchal Henrik Ibsen 1882 NorwaySatyajit Ray 1990 West Bengal

If Family Health Worker Is What We Want..

• Covers 2000 population

• Lives There

• Has Family There

• Has Friends There

• Teacher

• Mayor/ Pradhan

• May be from there

With Quality

• Trained For 5 to 10 years (in phases)

• Interaction With University and Hospital

• Interaction With Colleagues In Similar Areas

• Influences Research

• Gets Latest Information

• Helps Train Next Generation

So….• Whom do We Select?

• Where Do We Train?

• Who Gives Training?

• How Do We Place?

• What Is The Mode of Communication (Centre-Periphery)

• Why Do We Need Feedback?

• When Do We Start?

Health Professional and Family

Dreaming !

Links

• http://www.thehindu.com/opinion/lead/doctor-in-the-house/article3529179.ece

• Medical Nemesis http://www.soilandhealth.org/03sov/0303critic/030313illich/Frame.Illich.Ch1.html

• http://www.word-power.co.uk/books/the-birth-of-the-clinic-I9780415307727/• http://www.4shared.com/office/p0VXw06e/An_Enemy_Of_The_People.html

• The Devils Disciple http://books.google.co.in/books?id=QqojeZdmyS4C&source=gbs_book_similarbooks

• Ganashatru www.youtube.com/watch?v=U7kDbmhKvSo

• Opposite View http://rationallibertariancorner.com/education/facilitating-health-care-in-indian-villages.html

• prabirkc@yahoo.com