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Vision Mumbai 2.0Healthy Mumbai , Happy

MumbaiSanjay Oak

What ails Mumbai?

Uncontrolled populace Unrestricted entry Unorganised dwellings. Missing Sewage Management Toilets…A luxury?

What are the root causes?

Health is not on the priority list. Health is not a preferred agenda. Insurance coverage is abysmally poor. Walls between Public & Private sectors. PPPs eyed with suspicion. Cleanliness is uncared for.

30 Crore Indian Women Still Have To Defecate In

The Open. Will The Shame Reach Before The

Stink? Cleanliness is to be enforced as a discipline. Toilets : populace ratio. More water supply Open breathing spaces. Community to have ownership of health related projects.

Being Healthy

Hospital for sick children & women Hospital for Mental Illnesses & Mental Health Hospital for Communicable diseases. Hospital for Geriatric Health Hospices & Avedana Ashrams.

Day Care Units.

Augment primary care units.

Create more Dialysis centers.

Create more Day care chemotherapy centers.

Stress on preventive cardiac health

Create more comprehensive diabetic care centers.

Chidren’s Health

Newborn assessment School Health Mid day meal programs Monitoring malnutirion. Adolescent health care programs Menstrual Hygiene activities.

Womens’ Health

Breast Diseases.

Cervical Hygiene & Cancers.

Nutritional ( Iron Deficiency ) Anaemia

Safe labor., secure motherhood.

Osteoporosis.

Water Related Health Problems

Treat as a crusade Work thorough out the year. Make diseases notifiable Pass on the preventive responsibility to citizens. Fines and Penalties and prosecutions.

Hospitals for future

More ICU beds. More stress on day care. Links between central & Peripheral – secondary &

tertiary Family physicians & Nursing homes are partners.

Mohalla Clinics

Standardize –process, protocols and infrastructure. Build brands. Technology driven- vending machine, I pads, mobile apps. Documentation.

Cross Sector Cooperation

Transport Communication Sanitation Water supply. Civil construction.

Public Sector

More accountability

More responsiveness.

Accreditation

Partnerships.

Avoid duplications

Linkages.

Private sector

Responsibility 20% or even more. Laboratories, Imaging sectors. Re-invest profits in health. Support public sector in dispensing & education.

Out of Box!

Health SEZ . Re look at the tax State Antibiotic Policy. Revise drug formulary. State Insurance to cover middle class. Railways, Port trust, Airways, Police , hospitals to join

hands.

Ye Hai Bombay …Meri Jaan.

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