The Paradigm shift in Public health: A Socio-Legal study of Public and Private Healthcare Services

Emphasis on public human

Abstract

Health care system in India is under transition. In the first phase (1947-1983) major achievements were eradication of smallpox and plague, reduction in Maternal Mortality Rate, reduction in Infant Mortality Rate, containment of cholera and increase in longevity to almost 54 years. During this phase 100% government personnel’s were involved in public health care delivery system. In second phase (1983-2000), major emphasis was on National Health Programme implementation under vertical model, framing of National Health Policy (2003) and initiation of private partners started in family planning services in limited numbers. During this process of structural change thrust was that, not to fill up the vacant posts after retirement or superannuation. Such types of arrangement have resulted in chronic shortage of human resource at every level. World Health Organisation (2006) reported that there is a shortage of health workers with an uneven distribution of human resources, particularly in developing countries. India is listed among countries with a critical shortage of health manpower. The broad status of contractual model as demonstrated in the review of literature reveal that it needs serious overhaul of policies about the implications of implementations for quality of service conditions in the health services sector. However human resource factors like job security, career development, motivation, commitment for the organization, which play vital role, are not understood properly under new structural changes under health care system in India