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SMUMBAHealthcareManagementProjectWITHGUIDELINEFREESAMPLEDOWNLOAD|ProjectHelpline
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A
PROJECT ON
HEALTH PROBLEMS AND SERVICES
UNDER SUPERVISION OF:
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SUBMITTED BY
NAME:
ENROLLMENT NO:
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CONTACT US
Submitted in partial fulfillment of the requirements for Address: A1/17, Top Floor,
qualifying
Opposite Metro Pillar No: 636,
Main Najafgarh Road, Uttam
MBA
Nagar
New Delhi - 110058
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Submitted By:
CONNECT WITH US
Name :
Programme :
Enrolment No. :
Study Center Code :
OTHER PROJECTS
BONAFIDE CERTIFICATE
This is to certify that the project titled Health Problems and
Services is an original work of the Student and is being
submitted in partial fulfillment for the award of the Masters
Degree in Business Administration of Sikkim Manipal University.
This report has not been submitted earlier either to this
University or to any other University/Institution for the
fulfillment of the requirement of a course of study.
CATEGORIES
.NET (9)
A LEVEL (11)
. .
AMITY (44)
ACKNOWLEDGEMENT
ANDROID (9)
thanks
and
obligation
to
my
esteemed
B LEVEL (14)
BBA PROJECT SYNOPSIS (3)
BCA (17)
bca (2)
bca project (5)
BCA PROJECT SYNOPSIS (3)
bca synopsis (6)
BTECH (15)
btech project (1)
BTECH PROJECT SYNOPSIS
(2)
btech synopsis (1)
DECLARATION
I hereby declare that this project work titled Health Problems
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DOEACC (19)
(STUDENT NAME)
ELECTRICAL (11)
TOPIC PAGE NO
ELECTRONICS AND
COMMUNICATION (12)
1.
Introduction
8
2.
Review
of
literature57
FINANCE (32)
finance project (1)
Free Sample Download (2)
GUIDELINE FREE SAMPLE (2)
3.
Result
and
Healthcare Management
Project WITH GUIDELINE (2)
and
HUMAN RESOURCE
MANAGEMENT (34)
discussion..78
6.
Data
Analysis
Findings111
IEEE (17)
7.
IGNOU (57)
Conclusion...
..122
8.
References
..125
9.
Questionnaire
..
...129
1. INTRODUCTION
Healthcare in India features a universal health care system run
hospitals
force
many
people
to
visit
private
medical
practitioners.
Government hospitals, some of which are among the best
hospitals in India, provide treatment at taxpayer expense. Most
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the patient and facilities utilized by him but are usually much
less than the private sector. For instance, a patient is waived
treatment costs if he is below poverty line. Another patient may
seek for an air-conditioned room if he is willing to pay extra for
it. The charges for basic in-hospital treatment and investigations
are much less compared to the private sector. The cost for these
state governments.
Primary health care is provided by city and district hospitals and
rural primary health centres (PHCs). These hospitals provide
also a major issue in the country and many Indians in rural areas
[4] Rising income levels and a growing elderly population are all
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GUIDELINE (6)
healthcare delivery.[5]
Even so, the vast majority of the country suffers from a poor
standard of healthcare infrastructure which has not kept up with
the growing economy. Despite having centers of excellence in
healthcare delivery, these facilities are limited and are
inadequate in meeting the current healthcare demands. Nearly
one million Indians die every year due to inadequate healthcare
facilities and 700 million people have no access to specialist care
hospital beds per 1000 population India stands just a little over
their health and are well aware of the costs associated with those
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IPHONE (9)
J2EE (9)
JOURNALISM (2)
LIBRARY SCIENCE (6)
MANAGEMENT (50)
MARKETING (31)
level.
MBA (33)
MBA (40)
MBA Finance (2)
MBA Finance Project WITH
GUIDELINE (3)
MBA IB (2)
Asian
countries
outside
of
South
Asia.
Although
mba it (1)
MCA (15)
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nonservice costs.
The Fifth (197478) and Sixth Five-Year Plans and (198084)
MLIS (7)
declined over the years since the first plan in 1951, from a high
of 3.3% of the total plan spending in FY 1951-55 to 1.9% of the
total for the seventh plan. Mid-way through the Eighth Five-Year
OPERATIONS (30)
PGDLAN (8)
PHP (9)
between the early 1950s and early 1980s, but because of fast
SCDL (7)
per 10,000 individuals had fallen by the late 1980s to three per
10,000 from the 1981 level of four per 10,000. In 1991 there
were approximately ten hospital beds per 10,000 individuals. For
comparison, in China there are 1.4 doctors per 1000 people. nn
Primary health centers are the cornerstone of the rural health
care system. By 1991, India had about 22,400 primary health
centers, 11,200 hospitals, and 27,400 clinics. These facilities are
part of a tiered health care system that funnels more difficult
SMU (31)
SMU BCA Project (3)
SMU BCA PROJECT
SYNOPSIS (4)
SMU BCA Project WITH
GUIDELINE (3)
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Most
of
the
1,300
private
hospitals
lacked
students. Data for 1987 show that there were 320,000 registered
studies have shown that in both urban and rural areas people
preferred to pay and seek the more sophisticated services
provided by private physicians rather than use free treatment at
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seventeen
unani
colleges
operating
in
both
the
many diseases are coming to India from the west, and we are
Nutritional problems
Symbiosis (9)
SYSTEM IT (35)
TOURISM (6)
Uncategorized (26)
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severe
damage
and
swelling
(lymphoedema).
areas)
with
recommended
anti-filarial
drugs
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represent
serious
risk
to
human
health.
characteristics
such
as
multi-drug
resistant
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the
natural
characteristics
of
the
atmosphere.
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INTRODUCTION TO DIABETES:
Diabetes is a Greek word meaning a passer through; a siphon.
Mellitus comes from the Greek word sweet. Apparently, the
Greeks named it thus because the excessive amounts of urine
diabetics produce (when blood glucose is too high) attracted flies
and bees because of the glucose content. Diabetes is the
common term for several metabolic disorders in which the body
no longer produces insulin or uses the insulin it produces
effectively.
In 2004, according to the World Health Organization, more than
150 million people worldwide suffer from diabetes. Its incidence
is increasing rapidly, and it is estimated that by the year 2025
this number will double. Diabetes is in the top 5, of the most
significant diseases in the developed world, and is gaining in
significance. Its almost hit the world like an epidemic.
What is diabetes?
It is a common condition and is characterized by abnormally
high blood sugar levels. Diabetes is a number of diseases that
involve problems with the hormone insulin. Normally, the
pancreas (an organ behind the stomach) releases insulin to help
the body store and use the sugar and fat from the food we eat.
Diabetes occurs:
When the pancreas does not produce any insulin, or
When the pancreas produces very little insulin, or
When the body does not respond appropriately to insulin, a
condition called insulin resistance.
Diabetes is a lifelong disease. As yet, there is no cure. People
with diabetes need to manage their disease to stay healthy. India
has currently the worlds largest population of diabetics, with an
estimated 30 million people suffering from the disease.
According to the World Health Organization (WHO), India is
expected to encompass 57 million people, ailing from diabetes
by 2025 and this would become 80 million in by 2030.
Diabetes is characterized by a partial or complete lack of insulin
production by the body. the classification of diabetes mellitus
include five clinical classes. Type 1, type2, other specific types of
diabetes, gestational diabetes, and pre-diabetes. Type1 diabetes
is characterized by absolute insulin deficiency. Type2 diabetes
which has relative insulin deficiency combined with defects in
insulin action account for 95-97% of adult population suffering
from the disease. One specific to our country is malnutrition
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Yoga Centers
Fitness Centres
Laughter Clubs
Health Spas
In the Constitution of India, health is a state subject. Central govt
intervention to assist the state govt is needed in the areas of
control and eradication of major communicable & noncommunicable diseases, policy formulation, international health,
medical & para-medical education along with regulatory
measures, drug control and prevention of food adulteration,
besides activities concerning the containment of population
growth
including
safe
motherhood,
child
survival
and
activities.
These
institutions
are
responsible
for
contribution in the field of control of communicable & noncommunicable diseases, medical education, training, research
and parent -care.
In our project our focus has been the hospital sector which is the
major component of the healthcare industry.
THE HOSPITAL INDUSTRY
Some Facts
Indias healthcare industry is currently worth Rs 73,000 crore
which is roughly 4 percent of the GDP. The industry is expected
to grow at the rate of 13 percent for the next six years which
amounts to an addition of Rs 9,000 millions each year.
The national average of proportion of households in the middle
and higher middle income group has increased from 14% in
1990 to 20 % in 1999.
The population to bed ratio in India is 1 bed per 1000, in
relation to the WHO norm of 1 bed per 300.
In India, there exists space for 75000 to 100000 hospital beds.
Private
insurance
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will
drive
the
healthcare
revenues.
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term
government
funding
also
from
the
Financial
reduced
the
import
Institutions.
duty
on
The
medical
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1) Intangibility:
Intangibility means that a customer would have to visualize the
service offering. Since the offering cannot be seen or felt there
would be no stock and hence one would not be able to jeep a
track of the sales etc. This characteristic also makes it different to
measure the benefits and utilities of the product. An individual
would only be able to experience the same.
In the product service continuum, hospitals fall in the bracket of
highly intangible where the service has credence qualities.
i) The services of a doctor i.e. the consulatation provided by the
doctor , his diagnosis etc cannot be touched felt or seen. One can
only visulalise the same.
ii) They can also not measure the benefits. These can only be
experienced by the customer. There is no ownership over the
doctor or the services provided by him.
The remedial measures to overcome intangibility are:a) The marketer should visualize the product/service for the
patient.In case of hospitals any visual of the hospital displaying
the well maintained interiors, the hi-tech equipments used for
treatment would help to tangibilise the product.
b) Association:
The association of a hospital with any well known personality
would help as a good image building exercise. It would also give
the customer a certain level of confidence regarding the services
provided in the hospital.
For (eg 1)- Hospitals like the Tata Memorial Hospital or the
Hinduja hospital are associated with Corporate Houses. They are
owned by these corporate families.
Hence a customer is sure about the services provided in these
hospitals. (eg 2)The Dinanath Mangeshkar Hospital. Since it is
owned by Lata Mangeshkar the customer is sure to receive
quality services.
c)Physical Representation :Intangibility could also be overcome in case of hospital through
physical Representation in the form of :http://projecthelpline.in/myblog/?p=819
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indentify
hospitals.
Also
logos
of
hospitals
like
Wockhardt.
4)Buildings In case of hospitals the external appearance of the
building or the maintenance i.e how well maintained it is
d)Documentation There are a numbers of hospitals which have
received ISO 9000 certificates. ( Eg) Apollo Hospital.
2) Perishability
A services cannot be stored . So if the service is not consumed
immediately then it loses its value. For Eg If a doctor does not
reach his dispensary on time or has his clinic locked for that
particular day. He loses all his patients for that day. A situation
may also arise when the doctor may be unable to attend to some
of his patients due to a huge rush. In such a case again the
doctor could lose out on all his patients.Same would be the
situation faced by the hospitals. In such a case the hospital too
may lose all its patients for that day.
Solution to the problem of perishability
a) In such a situation the doctor can appoint an assistant who
could cater to the excess patients or he could have students
training under him who during their course of training could also
help him with the excess patients.
(Eg)- Rajgovind Hospital in CBD appoints interns of Medical
College for night duty on a stipend
b) Peak time Essential Services
In a rush hour situation when there are too many customers to
attend to only essential services should be catered to. For (eg 1)
In hospitals during the late night when accident reporting are
high all hands are required at the trauma centers (eg 2) Part time
volunteers for national Emergencies.
3) Variability
It means that the quality of service provided to different people
may not be the same. (ie) Irrespective of the fact that the job
carried out by them is the same the service quality may differ
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1)Training of internal customerHere one experienced person can provide training to the
amateurs. For Eg A surgeon during an operation is surrounded
by interns watching the operation. They could also carry out
some small parts of the operation.
2) Innovational ServicePsychiatrists have innovated group therapy where they call in
10+ patients together to an oval conference table and encourage
them to talk about themselves and their ailments.
4) Video Conferencing
Business Conferences, Consultancy and the Medical world .Only
recently
have
instructions
for
operation
through
video
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The
most
important
elements
are
lines
of
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with
clinical
guidelines;
inappropriate
self-
and the longer that exposure lasts the more likely it is that a
cancer will develop. Though the evidence linking this exposure to
bladder cancer is less robust than that to lung cancer, it remains
likely that there is such a relationship and that it is governed by a
positive dose response curve[8].
There is some evidence that cardiovascular disease is caused in
part by truck driving and its risk increases with the duration of
this activity and the disruption of the sleep cycle[6]
Based on exposure assessments, noise-induced hearing loss
could well be a result of a working lifetime as a driver. This effect
would be mitigated by the improvement in cab design reported
to be occurring with consequent reduction in the intensity of
noise reaching the driver[9].
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of
health
and
mental
health
services
by
Interview
Schedule
(DIS)
or
severe
cognitive
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are
discussed,
including
the
need
for
more
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survey
of
design,
group
experimental
assignment,
methods
questionnaire
and
design,
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Disease
Improving
Global
Outcomes
(KDIGO)
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like
the
Tatas,
Apollo
Group,
Fortis,
Max,
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Market Overview
India has a fairly comprehensive healthcare system comprising
of government and private service providers. However, the
system reaches barely fifty percent of the population mainly on
account of general infrastructure bottlenecks. The country lags
behind
international
standards
on
basic
healthcare
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to 300 in contingencies.
Taluka hospital generally have 50 beds that can be raised to
100 depending on the requirement.
Primary health centres generally have 6 beds, which can be
raised to 10.
Classification of Hospitals
LATEST HOSPITAL INDUSTRY FOR PATIENTS:
Intangibility
Intangibility indicates that the service has no physical attributes
and as a result, impossible for customer to taste, hears, feel or
smell before they actually use it. Hospital industry is where the
customers (patients) get treated for physical problems they have.
The customers cant really realize the service provided until they
get well. For this they have to provide good supplementary
services.The only way they can provide tangible clues to make
the service provided a success. For e.g. the hospitals provide
extra facilities like television, or then friendly personnels can
make a difference.
Inconsistency
Its also referred to as heterogeneity or variability. The
inconsistency occurs largely because of
Different service providers perform differently on different
occasions.
Interaction between customer and provider may vary from
customer to customer.
Standardization is hard to maintain. Every doctor is not the same
and may not give the same diagnosis. Also a patient may not
each diagnosis in a different way. Also since the quality of work
done can be determined only after the service is performed the
providers have to be well trained in case of performing the
service process.
Inseparability
Inseparability means that the service can not be separated from
the creator-seller of the service. Infact there are many services
which are created, delivered and consumed simultaneously
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same
exponential
growth
that
the
software
and
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Counselling,
welfare
Programmes,
Claims
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Industry.
It
shall
also
fuel
the
growth
of
of
Multiple
Organ
Syndromes
and
there
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-Bank Facilities
-The Oriental Bank of Commerce
The Indraprastha Apollo Branch of the Oriental Bank of
Commerce is located at one of the Gates.
Bank Hours
Monday to Friday : 10:00am 2:00pm
Saturday : 10:00am 12:00pm
The bank remains closed on Sundays and National Holidays.
-The ICICI ATM Counter
The ICICI ATM counter is also located in the hospital.
Fortis Healthcare
Fortis is the late Ranbaxys Parvinder Singhs privately owned
company. The company is a 250 crore, 200 bed cardiac hospital,
located in the town of Mohali. The company also has 12 cardiac
and information centres in and around the town, to arrange
travel and stay for patients and family. The company has plans of
increasing the capacity to around 375 beds and also plans to tie
up with an overseas partner.
Max India
After selling of his stake in Hutchison Max Telecom, Analjit Singh
has decided to invest around 200 crores, for setting up
worldclass healthcare services in India. Max India plans a three
tier structure of medical services Max Consultation and
Diagnostic Clinics, MaxMed, a 150 bed multispeciality hospital
and Max General, a 400 bed hospital. The company has already
tied up with Harvard Medical International, to undertake clinical
trials for drugs, under research abroad and setting up of Max
University, for education and research.
Escorts
EHIRC located in New Delhi has more than 220 beds. The
hospital has a total 77 Critical Care beds to provide intensive
care to patients after surgery or angioplasty, emergency
admissions or other patients needing highly specialized
management including Telecardiology (ECG transmission through
telephone). The EHIRC is unique in the field of Preventive
Cardiology with a fully developed programme of Monitored
Exercise, Yoga and Meditation for Life style management.
WOCKHARDT and DUNCANS GLENEAGLES INTERNATIONAL also
have major expansion plans.
This report is prepared by Mona Pandit and Parin Mehta of
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to
monitor
country
progress
in
developing,
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the
Region
of
the
Americas,
and
the
Eastern
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for a short span of time and 62% population does not feel tired
after working for a short span of time.
ANALYSIS:
An above Observation showing that people does not working
regularly thats why they feel tired after working for a short span
of time.
6. When Respondents were asked if they feel the adequate
medical facility is available throughout the result then the result
is gathered & Summarized in table 6.
TABLE 6
Criteria Frequency Percentage
Yes 80 80%
No 20 20%
FINDINGS:
80% percentage of the sample population were feel adequate
medical facility is available throughout the country and 20%
sample population does not feel like that.
ANALYSIS:
An above observation showing that adequate medical facility is
an available in India. There is available all require medical
facilities.
7. When Respondents were asked If India is able to Combat the
epidemics situation rise due to Communicable diseases. The
responses are summarized to table 7.
TABLE 7
Criteria Frequency Percentage
Yes 77 77%
No 23 23%
FINDINGS:
77% percentage of the sample population were feel that India is
able to combat epidemics situation rise due to Communicable
diseases and other hand 23% sample population does not feel
like that.
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ANALYSIS:
If is observed that India is able to combat epidemics situation
rise due to Communicable diseases and there is provide all
medical facilities for peoples.
7. CONCLUSION
58% percentage of the sample population goes for the medical
checkup when they required in emergency, 20% goes once in a
year 15% people go for medical checkup once in 6 months while
only 7% goes once in a three months.
Health Problems in India are not detected at the primary stage
since the people does not go for the medical checkup the regular
basis. They only go when a medical emergency comes around
them.
From the Population sample most of the people preferred to eat
outside once in a week or a month duration while very few goes
once in a year for the food court outside, If is observed that due
to the outside unhealthy eating habits the Indians are more
prone to the infection diseases. Which we can reduce by eating
healthy from the good place/ Restaurants / Hotels etc.
20% percentage of the sample population doing the workout in
four days a week, 7% doing the workout in six days a week and
53% people does not work out.
An observed that due to less work out is the main reason for
unhealthy or bad fitness problem.
43% percentage of the sample population involved in outdoor
sport and 57% population does not involve any kinds of outdoor
sports.
According to above observation people does not want to show
interest in outdoor sports. Thats why they face many health
problems in future.
38% percentage of the sample population feel tired after working
for a short span of time and 62% population does not feel tired
after working for a short span of time.
An above Observation showing that people does not working
regularly thats why they feel tired after working for a short span
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of time.
80% percentage of the sample population were feel adequate
medical facility is available throughout the country and 20%
sample population does not feel like that.
An above observation showing that adequate medical facility is
an available in India. There is available all require medical
facilities.
77% percentage of the sample population were feel that India is
able to combat epidemics situation rise due to Communicable
diseases and other hand 23% sample population does not feel
like that.
If is observed that India is able to combat epidemics situation
rise due to Communicable diseases and there is provide all
medical facilities for peoples.
8. REFERENCES
1. NATIONAL HEALTH POLICY 2002
2.
http://www.indianhealthcare.in/index.php?
option=com_content&view=article&catid=131&id=168%3AIndian+Healthcare:+The+Growth+Story
3. http://www.ibef.org/industry/healthcare.aspx
4. http://cii.in/menu_content.php?menu_id=238
5.
http://knowledge.wharton.upenn.edu/india/article.cfm?
articleid=4277
6.
The
Times
Of
India.
http://economictimes.indiatimes.com/Healthcare/Lacking_healthcare_a_million_Indians_die_every_year_Oxfo
7.
http://knowledge.wharton.upenn.edu/india/article.cfm;jsessionid=a830ad0556799af14ed03640274d5d3a1b7
articleid=4277
8. http://searo.who.int/EN/Section313/Section1519_10852.htm
9. http://www.technopak.com/tkc/index.asp?ol=5
10. http://www.technopak.com/tkc/index.asp?ol=6
11.
http://202.131.96.59:8080/dspace/bitstream/123456789/113/1/Medical+TourismPheba+Chacko.pdf
12. http://www.technopak.com/tkc/index.asp?ol=8
13.
Healthcare
in
India.
Boston
Analytics.
http://www.bostonanalytics.com/india_watch/Healthcare%20in%20India%20Executive%20Summary.pdf.
14. http://www.irdaindia.org/
15.
http://projecthelpline.in/myblog/?p=819
http://www.indianhealthcare.in/index.php?
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option=com_content&view=article&catid=121&id=170
16.
http://www.indianhealthcare.in/index.php?
option=com_content&view=article&catid=39:&id=330:MALVINDER,+SHIVINDER+PLAN+TO+ENTER+HEALTH+IN
17.
Status
of
Malaria
in
India.
http://medind.nic.in/jac/t00/i1/jact00i1p19.pdf.
18. 2.5 million people in India living with Aids, according to new
estimates.
New
York
Times.
http://data.unaids.org/pub/PressRelease/2007/070706_indiapressrelease_en.pdf.
Retrieved 2007-06-08.
19. Sharp drop in India Aids levels, BBC
20. 2.5 million people in India living with HIV, according to new
estimates.
World
Heath
Organization.
http://www.who.int/mediacentre/news/releases/2007/pr37/en/index.html.
Retrieved 2007-06-08.
21. Robinson, Simon (2008-05-01). Indias Medical Emergency.
Time.
http://www.time.com/time/nation/article/0,8599,1736516,00.html.
Retrieved 2010-05-04.
22.
http://www.worldbank.org.in/WBSITE/EXTERNAL/COUNTRIES/SOUTHASIAEXT/INDIAEXTN/0,,contentMDK:214
23. India: Undernourished Children: A Call for Reform and
Action.
World
Bank.
http://web.worldbank.org/WBSITE/EXTERNAL/COUNTRIES/SOUTHASIAEXT/0,,contentMDK:20916955~pagePK:
24. Pandey, Geeta (2006-10-13). Hunger critical in South Asia.
BBC.
http://news.bbc.co.uk/2/hi/south_asia/6046718.stm.
Retrieved 2010-01-05.
25. Using shame to change sanitary habits, Los Angeles Times, 6
September 2007
26. The Politics of Toilets, Boloji
27. Mumbai Slum: Dharavi, National Geographic, May 2007
28.
Development
Policy
Review.
World
Bank.
http://web.worldbank.org/WBSITE/EXTERNAL/COUNTRIES/SOUTHASIAEXT/0,,contentMDK:20980493~pagePK:
29.
http://www.indianhealthcare.in/index.php?
option=com_content&view=article&catid=39%3A&id=327%3AINDIA+TURNING+AFFORDABLE,+QUALITY+OPTI
30.
http://www.indianhealthcare.in/index.php?
option=com_content&view=article&catid=131&id=168&start=2
31.
http://www.indianhealthcare.in/index.php?
option=com_content&view=article&catid=122&id=173
National health policy 2002
Health situation in India
World report, making a difference
Health information of India
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d)Not at all.
4. Are you involved in any outdoor sports?
a) Yes
b) No
5. Do you feel tired after working for a short span of time?
a) Yes
b) No
6. Do you think there is enough medical facility available to the
population of India right from metro cities to the rural India?
a) Yes
b) No
7. Do you consider India is able to fight the epidemic situations?
a) Yes
b) No
8. Do you consider India is able to Communicable diseases?
a) Yes
b) No
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