B S Paresh Kumar

The Biggest enemy of health in the developing

world is the poverty
Kofi Annan

15-12-2014

Paresh

Meeting with CEOs of NGOs

Everything changes except the desire for change

Buddha/Heraclitus

15-12-2014

Paresh

Meeting with CEOs of NGOs

Change in the desirable direction

Change may be directed or not

Both types of change are inherently

dangerous

15-12-2014

Paresh

Meeting with CEOs of NGOs

We should be aware of unanticipated

consequences of social action

15-12-2014

Paresh

Meeting with CEOs of NGOs

How can we be sure that :

what we are doing is right?
our way is right?

15-12-2014

Paresh

Meeting with CEOs of NGOs

Millennium Development Goals (MDGs) are

the latest

Robert Virchow
Bhore Committee
Michel Foucaults seminal work on hospitals
as closed institution
Ivan Illichs Medical Nemesis

15-12-2014

Paresh

Meeting with CEOs of NGOs

The diagnosis continues to be same,

prescriptions remain same

Problems are getting aggravated

15-12-2014

Paresh

Meeting with CEOs of NGOs

How sure are we about our decisions then?

What values govern our decisions, strategies

and actions?

15-12-2014

Paresh

Meeting with CEOs of NGOs

Government has abdicated its responsibility

of social welfare

Health has never been a priority area: just

about 4% of GDP

The share of public expenditure less than 1%!

15-12-2014

Paresh

Meeting with CEOs of NGOs

10

Private bodies like MacArthur Foundation,

India makes theoretical case for public
spending on health in India

The government continues to emphasise the

role of private sector; PPP is the blue eyed
boy

15-12-2014

Paresh

Meeting with CEOs of NGOs

11

Government is systematically pushing off its

responsibility to the private sector

The Mid-term Evaluation of NRHM,

conducted by Columbia University also talks
of domination of private sector

15-12-2014

Paresh

Meeting with CEOs of NGOs

12

Rural primary health care system is,

for the most part dysfunctional. While being

extensive, it is wasteful, inefficient and delivers
very low quality health services, so much so
that the private sector has become the de facto
provider of health services in India

15-12-2014

Paresh

Meeting with CEOs of NGOs

13

Another strategy of government is to rope in

non-profit sector to provide health facilities

What values do these non-profit agencies

possess and profess in the areas of health and
development?

15-12-2014

Paresh

Meeting with CEOs of NGOs

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Is it what the people need?

Is it in consonance with their professed
ideals?
Is it all inclusive?
How responsive are we to the needs of the
people?
To whom we owe our loyalty?

Are we really benefitting them?

15-12-2014

Paresh

Meeting with CEOs of NGOs

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