印度的青少年健康政策,特别注重西孟加拉邦的安韦沙诊所

Paramita Roy, M. Garai
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摘要

根据2011年的人口普查数据,印度有2.53亿10-19岁的青少年,占印度总人口的五分之一多一点。这一年龄组由处于生命短暂阶段的个人组成,他们需要营养、教育、咨询和指导,以确保他们成长为健康的成年人。考虑到这一群体在经济高增长方面的人口潜力,对他们的教育、健康和发展进行投资至关重要。健康和保健发展一直不是印度国家的优先事项。这反映在两个重要的事实中。首先,多年来对卫生部门的投资和资源分配水平较低(约占国内生产总值的1%),在过去十年中有明显的下降趋势。其次,不受监管的私营医疗部门的不受控制的快速发展,尤其是在过去的二十年里。印度有组织的卫生政策制定和卫生规划不是独立后的现象。事实上,印度有史以来最全面的卫生政策和计划文件是在1946年独立前夕制定的。从历史上看,通过某种健康计划实现全民覆盖在今天是根深蒂固的,无论是通过健康保险还是通过国家经营的健康服务。无论是资本主义国家还是社会主义国家,没有一个发达国家不是通过上述一种手段或结合一种方式为其人口提供最低标准的医疗保健。印度最近决定
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Adolescent Health Policy in India with particular focus on Anwesha Clinics in West Bengal
According to 2011 census data, there are 253 million adolescents in the age group 10-19 years, which comprise little more than one-fifth of India’s total population. This age group comprises of individuals in a transient phase of life requiring nutrition, education, counselling and guidance to ensure their development into healthy adults. Considering demographic potential of this group for high economic growth, it’s critical to invest in their education, health, and development. Health and health care development has not been a priority of the Indian state. This is reflected in two significant facts. Firstly, the low level of investment and allocation of resources to the health sector over the years (about one percent of GDP) with clear declining trends over the last decade. And secondly, the uncontrolled very rapid development of an unregulated private health sector, especially in the last two decades. Structured health policy making and health planning in India is not a post-independence phenomena. In fact, the most comprehensive health policy and plan document ever prepared in India was on the eve of Independence in 1946. Universal coverage of the population through some health plan is historically well entrenched today, whether this be through health insurance or state run health services. There is no developed country, whether capitalist or socialist, which has not insured through either of the above means or a combination a minimum standard of health care for its population. India’s recent decision to
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