safee
Posts:601
Insaf Shaheen
Moderator
Newsletter Liaison
 | | 27/07/2007 3:08 AM |
| No Posting in this thread!
-UNDER CONSTRUCTION- | |
"Afraad Keh hathon main hey Akwam kee taqdeer,
Har fard hey millat keh mukadar ka sitara.."
-Allama Muhammad Iqbal | |
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rizililla
Posts:4
Insaf Member
| | 08/10/2008 6:02 AM |
| I think that we can bring a change in our health care industry if we try to orgnize our Tehsil headquarters Hospital by training our young doctors and paramedical staff from China, if we pay enough to these people they would defenatly work there.
only serious committment is required.
We have a very good example in form of Dr. Aata ur Rehman who has helped many students to get their education through HEC . | | | |
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zia Ul Islam Bacha
Posts:2
Insaf Member
| | 21/12/2008 11:41 PM |
| I am new to this place and dont know what is going on, however, I have noticed that something right is going. I dont know whether you have developed policy paper on health or not but I am going to suggest something.
My first point is that training to doctors is not a single issue that can solve the problem. there are hospitals at district and tehsil levels which do not have any facility related to emergency handling and operation theaters. further i would add that we must think strategically and must learn from our past. just developing the buildings and/or training doctors will never help us in provision of health facilities to all levels of our society. I am not a health professional but as i am a stakeholder, as a user of health facilities, I would suggest to develop a policy keeping in view best practices in the world, taking all stakeholders in confidence as some of them will be implementer and users. The most important of all is that all stakeholders must have a feeling of ownership.
Thanks | | | |
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docsuhayl
Posts:26
Insaf Activist
| | 12/03/2010 10:33 PM |
| I dont think we need to have training from China. The training institutions in Pakistan need to be modernized and made accountable before the PMDC. The Pakistan Medical and Dental council should be made an independent entity, fully revise its constitution and its goal should be to standardize and maintain the state of medical education in Pakistan. In addition, there should be another independent organization which should be there to assess the standards of the various hospitals working in the country. It should evaluate them against a set of international standards and the ones that do not meet the mark should be warned and given some time for remedial measures under observation. If they do not make any progress, then they should be closed down.
At the same time, the state of medical education in Pakistan needs a radical overhaul. PMDC should have an affiliate entity which in collaboration with WHO, should re-evaluate the curriculum of the Medical colleges in Pakistan and gradually bring them upto international standards.
The salary structure for the doctors should be streamlined and their pays should be raised. Young trainee doctors should be paid at least Rs 25000 in their first year of training and in a three to four year training program, they should be earning at least Rs. 50,000 to 75,000 by the end of their training. I can assure you, this will go a long away in keeping young doctors within the country.
The Registrars in hospitals should be paid at least Rs.100,000 per month. With increments yearly as they progress in their careers. The CPSP Pakistan should be immediately disbanded, an independent organization with evaluators known for their integrity, chosen from all the major cities in Pakistan should work on a curriculum and training structure for the various specialties in Pakistan. The Professional board exams in various specialties should be computerized and evaluated on a percentile basis. The exams should be rigorous but impartial. Right now, passing the part 2 of the FCPS exam is based on luck and nepotism.
Once someone passes their board exams and choses to work for a public hospital or an academic institution in Pakistan, their pay should be raised to Rs. 150,000 to 200,000 per month. This way, we would ensure that the specialists would remain in the institution and not go elsewhere for monetary reasons. Also, for hospitals in smaller cities, additional incentives should be provided to the specialist, like free housing and health benefits. At the same time one should keep in mind that a lot of the Doctors do not go to work in the rural areas because of a lack of various basic amenities as well as schooling for their children. In this regard, we could adopt the NAML model where Imran Khan asked the TCF to build schools in Mianwali so that the children of potential family members could go to good schools. This would also benefit the local community in rural areas. Along with this, the rural health centers could be made self sufficient in energy needs by utilizing solar energy for their electricity needs and using water conservation strategies for water needs.
Another way to overcome shortage of Doctors in the rural areas is by training what we call Physician Assistants here in the USA. I guess the 'compounders' in the local clinic do this kind of stuff without training. But if we can build some Physician Assistant training institutes which would train young men and women how to treat patients for various minor illnesses under the supervision of qualified Doctors, who could visit the rural health center once a week to see the more difficult patients and also the PA would be able to refer the more serious and difficult patients to the nearest Tehsil level Hospital.
Also, these rural health centers and BHU's should be using internet based communication strategies like telemedicine to diagnose and treat.
The money for these initiatives can be raised from a dedicated lottery in the country which would fund these projects solely. Like the great Khan said, raising the Tax GDP ratio would raise the revenue levels and we would have the money to fund these various projects.
We need to study the plan that England came up with after world war II, when they decided that they are going to provide each and every citizen, the right to health care.
Just my two cents. Thoughts anyone?
I am a practicing Geriatric Psychiatrist who is also certified in Internal Medicine living in the US for the past 8 years. Inshallah, I plan to be back in Pakistan within a few years. If anyone has some suggestions for this forum, lets go ahead and make this an active forum. Lets have a back and forth and come up with some concrete proposals to improve the lot of health care in our beloved land. | |
Change does not roll in on the wheels of inevitability, but comes through continuous struggle. And so we must straighten our backs and work for our freedom. A man can't ride you unless your back is bent.
Martin Luther King Jr. | |
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agr933
Posts:582
Insaf Shaheen
| | 13/03/2010 3:14 AM |
| Thanks doc syuhail. Since you are in USA, you may contact Dr Asad Khan as he's produced a document for insaf research wing. We are working on various policies for PTI and every members suggestions/contributions are welcome
http://insaf.pk/Chapters/InsafResearchWingIRW/tabid/225/Default.aspx
bw
Dr Fouzia Sadiq | |
Dr Fouzia Sadiq
PTI UK
Twitter id: @DrFouziaSadiq | |
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bin_zia
Posts:14
Insaf Member
| | 15/03/2011 2:53 AM |
| once we are able to change the mindset of people
then it wont be a problem for us ..
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bismillah135
Posts:2
Insaf Member
| | 23/03/2011 12:56 PM |
| | yes, i agree, we can make health better in creating mobile doctors and health units team in rural areas. | | | |
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Ahmed Rizwan
Posts:18
Insaf Member
| | 08/09/2011 5:35 AM |
| Salam....In this regards there is need to increase the number professional doctors/medical staff in our country through availability of education.Firstly there is need to give education on all level (far away ruler areas as well) so that new competent stuff come out from all sides of lovely Pakistan....If this happen then we will have professionals to post them in their concerning even in ruler areas and then every person could have facility of health......Because currently mostly doctors feeling hesitation to join their posts in ruler areas.If stuff come out from like Mroot (Fort Abbas) or such areas near to border line or same like this then I think they become agree to share their responsibilities in their own areas for their people.....Also need more medical institutes not only in Lahore,Islam abad,Karachi etc. also on other areas where need.....NAMAL University is an example.........Beside that Manoply of PMDC should also need to over come I think.
Regards,
Ahmed Rizwan
PTI
Okara | | | |
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asimkd
Posts:1
Insaf Member
| | 03/10/2011 2:56 PM |
| Salam Everyone
I am a Pakistani medical graduate currently working in the UK. In addition to Rheumatology and general medicine I have interest in medical education as well. I am towards the end of my specialist training.
When I came to the UK, like other Pakistani’s I was very impressed by health system and education in the UK. Later I realised that Pakistani doctors are at least as good as western doctors if not better. Despite the facts that we study medicine in a third world country, come here to work in a foreign culture and communicate with patients in a foreign language, we do really well. Despite all the social and cultural odds our graduates rise here to the highest levels. I always wondered why it is not possible to deliver similar, if not better patient care in Pakistan as it does not simply seem to be the graduate level education which is substandard. I feel before suggesting a remedy it would be important to identify the reasons for the failure of our government led healthcare systems.
Problems:
My thoughts led me to these points:
1. There is a huge discrepancy between what we are taught and what we practice due to the following reasons
a. Our health problems are very different from western world but all we learn about medicine comes from the west as we do not believe in investing in research in our own country.
b. Our hospitals do not provide us with the facilities and the equipment we read about as we do not have enough funding to finance them. Also our current health care system is very different from the west with an almost non-existent primary health care system. In other words our basic training does not fit in with our needs and our healthcare structure.
c. Even in this era of evidence based medicine where even west finds itself compelled to modernise medical careers and practice, our practice remain as old as a century ago and we have been unable to cross the barrier of apprenticeship in training.
2. Neither we have any concept of accountability and governance nor have we set any standards for our practice. This fact encourages individuals to alter their practice according to their needs which invariably is a better earning leading, in turn, to corruption.
3. There is no clear law or even encouragement for the younger generation to serve in the areas of need. In this way we end up concentrating all the doctors in major urban areas while rural areas and even urban suburbs remain significantly deprived.
4. We hardly have any data to be able to merely define what our national health needs are and how and what training should be provided to our doctors.
5. We are still totally reliant on doctors to deliver all types of healthcare and have never seriously thought about improving paramedical education and training in order to be able to delegate appropriate responsibilities paramedics. In hospitals nursing care remains appalling with minimum responsibilities on their shoulders even today.
I think I will stop here today. I do hope that interested members will read my comments carefully and will guide me on improving and defining these problems further. I’m sure we can cure the disease if we know the diagnosis.
Asim
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maliksaab
Posts:1150
Insaf Shaheen
Moderator
| | 22/11/2011 7:29 AM |
| Agree with you guys. Here is what I posted in the Professional forums.
I think we need to establish a few things before we go about making policy. For example:
1. Define what minimum standard of health we are targeting for and working to achieve.
2. Define the population segment we consider 'poor' or 'sick' or as not being as opportune/ privileged as the wealthy. VERY Important that we know our target population.
3. The need to define in definite terms the most endemic diseases in our society today eg. Tuberculosis, Malaria, Malnutrition, Cancers - (we will find that most of these diseases are communicable and infectious and thus have common solutions).
4. Once we have defined the most endemic diseases, we can get down to the solutions - and make a list of all measures beginning from prevention (and awareness+education) going all the way to down treatment stages.
5. A generalized list of solutions can then be analyzed to produce a list of the most effective measures that can take care of multiple diseases with just one single action eg. cleanliness and nutirition programmes can take care of Gastroenteritis, Tuberculosis, Malaria, Hepatitis etc all in one go. (aik teer se 2 shikaar) - higher efficiency & results with minimal use of resources.
6. When we have a specific prioritized list of measures that need to be adopted, then we populate separate lists of resources available and resources required for our prioritized objectives.
Further analysis of these priorities, resources, and requirements will enlighten us with the information needed to undertake necessary policy formation and decision-making.
I think everyone will agree if I say that it is not 'IF' we are going to target a disease or not, rather it would be wise to say 'WHEN' and in which order we will be targeting diseases. It is a race against time and winning the race with not having many resources. Intelligent planning is a must, we must not fail, we CANNOT fail. | |
There is no such thing as senior or junior 'rehnuma' (leader). Leader is one who is inspirational, innovative and ahead of the pack - and they are few and far between.
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Why does everyone talk about rights? Talk about fulfilling your duties - it solves all problems.
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Available for concerted media campaigning (only for PTI!). | |
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sohaib876
Posts:2
Insaf Member
| | 27/12/2011 3:01 PM |
| | is it a health care system that we have in our hands right now???? define a health care system first...wht are liabilities ....what is it ment for and what is it supposed to do....where do we stand now??
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awanship
Posts:11
Insaf Member
| | 02/01/2012 12:10 AM |
| Just a proposal,
Lot of private hospitals are there, ask them to start their own health insurance, for peaoples living in their areas. also Govt to help them in tax relives equipments etc. | | | |
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