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Role of public health systems in the present health scenario: Key challenges

机译：公共卫生系统在当前卫生状况中的作用：主要挑战

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摘要

The health scenario in our country is rapidly changing, both in terms of the public health challenges that we face as well as our response to these challenges. As India becomes more and more developed and we have greater means at our disposal, our response to our health challenges must reflect our changing health and socio-economic status. India faces enormous challenges in the area of women's and children's health. India is one of the few countries that have recorded substantial decline in maternal mortality. India is still far from achieving the target set in the millennium development goals. Despite several growth-orientated policies adopted by the government, the widening economic, regional, and gender disparities are posing challenges for the health sector. About 75% of health infrastructure, medical manpower, and other health resources are concentrated in urban areas where 27% of the populations live. To reduce this double burden of diseases, public health has to focus on health promotion, and disease prevention and control, while taking into consideration the social determinant of health. The focus of public health is to bring about change at the policy level not only for preventing disease but also for the health promotion through organized action at societal level.
机译：无论是在我们面临的公共卫生挑战还是对这些挑战的应对方面，我国的卫生状况都在迅速变化。随着印度变得越来越发达，我们拥有更多可用的手段，我们对健康挑战的应对必须反映我们不断变化的健康和社会经济状况。印度在妇女和儿童保健领域面临巨大挑战。印度是孕产妇死亡率大幅下降的少数几个国家之一。印度距离实现千年发展目标中设定的目标还很遥远。尽管政府采取了几项以增长为导向的政策，但经济，地区和性别差距的扩大对卫生部门构成了挑战。大约75％的卫生基础设施，医疗人力和其他卫生资源集中在27％人口居住的城市地区。为了减轻这种双重疾病负担，公共卫生必须着重于健康促进和疾病预防与控制，同时要考虑健康的社会决定因素。公共卫生的重点是通过政策上的社会行动，在预防疾病和促进健康方面在政策上做出改变。

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