December 29, 2016

Govt schemes help boost health cover by 14% in 10 yrs



Expansion in India's health insurance coverage, particularly the government 
schemes, has helped improve various health indicators as more people seek 
treatment and medical services. For instance, insurance penetration has resulted 
in a rise of over 15% in institutional deliveries, thus reducing maternal and infant 
mortality.

Similarly , people in rural areas, the elderly and members of the scheduled castes 
and scheduled tribes are now more likely to seek tertiary care because of insurance 
coverage. Official data shows childbirth in government hospitals increased by 22% 
between 2004 and 2014, led by government policies, whereas `at home' deliveries 
declined by 16%.

India has witnessed a huge jump in health insurance coverage over the past decade. 
While just 1% of population had coverage in 2004, the figure went up to more than 
15% in 2014. Though health insurance coverage continues to be driven by the government 
in India, latest data compiled by the Insurance Regulatory and Development Authority of 
India (IRDAI) shows Indians are increasingly buying private policies too.

According to IRDAI data, the premium collected by health insurers during 2015-16 
jumped by 21.7% to Rs 24,448 crore. This has also encouraged providers to expand 
their base. The number of schemes, the basket of services as well as payment options 
have also been expanded over the past decade, providing people better opportunity to 
seek medical care for critical diseases.

A recent Brookings India study , based on NSSO data, shows a decline in the number 
of people not seeking medical services when sick, from 15.1 per 1,000 people in 2004 
to 12.4 in 2014. The increasing insurance penetration has also helped with the accessibility 
and affordability of healthcare services for the poor and those living in remote areas.

Infrastructure and sustained focus are required to link the available health systems, 
both public and private in rural and remote areas, with health insurance, says IRDAI 
chairman T S Vijayan.

According to the national health profile 2015, compiled by Central Bureau of Health
Intelligence, 67% of those with some form of coverage are under public insurance
companies. Centreand statefunded health insurance schemes covered about 37 crore 
people in 2014 as compared to 5.5 lakh in 2004.

Source: The Times of India

December 23, 2016

Japan's birth rate may fall below 1m




The number of births in Japan is likely to fall below a million this year for the 
first time since data became available in 1899, the government said on Thursday, 
reflecting a fast-aging society and the high cost of child care. Japan will also post 
a natural population decline this year as deaths outpace births, its 10th consecutive 
drop, according to an estimate by the health ministry.

The total number of births is expected to be between 980,000 and 990,000 this 
year, down from slightly more than a million last year, data from the ministry showed.

Births hit a record high of 2.696 million in 1949.
A shrinking population of women in their 20s and 30s -about 13.66 million in 
October or 20% fewer than a decade ago -is a key factor in the falling number of 
births, a ministry official said.

Japan's fertility rate was 1.45 in 2015, up 0.03 points from a year earlier, helped 
by an economic recovery, and is recovering from the record low of 1.26 hit in 2005. 
However, it is still far from the government's goal of 1.80. Japan's cabinet on Thursday 
approved a record $830 billion spending budget for fiscal 2017, which includes child-
rearing support.


Source: The Times of India


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December 21, 2016

Haryana to set up cath labs in district hospitals



Haryana Health Minister Anil Vij on Monday announced that Cath Labs for diagnostic 
purposes would be set up in four district hospitals of the state under a pilot project.

“Later on, laboratories would be established in all hospitals. Stunt to the heart patients 
would be available at a cost of Rs 40,000 in these labs,” said the Minister while 
launching the ‘VIBGYOR Bed Linen’ programme at Civil hospital in Panchkula.

Vij said that this is the first of its kind programme started in Haryana under which bed 
sheets of seven different colours will be used in all hospitals in the State.

He said that this unique experiment would be replicated in all medical colleges in the 
second phase so that patients could get clean and hygienic bed sheets every day. Days 
name has been scripted on each bed sheet for its identification so that common person 
could confirm the change of bed sheet as per day.

The Health Department had purchased over 2.64 lakh bed sheets at a cost of about 
Rs 5.26 crore. The inspection about thread count, colour and washing have been got .
conducted from Government Textile lab, Panipat. The programme aimed at to provide 
hygienic atmosphere in hospitals, said the Health Minister.
Vij said that basic amenities in hospitals in the state have been upgraded during last
 two years of the present government as a result of which people faith in government 
hospitals have increased.

Source: The Pioneer

December 15, 2016

Liver's ability to repair itself offers hope



A unique property of the liver to repair itself has become the most potent weapon
in the fight against liver diseases in which a transplant is the only option. All one 
needs is a little stimulant, say doctors, who claim to have successfully delayed the 
need for a transplant in many patients. They are now taking their research further to 
see if organ failure can be reversed using stimulants, also known as growth factors. 
These include GCSF, which is essentially a cell product that makes the white cells 
and red blood cell forming growth factor called “darbopoietin“.

“Liver transplantation is the only treatment for patients with chronic liver failure but
not all of them get it due to a scarcity of donors. But we were able to prolong the 
survival of over 100 patients on waiting list for transplant at our hospital using GCSF, 
in addition to standard medical care.It also helped improve their clinical outcome 
significantly,“ said Dr Anil Arora, director, Institute of Liver, Gastroenterology and 
Pancreatico biliary Sciences at Sir Ganga Ram Hospital (SGRH).

GCSF is an injectable growth factor that stimulates the bone marrow to release stem 
cells into circulation to repair tissues, including liver, he explained. “While the exact 
mechanism is not clear, we believe that the growth factors help in regeneration of the 
liver by mobilising certain cells,“ Arora added. The study has been published in the 
latest issue of the “European Journal of Gastroenterology and Hepatology“.

Dr S K Sarin, director of In stitute of Liver and Biliary Sciences (ILBS), said liver 
can work even if more than 75% of its overall mass is damaged. “This is the reason 
why one can donate a portion of his or liver to the needy without worrying about any 
impact on his or her own health.“

At ILBS, doctors have been using GCSF as well as red blood cell forming growth 
factor called darbopoietin to stimulate regeneration of the liver.

“The results so far are satisfactory for certain group of patients. We hope to save 
lives of many patients who cannot get a donor immediately ,“ Sarin added.


Source:  The Times of India