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Quality Health Care: Quality Management Health Care, Quality in Health Care, Quality Care Health Plan

The general health scenario consists of three aspects : preventive, curative and referral.  Preventive aspect deals with the information that prevents the disease from happening.  Curative aspects deal with medicine and surgery. The cases which are referred to the doctor after diagnosis are called referral cases.

So apart from hospitals and doctors one is need of the following to stay healthy

• Information center to know what causes the diseases and the ways to prevent them
• A knowledgeable person who can diagnose/suspect about  the diseaseHealth
• Insurance schemes (covering life too) to come handy in case of sudden ailments

On preventive health alone one deals with  the following topics

• Cause of  diseases
• Ante-natal care
• Post natal care
• Nutrition : Wash vegetables before cutting, have three colors of food in daily diet (white, orange and green), Cook food with minimum water with a covering over the container.
• Water and Sanitation : Environment pollution, neighborhood cleanliness, personal hygiene, safe drinking water
• Immunization
• Family Planning : Age of mother at first child, interval between two children, number of  children, education and upbringing of children, family planning pills, other family planning methods,  Family planning operations (tubectomy/vasectomy)
• HIV AIDS/STD
• Gender : The women are more at risk than men  because of their work responsibilities at home, in the community and as bread earner. For example,  a woman who is more exposed to water, will get more water related diseases pertaining to the duration of exposure or the quality of water (standing in salt water at waist deep water can make the reproductive track vulnerable). 
• Knowledge of Govt. programmes and liasioning facilities: The women are not normally endowed with bargaining capacity in terms of availing govt. health programmes.  There are measures to unite the women under one umbrella like forming cooperatives. This is with a vision to make them achieve together which they may not be able to achieve alone immediately.
• Legal rights: Violence against women, divorce, sexual harassment
• Health Insurance: For secondary treatment, where hospitalization is required, the expenses incurred by a person are much more than one can afford.  For this one can take a health insurance which covers accidents, and death.  This may be returned back to the person at the end of the term with interest so that for a poor person it also is a form of saving. In case of getting back the money, a person would also like to invest a big amount. Quite a few people at rural level can get employment working as agents to various health products.
• Healthy living: Quit smoking, have enough exercise, eat raw

Curative aspect

• Alternative low cost medicine: locally available eatable greens, applicable leaves and other green medicines which ranges from papaya and guava to Himalayan Gojji and Ma Yuang.
• Yoga
• Getting quick medical test
• Getting a right prescription
• Planning for surgery

Producing a health cadre

Indicators of improved health care

• Life expectancy goes up. A 60 year may expect to live till alte eighties and an 80 year old expects to live for some more years.
• The living conditions for the old,and handicapped  is better
• There is better scope for elders to express and get involved.
• Morbidity is reduced.�