Deprecated (16384): The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 150
 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php. [CORE/src/Core/functions.php, line 311]
Code Context


        trigger_error($message, E_USER_DEPRECATED);

    }
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 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.'
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deprecationWarning - CORE/src/Core/functions.php, line 311
Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421
App\Controller\ArtileDetailController::index() - APP/Controller/ArtileDetailController.php, line 150
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Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51
Cake\Http\Server::run() - CORE/src/Http/Server.php, line 98

Deprecated (16384): The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 151
 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php. [CORE/src/Core/functions.php, line 311]
Code Context


        trigger_error($message, E_USER_DEPRECATED);

    }
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 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.'
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deprecationWarning - CORE/src/Core/functions.php, line 311
Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421
App\Controller\ArtileDetailController::index() - APP/Controller/ArtileDetailController.php, line 151
Cake\Controller\Controller::invokeAction() - CORE/src/Controller/Controller.php, line 610
Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 120
Cake\Http\ActionDispatcher::dispatch() - CORE/src/Http/ActionDispatcher.php, line 94
Cake\Http\BaseApplication::__invoke() - CORE/src/Http/BaseApplication.php, line 235
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Routing\Middleware\RoutingMiddleware::__invoke() - CORE/src/Routing/Middleware/RoutingMiddleware.php, line 162
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Routing\Middleware\AssetMiddleware::__invoke() - CORE/src/Routing/Middleware/AssetMiddleware.php, line 97
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51
Cake\Http\Server::run() - CORE/src/Http/Server.php, line 98

Warning (512): Unable to emit headers. Headers sent in file=/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php line=853 [CORE/src/Http/ResponseEmitter.php, line 48]
Code Context
            if (Configure::read('debug')) {

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                            <p align="justify"><font >This is what a prescription confiscated recently in a Madhya Pradesh primary healthcare centre read &mdash; &quot;Above prescribed medicines are available in the medical store situated just outside the hospital.&quot; </font></p><p align="justify"><font >In a blatant example of the doctor-pharmaceutical company nexus that is not only plaguing Indian cities but also the country's most backward villages, the latest review of the National Rural Health Mission has found that the prescription pad was a sponsored gift by the private medical store. The report finalized recently pointed to how in local healthcare facilities, doctors were found &quot;prescribing high end prescription medicines instead of basic generic preparations&quot; leading to heavy out-of-pocket expenditure for the patients. </font></p><p align="justify"><font >In several facilities, cooperative pharmacy shops were seen within the hospital premises selling drugs. </font></p><p align="justify"><font >Doctors in Chhattisgarh, for example, were found indulging in excessive outside prescriptions, failing to provide drugs available in the hospital pharmacy and instead giving prescriptions for much costlier drugs outside. </font></p><p align="justify"><font >The report said, &quot;Some of it is also due to non-availability of essential drugs but most if it is driven by irrational prescription or lack of awareness of the essential drug concept.&quot; </font></p><p align="justify"><font >Though almost all states reported improved availability of drugs, the review mission reported irrational use and non-availability of essential medicines. </font></p><p align="justify"><font >&quot;The full complement of essential drugs was not available at many places. For instance, in several places Magnesium Suphate injections and Nifedipine tablets were not available,&quot; the report said. </font></p><p align="justify"><font >It added, &quot;There was no supply of iron folic acid (IFA) tablets in most facilities visited during the review. Few facilities had recently received supply of IFA tablets.&quot; It added, &quot;Obviously these practices have got legitimized in popular perception and curbing them would be quite a challenge.&quot; </font></p><p align="justify"><font >A number of states are introducing or have in place commercial pharmacy shops within the public hospital. </font></p><p align="justify"><font >Introduction of generic medicines in them is sometimes projected as an achievement. While no doubt generic medicines are available, this also reflects how universal is the practice of outside prescriptions in the poor performing states and how low is the availability of free drugs in the hospital, the report added. </font></p><p align="justify"><font >The mandate of the review mission of NRHM is to review changes in the health system since the launch of the programme. This review was undertaken in 14 states and three Union Territories. </font></p><p align="justify"><font >With such a situation prevailing in some states, the review committee recommended the creation of standard treatment guidelines in consultation with senior medical officers and adopted by the state, which have to be used as the basis for patient management by doctors at the facilities. Regular prescription audits should be institutionalized to ensure this, the committee said. </font></p><p align="justify"><font >The doctor-pharma company nexus had become so common that the Medical Council of India recently came out with a fresh code of conduct for medical practitioners. </font></p>                                                           
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    <br><a href="http://timesofindia.indiatimes.com/india/NRHM-paints-a-poor-picture-of-health-facilities/articleshow/5503039.cms" class="re" target="_blank">The Times of India, 28 January, 2010, http://timesofindia.indiatimes.com/india/NRHM-paints-a-poor-picture-of-health-facilities/articleshow/5503039.cms</a><div class="clear"></div>
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                            <p align="justify"><font >This is what a prescription confiscated recently in a Madhya Pradesh primary healthcare centre read &mdash; &quot;Above prescribed medicines are available in the medical store situated just outside the hospital.&quot; </font></p><p align="justify"><font >In a blatant example of the doctor-pharmaceutical company nexus that is not only plaguing Indian cities but also the country's most backward villages, the latest review of the National Rural Health Mission has found that the prescription pad was a sponsored gift by the private medical store. The report finalized recently pointed to how in local healthcare facilities, doctors were found &quot;prescribing high end prescription medicines instead of basic generic preparations&quot; leading to heavy out-of-pocket expenditure for the patients. </font></p><p align="justify"><font >In several facilities, cooperative pharmacy shops were seen within the hospital premises selling drugs. </font></p><p align="justify"><font >Doctors in Chhattisgarh, for example, were found indulging in excessive outside prescriptions, failing to provide drugs available in the hospital pharmacy and instead giving prescriptions for much costlier drugs outside. </font></p><p align="justify"><font >The report said, &quot;Some of it is also due to non-availability of essential drugs but most if it is driven by irrational prescription or lack of awareness of the essential drug concept.&quot; </font></p><p align="justify"><font >Though almost all states reported improved availability of drugs, the review mission reported irrational use and non-availability of essential medicines. </font></p><p align="justify"><font >&quot;The full complement of essential drugs was not available at many places. For instance, in several places Magnesium Suphate injections and Nifedipine tablets were not available,&quot; the report said. </font></p><p align="justify"><font >It added, &quot;There was no supply of iron folic acid (IFA) tablets in most facilities visited during the review. Few facilities had recently received supply of IFA tablets.&quot; It added, &quot;Obviously these practices have got legitimized in popular perception and curbing them would be quite a challenge.&quot; </font></p><p align="justify"><font >A number of states are introducing or have in place commercial pharmacy shops within the public hospital. </font></p><p align="justify"><font >Introduction of generic medicines in them is sometimes projected as an achievement. While no doubt generic medicines are available, this also reflects how universal is the practice of outside prescriptions in the poor performing states and how low is the availability of free drugs in the hospital, the report added. </font></p><p align="justify"><font >The mandate of the review mission of NRHM is to review changes in the health system since the launch of the programme. This review was undertaken in 14 states and three Union Territories. </font></p><p align="justify"><font >With such a situation prevailing in some states, the review committee recommended the creation of standard treatment guidelines in consultation with senior medical officers and adopted by the state, which have to be used as the basis for patient management by doctors at the facilities. Regular prescription audits should be institutionalized to ensure this, the committee said. </font></p><p align="justify"><font >The doctor-pharma company nexus had become so common that the Medical Council of India recently came out with a fresh code of conduct for medical practitioners. </font></p>                                                           
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    <br><a href="http://timesofindia.indiatimes.com/india/NRHM-paints-a-poor-picture-of-health-facilities/articleshow/5503039.cms" class="re" target="_blank">The Times of India, 28 January, 2010, http://timesofindia.indiatimes.com/india/NRHM-paints-a-poor-picture-of-health-facilities/articleshow/5503039.cms</a><div class="clear"></div>
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                            <p align="justify"><font >This is what a prescription confiscated recently in a Madhya Pradesh primary healthcare centre read &mdash; &quot;Above prescribed medicines are available in the medical store situated just outside the hospital.&quot; </font></p><p align="justify"><font >In a blatant example of the doctor-pharmaceutical company nexus that is not only plaguing Indian cities but also the country's most backward villages, the latest review of the National Rural Health Mission has found that the prescription pad was a sponsored gift by the private medical store. The report finalized recently pointed to how in local healthcare facilities, doctors were found &quot;prescribing high end prescription medicines instead of basic generic preparations&quot; leading to heavy out-of-pocket expenditure for the patients. </font></p><p align="justify"><font >In several facilities, cooperative pharmacy shops were seen within the hospital premises selling drugs. </font></p><p align="justify"><font >Doctors in Chhattisgarh, for example, were found indulging in excessive outside prescriptions, failing to provide drugs available in the hospital pharmacy and instead giving prescriptions for much costlier drugs outside. </font></p><p align="justify"><font >The report said, &quot;Some of it is also due to non-availability of essential drugs but most if it is driven by irrational prescription or lack of awareness of the essential drug concept.&quot; </font></p><p align="justify"><font >Though almost all states reported improved availability of drugs, the review mission reported irrational use and non-availability of essential medicines. </font></p><p align="justify"><font >&quot;The full complement of essential drugs was not available at many places. For instance, in several places Magnesium Suphate injections and Nifedipine tablets were not available,&quot; the report said. </font></p><p align="justify"><font >It added, &quot;There was no supply of iron folic acid (IFA) tablets in most facilities visited during the review. Few facilities had recently received supply of IFA tablets.&quot; It added, &quot;Obviously these practices have got legitimized in popular perception and curbing them would be quite a challenge.&quot; </font></p><p align="justify"><font >A number of states are introducing or have in place commercial pharmacy shops within the public hospital. </font></p><p align="justify"><font >Introduction of generic medicines in them is sometimes projected as an achievement. While no doubt generic medicines are available, this also reflects how universal is the practice of outside prescriptions in the poor performing states and how low is the availability of free drugs in the hospital, the report added. </font></p><p align="justify"><font >The mandate of the review mission of NRHM is to review changes in the health system since the launch of the programme. This review was undertaken in 14 states and three Union Territories. </font></p><p align="justify"><font >With such a situation prevailing in some states, the review committee recommended the creation of standard treatment guidelines in consultation with senior medical officers and adopted by the state, which have to be used as the basis for patient management by doctors at the facilities. Regular prescription audits should be institutionalized to ensure this, the committee said. </font></p><p align="justify"><font >The doctor-pharma company nexus had become so common that the Medical Council of India recently came out with a fresh code of conduct for medical practitioners. </font></p>                                                           
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    <br><a href="http://timesofindia.indiatimes.com/india/NRHM-paints-a-poor-picture-of-health-facilities/articleshow/5503039.cms" class="re" target="_blank">The Times of India, 28 January, 2010, http://timesofindia.indiatimes.com/india/NRHM-paints-a-poor-picture-of-health-facilities/articleshow/5503039.cms</a><div class="clear"></div>
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Home हिन्दी

NRHM paints a poor picture of health facilities by Kounteya Sinha

Published on Jan 27, 2010   Modified on Jan 27, 2010

This is what a prescription confiscated recently in a Madhya Pradesh primary healthcare centre read — "Above prescribed medicines are available in the medical store situated just outside the hospital." In a blatant example of the doctor-pharmaceutical company nexus that is not only plaguing Indian cities but also the country's most backward villages, the latest review of the National Rural Health Mission has found that the prescription pad was a sponsored gift by the private medical store. The report finalized recently pointed to how in local healthcare facilities, doctors were found "prescribing high end prescription medicines instead of basic generic preparations" leading to heavy out-of-pocket expenditure for the patients. In several facilities, cooperative pharmacy shops were seen within the hospital premises selling drugs. Doctors in Chhattisgarh, for example, were found indulging in excessive outside prescriptions, failing to provide drugs available in the hospital pharmacy and instead giving prescriptions for much costlier drugs outside. The report said, "Some of it is also due to non-availability of essential drugs but most if it is driven by irrational prescription or lack of awareness of the essential drug concept." Though almost all states reported improved availability of drugs, the review mission reported irrational use and non-availability of essential medicines. "The full complement of essential drugs was not available at many places. For instance, in several places Magnesium Suphate injections and Nifedipine tablets were not available," the report said. It added, "There was no supply of iron folic acid (IFA) tablets in most facilities visited during the review. Few facilities had recently received supply of IFA tablets." It added, "Obviously these practices have got legitimized in popular perception and curbing them would be quite a challenge." A number of states are introducing or have in place commercial pharmacy shops within the public hospital. Introduction of generic medicines in them is sometimes projected as an achievement. While no doubt generic medicines are available, this also reflects how universal is the practice of outside prescriptions in the poor performing states and how low is the availability of free drugs in the hospital, the report added. The mandate of the review mission of NRHM is to review changes in the health system since the launch of the programme. This review was undertaken in 14 states and three Union Territories. With such a situation prevailing in some states, the review committee recommended the creation of standard treatment guidelines in consultation with senior medical officers and adopted by the state, which have to be used as the basis for patient management by doctors at the facilities. Regular prescription audits should be institutionalized to ensure this, the committee said. The doctor-pharma company nexus had become so common that the Medical Council of India recently came out with a fresh code of conduct for medical practitioners.

The Times of India, 28 January, 2010, http://timesofindia.indiatimes.com/india/NRHM-paints-a-poor-picture-of-health-facilities/articleshow/5503039.cms

 

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