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: 73 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);
}
$message = '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: 73 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.' $stackFrame = (int) 1 $trace = [ (int) 0 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ServerRequest.php', 'line' => (int) 2421, 'function' => 'deprecationWarning', 'args' => [ (int) 0 => 'The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead.' ] ], (int) 1 => [ 'file' => '/home/brlfuser/public_html/src/Controller/ArtileDetailController.php', 'line' => (int) 73, 'function' => 'offsetGet', 'class' => 'Cake\Http\ServerRequest', 'object' => object(Cake\Http\ServerRequest) {}, 'type' => '->', 'args' => [ (int) 0 => 'catslug' ] ], (int) 2 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Controller/Controller.php', 'line' => (int) 610, 'function' => 'printArticle', 'class' => 'App\Controller\ArtileDetailController', 'object' => object(App\Controller\ArtileDetailController) {}, 'type' => '->', 'args' => [] ], (int) 3 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ActionDispatcher.php', 'line' => (int) 120, 'function' => 'invokeAction', 'class' => 'Cake\Controller\Controller', 'object' => object(App\Controller\ArtileDetailController) {}, 'type' => '->', 'args' => [] ], (int) 4 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ActionDispatcher.php', 'line' => (int) 94, 'function' => '_invoke', 'class' => 'Cake\Http\ActionDispatcher', 'object' => object(Cake\Http\ActionDispatcher) {}, 'type' => '->', 'args' => [ (int) 0 => object(App\Controller\ArtileDetailController) {} ] ], (int) 5 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/BaseApplication.php', 'line' => (int) 235, 'function' => 'dispatch', 'class' => 'Cake\Http\ActionDispatcher', 'object' => object(Cake\Http\ActionDispatcher) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 6 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Http\BaseApplication', 'object' => object(App\Application) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 7 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Routing/Middleware/RoutingMiddleware.php', 'line' => (int) 162, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 8 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Routing\Middleware\RoutingMiddleware', 'object' => object(Cake\Routing\Middleware\RoutingMiddleware) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 9 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Routing/Middleware/AssetMiddleware.php', 'line' => (int) 88, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 10 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Routing\Middleware\AssetMiddleware', 'object' => object(Cake\Routing\Middleware\AssetMiddleware) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 11 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Middleware/ErrorHandlerMiddleware.php', 'line' => (int) 96, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 12 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Error\Middleware\ErrorHandlerMiddleware', 'object' => object(Cake\Error\Middleware\ErrorHandlerMiddleware) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 13 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 51, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 14 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Server.php', 'line' => (int) 98, 'function' => 'run', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\MiddlewareQueue) {}, (int) 1 => object(Cake\Http\ServerRequest) {}, (int) 2 => object(Cake\Http\Response) {} ] ], (int) 15 => [ 'file' => '/home/brlfuser/public_html/webroot/index.php', 'line' => (int) 39, 'function' => 'run', 'class' => 'Cake\Http\Server', 'object' => object(Cake\Http\Server) {}, 'type' => '->', 'args' => [] ] ] $frame = [ 'file' => '/home/brlfuser/public_html/src/Controller/ArtileDetailController.php', 'line' => (int) 73, 'function' => 'offsetGet', 'class' => 'Cake\Http\ServerRequest', 'object' => object(Cake\Http\ServerRequest) { trustProxy => false [protected] params => [ [maximum depth reached] ] [protected] data => [[maximum depth reached]] [protected] query => [[maximum depth reached]] [protected] cookies => [ [maximum depth reached] ] [protected] _environment => [ [maximum depth reached] ] [protected] url => 'latest-news-updates/of-primary-importance-n-devadasan-4673103/print' [protected] base => '' [protected] webroot => '/' [protected] here => '/latest-news-updates/of-primary-importance-n-devadasan-4673103/print' [protected] trustedProxies => [[maximum depth reached]] [protected] _input => null [protected] _detectors => [ [maximum depth reached] ] [protected] _detectorCache => [ [maximum depth reached] ] [protected] stream => object(Zend\Diactoros\PhpInputStream) {} [protected] uri => object(Zend\Diactoros\Uri) {} [protected] session => object(Cake\Http\Session) {} [protected] attributes => [[maximum depth reached]] [protected] emulatedAttributes => [ [maximum depth reached] ] [protected] uploadedFiles => [[maximum depth reached]] [protected] protocol => null [protected] requestTarget => null [private] deprecatedProperties => [ [maximum depth reached] ] }, 'type' => '->', 'args' => [ (int) 0 => 'catslug' ] ]deprecationWarning - CORE/src/Core/functions.php, line 311 Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421 App\Controller\ArtileDetailController::printArticle() - APP/Controller/ArtileDetailController.php, line 73 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 88 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: 74 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);
}
$message = '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: 74 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.' $stackFrame = (int) 1 $trace = [ (int) 0 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ServerRequest.php', 'line' => (int) 2421, 'function' => 'deprecationWarning', 'args' => [ (int) 0 => 'The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead.' ] ], (int) 1 => [ 'file' => '/home/brlfuser/public_html/src/Controller/ArtileDetailController.php', 'line' => (int) 74, 'function' => 'offsetGet', 'class' => 'Cake\Http\ServerRequest', 'object' => object(Cake\Http\ServerRequest) {}, 'type' => '->', 'args' => [ (int) 0 => 'artileslug' ] ], (int) 2 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Controller/Controller.php', 'line' => (int) 610, 'function' => 'printArticle', 'class' => 'App\Controller\ArtileDetailController', 'object' => object(App\Controller\ArtileDetailController) {}, 'type' => '->', 'args' => [] ], (int) 3 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ActionDispatcher.php', 'line' => (int) 120, 'function' => 'invokeAction', 'class' => 'Cake\Controller\Controller', 'object' => object(App\Controller\ArtileDetailController) {}, 'type' => '->', 'args' => [] ], (int) 4 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ActionDispatcher.php', 'line' => (int) 94, 'function' => '_invoke', 'class' => 'Cake\Http\ActionDispatcher', 'object' => object(Cake\Http\ActionDispatcher) {}, 'type' => '->', 'args' => [ (int) 0 => object(App\Controller\ArtileDetailController) {} ] ], (int) 5 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/BaseApplication.php', 'line' => (int) 235, 'function' => 'dispatch', 'class' => 'Cake\Http\ActionDispatcher', 'object' => object(Cake\Http\ActionDispatcher) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 6 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Http\BaseApplication', 'object' => object(App\Application) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 7 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Routing/Middleware/RoutingMiddleware.php', 'line' => (int) 162, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 8 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Routing\Middleware\RoutingMiddleware', 'object' => object(Cake\Routing\Middleware\RoutingMiddleware) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 9 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Routing/Middleware/AssetMiddleware.php', 'line' => (int) 88, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 10 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Routing\Middleware\AssetMiddleware', 'object' => object(Cake\Routing\Middleware\AssetMiddleware) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 11 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Middleware/ErrorHandlerMiddleware.php', 'line' => (int) 96, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 12 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 65, 'function' => '__invoke', 'class' => 'Cake\Error\Middleware\ErrorHandlerMiddleware', 'object' => object(Cake\Error\Middleware\ErrorHandlerMiddleware) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {}, (int) 2 => object(Cake\Http\Runner) {} ] ], (int) 13 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php', 'line' => (int) 51, 'function' => '__invoke', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\ServerRequest) {}, (int) 1 => object(Cake\Http\Response) {} ] ], (int) 14 => [ 'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Server.php', 'line' => (int) 98, 'function' => 'run', 'class' => 'Cake\Http\Runner', 'object' => object(Cake\Http\Runner) {}, 'type' => '->', 'args' => [ (int) 0 => object(Cake\Http\MiddlewareQueue) {}, (int) 1 => object(Cake\Http\ServerRequest) {}, (int) 2 => object(Cake\Http\Response) {} ] ], (int) 15 => [ 'file' => '/home/brlfuser/public_html/webroot/index.php', 'line' => (int) 39, 'function' => 'run', 'class' => 'Cake\Http\Server', 'object' => object(Cake\Http\Server) {}, 'type' => '->', 'args' => [] ] ] $frame = [ 'file' => '/home/brlfuser/public_html/src/Controller/ArtileDetailController.php', 'line' => (int) 74, 'function' => 'offsetGet', 'class' => 'Cake\Http\ServerRequest', 'object' => object(Cake\Http\ServerRequest) { trustProxy => false [protected] params => [ [maximum depth reached] ] [protected] data => [[maximum depth reached]] [protected] query => [[maximum depth reached]] [protected] cookies => [ [maximum depth reached] ] [protected] _environment => [ [maximum depth reached] ] [protected] url => 'latest-news-updates/of-primary-importance-n-devadasan-4673103/print' [protected] base => '' [protected] webroot => '/' [protected] here => '/latest-news-updates/of-primary-importance-n-devadasan-4673103/print' [protected] trustedProxies => [[maximum depth reached]] [protected] _input => null [protected] _detectors => [ [maximum depth reached] ] [protected] _detectorCache => [ [maximum depth reached] ] [protected] stream => object(Zend\Diactoros\PhpInputStream) {} [protected] uri => object(Zend\Diactoros\Uri) {} [protected] session => object(Cake\Http\Session) {} [protected] attributes => [[maximum depth reached]] [protected] emulatedAttributes => [ [maximum depth reached] ] [protected] uploadedFiles => [[maximum depth reached]] [protected] protocol => null [protected] requestTarget => null [private] deprecatedProperties => [ [maximum depth reached] ] }, 'type' => '->', 'args' => [ (int) 0 => 'artileslug' ] ]deprecationWarning - CORE/src/Core/functions.php, line 311 Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421 App\Controller\ArtileDetailController::printArticle() - APP/Controller/ArtileDetailController.php, line 74 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 88 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 Contextif (Configure::read('debug')) {
trigger_error($message, E_USER_WARNING);
} else {
$response = object(Cake\Http\Response) { 'status' => (int) 200, 'contentType' => 'text/html', 'headers' => [ 'Content-Type' => [ [maximum depth reached] ] ], 'file' => null, 'fileRange' => [], 'cookies' => object(Cake\Http\Cookie\CookieCollection) {}, 'cacheDirectives' => [], 'body' => '<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"> <html xmlns="http://www.w3.org/1999/xhtml"> <head> <link rel="canonical" href="https://im4change.in/<pre class="cake-error"><a href="javascript:void(0);" onclick="document.getElementById('cakeErr67f0c96329879-trace').style.display = (document.getElementById('cakeErr67f0c96329879-trace').style.display == 'none' ? '' : 'none');"><b>Notice</b> (8)</a>: Undefined variable: urlPrefix [<b>APP/Template/Layout/printlayout.ctp</b>, line <b>8</b>]<div id="cakeErr67f0c96329879-trace" class="cake-stack-trace" style="display: none;"><a href="javascript:void(0);" onclick="document.getElementById('cakeErr67f0c96329879-code').style.display = (document.getElementById('cakeErr67f0c96329879-code').style.display == 'none' ? '' : 'none')">Code</a> <a href="javascript:void(0);" onclick="document.getElementById('cakeErr67f0c96329879-context').style.display = (document.getElementById('cakeErr67f0c96329879-context').style.display == 'none' ? '' : 'none')">Context</a><pre id="cakeErr67f0c96329879-code" class="cake-code-dump" style="display: none;"><code><span style="color: #000000"><span style="color: #0000BB"></span><span style="color: #007700"><</span><span style="color: #0000BB">head</span><span style="color: #007700">> </span></span></code> <span class="code-highlight"><code><span style="color: #000000"> <link rel="canonical" href="<span style="color: #0000BB"><?php </span><span style="color: #007700">echo </span><span style="color: #0000BB">Configure</span><span style="color: #007700">::</span><span style="color: #0000BB">read</span><span style="color: #007700">(</span><span style="color: #DD0000">'SITE_URL'</span><span style="color: #007700">); </span><span style="color: #0000BB">?><?php </span><span style="color: #007700">echo </span><span style="color: #0000BB">$urlPrefix</span><span style="color: #007700">;</span><span style="color: #0000BB">?><?php </span><span style="color: #007700">echo </span><span style="color: #0000BB">$article_current</span><span style="color: #007700">-></span><span style="color: #0000BB">category</span><span style="color: #007700">-></span><span style="color: #0000BB">slug</span><span style="color: #007700">; </span><span style="color: #0000BB">?></span>/<span style="color: #0000BB"><?php </span><span style="color: #007700">echo </span><span style="color: #0000BB">$article_current</span><span style="color: #007700">-></span><span style="color: #0000BB">seo_url</span><span style="color: #007700">; </span><span style="color: #0000BB">?></span>.html"/> </span></code></span> <code><span style="color: #000000"><span style="color: #0000BB"> </span><span style="color: #007700"><</span><span style="color: #0000BB">meta http</span><span style="color: #007700">-</span><span style="color: #0000BB">equiv</span><span style="color: #007700">=</span><span style="color: #DD0000">"Content-Type" </span><span style="color: #0000BB">content</span><span style="color: #007700">=</span><span style="color: #DD0000">"text/html; charset=utf-8"</span><span style="color: #007700">/> </span></span></code></pre><pre id="cakeErr67f0c96329879-context" class="cake-context" style="display: none;">$viewFile = '/home/brlfuser/public_html/src/Template/Layout/printlayout.ctp' $dataForView = [ 'article_current' => object(App\Model\Entity\Article) { 'id' => (int) 25071, 'title' => 'Of primary importance -N Devadasan', 'subheading' => '', 'description' => '<div style="text-align: justify"> -The Indian Express </div> <div style="text-align: justify"> &nbsp; </div> <p style="text-align: justify"> <em>We need better primary health centres more than AIIMS-like institutions.</em> </p> <p style="text-align: justify"> The ministry of health is reportedly planning to open 10 more AIIMS-like institutes as well as cancer centres in different states. Creating new cancer centres is desirable, given the burden of the disease and the inadequate number of treatment centres. Today, cancer is one of the main causes of premature mortality in our country, and the 25 regional cancer centres are not being able to cope with the high load of patients. Additional cancer centres would definitely be meeting a badly felt need. </p> <p style="text-align: justify"> However, it is not clear why the government is planning to establish more AIIMS-like hospitals. The health ministry may wrongly believe that India needs more such centres of excellence to train doctors as well as to provide high quality healthcare services to people. </p> <p style="text-align: justify"> However, such a move has serious implications for the rest of the health system. The government spends about 1.3 per cent of the GDP on healthcare - among the lowest in the world. As per the ministry's own report, the government spent less than Rs 1,000 per Indian in 2012-13. Of this, more than 10 per cent already goes towards medical education. If more scarce resources are diverted to tertiary care and medical colleges, the allocation for primary and secondary healthcare may be reduced. Primary healthcare is the centre of any health system - be it in India or in the United Kingdom. Currently, in most states, primary health centres (PHCs) and referral hospitals are severely understaffed and under-equipped. One PHC with a single doctor is responsible for the health of 30,000 people. In Brazil, a comparable centre has four doctors for every 10,000 people. The government spends just about Rs 5 per person on medicines. This is so inadequate that most PHCs do not have medicines beyond the first few months of a year. Patients are asked to purchase medicine from private pharmacies, incur out-of-pocket expenses at a time of illness. This creates a significant financial barrier and prevents patients from accessing healthcare at the PHC. If the money that would be spent on these AIIMS-like centres were used to increase the budgetary allocation for PHCs, there could be more staff and medicines at these centres. Patients' trust in government facilities would be enhanced and there would be a corresponding increase in their utilisation. It would be a step in the right direction if we were able to achieve universal health coverage in the near future. </p> <p style="text-align: justify"> Apart from the economics of building more AIIMS-like centres, such institutions have other effects. They will attract specialists from existing health centres, thereby further depleting the human resource pool for district and referral hospitals. Also, because of their iconic stature, patients may bypass the existing facilities to seek care directly at the AIIMS-like centres. This is evident in the original AIIMS, New Delhi, where patients come from neighbouring states and crowd the outpatient and inpatient services. This compromises the quality and effectiveness of the centre. On the other hand, if PHCs and referral hospitals are strengthened, patients can be provided good quality care closer to their residence. This is beneficial both for the patient and for the health services. </p> <p style="text-align: justify"> And finally, it has been hypothesised that these centres will create more doctors who can then work for the country. However, existing evidence proves otherwise. In 2009, AIIMS, New Delhi, was spending Rs 98 lakh on a single medical graduate. More than 50 per cent of these graduates went on to serve in rural areas in the US and UK. It is a fallacy to expect all graduates from these centres of excellence to work for our country. On the other hand, investment in the three-year BSc in rural health course would increase the probability of having clinical staff at the PHC level. Chhattisgarh has shown the way and we can definitely learn from it. </p> <p style="text-align: justify"> Today, for every 1,000 live births, more infants die in India than in countries like Nepal and Bangladesh. We need to catch up with these countries, and the main way to do this is to increase investment in preventive services like routine immunisation, good quality antenatal care, screening for cancers and promoting healthy lifestyles. Our country needs to provide quality outpatient services and round-the-clock emergency services at facilities that are close to the people, not only at district headquarters. 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The ministry of health is reportedly planning to open 10 more AIIMS-like institutes as well as cancer centres in different states. Creating new cancer centres is desirable, given the...', 'disp' => '<div style="text-align: justify">-The Indian Express</div><div style="text-align: justify">&nbsp;</div><p style="text-align: justify"><em>We need better primary health centres more than AIIMS-like institutions.</em></p><p style="text-align: justify">The ministry of health is reportedly planning to open 10 more AIIMS-like institutes as well as cancer centres in different states. Creating new cancer centres is desirable, given the burden of the disease and the inadequate number of treatment centres. Today, cancer is one of the main causes of premature mortality in our country, and the 25 regional cancer centres are not being able to cope with the high load of patients. Additional cancer centres would definitely be meeting a badly felt need.</p><p style="text-align: justify">However, it is not clear why the government is planning to establish more AIIMS-like hospitals. The health ministry may wrongly believe that India needs more such centres of excellence to train doctors as well as to provide high quality healthcare services to people.</p><p style="text-align: justify">However, such a move has serious implications for the rest of the health system. The government spends about 1.3 per cent of the GDP on healthcare - among the lowest in the world. As per the ministry's own report, the government spent less than Rs 1,000 per Indian in 2012-13. Of this, more than 10 per cent already goes towards medical education. If more scarce resources are diverted to tertiary care and medical colleges, the allocation for primary and secondary healthcare may be reduced. Primary healthcare is the centre of any health system - be it in India or in the United Kingdom. Currently, in most states, primary health centres (PHCs) and referral hospitals are severely understaffed and under-equipped. One PHC with a single doctor is responsible for the health of 30,000 people. In Brazil, a comparable centre has four doctors for every 10,000 people. The government spends just about Rs 5 per person on medicines. This is so inadequate that most PHCs do not have medicines beyond the first few months of a year. Patients are asked to purchase medicine from private pharmacies, incur out-of-pocket expenses at a time of illness. This creates a significant financial barrier and prevents patients from accessing healthcare at the PHC. If the money that would be spent on these AIIMS-like centres were used to increase the budgetary allocation for PHCs, there could be more staff and medicines at these centres. Patients' trust in government facilities would be enhanced and there would be a corresponding increase in their utilisation. It would be a step in the right direction if we were able to achieve universal health coverage in the near future.</p><p style="text-align: justify">Apart from the economics of building more AIIMS-like centres, such institutions have other effects. They will attract specialists from existing health centres, thereby further depleting the human resource pool for district and referral hospitals. Also, because of their iconic stature, patients may bypass the existing facilities to seek care directly at the AIIMS-like centres. This is evident in the original AIIMS, New Delhi, where patients come from neighbouring states and crowd the outpatient and inpatient services. This compromises the quality and effectiveness of the centre. On the other hand, if PHCs and referral hospitals are strengthened, patients can be provided good quality care closer to their residence. This is beneficial both for the patient and for the health services.</p><p style="text-align: justify">And finally, it has been hypothesised that these centres will create more doctors who can then work for the country. However, existing evidence proves otherwise. In 2009, AIIMS, New Delhi, was spending Rs 98 lakh on a single medical graduate. More than 50 per cent of these graduates went on to serve in rural areas in the US and UK. It is a fallacy to expect all graduates from these centres of excellence to work for our country. On the other hand, investment in the three-year BSc in rural health course would increase the probability of having clinical staff at the PHC level. Chhattisgarh has shown the way and we can definitely learn from it.</p><p style="text-align: justify">Today, for every 1,000 live births, more infants die in India than in countries like Nepal and Bangladesh. We need to catch up with these countries, and the main way to do this is to increase investment in preventive services like routine immunisation, good quality antenatal care, screening for cancers and promoting healthy lifestyles. Our country needs to provide quality outpatient services and round-the-clock emergency services at facilities that are close to the people, not only at district headquarters. If India is to ensure that all people have access to quality healthcare, we need to provide quality primary and secondary healthcare for all, rather than tertiary healthcare for a few.</p>', 'lang' => 'English', 'SITE_URL' => 'https://im4change.in/', 'site_title' => 'im4change', 'adminprix' => 'admin' ] $article_current = object(App\Model\Entity\Article) { 'id' => (int) 25071, 'title' => 'Of primary importance -N Devadasan', 'subheading' => '', 'description' => '<div style="text-align: justify"> -The Indian Express </div> <div style="text-align: justify"> &nbsp; </div> <p style="text-align: justify"> <em>We need better primary health centres more than AIIMS-like institutions.</em> </p> <p style="text-align: justify"> The ministry of health is reportedly planning to open 10 more AIIMS-like institutes as well as cancer centres in different states. Creating new cancer centres is desirable, given the burden of the disease and the inadequate number of treatment centres. Today, cancer is one of the main causes of premature mortality in our country, and the 25 regional cancer centres are not being able to cope with the high load of patients. Additional cancer centres would definitely be meeting a badly felt need. </p> <p style="text-align: justify"> However, it is not clear why the government is planning to establish more AIIMS-like hospitals. The health ministry may wrongly believe that India needs more such centres of excellence to train doctors as well as to provide high quality healthcare services to people. </p> <p style="text-align: justify"> However, such a move has serious implications for the rest of the health system. The government spends about 1.3 per cent of the GDP on healthcare - among the lowest in the world. As per the ministry's own report, the government spent less than Rs 1,000 per Indian in 2012-13. Of this, more than 10 per cent already goes towards medical education. 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If the money that would be spent on these AIIMS-like centres were used to increase the budgetary allocation for PHCs, there could be more staff and medicines at these centres. Patients' trust in government facilities would be enhanced and there would be a corresponding increase in their utilisation. It would be a step in the right direction if we were able to achieve universal health coverage in the near future. </p> <p style="text-align: justify"> Apart from the economics of building more AIIMS-like centres, such institutions have other effects. They will attract specialists from existing health centres, thereby further depleting the human resource pool for district and referral hospitals. Also, because of their iconic stature, patients may bypass the existing facilities to seek care directly at the AIIMS-like centres. This is evident in the original AIIMS, New Delhi, where patients come from neighbouring states and crowd the outpatient and inpatient services. This compromises the quality and effectiveness of the centre. On the other hand, if PHCs and referral hospitals are strengthened, patients can be provided good quality care closer to their residence. This is beneficial both for the patient and for the health services. </p> <p style="text-align: justify"> And finally, it has been hypothesised that these centres will create more doctors who can then work for the country. However, existing evidence proves otherwise. In 2009, AIIMS, New Delhi, was spending Rs 98 lakh on a single medical graduate. More than 50 per cent of these graduates went on to serve in rural areas in the US and UK. It is a fallacy to expect all graduates from these centres of excellence to work for our country. On the other hand, investment in the three-year BSc in rural health course would increase the probability of having clinical staff at the PHC level. 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The ministry of health is reportedly planning to open 10 more AIIMS-like institutes as well as cancer centres in different states. Creating new cancer centres is desirable, given the...' $disp = '<div style="text-align: justify">-The Indian Express</div><div style="text-align: justify">&nbsp;</div><p style="text-align: justify"><em>We need better primary health centres more than AIIMS-like institutions.</em></p><p style="text-align: justify">The ministry of health is reportedly planning to open 10 more AIIMS-like institutes as well as cancer centres in different states. Creating new cancer centres is desirable, given the burden of the disease and the inadequate number of treatment centres. Today, cancer is one of the main causes of premature mortality in our country, and the 25 regional cancer centres are not being able to cope with the high load of patients. Additional cancer centres would definitely be meeting a badly felt need.</p><p style="text-align: justify">However, it is not clear why the government is planning to establish more AIIMS-like hospitals. The health ministry may wrongly believe that India needs more such centres of excellence to train doctors as well as to provide high quality healthcare services to people.</p><p style="text-align: justify">However, such a move has serious implications for the rest of the health system. The government spends about 1.3 per cent of the GDP on healthcare - among the lowest in the world. As per the ministry's own report, the government spent less than Rs 1,000 per Indian in 2012-13. Of this, more than 10 per cent already goes towards medical education. If more scarce resources are diverted to tertiary care and medical colleges, the allocation for primary and secondary healthcare may be reduced. Primary healthcare is the centre of any health system - be it in India or in the United Kingdom. Currently, in most states, primary health centres (PHCs) and referral hospitals are severely understaffed and under-equipped. One PHC with a single doctor is responsible for the health of 30,000 people. In Brazil, a comparable centre has four doctors for every 10,000 people. The government spends just about Rs 5 per person on medicines. This is so inadequate that most PHCs do not have medicines beyond the first few months of a year. Patients are asked to purchase medicine from private pharmacies, incur out-of-pocket expenses at a time of illness. This creates a significant financial barrier and prevents patients from accessing healthcare at the PHC. If the money that would be spent on these AIIMS-like centres were used to increase the budgetary allocation for PHCs, there could be more staff and medicines at these centres. Patients' trust in government facilities would be enhanced and there would be a corresponding increase in their utilisation. It would be a step in the right direction if we were able to achieve universal health coverage in the near future.</p><p style="text-align: justify">Apart from the economics of building more AIIMS-like centres, such institutions have other effects. They will attract specialists from existing health centres, thereby further depleting the human resource pool for district and referral hospitals. Also, because of their iconic stature, patients may bypass the existing facilities to seek care directly at the AIIMS-like centres. This is evident in the original AIIMS, New Delhi, where patients come from neighbouring states and crowd the outpatient and inpatient services. This compromises the quality and effectiveness of the centre. On the other hand, if PHCs and referral hospitals are strengthened, patients can be provided good quality care closer to their residence. This is beneficial both for the patient and for the health services.</p><p style="text-align: justify">And finally, it has been hypothesised that these centres will create more doctors who can then work for the country. However, existing evidence proves otherwise. In 2009, AIIMS, New Delhi, was spending Rs 98 lakh on a single medical graduate. More than 50 per cent of these graduates went on to serve in rural areas in the US and UK. It is a fallacy to expect all graduates from these centres of excellence to work for our country. On the other hand, investment in the three-year BSc in rural health course would increase the probability of having clinical staff at the PHC level. Chhattisgarh has shown the way and we can definitely learn from it.</p><p style="text-align: justify">Today, for every 1,000 live births, more infants die in India than in countries like Nepal and Bangladesh. We need to catch up with these countries, and the main way to do this is to increase investment in preventive services like routine immunisation, good quality antenatal care, screening for cancers and promoting healthy lifestyles. Our country needs to provide quality outpatient services and round-the-clock emergency services at facilities that are close to the people, not only at district headquarters. If India is to ensure that all people have access to quality healthcare, we need to provide quality primary and secondary healthcare for all, rather than tertiary healthcare for a few.</p>' $lang = 'English' $SITE_URL = 'https://im4change.in/' $site_title = 'im4change' $adminprix = 'admin'</pre><pre class="stack-trace">include - APP/Template/Layout/printlayout.ctp, line 8 Cake\View\View::_evaluate() - CORE/src/View/View.php, line 1413 Cake\View\View::_render() - CORE/src/View/View.php, line 1374 Cake\View\View::renderLayout() - CORE/src/View/View.php, line 927 Cake\View\View::render() - CORE/src/View/View.php, line 885 Cake\Controller\Controller::render() - CORE/src/Controller/Controller.php, line 791 Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 126 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 88 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</pre></div></pre>latest-news-updates/of-primary-importance-n-devadasan-4673103.html"/> <meta http-equiv="Content-Type" content="text/html; charset=utf-8"/> <link href="https://im4change.in/css/control.css" rel="stylesheet" type="text/css" media="all"/> <title>LATEST NEWS UPDATES | Of primary importance -N Devadasan | Im4change.org</title> <meta name="description" content=" -The Indian Express We need better primary health centres more than AIIMS-like institutions. The ministry of health is reportedly planning to open 10 more AIIMS-like institutes as well as cancer centres in different states. Creating new cancer centres is desirable, given the..."/> <script src="https://im4change.in/js/jquery-1.10.2.js"></script> <script type="text/javascript" src="https://im4change.in/js/jquery-migrate.min.js"></script> <script language="javascript" type="text/javascript"> $(document).ready(function () { var img = $("img")[0]; // Get my img elem var pic_real_width, pic_real_height; $("<img/>") // Make in memory copy of image to avoid css issues .attr("src", $(img).attr("src")) .load(function () { pic_real_width = this.width; // Note: $(this).width() will not pic_real_height = this.height; // work for in memory images. }); }); </script> <style type="text/css"> @media screen { div.divFooter { display: block; } } @media print { .printbutton { display: none !important; } } </style> </head> <body> <table cellpadding="0" cellspacing="0" border="0" width="98%" align="center"> <tr> <td class="top_bg"> <div class="divFooter"> <img src="https://im4change.in/images/logo1.jpg" height="59" border="0" alt="Resource centre on India's rural distress" style="padding-top:14px;"/> </div> </td> </tr> <tr> <td id="topspace"> </td> </tr> <tr id="topspace"> <td> </td> </tr> <tr> <td height="50" style="border-bottom:1px solid #000; padding-top:10px;" class="printbutton"> <form><input type="button" value=" Print this page " onclick="window.print();return false;"/></form> </td> </tr> <tr> <td width="100%"> <h1 class="news_headlines" style="font-style:normal"> <strong>Of primary importance -N Devadasan</strong></h1> </td> </tr> <tr> <td width="100%" style="font-family:Arial, 'Segoe Script', 'Segoe UI', sans-serif, serif"><font size="3"> <div style="text-align: justify">-The Indian Express</div><div style="text-align: justify"> </div><p style="text-align: justify"><em>We need better primary health centres more than AIIMS-like institutions.</em></p><p style="text-align: justify">The ministry of health is reportedly planning to open 10 more AIIMS-like institutes as well as cancer centres in different states. Creating new cancer centres is desirable, given the burden of the disease and the inadequate number of treatment centres. Today, cancer is one of the main causes of premature mortality in our country, and the 25 regional cancer centres are not being able to cope with the high load of patients. Additional cancer centres would definitely be meeting a badly felt need.</p><p style="text-align: justify">However, it is not clear why the government is planning to establish more AIIMS-like hospitals. The health ministry may wrongly believe that India needs more such centres of excellence to train doctors as well as to provide high quality healthcare services to people.</p><p style="text-align: justify">However, such a move has serious implications for the rest of the health system. The government spends about 1.3 per cent of the GDP on healthcare - among the lowest in the world. As per the ministry's own report, the government spent less than Rs 1,000 per Indian in 2012-13. Of this, more than 10 per cent already goes towards medical education. If more scarce resources are diverted to tertiary care and medical colleges, the allocation for primary and secondary healthcare may be reduced. Primary healthcare is the centre of any health system - be it in India or in the United Kingdom. Currently, in most states, primary health centres (PHCs) and referral hospitals are severely understaffed and under-equipped. One PHC with a single doctor is responsible for the health of 30,000 people. In Brazil, a comparable centre has four doctors for every 10,000 people. The government spends just about Rs 5 per person on medicines. This is so inadequate that most PHCs do not have medicines beyond the first few months of a year. Patients are asked to purchase medicine from private pharmacies, incur out-of-pocket expenses at a time of illness. This creates a significant financial barrier and prevents patients from accessing healthcare at the PHC. If the money that would be spent on these AIIMS-like centres were used to increase the budgetary allocation for PHCs, there could be more staff and medicines at these centres. Patients' trust in government facilities would be enhanced and there would be a corresponding increase in their utilisation. It would be a step in the right direction if we were able to achieve universal health coverage in the near future.</p><p style="text-align: justify">Apart from the economics of building more AIIMS-like centres, such institutions have other effects. They will attract specialists from existing health centres, thereby further depleting the human resource pool for district and referral hospitals. Also, because of their iconic stature, patients may bypass the existing facilities to seek care directly at the AIIMS-like centres. This is evident in the original AIIMS, New Delhi, where patients come from neighbouring states and crowd the outpatient and inpatient services. This compromises the quality and effectiveness of the centre. On the other hand, if PHCs and referral hospitals are strengthened, patients can be provided good quality care closer to their residence. This is beneficial both for the patient and for the health services.</p><p style="text-align: justify">And finally, it has been hypothesised that these centres will create more doctors who can then work for the country. However, existing evidence proves otherwise. In 2009, AIIMS, New Delhi, was spending Rs 98 lakh on a single medical graduate. More than 50 per cent of these graduates went on to serve in rural areas in the US and UK. It is a fallacy to expect all graduates from these centres of excellence to work for our country. On the other hand, investment in the three-year BSc in rural health course would increase the probability of having clinical staff at the PHC level. Chhattisgarh has shown the way and we can definitely learn from it.</p><p style="text-align: justify">Today, for every 1,000 live births, more infants die in India than in countries like Nepal and Bangladesh. We need to catch up with these countries, and the main way to do this is to increase investment in preventive services like routine immunisation, good quality antenatal care, screening for cancers and promoting healthy lifestyles. Our country needs to provide quality outpatient services and round-the-clock emergency services at facilities that are close to the people, not only at district headquarters. If India is to ensure that all people have access to quality healthcare, we need to provide quality primary and secondary healthcare for all, rather than tertiary healthcare for a few.</p> </font> </td> </tr> <tr> <td> </td> </tr> <tr> <td height="50" style="border-top:1px solid #000; border-bottom:1px solid #000;padding-top:10px;"> <form><input type="button" value=" Print this page " onclick="window.print();return false;"/></form> </td> </tr> </table></body> </html>' } $maxBufferLength = (int) 8192 $file = '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php' $line = (int) 853 $message = 'Unable to emit headers. Headers sent in file=/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php line=853'Cake\Http\ResponseEmitter::emit() - CORE/src/Http/ResponseEmitter.php, line 48 Cake\Http\Server::emit() - CORE/src/Http/Server.php, line 141 [main] - ROOT/webroot/index.php, line 39
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Creating new cancer centres is desirable, given the burden of the disease and the inadequate number of treatment centres. Today, cancer is one of the main causes of premature mortality in our country, and the 25 regional cancer centres are not being able to cope with the high load of patients. Additional cancer centres would definitely be meeting a badly felt need. </p> <p style="text-align: justify"> However, it is not clear why the government is planning to establish more AIIMS-like hospitals. The health ministry may wrongly believe that India needs more such centres of excellence to train doctors as well as to provide high quality healthcare services to people. </p> <p style="text-align: justify"> However, such a move has serious implications for the rest of the health system. The government spends about 1.3 per cent of the GDP on healthcare - among the lowest in the world. As per the ministry's own report, the government spent less than Rs 1,000 per Indian in 2012-13. Of this, more than 10 per cent already goes towards medical education. If more scarce resources are diverted to tertiary care and medical colleges, the allocation for primary and secondary healthcare may be reduced. Primary healthcare is the centre of any health system - be it in India or in the United Kingdom. Currently, in most states, primary health centres (PHCs) and referral hospitals are severely understaffed and under-equipped. One PHC with a single doctor is responsible for the health of 30,000 people. In Brazil, a comparable centre has four doctors for every 10,000 people. The government spends just about Rs 5 per person on medicines. This is so inadequate that most PHCs do not have medicines beyond the first few months of a year. Patients are asked to purchase medicine from private pharmacies, incur out-of-pocket expenses at a time of illness. This creates a significant financial barrier and prevents patients from accessing healthcare at the PHC. If the money that would be spent on these AIIMS-like centres were used to increase the budgetary allocation for PHCs, there could be more staff and medicines at these centres. Patients' trust in government facilities would be enhanced and there would be a corresponding increase in their utilisation. It would be a step in the right direction if we were able to achieve universal health coverage in the near future. </p> <p style="text-align: justify"> Apart from the economics of building more AIIMS-like centres, such institutions have other effects. They will attract specialists from existing health centres, thereby further depleting the human resource pool for district and referral hospitals. Also, because of their iconic stature, patients may bypass the existing facilities to seek care directly at the AIIMS-like centres. This is evident in the original AIIMS, New Delhi, where patients come from neighbouring states and crowd the outpatient and inpatient services. This compromises the quality and effectiveness of the centre. On the other hand, if PHCs and referral hospitals are strengthened, patients can be provided good quality care closer to their residence. This is beneficial both for the patient and for the health services. </p> <p style="text-align: justify"> And finally, it has been hypothesised that these centres will create more doctors who can then work for the country. However, existing evidence proves otherwise. In 2009, AIIMS, New Delhi, was spending Rs 98 lakh on a single medical graduate. More than 50 per cent of these graduates went on to serve in rural areas in the US and UK. It is a fallacy to expect all graduates from these centres of excellence to work for our country. On the other hand, investment in the three-year BSc in rural health course would increase the probability of having clinical staff at the PHC level. 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Currently, in most states, primary health centres (PHCs) and referral hospitals are severely understaffed and under-equipped. One PHC with a single doctor is responsible for the health of 30,000 people. In Brazil, a comparable centre has four doctors for every 10,000 people. The government spends just about Rs 5 per person on medicines. This is so inadequate that most PHCs do not have medicines beyond the first few months of a year. Patients are asked to purchase medicine from private pharmacies, incur out-of-pocket expenses at a time of illness. This creates a significant financial barrier and prevents patients from accessing healthcare at the PHC. If the money that would be spent on these AIIMS-like centres were used to increase the budgetary allocation for PHCs, there could be more staff and medicines at these centres. Patients' trust in government facilities would be enhanced and there would be a corresponding increase in their utilisation. It would be a step in the right direction if we were able to achieve universal health coverage in the near future.</p><p style="text-align: justify">Apart from the economics of building more AIIMS-like centres, such institutions have other effects. They will attract specialists from existing health centres, thereby further depleting the human resource pool for district and referral hospitals. Also, because of their iconic stature, patients may bypass the existing facilities to seek care directly at the AIIMS-like centres. This is evident in the original AIIMS, New Delhi, where patients come from neighbouring states and crowd the outpatient and inpatient services. This compromises the quality and effectiveness of the centre. On the other hand, if PHCs and referral hospitals are strengthened, patients can be provided good quality care closer to their residence. This is beneficial both for the patient and for the health services.</p><p style="text-align: justify">And finally, it has been hypothesised that these centres will create more doctors who can then work for the country. However, existing evidence proves otherwise. In 2009, AIIMS, New Delhi, was spending Rs 98 lakh on a single medical graduate. More than 50 per cent of these graduates went on to serve in rural areas in the US and UK. It is a fallacy to expect all graduates from these centres of excellence to work for our country. On the other hand, investment in the three-year BSc in rural health course would increase the probability of having clinical staff at the PHC level. Chhattisgarh has shown the way and we can definitely learn from it.</p><p style="text-align: justify">Today, for every 1,000 live births, more infants die in India than in countries like Nepal and Bangladesh. 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Currently, in most states, primary health centres (PHCs) and referral hospitals are severely understaffed and under-equipped. One PHC with a single doctor is responsible for the health of 30,000 people. In Brazil, a comparable centre has four doctors for every 10,000 people. The government spends just about Rs 5 per person on medicines. This is so inadequate that most PHCs do not have medicines beyond the first few months of a year. Patients are asked to purchase medicine from private pharmacies, incur out-of-pocket expenses at a time of illness. This creates a significant financial barrier and prevents patients from accessing healthcare at the PHC. If the money that would be spent on these AIIMS-like centres were used to increase the budgetary allocation for PHCs, there could be more staff and medicines at these centres. Patients' trust in government facilities would be enhanced and there would be a corresponding increase in their utilisation. It would be a step in the right direction if we were able to achieve universal health coverage in the near future.</p><p style="text-align: justify">Apart from the economics of building more AIIMS-like centres, such institutions have other effects. They will attract specialists from existing health centres, thereby further depleting the human resource pool for district and referral hospitals. Also, because of their iconic stature, patients may bypass the existing facilities to seek care directly at the AIIMS-like centres. This is evident in the original AIIMS, New Delhi, where patients come from neighbouring states and crowd the outpatient and inpatient services. This compromises the quality and effectiveness of the centre. On the other hand, if PHCs and referral hospitals are strengthened, patients can be provided good quality care closer to their residence. This is beneficial both for the patient and for the health services.</p><p style="text-align: justify">And finally, it has been hypothesised that these centres will create more doctors who can then work for the country. However, existing evidence proves otherwise. In 2009, AIIMS, New Delhi, was spending Rs 98 lakh on a single medical graduate. More than 50 per cent of these graduates went on to serve in rural areas in the US and UK. It is a fallacy to expect all graduates from these centres of excellence to work for our country. On the other hand, investment in the three-year BSc in rural health course would increase the probability of having clinical staff at the PHC level. Chhattisgarh has shown the way and we can definitely learn from it.</p><p style="text-align: justify">Today, for every 1,000 live births, more infants die in India than in countries like Nepal and Bangladesh. We need to catch up with these countries, and the main way to do this is to increase investment in preventive services like routine immunisation, good quality antenatal care, screening for cancers and promoting healthy lifestyles. Our country needs to provide quality outpatient services and round-the-clock emergency services at facilities that are close to the people, not only at district headquarters. 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The ministry of health is reportedly planning to open 10 more AIIMS-like institutes as well as cancer centres in different states. Creating new cancer centres is desirable, given the..."/> <script src="https://im4change.in/js/jquery-1.10.2.js"></script> <script type="text/javascript" src="https://im4change.in/js/jquery-migrate.min.js"></script> <script language="javascript" type="text/javascript"> $(document).ready(function () { var img = $("img")[0]; // Get my img elem var pic_real_width, pic_real_height; $("<img/>") // Make in memory copy of image to avoid css issues .attr("src", $(img).attr("src")) .load(function () { pic_real_width = this.width; // Note: $(this).width() will not pic_real_height = this.height; // work for in memory images. }); }); </script> <style type="text/css"> @media screen { div.divFooter { display: block; } } @media print { .printbutton { display: none !important; } } </style> </head> <body> <table cellpadding="0" cellspacing="0" border="0" width="98%" align="center"> <tr> <td class="top_bg"> <div class="divFooter"> <img src="https://im4change.in/images/logo1.jpg" height="59" border="0" alt="Resource centre on India's rural distress" style="padding-top:14px;"/> </div> </td> </tr> <tr> <td id="topspace"> </td> </tr> <tr id="topspace"> <td> </td> </tr> <tr> <td height="50" style="border-bottom:1px solid #000; padding-top:10px;" class="printbutton"> <form><input type="button" value=" Print this page " onclick="window.print();return false;"/></form> </td> </tr> <tr> <td width="100%"> <h1 class="news_headlines" style="font-style:normal"> <strong>Of primary importance -N Devadasan</strong></h1> </td> </tr> <tr> <td width="100%" style="font-family:Arial, 'Segoe Script', 'Segoe UI', sans-serif, serif"><font size="3"> <div style="text-align: justify">-The Indian Express</div><div style="text-align: justify"> </div><p style="text-align: justify"><em>We need better primary health centres more than AIIMS-like institutions.</em></p><p style="text-align: justify">The ministry of health is reportedly planning to open 10 more AIIMS-like institutes as well as cancer centres in different states. Creating new cancer centres is desirable, given the burden of the disease and the inadequate number of treatment centres. Today, cancer is one of the main causes of premature mortality in our country, and the 25 regional cancer centres are not being able to cope with the high load of patients. Additional cancer centres would definitely be meeting a badly felt need.</p><p style="text-align: justify">However, it is not clear why the government is planning to establish more AIIMS-like hospitals. The health ministry may wrongly believe that India needs more such centres of excellence to train doctors as well as to provide high quality healthcare services to people.</p><p style="text-align: justify">However, such a move has serious implications for the rest of the health system. The government spends about 1.3 per cent of the GDP on healthcare - among the lowest in the world. As per the ministry's own report, the government spent less than Rs 1,000 per Indian in 2012-13. Of this, more than 10 per cent already goes towards medical education. If more scarce resources are diverted to tertiary care and medical colleges, the allocation for primary and secondary healthcare may be reduced. Primary healthcare is the centre of any health system - be it in India or in the United Kingdom. Currently, in most states, primary health centres (PHCs) and referral hospitals are severely understaffed and under-equipped. One PHC with a single doctor is responsible for the health of 30,000 people. In Brazil, a comparable centre has four doctors for every 10,000 people. The government spends just about Rs 5 per person on medicines. This is so inadequate that most PHCs do not have medicines beyond the first few months of a year. Patients are asked to purchase medicine from private pharmacies, incur out-of-pocket expenses at a time of illness. This creates a significant financial barrier and prevents patients from accessing healthcare at the PHC. If the money that would be spent on these AIIMS-like centres were used to increase the budgetary allocation for PHCs, there could be more staff and medicines at these centres. Patients' trust in government facilities would be enhanced and there would be a corresponding increase in their utilisation. It would be a step in the right direction if we were able to achieve universal health coverage in the near future.</p><p style="text-align: justify">Apart from the economics of building more AIIMS-like centres, such institutions have other effects. They will attract specialists from existing health centres, thereby further depleting the human resource pool for district and referral hospitals. Also, because of their iconic stature, patients may bypass the existing facilities to seek care directly at the AIIMS-like centres. This is evident in the original AIIMS, New Delhi, where patients come from neighbouring states and crowd the outpatient and inpatient services. This compromises the quality and effectiveness of the centre. On the other hand, if PHCs and referral hospitals are strengthened, patients can be provided good quality care closer to their residence. This is beneficial both for the patient and for the health services.</p><p style="text-align: justify">And finally, it has been hypothesised that these centres will create more doctors who can then work for the country. However, existing evidence proves otherwise. In 2009, AIIMS, New Delhi, was spending Rs 98 lakh on a single medical graduate. More than 50 per cent of these graduates went on to serve in rural areas in the US and UK. It is a fallacy to expect all graduates from these centres of excellence to work for our country. On the other hand, investment in the three-year BSc in rural health course would increase the probability of having clinical staff at the PHC level. Chhattisgarh has shown the way and we can definitely learn from it.</p><p style="text-align: justify">Today, for every 1,000 live births, more infants die in India than in countries like Nepal and Bangladesh. We need to catch up with these countries, and the main way to do this is to increase investment in preventive services like routine immunisation, good quality antenatal care, screening for cancers and promoting healthy lifestyles. Our country needs to provide quality outpatient services and round-the-clock emergency services at facilities that are close to the people, not only at district headquarters. If India is to ensure that all people have access to quality healthcare, we need to provide quality primary and secondary healthcare for all, rather than tertiary healthcare for a few.</p> </font> </td> </tr> <tr> <td> </td> </tr> <tr> <td height="50" style="border-top:1px solid #000; border-bottom:1px solid #000;padding-top:10px;"> <form><input type="button" value=" Print this page " onclick="window.print();return false;"/></form> </td> </tr> </table></body> </html>' } $reasonPhrase = 'OK'header - [internal], line ?? Cake\Http\ResponseEmitter::emitStatusLine() - CORE/src/Http/ResponseEmitter.php, line 148 Cake\Http\ResponseEmitter::emit() - CORE/src/Http/ResponseEmitter.php, line 54 Cake\Http\Server::emit() - CORE/src/Http/Server.php, line 141 [main] - ROOT/webroot/index.php, line 39
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Creating new cancer centres is desirable, given the burden of the disease and the inadequate number of treatment centres. Today, cancer is one of the main causes of premature mortality in our country, and the 25 regional cancer centres are not being able to cope with the high load of patients. Additional cancer centres would definitely be meeting a badly felt need. </p> <p style="text-align: justify"> However, it is not clear why the government is planning to establish more AIIMS-like hospitals. The health ministry may wrongly believe that India needs more such centres of excellence to train doctors as well as to provide high quality healthcare services to people. </p> <p style="text-align: justify"> However, such a move has serious implications for the rest of the health system. The government spends about 1.3 per cent of the GDP on healthcare - among the lowest in the world. As per the ministry's own report, the government spent less than Rs 1,000 per Indian in 2012-13. Of this, more than 10 per cent already goes towards medical education. If more scarce resources are diverted to tertiary care and medical colleges, the allocation for primary and secondary healthcare may be reduced. Primary healthcare is the centre of any health system - be it in India or in the United Kingdom. Currently, in most states, primary health centres (PHCs) and referral hospitals are severely understaffed and under-equipped. One PHC with a single doctor is responsible for the health of 30,000 people. In Brazil, a comparable centre has four doctors for every 10,000 people. The government spends just about Rs 5 per person on medicines. This is so inadequate that most PHCs do not have medicines beyond the first few months of a year. Patients are asked to purchase medicine from private pharmacies, incur out-of-pocket expenses at a time of illness. This creates a significant financial barrier and prevents patients from accessing healthcare at the PHC. If the money that would be spent on these AIIMS-like centres were used to increase the budgetary allocation for PHCs, there could be more staff and medicines at these centres. Patients' trust in government facilities would be enhanced and there would be a corresponding increase in their utilisation. It would be a step in the right direction if we were able to achieve universal health coverage in the near future. </p> <p style="text-align: justify"> Apart from the economics of building more AIIMS-like centres, such institutions have other effects. They will attract specialists from existing health centres, thereby further depleting the human resource pool for district and referral hospitals. Also, because of their iconic stature, patients may bypass the existing facilities to seek care directly at the AIIMS-like centres. This is evident in the original AIIMS, New Delhi, where patients come from neighbouring states and crowd the outpatient and inpatient services. This compromises the quality and effectiveness of the centre. On the other hand, if PHCs and referral hospitals are strengthened, patients can be provided good quality care closer to their residence. This is beneficial both for the patient and for the health services. </p> <p style="text-align: justify"> And finally, it has been hypothesised that these centres will create more doctors who can then work for the country. However, existing evidence proves otherwise. In 2009, AIIMS, New Delhi, was spending Rs 98 lakh on a single medical graduate. More than 50 per cent of these graduates went on to serve in rural areas in the US and UK. It is a fallacy to expect all graduates from these centres of excellence to work for our country. On the other hand, investment in the three-year BSc in rural health course would increase the probability of having clinical staff at the PHC level. Chhattisgarh has shown the way and we can definitely learn from it. </p> <p style="text-align: justify"> Today, for every 1,000 live births, more infants die in India than in countries like Nepal and Bangladesh. We need to catch up with these countries, and the main way to do this is to increase investment in preventive services like routine immunisation, good quality antenatal care, screening for cancers and promoting healthy lifestyles. Our country needs to provide quality outpatient services and round-the-clock emergency services at facilities that are close to the people, not only at district headquarters. 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This is beneficial both for the patient and for the health services.</p><p style="text-align: justify">And finally, it has been hypothesised that these centres will create more doctors who can then work for the country. However, existing evidence proves otherwise. In 2009, AIIMS, New Delhi, was spending Rs 98 lakh on a single medical graduate. More than 50 per cent of these graduates went on to serve in rural areas in the US and UK. It is a fallacy to expect all graduates from these centres of excellence to work for our country. On the other hand, investment in the three-year BSc in rural health course would increase the probability of having clinical staff at the PHC level. Chhattisgarh has shown the way and we can definitely learn from it.</p><p style="text-align: justify">Today, for every 1,000 live births, more infants die in India than in countries like Nepal and Bangladesh. We need to catch up with these countries, and the main way to do this is to increase investment in preventive services like routine immunisation, good quality antenatal care, screening for cancers and promoting healthy lifestyles. Our country needs to provide quality outpatient services and round-the-clock emergency services at facilities that are close to the people, not only at district headquarters. If India is to ensure that all people have access to quality healthcare, we need to provide quality primary and secondary healthcare for all, rather than tertiary healthcare for a few.</p>', 'lang' => 'English', 'SITE_URL' => 'https://im4change.in/', 'site_title' => 'im4change', 'adminprix' => 'admin' ] $article_current = object(App\Model\Entity\Article) { 'id' => (int) 25071, 'title' => 'Of primary importance -N Devadasan', 'subheading' => '', 'description' => '<div style="text-align: justify"> -The Indian Express </div> <div style="text-align: justify"> &nbsp; </div> <p style="text-align: justify"> <em>We need better primary health centres more than AIIMS-like institutions.</em> </p> <p style="text-align: justify"> The ministry of health is reportedly planning to open 10 more AIIMS-like institutes as well as cancer centres in different states. Creating new cancer centres is desirable, given the burden of the disease and the inadequate number of treatment centres. 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The ministry of health is reportedly planning to open 10 more AIIMS-like institutes as well as cancer centres in different states. Creating new cancer centres is desirable, given the...' $disp = '<div style="text-align: justify">-The Indian Express</div><div style="text-align: justify">&nbsp;</div><p style="text-align: justify"><em>We need better primary health centres more than AIIMS-like institutions.</em></p><p style="text-align: justify">The ministry of health is reportedly planning to open 10 more AIIMS-like institutes as well as cancer centres in different states. Creating new cancer centres is desirable, given the burden of the disease and the inadequate number of treatment centres. Today, cancer is one of the main causes of premature mortality in our country, and the 25 regional cancer centres are not being able to cope with the high load of patients. Additional cancer centres would definitely be meeting a badly felt need.</p><p style="text-align: justify">However, it is not clear why the government is planning to establish more AIIMS-like hospitals. The health ministry may wrongly believe that India needs more such centres of excellence to train doctors as well as to provide high quality healthcare services to people.</p><p style="text-align: justify">However, such a move has serious implications for the rest of the health system. The government spends about 1.3 per cent of the GDP on healthcare - among the lowest in the world. As per the ministry's own report, the government spent less than Rs 1,000 per Indian in 2012-13. Of this, more than 10 per cent already goes towards medical education. If more scarce resources are diverted to tertiary care and medical colleges, the allocation for primary and secondary healthcare may be reduced. Primary healthcare is the centre of any health system - be it in India or in the United Kingdom. Currently, in most states, primary health centres (PHCs) and referral hospitals are severely understaffed and under-equipped. One PHC with a single doctor is responsible for the health of 30,000 people. In Brazil, a comparable centre has four doctors for every 10,000 people. The government spends just about Rs 5 per person on medicines. This is so inadequate that most PHCs do not have medicines beyond the first few months of a year. Patients are asked to purchase medicine from private pharmacies, incur out-of-pocket expenses at a time of illness. This creates a significant financial barrier and prevents patients from accessing healthcare at the PHC. If the money that would be spent on these AIIMS-like centres were used to increase the budgetary allocation for PHCs, there could be more staff and medicines at these centres. Patients' trust in government facilities would be enhanced and there would be a corresponding increase in their utilisation. It would be a step in the right direction if we were able to achieve universal health coverage in the near future.</p><p style="text-align: justify">Apart from the economics of building more AIIMS-like centres, such institutions have other effects. They will attract specialists from existing health centres, thereby further depleting the human resource pool for district and referral hospitals. Also, because of their iconic stature, patients may bypass the existing facilities to seek care directly at the AIIMS-like centres. This is evident in the original AIIMS, New Delhi, where patients come from neighbouring states and crowd the outpatient and inpatient services. This compromises the quality and effectiveness of the centre. On the other hand, if PHCs and referral hospitals are strengthened, patients can be provided good quality care closer to their residence. This is beneficial both for the patient and for the health services.</p><p style="text-align: justify">And finally, it has been hypothesised that these centres will create more doctors who can then work for the country. However, existing evidence proves otherwise. In 2009, AIIMS, New Delhi, was spending Rs 98 lakh on a single medical graduate. More than 50 per cent of these graduates went on to serve in rural areas in the US and UK. It is a fallacy to expect all graduates from these centres of excellence to work for our country. On the other hand, investment in the three-year BSc in rural health course would increase the probability of having clinical staff at the PHC level. Chhattisgarh has shown the way and we can definitely learn from it.</p><p style="text-align: justify">Today, for every 1,000 live births, more infants die in India than in countries like Nepal and Bangladesh. We need to catch up with these countries, and the main way to do this is to increase investment in preventive services like routine immunisation, good quality antenatal care, screening for cancers and promoting healthy lifestyles. Our country needs to provide quality outpatient services and round-the-clock emergency services at facilities that are close to the people, not only at district headquarters. If India is to ensure that all people have access to quality healthcare, we need to provide quality primary and secondary healthcare for all, rather than tertiary healthcare for a few.</p>' $lang = 'English' $SITE_URL = 'https://im4change.in/' $site_title = 'im4change' $adminprix = 'admin'</pre><pre class="stack-trace">include - APP/Template/Layout/printlayout.ctp, line 8 Cake\View\View::_evaluate() - CORE/src/View/View.php, line 1413 Cake\View\View::_render() - CORE/src/View/View.php, line 1374 Cake\View\View::renderLayout() - CORE/src/View/View.php, line 927 Cake\View\View::render() - CORE/src/View/View.php, line 885 Cake\Controller\Controller::render() - CORE/src/Controller/Controller.php, line 791 Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 126 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 88 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</pre></div></pre>latest-news-updates/of-primary-importance-n-devadasan-4673103.html"/> <meta http-equiv="Content-Type" content="text/html; charset=utf-8"/> <link href="https://im4change.in/css/control.css" rel="stylesheet" type="text/css" media="all"/> <title>LATEST NEWS UPDATES | Of primary importance -N Devadasan | Im4change.org</title> <meta name="description" content=" -The Indian Express We need better primary health centres more than AIIMS-like institutions. The ministry of health is reportedly planning to open 10 more AIIMS-like institutes as well as cancer centres in different states. Creating new cancer centres is desirable, given the..."/> <script src="https://im4change.in/js/jquery-1.10.2.js"></script> <script type="text/javascript" src="https://im4change.in/js/jquery-migrate.min.js"></script> <script language="javascript" type="text/javascript"> $(document).ready(function () { var img = $("img")[0]; // Get my img elem var pic_real_width, pic_real_height; $("<img/>") // Make in memory copy of image to avoid css issues .attr("src", $(img).attr("src")) .load(function () { pic_real_width = this.width; // Note: $(this).width() will not pic_real_height = this.height; // work for in memory images. }); }); </script> <style type="text/css"> @media screen { div.divFooter { display: block; } } @media print { .printbutton { display: none !important; } } </style> </head> <body> <table cellpadding="0" cellspacing="0" border="0" width="98%" align="center"> <tr> <td class="top_bg"> <div class="divFooter"> <img src="https://im4change.in/images/logo1.jpg" height="59" border="0" alt="Resource centre on India's rural distress" style="padding-top:14px;"/> </div> </td> </tr> <tr> <td id="topspace"> </td> </tr> <tr id="topspace"> <td> </td> </tr> <tr> <td height="50" style="border-bottom:1px solid #000; padding-top:10px;" class="printbutton"> <form><input type="button" value=" Print this page " onclick="window.print();return false;"/></form> </td> </tr> <tr> <td width="100%"> <h1 class="news_headlines" style="font-style:normal"> <strong>Of primary importance -N Devadasan</strong></h1> </td> </tr> <tr> <td width="100%" style="font-family:Arial, 'Segoe Script', 'Segoe UI', sans-serif, serif"><font size="3"> <div style="text-align: justify">-The Indian Express</div><div style="text-align: justify"> </div><p style="text-align: justify"><em>We need better primary health centres more than AIIMS-like institutions.</em></p><p style="text-align: justify">The ministry of health is reportedly planning to open 10 more AIIMS-like institutes as well as cancer centres in different states. Creating new cancer centres is desirable, given the burden of the disease and the inadequate number of treatment centres. Today, cancer is one of the main causes of premature mortality in our country, and the 25 regional cancer centres are not being able to cope with the high load of patients. Additional cancer centres would definitely be meeting a badly felt need.</p><p style="text-align: justify">However, it is not clear why the government is planning to establish more AIIMS-like hospitals. The health ministry may wrongly believe that India needs more such centres of excellence to train doctors as well as to provide high quality healthcare services to people.</p><p style="text-align: justify">However, such a move has serious implications for the rest of the health system. The government spends about 1.3 per cent of the GDP on healthcare - among the lowest in the world. As per the ministry's own report, the government spent less than Rs 1,000 per Indian in 2012-13. Of this, more than 10 per cent already goes towards medical education. If more scarce resources are diverted to tertiary care and medical colleges, the allocation for primary and secondary healthcare may be reduced. Primary healthcare is the centre of any health system - be it in India or in the United Kingdom. Currently, in most states, primary health centres (PHCs) and referral hospitals are severely understaffed and under-equipped. One PHC with a single doctor is responsible for the health of 30,000 people. In Brazil, a comparable centre has four doctors for every 10,000 people. The government spends just about Rs 5 per person on medicines. This is so inadequate that most PHCs do not have medicines beyond the first few months of a year. Patients are asked to purchase medicine from private pharmacies, incur out-of-pocket expenses at a time of illness. This creates a significant financial barrier and prevents patients from accessing healthcare at the PHC. If the money that would be spent on these AIIMS-like centres were used to increase the budgetary allocation for PHCs, there could be more staff and medicines at these centres. Patients' trust in government facilities would be enhanced and there would be a corresponding increase in their utilisation. It would be a step in the right direction if we were able to achieve universal health coverage in the near future.</p><p style="text-align: justify">Apart from the economics of building more AIIMS-like centres, such institutions have other effects. They will attract specialists from existing health centres, thereby further depleting the human resource pool for district and referral hospitals. Also, because of their iconic stature, patients may bypass the existing facilities to seek care directly at the AIIMS-like centres. This is evident in the original AIIMS, New Delhi, where patients come from neighbouring states and crowd the outpatient and inpatient services. This compromises the quality and effectiveness of the centre. On the other hand, if PHCs and referral hospitals are strengthened, patients can be provided good quality care closer to their residence. This is beneficial both for the patient and for the health services.</p><p style="text-align: justify">And finally, it has been hypothesised that these centres will create more doctors who can then work for the country. However, existing evidence proves otherwise. In 2009, AIIMS, New Delhi, was spending Rs 98 lakh on a single medical graduate. More than 50 per cent of these graduates went on to serve in rural areas in the US and UK. It is a fallacy to expect all graduates from these centres of excellence to work for our country. On the other hand, investment in the three-year BSc in rural health course would increase the probability of having clinical staff at the PHC level. Chhattisgarh has shown the way and we can definitely learn from it.</p><p style="text-align: justify">Today, for every 1,000 live births, more infants die in India than in countries like Nepal and Bangladesh. We need to catch up with these countries, and the main way to do this is to increase investment in preventive services like routine immunisation, good quality antenatal care, screening for cancers and promoting healthy lifestyles. Our country needs to provide quality outpatient services and round-the-clock emergency services at facilities that are close to the people, not only at district headquarters. If India is to ensure that all people have access to quality healthcare, we need to provide quality primary and secondary healthcare for all, rather than tertiary healthcare for a few.</p> </font> </td> </tr> <tr> <td> </td> </tr> <tr> <td height="50" style="border-top:1px solid #000; border-bottom:1px solid #000;padding-top:10px;"> <form><input type="button" value=" Print this page " onclick="window.print();return false;"/></form> </td> </tr> </table></body> </html>' } $cookies = [] $values = [ (int) 0 => 'text/html; charset=UTF-8' ] $name = 'Content-Type' $first = true $value = 'text/html; charset=UTF-8'header - [internal], line ?? Cake\Http\ResponseEmitter::emitHeaders() - CORE/src/Http/ResponseEmitter.php, line 181 Cake\Http\ResponseEmitter::emit() - CORE/src/Http/ResponseEmitter.php, line 55 Cake\Http\Server::emit() - CORE/src/Http/Server.php, line 141 [main] - ROOT/webroot/index.php, line 39
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Additional cancer centres would definitely be meeting a badly felt need. </p> <p style="text-align: justify"> However, it is not clear why the government is planning to establish more AIIMS-like hospitals. The health ministry may wrongly believe that India needs more such centres of excellence to train doctors as well as to provide high quality healthcare services to people. </p> <p style="text-align: justify"> However, such a move has serious implications for the rest of the health system. The government spends about 1.3 per cent of the GDP on healthcare - among the lowest in the world. As per the ministry's own report, the government spent less than Rs 1,000 per Indian in 2012-13. Of this, more than 10 per cent already goes towards medical education. If more scarce resources are diverted to tertiary care and medical colleges, the allocation for primary and secondary healthcare may be reduced. Primary healthcare is the centre of any health system - be it in India or in the United Kingdom. Currently, in most states, primary health centres (PHCs) and referral hospitals are severely understaffed and under-equipped. One PHC with a single doctor is responsible for the health of 30,000 people. In Brazil, a comparable centre has four doctors for every 10,000 people. The government spends just about Rs 5 per person on medicines. This is so inadequate that most PHCs do not have medicines beyond the first few months of a year. Patients are asked to purchase medicine from private pharmacies, incur out-of-pocket expenses at a time of illness. This creates a significant financial barrier and prevents patients from accessing healthcare at the PHC. If the money that would be spent on these AIIMS-like centres were used to increase the budgetary allocation for PHCs, there could be more staff and medicines at these centres. Patients' trust in government facilities would be enhanced and there would be a corresponding increase in their utilisation. It would be a step in the right direction if we were able to achieve universal health coverage in the near future. </p> <p style="text-align: justify"> Apart from the economics of building more AIIMS-like centres, such institutions have other effects. They will attract specialists from existing health centres, thereby further depleting the human resource pool for district and referral hospitals. Also, because of their iconic stature, patients may bypass the existing facilities to seek care directly at the AIIMS-like centres. This is evident in the original AIIMS, New Delhi, where patients come from neighbouring states and crowd the outpatient and inpatient services. This compromises the quality and effectiveness of the centre. On the other hand, if PHCs and referral hospitals are strengthened, patients can be provided good quality care closer to their residence. 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Currently, in most states, primary health centres (PHCs) and referral hospitals are severely understaffed and under-equipped. One PHC with a single doctor is responsible for the health of 30,000 people. In Brazil, a comparable centre has four doctors for every 10,000 people. The government spends just about Rs 5 per person on medicines. This is so inadequate that most PHCs do not have medicines beyond the first few months of a year. Patients are asked to purchase medicine from private pharmacies, incur out-of-pocket expenses at a time of illness. This creates a significant financial barrier and prevents patients from accessing healthcare at the PHC. If the money that would be spent on these AIIMS-like centres were used to increase the budgetary allocation for PHCs, there could be more staff and medicines at these centres. Patients' trust in government facilities would be enhanced and there would be a corresponding increase in their utilisation. 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If India is to ensure that all people have access to quality healthcare, we need to provide quality primary and secondary healthcare for all, rather than tertiary healthcare for a few. </p>', 'credit_writer' => 'The Indian Express, 11 June, 2014, http://indianexpress.com/article/opinion/columns/of-primary-importance/99/', 'article_img' => '', 'article_img_thumb' => '', 'status' => (int) 1, 'show_on_home' => (int) 1, 'lang' => 'EN', 'category_id' => (int) 16, 'tag_keyword' => '', 'seo_url' => 'of-primary-importance-n-devadasan-4673103', 'meta_title' => null, 'meta_keywords' => null, 'meta_description' => null, 'noindex' => (int) 0, 'publish_date' => object(Cake\I18n\FrozenDate) {}, 'most_visit_section_id' => null, 'article_big_img' => null, 'liveid' => (int) 4673103, 'created' => object(Cake\I18n\FrozenTime) {}, 'modified' => object(Cake\I18n\FrozenTime) {}, 'edate' => '', 'tags' => [ (int) 0 => object(Cake\ORM\Entity) {}, (int) 1 => object(Cake\ORM\Entity) {}, (int) 2 => object(Cake\ORM\Entity) {}, (int) 3 => object(Cake\ORM\Entity) {}, (int) 4 => object(Cake\ORM\Entity) {}, (int) 5 => object(Cake\ORM\Entity) {}, (int) 6 => object(Cake\ORM\Entity) {} ], 'category' => object(App\Model\Entity\Category) {}, '[new]' => false, '[accessible]' => [ '*' => true, 'id' => false ], '[dirty]' => [], '[original]' => [], '[virtual]' => [], '[hasErrors]' => false, '[errors]' => [], '[invalid]' => [], '[repository]' => 'Articles' } $articleid = (int) 25071 $metaTitle = 'LATEST NEWS UPDATES | Of primary importance -N Devadasan' $metaKeywords = 'Primary Health Centres,PHCs,Health,Public Health,hospitals,AIIMS,doctors' $metaDesc = ' -The Indian Express We need better primary health centres more than AIIMS-like institutions. The ministry of health is reportedly planning to open 10 more AIIMS-like institutes as well as cancer centres in different states. Creating new cancer centres is desirable, given the...' $disp = '<div style="text-align: justify">-The Indian Express</div><div style="text-align: justify"> </div><p style="text-align: justify"><em>We need better primary health centres more than AIIMS-like institutions.</em></p><p style="text-align: justify">The ministry of health is reportedly planning to open 10 more AIIMS-like institutes as well as cancer centres in different states. Creating new cancer centres is desirable, given the burden of the disease and the inadequate number of treatment centres. Today, cancer is one of the main causes of premature mortality in our country, and the 25 regional cancer centres are not being able to cope with the high load of patients. Additional cancer centres would definitely be meeting a badly felt need.</p><p style="text-align: justify">However, it is not clear why the government is planning to establish more AIIMS-like hospitals. The health ministry may wrongly believe that India needs more such centres of excellence to train doctors as well as to provide high quality healthcare services to people.</p><p style="text-align: justify">However, such a move has serious implications for the rest of the health system. The government spends about 1.3 per cent of the GDP on healthcare - among the lowest in the world. As per the ministry's own report, the government spent less than Rs 1,000 per Indian in 2012-13. Of this, more than 10 per cent already goes towards medical education. If more scarce resources are diverted to tertiary care and medical colleges, the allocation for primary and secondary healthcare may be reduced. Primary healthcare is the centre of any health system - be it in India or in the United Kingdom. Currently, in most states, primary health centres (PHCs) and referral hospitals are severely understaffed and under-equipped. One PHC with a single doctor is responsible for the health of 30,000 people. In Brazil, a comparable centre has four doctors for every 10,000 people. The government spends just about Rs 5 per person on medicines. This is so inadequate that most PHCs do not have medicines beyond the first few months of a year. Patients are asked to purchase medicine from private pharmacies, incur out-of-pocket expenses at a time of illness. This creates a significant financial barrier and prevents patients from accessing healthcare at the PHC. If the money that would be spent on these AIIMS-like centres were used to increase the budgetary allocation for PHCs, there could be more staff and medicines at these centres. Patients' trust in government facilities would be enhanced and there would be a corresponding increase in their utilisation. It would be a step in the right direction if we were able to achieve universal health coverage in the near future.</p><p style="text-align: justify">Apart from the economics of building more AIIMS-like centres, such institutions have other effects. They will attract specialists from existing health centres, thereby further depleting the human resource pool for district and referral hospitals. Also, because of their iconic stature, patients may bypass the existing facilities to seek care directly at the AIIMS-like centres. This is evident in the original AIIMS, New Delhi, where patients come from neighbouring states and crowd the outpatient and inpatient services. This compromises the quality and effectiveness of the centre. On the other hand, if PHCs and referral hospitals are strengthened, patients can be provided good quality care closer to their residence. This is beneficial both for the patient and for the health services.</p><p style="text-align: justify">And finally, it has been hypothesised that these centres will create more doctors who can then work for the country. However, existing evidence proves otherwise. In 2009, AIIMS, New Delhi, was spending Rs 98 lakh on a single medical graduate. More than 50 per cent of these graduates went on to serve in rural areas in the US and UK. It is a fallacy to expect all graduates from these centres of excellence to work for our country. On the other hand, investment in the three-year BSc in rural health course would increase the probability of having clinical staff at the PHC level. Chhattisgarh has shown the way and we can definitely learn from it.</p><p style="text-align: justify">Today, for every 1,000 live births, more infants die in India than in countries like Nepal and Bangladesh. We need to catch up with these countries, and the main way to do this is to increase investment in preventive services like routine immunisation, good quality antenatal care, screening for cancers and promoting healthy lifestyles. Our country needs to provide quality outpatient services and round-the-clock emergency services at facilities that are close to the people, not only at district headquarters. If India is to ensure that all people have access to quality healthcare, we need to provide quality primary and secondary healthcare for all, rather than tertiary healthcare for a few.</p>' $lang = 'English' $SITE_URL = 'https://im4change.in/' $site_title = 'im4change' $adminprix = 'admin'
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Of primary importance -N Devadasan |
-The Indian Express We need better primary health centres more than AIIMS-like institutions. The ministry of health is reportedly planning to open 10 more AIIMS-like institutes as well as cancer centres in different states. Creating new cancer centres is desirable, given the burden of the disease and the inadequate number of treatment centres. Today, cancer is one of the main causes of premature mortality in our country, and the 25 regional cancer centres are not being able to cope with the high load of patients. Additional cancer centres would definitely be meeting a badly felt need. However, it is not clear why the government is planning to establish more AIIMS-like hospitals. The health ministry may wrongly believe that India needs more such centres of excellence to train doctors as well as to provide high quality healthcare services to people. However, such a move has serious implications for the rest of the health system. The government spends about 1.3 per cent of the GDP on healthcare - among the lowest in the world. As per the ministry's own report, the government spent less than Rs 1,000 per Indian in 2012-13. Of this, more than 10 per cent already goes towards medical education. If more scarce resources are diverted to tertiary care and medical colleges, the allocation for primary and secondary healthcare may be reduced. Primary healthcare is the centre of any health system - be it in India or in the United Kingdom. Currently, in most states, primary health centres (PHCs) and referral hospitals are severely understaffed and under-equipped. One PHC with a single doctor is responsible for the health of 30,000 people. In Brazil, a comparable centre has four doctors for every 10,000 people. The government spends just about Rs 5 per person on medicines. This is so inadequate that most PHCs do not have medicines beyond the first few months of a year. Patients are asked to purchase medicine from private pharmacies, incur out-of-pocket expenses at a time of illness. This creates a significant financial barrier and prevents patients from accessing healthcare at the PHC. If the money that would be spent on these AIIMS-like centres were used to increase the budgetary allocation for PHCs, there could be more staff and medicines at these centres. Patients' trust in government facilities would be enhanced and there would be a corresponding increase in their utilisation. It would be a step in the right direction if we were able to achieve universal health coverage in the near future. Apart from the economics of building more AIIMS-like centres, such institutions have other effects. They will attract specialists from existing health centres, thereby further depleting the human resource pool for district and referral hospitals. Also, because of their iconic stature, patients may bypass the existing facilities to seek care directly at the AIIMS-like centres. This is evident in the original AIIMS, New Delhi, where patients come from neighbouring states and crowd the outpatient and inpatient services. This compromises the quality and effectiveness of the centre. On the other hand, if PHCs and referral hospitals are strengthened, patients can be provided good quality care closer to their residence. This is beneficial both for the patient and for the health services. And finally, it has been hypothesised that these centres will create more doctors who can then work for the country. However, existing evidence proves otherwise. In 2009, AIIMS, New Delhi, was spending Rs 98 lakh on a single medical graduate. More than 50 per cent of these graduates went on to serve in rural areas in the US and UK. It is a fallacy to expect all graduates from these centres of excellence to work for our country. On the other hand, investment in the three-year BSc in rural health course would increase the probability of having clinical staff at the PHC level. Chhattisgarh has shown the way and we can definitely learn from it. Today, for every 1,000 live births, more infants die in India than in countries like Nepal and Bangladesh. We need to catch up with these countries, and the main way to do this is to increase investment in preventive services like routine immunisation, good quality antenatal care, screening for cancers and promoting healthy lifestyles. Our country needs to provide quality outpatient services and round-the-clock emergency services at facilities that are close to the people, not only at district headquarters. If India is to ensure that all people have access to quality healthcare, we need to provide quality primary and secondary healthcare for all, rather than tertiary healthcare for a few. |