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31
General Health & Disease Articles / Emotional Quotient
« on: April 07, 2014, 01:23:38 PM »
Become EQ conscious
  • More than IQ a successful person needs a high EQ score. EQ stands for emotional quotient.
  • A high EQ corresponds to better adaptability of a person to tackle emotional situations and crisis. He or she is better equipped to face audience and tactfully manage his space around in the social atmosphere.

32

This is a list of Surgical Instruments and Equipment manufacturing companies of Pakistan. Hub of Surgical Equipment manufacturing Industry Sector is Sialkot Pakistan.

If name of any significant surgical instrument manufacturing company has not been included in this list then please mention its name along with brief introduction and contact info including telephone number, email and website address in the comment space below. We will include it in the list.

   seven eight   pamirimpex   aliz

   adi   medisporex   4m surg

   alphamed   friends   azal

   barbareen   bhinder  billu surg

   cascade Surg   chaplet surg   raiment

   steig impex   ph industries  hitech surgical 

blue dolphin      dad son   daud jee

   buraq   doyen hercules   eagle

   iatoor   ifm brothers   iron art

   jr brothers   jiffy craft   lucky7

   whole surgical height=100  cc instruments  messad

   mahad   jnk   surgicose

   surgicrafts   walthem   bbs

   global   Gommos   cushy surgicals

   cynosure surg   toolmex surg   chand ji surg 
   
   amicus  alhaza surg   garana
 
  lebord   surgical smith  kirama 

  aak height=100       conqueror height=100  daim

   stellar   sanber   plico

   atn surg   gobble   euromed

  fambro    harley   healthco

   hilbro   hoa   pakline

   hitterimpex   pakprecise   primestar 

  rehman   reich   rmson

   mind works   curio   AI

   sultani   mughal   sky height=90 height=100

   skyman  snaa   sobytek

   fortune clipper    mtl instruments 

   njohn   globiz   

   khizer   venice   orthotec

   quality  scott   Link master

   shadab   beautyteck   coz

   wolplus   sabo surg  shahab surg

   target   uamf   welmed

   xenamed   ykt   hico

   master   qatada   skillco

   bizztrex   adam   aero

   blayer    candid   altaba

   knight   elite  gibzan

   paknorway   paradise   poras

   sympozeom   HMZ 

33
 Sialkot is the hub of manufacturing dental and surgical equipment or instruments in addition to sports goods and cutlery. The Sialkot based industry is not catering for the supply of surgical equipment to local market but it is also generating a handsome foreign exchange through exports. We need to encourage and promote this industry and try to expand its scope by incorporating electromedical equipment into it. For this we need to bring Gujranwala and Gujrat based industry which has some experience in the electrical and electronics manufacturing.

Over 99% of the Pakistan's surgical instruments production is centered at   Sialkot. The sector comprises over 2300 companies, of which around 30   can be considered large and the remainder can be split as 150 units of   medium sized and remaining as small. The industry produces on average   over 150 million pieces a year with an estimated value of around Rs 22   billion. Out of the total production, approximately over 95% is   exported. The industry belongs to the light engineering industry   category, and is one that has specialized in skill and stable export   market share. Sialkot’s surgical goods industry is responsible for 75 percent  of Pakistan’s engineering exports. It produces over 2000 different instruments,  mostly made from imported stainless steel. With a 20 percent share of the  total world surgical goods exports, surgical instruments made in Sialkot  are used by surgeons, dentists, and veterinarians throughout the world  and are considered second in quality only to Germany, the global leader  in this field.

Surgical goods and medical instruments worth US$ 23.7 million were exported during the month of July 2011 as compared to US$ 20 million in the month of July 2010. According to the data of Federal Bureau of Statistics (FBS), the   surgical and medical instruments export was recorded at US$ 24.5 million   during the month of June 2011.

This is one sector where Pakistan has   developed special capabilities to penetrate high income markets such as   Germany, USA, France, Belgium etc. The average export price of goods   made in Sialkot is much higher than what Chinese products   fetch, however, the price is lower   than some of the more sophisticated producers such as Germany and France.

The sector, has suffered from lack of product   diversification, inadequate shift out of low value disposable   instruments to high value sophisticated products and uncertain business   environment. The major impediments of the sector are low levels of   productivity, inadequate technology upgrade and shortage of skilled   staff. The production process value chain analysis suggests several   productivity detractors. Moreover, most of the companies operate without   any brands with only a couple moving to branding of their products.   Furthermore, the industry in the years to come will face higher   compliance requirements, especially as the industry tries to diversify   into more value added products and enter into more sophisticated   markets. Compliance, testing and certifications are going to be critical   for the the surgical industry to move up the value curve. Some firms   have developed basic design capabilities and often experiment by   bringing in newer designs into the market.

This industry represents manufacturers and exporters of surgical instruments, dental instruments, veterinary instruments, tailoring scissors, barber salon scissors and beauty salon instruments. The surgical industry of Sialkot has a history of more than 100 years, when British doctors began to get their surgical instruments repaired from the skilled workers of the region. These craftsmen eventually began to successfully replicate the imported instruments. By 1920 Sialkot was exporting to all parts of the subcontinent  and as far away as Afghanistan and Egypt, and was later selected for supplying  surgical instruments for allied forces in World War II. 

Excerpts from the 1920 Gazetteer of the Sialkot District provide interesting  insights regarding the early years of the industry. " Kotli Loharan consists of two large villages of Lohars [iron smiths] lying about five miles to the northwest of Sialkot. All kinds of articles  for use and ornament are made, such as shields and arms, betel-nut cutters,  knives, boxes, plates, inkstands, and so on. The material used is iron,  and gold and silver are used in inlaying.... the lohars of these villages  are now very well off [unlike what was reported by Mr. Kipling in the last  Gazetteer], having earned large sums as armourers and shoe- smiths during  the War. There are some twenty concerns which turn out manufactured articles  of iron and steel, including swords, spear-heads, gurkha knives, razors,  stirrups. The workmanship is excellent in most cases. At Sialkot, there are excellent surgical instruments, knives, scissors,  etc, turned out by two factories of Messrs. S.S. Oberoi & Sons and  A.F.Ahmad & Co. A new industry has also sprung up recently of making  steel and iron trunks, office trays and cash boxes; this noisy trade has  invaded the central part of town, near the Fort. There are about 500 iron-workers  at Sialkot [Government of Punjab 1920, pp125]
When Sialkot started exporting surgical instruments, for the improvement of the standard, the Metal Industries Development Centre (MIDC) was established by the Government in 1941. In 1947, Sialkot inherited 17 registered surgical instruments manufacturers. Today, there are about 2200 large, small, and medium units with labor force ranging from 5 to 500 employees that are involved in this industry as either manufacturers or vendors. Many of the large setups have offices and joint ventures in importing countries. SCCI's list of members registered as surgical instruments manufacturers includes 1,949 firms that employ roughly 80,000 workers and exported US$278 million worth of merchandise in 2009. Sialkot's surgical instruments industry exports more than 95% of its production, which includes 60% of disposable and 40% of reusable surgical instruments, i.e. 100 million instruments annually. Its exports are made to over 140 countries, while the US, Germany, UK, France, Italy and UAE are the biggest customers. Currently Sialkot is producing 2,000 surgical instruments of various types for worldwide exports.

 The industry has come a long way during the last seventy years. The Metal Industries Development Centre [ MIDC] , initially established in 1942 to act as a supply and inspection agency for allied forces and later  upgraded in 1947 and during the eighties to provide workshop facilities  and advisory services to local industry, pioneering the introduction of  several new technologies including drop forging hammers, vacuum heat treatment  , and numerically controlled [ CNC] die making machines. During the nineties  several international joint ventures with European firms were set up.

 Of the roughly 3000 firms in this industry in 1994, only about 200 firms both manufactured and exported surgical goods. Another  600 firms were involved in trading, i.e. these firms exported surgical instruments but did not own any manufacturing facilities; instead they relied entirely on the vendor industry. Of these 600, only half could be categorized as serious exporters of surgical instruments, while the remaining  300 dealt in multiple product items including surgical goods. The third  industry segment comprised about 2000 small vendors. There is a host of "stage firms" who supplied specialised vendor services for both the manufacturer and trader segments. These include individual firms  specializing in filing and grinding, in forging and die making, in milling  and box fitting, in polishing, in electroplating, and in heat treatment.  Providers of ancillary services and inputs include suppliers of steel and  machinery; travel agents, communication couriers, cargo handlers, legal  and accounting services and repair workshops, and institutional support  in the form of financial institutions, trade associations, and various  government funded training and research centres.

 
 Surgical Equipment Manufacturing Facilitation and Export Promotional Websites.

  Following is a list of few surgical instrument manufacturing and export facilitation and promotion websites..   

 Surgical Equipment Export Promotional Websites

Sialkot Chamber of Commerce and industry
Federation of Pakistan Chamber of Commerce and Industry
Sialkot Exports
TRTA Pakistan
Surgical Instruments manufacturers of Pakistan
Siccode.com List
Surgical Goods Exporters of Pakistan
Alibaba List

 Research & Gen Information Regarding Medical Industry in Pakistan

Fair trade for surgical instruments (BMJ Article)
Challenges & Potentials of Surgical Industry Pakistan

    scc height=154 height=142
   fpcci height=154
   sialkot exports height=154
   trta height=154
   

34
 The Pharmaceutical manufacturing sector of Pakistan is one of the biggest industrial sector taking care of the medicine needs of country as well as providing employment to a significant number.

  Pharmaceutical Key Facts
  • The Pharmaceutical manufacturing sector of Pakistan is composed of Local Manufacturers and Multinationals.
  • Together they cater for approximately 90% of Local market needs.
  • Some of Pharmaceuticals are also exporting finished products and thus generating foreign exchange.
  • Local Research promotion is lacking.
  • Local production of raw materials is low.
  • Provides direct employment to more than 70,000 and indirect employment to around 150,000 people across the country.
  • Prices of all 50,000+ drugs are controlled by government in Pakistan..
 
   Pharmaceutical Capital

The pharmaceutical industry exceeds $1.4bn which equates to per capita consumption of less than $10 per year.
Strong export potential: More than $100m foreign exchange earned annually for the country.
National pharmaceutical expenditures in comparison with health care and medical devices are given below.
 
  • Pharmaceuticals: PKR152.97bn (US$1.79bn) in 2010 to PRK169.90bn (US$1.98bn) in 2011; +11.1% in local currency terms and +10.6% in US dollar terms.
  • Health care: PKR398.59bn (US$4.67bn) in 2010 to PKR454.63bn (US$5.31bn) in 2011; +14.1% in local currency terms and +13.5% in US dollar terms.
  • Medical devices: PKR29.91bn (US$351mn) in 2010 to PKR34.87bn (US$407mn) in 2011; +16.6% in local currency terms and +16.1% in US dollar terms.
    Concerns

  Public, Health professionals and Pharmaceuticals must listen passionately to each other to create a win win situation for every stake holder.
 
  Concerns of Pharmaceutical Sector
  • Lack of implementation of patent control.
  • Production and circulation of Fake medicines.
  • Drug price control policy of Pakistan Govt.
  • Low per capita expenditure on Pharmaceuticals.
   Concerns of Public Regarding Pharmaceuticals
  • Excess profitability on certain medicines.
  • Non provision of low profit life saving medicines.
  • Involvement in unethical practices to enhance drug circulation which include individual and institutional bribes.
  • Not adhering to strictest of quality control mechanisms.

35
General Health & Disease Articles / Health Tips - Diet
« on: March 28, 2014, 11:15:26 PM »
 Diet Tips balanced diet height=156
 
  • Understand the concept of balanced diet.
  • Take multiple small feeds instead of bulk eating.
  • Include sufficient fresh vegetables and fruit in your diet.
  • Keep adequate quantity of proteins in your diet.
  • Your caloric intake should be well regulated according to your daily needs neither less nor more.
  • Your diet must include items from several of the food groups in recommended ratios.

36
General Health & Disease Articles / Health and Fitness Secrets
« on: March 28, 2014, 03:41:02 PM »
Secrets of a Healthy and long Life.   

The quantity as well as quality of substances that enter your body affect your health tremendously
 

balanced diet height=156

Plan Your Intake  Balanced Diet

Your diet must include items from several of the food groups in recommended ratios.

Calorie Control
You must consciously manage your daily caloric intake according to your body needs which depend upon your weight, age, sex and physical activity or illness.

Daily average calories need.

Men : 1700 -2100 k/cal
Women: 1500 - 100%0 k/cal


 


 addiction height=156

Stay away from toxic substances.
No smoking.
No hashish, heroin, Liquor etc.
Stay away from atmospheric pollution ( If you cannot make your atmosphere pollution free).
     

Physical Activity 

Quit lethargic habits and start moving frequently. Add sports, gymnastics, jogging etc to your daily schedules.

 Regular Exercise

 cycling height=156

I have never seen fat people riding bicycles. Have you?

Move as much as possible. Sedentary habits make you fat. Throw away your lethargy and start moving as often as possible.
Quit the luxury of riding cars for reaching nearby destinations. Walk on foot or use a bicycle.
Don't look towards others to do your home chores. Move yourself to do your jobs. With each movement you burn some calories and loose a few grams of weight. Simple isn't it?

Weight Control

Ideal BMI is  19 - 24
BMI is weight to height ratio. Find your BMI with calculator in sidebar.
fat driver height=156


Stress Management  

Understand stress and be prepared to mange it whenever encountered in a tactful manner. Don't let it drive you crazy and secrete rivers of your adrenaline

Stress
 stress height=156
 

Make adjustments Stop worrying about small day to day affairs.
stop thinking about unforeseen.
stop thinking about things beyond your control.
Enjoy living in today.
Help others.
Rationalize your goals and don't let your competitiveness burn you out.


 Stress Management
 stress height=156
 

37
Pharmaceutical / List of Pakistani Pharmaceutical companies
« on: March 28, 2014, 12:30:44 PM »
List of Pakistani Pharmaceutical companies     


Following are links to the websites of important Pharmaceutical companies of Pakistan without any order. As we get detailed professional data from a sufficient number of companies we will start putting these in order according to ranking. If your company is not included yet in our list then please contact admin@medpk.com
 

abbott    Allergan   AGP height=100
   
   Alcon  barret  Bayer  BMS  Bosch  Lilly
   GetzGSkHilton
   

  highnoon  J&J  Macter 

merck  Martin  Platium 

Pfizer  Recho  Reckitt 
   
Sandoz  Acti height=100   Habib
 
   
   Ali GoharAlbro     AJM


   Adamjee  Amson  Acto 

Akhai        Alinabosch 2009

   
CCLCirn
   

medipak  Epla  Efroze 

Ferozsons  Fynk  Genix 



Geofman  Global    NabiQasim 

Pearl  Pharmevo  Stiefel 

searle  Sanofi  Sami 

Wyeth  Shrooq  Shaigan 

Stanely  tagma  unexo 

hoora  hikmsons  Himont 


Irza  Howards  Maple  mass  Munawar

38
Hypertension   

A rise in arterial blood pressure from the normal reference range is known as hypertension.

Blood Pressure

Blood circulates in the blood vessel at a certain amount of pressure which is called blood pressure. This pressure differs in different parts of the circulatory system. It is normally lower in veins while higher in arteries. We normally refer to the pressure in large arteries as blood pressure. This pressure has two levels. A higher level occurs during contraction phase of heart and is known as Systolic blood pressure while a lower level occurs at the resting phase of heart called Diastolic pressure.


Normal Blood Pressure

120/80 is considers a standard normal blood pressure. European Hypertension society suggested following definitions in 2007.
 
SystolicDiastolic
Optimal<120<80
Normal120-12980-84
High Normal130-13985-89
Hypertension
Grade1140-15990-99
Grade 2160-179100-110
Grade 3>180>110
 
 
 How to Measure 

Usually external inflatory pressure cuffs containing equipment of various gauging techniques are used.
There are digital, Mechanical gauge and mercury column sphygmomanometers. By far the mercury column equipment are most reliable.
The cuff is usually applied to upper arm and inflated to a particular pressure. The pressure is then gradually decreased while keeping the diaphragm of stethoscope over the artery in cubital fossa. The appearance and disappearance of sound marks the upper and lower blood pressure levels.
     
sphymomanometer height=477
 Sphygmomanometer

Diagnosis 
 
   Symptoms Hypertension may be totally asymptomatic while severe hypertension may have following symptoms
 
  • Headache
  • Nausea
  • Blurring of vision
  • Dizziness
  • Palpitations
  • Symptoms related to causative illnesses like diabetes or renal disease.
Causes

 Primary Hypertension.
Most case of Hypertension are labelled as idiopathic which means that any specific cause has not yet been defined. Such cases however do have associated risk factors.
Secondary Hypertension
Certain Organ diseases or hormonal imbalances also lead to hypertension which include:                                         
 
  • Renal diseases.
  • Thyroid hormone excess
  • Glucocorticoid hormone excess
  • Adrenaline excess
  • Pregnancy related hypertension.
  • Coarctation of aorta.

Management   

Non Drug Management

High normal blood pressure and early cases with Grade I Hypertension may be give a trial of non Pharmacological treatment which include:
 
  • Quit smoking
  • Regular exercise.
  • Reduce salt intake.
  • Reduce weight
  • High vegetable and fruit diet (Dash Diet)
  • Tea and coffee consumption.
  • Increasing Potassium intake.
  • Controlling cholesterol and triglyceride levels.
 
 

Risk Factors

[img]http://medpk.com/data:image/png;base64,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

39
Diabetes Mellitis

It is an illness in which the blood glucose level of patient often remains more than normal in addition to many other harmful effects on organs like kidneys, heart, Eyes, Brain etc. There is a relative deficiency in hormone insulin produced by pancreatic langerhan cells.

Types of diabetes mellitis include type 1 diabetes and type 2 diabetes  (Type I DM and Type II DM.).

Type I Diabetes Mellitis. It is also known as early onset or insulin dependent diabetes.
This type of diabetes usually occurs at a lower age and at times in children.
In this type of diabetes the pancreatic langerhan cells responsible for producing insulin are somehow damaged therefore insulin production gradually decreases and ultimately ceases. At that stage patient will need life long support with insulin injections.

Type II Diabetes Mellitis. This Type of diabetes is also known as maturity onset type or non insulin dependent.
The onset of illness is at a later age, usually past 40s or 50s.
The pancreas keeps on producing the insulin but somehow the body does not respond to that insulin.
To treat such cases Certain antidiabetes medicines in tablet form are given. The commonest classes of such drugs are sulfonylureas and biguanides.
 
  Symptoms of Diabetes
  • Extreme tiredness
  • Increased urine production
  • Loss of weight
  • Blurred vision
  • Skin infections
  • Increased hunger
  • Excessive thirst
  • Irritability
  • Poor pace of wound healing
 
 diabetes diagnosis height=156

  Diagnosis depends upon:
 
  • Symptoms
  • Urine sugar testing
  • Blood sugar testing
  • Blood HbA1C for evaluating long term control.
   Complications

   If diabetes is not properly manages then it leads to early complication and rapid deterioration of health. Complications include:
 
  • Ischemic heart disease.
  • Hypertension.
  • Renal disease.
  • Diabetic coma.
  • Skin ulcers.
  • Delayed healing of various wounds and infective disorders.
  • Stroke.
   Prevention

  Diabetes prevention primarily focuses on health life style which includes:
 
  • Weight Control.
  • Regular exercise.
  • Diet having least refined sugars and polyunsaturated fatty acids.
  • care of feet and skin to prevent ulcers.
  Management

 
Treatment Plan There is a four tier strategy of diabetes management plan which includes:
 
  • Dietary control.
  • Regular exercise.
  • Oral Hypoglycemic drugs.
  • Insulin
   

Insulin Therapy

 insulin height=156
   
Oral Hypoglycemic Drugs

Several categories of oral hypoglycemic drugs are available.
It is imperative that diabetic patient starts the drug management plan under close supervision of Family physician.
Once the dosage of medicines gets adjusted then patient should keep on sticking to that dose along with a disciplined diet and exercise plan.
He should learn to monitor the blood glucose levels at home and keep a record. He must also keep on visiting the family physician at regular intervals for timely detection of any aggravation or complication.
     

40
DENGUE FEVER AND AEDES VECTOR

Applications are invited for submission of Research Projects for funding by PMRC under small research grant scheme


The Pakistan Medical Research Council invites research projects on “Dengue Fever Dengue Fever and Aedes Vectors” for funding under small research grant scheme.  The maximum limit for this grant is Rs. 200,000/-.

Project shall be approved after peer review by PMRC Expert Panel and recommendations of PMRC Technical Advisory Committee.
 

Please prepare comprehensive research projects on the above cited topic up to a budget of Rs.0.2 Million and submit 2 hard copies and a soft copy to PMRC Head Office for approval and funding. The application form for submission of research scheme is available at PMRC website www.pmrc.org.pk under the heading “download”. A checklist is also available on the website, which should be followed for submission of research projects.


One basic salary shall be given as the honoraria or 20% of the basic pay which ever is less to Principal Investigator and Co-Investigator for full length of the project. However, if the project is of less than one year duration (e.g. 6 months) then ½ basic salary or 10% of the basic pay which ever is less shall be given. Other instructions are given in the checklist.


One page CV of Principal Investigator (PI) & Co-PI should also be submitted along with the project (sample CV is available on website).

The deadline for submission of projects is December 31, 2011.


 

 

Pakistan Medical Research Council

Shahrah-e-Jamhuriat, Off Constitution Avenue, Sector G-5/2, Islamabad

Tel: 92-51-9207386, 9216793, Fax: 92-51-9216774.

E-mail: pmrc@isb.comsats.net.pk, www.pmrc.org.pk

42
Health Care System / Important Message!
« on: November 08, 2011, 10:54:48 PM »
Dear Pakistanis!

Having understood the standard structure of a modern health care system and the core health issues our next task is to find out ways to solve the issues.

In the following section we have made certain recommendations for tackling our current health issues. These recommendations are just food for thought and open to a serious debate. All quarters of health profession and general public from Pakistan are requested to participate seriously in this debate to give it credibility.

Please remember we have always been criticizing government for our problems but we have never come out with the solutions. We do not give clear options to our governments for improvement. Let us start doing it right now. Search the possibilities through sharing thoughts and experiences and reach conclusions. InshaAllah we will be able to solve our problems.

 

Working for a better health care in Pakistan.

 Medpk

43
Health Care System / Mission Statement - Introduction
« on: November 08, 2011, 10:52:16 PM »
This section is dedicated to develop and understanding regarding Pakistan's basic health issues and finding a road map to a practical and viable health policy through discussion among general population and the health professionals.

Objective: People to Propose Pakistan’s Health Policy

The structure and functional status of our health care services is far below that of today’s world standards. We need to understand the core health issues of our nation and through discussions and input from various quarters we need to formulate a proposal for health policy which could be implemented by our government at appropriate time to uplift the standards and quality of our health care services.

                     Better Health is mandatory for the progress of nation in all fields
 
Health Issues

Our Health issues are not the same as those of Americans or any other nation. We have to understand and pin point our own particular health issues.

Health Policy

Once we pinpoint our own health issues we can draft a proposal for a Health Policy which would be able to effectively address our core health issues.
 
How to implement

Once we have a consensus on our core health issues and policy then we can find means of convincing our government to implement those proposals.

 
Summary of Objectives.

    To impart an understanding of health care system to the public.
    To increase awareness among masses of our health issues.
    To figure out solutions for our health issues through debate among health professionals and general public.
    To find out the means of implementing better health care for Pakistan by influencing Government.

 

Working for a better health care in Pakistan

 Medpk

44
Health Care System / Modern Health Care System
« on: November 08, 2011, 10:50:02 PM »
Structure of Modern Health Care System

Before moving on to understand our health issues and means to solve them, we must first try to figure out what are the current concepts of a health care system and its prototype structure in modern world.
Internationally Recognized Health system / Levels of health care:

Like all other sciences, the science and art of healing has undergone tremendous advancement in recent decades. There has been great progress in the understanding of disease phenomena and their management modalities. Today there exists an internationally recognized health care delivery system which includes four tiers.

1. Preventive care:

The specialists in preventive care plan at Governmental, institutional or community level for controlling preventable diseases. They have special role in maintaining hygiene and sanitation of a community as well as inculcating awareness regarding health and disease in masses.

2. Primary Care:

The Doctors working at Primary care level (Family Medicine Specialists / Qualified Specialist GPs / Simple GPs) treat all the members of a family for most of the common illnesses. They also provide necessary Health advice and arrange referrals to different specialists at secondary or tertiary health care levels when required. The key element of a primary health care set up is Family Physician.

3. Secondary Care:

Doctors working in bigger hospitals including medical specialists, surgeons, pediatricians, gynecologists, dermatologists, psychiatrists, ENT specialists and ophthalmologists etc provide secondary care.

4. Tertiary Care:

Special Hospitals dealing with certain subspecialties covering single organ or organ system related diseases provide the tertiary care like Cardiac centers, Burn units, orthopedic units, Kidney centres etc.

45
Health Care System / Basic Health Issues
« on: November 08, 2011, 10:48:47 PM »
Basic Health Issues

Following is a list of our important health issues. Please feel free to comment on these and add those to the list which you find missing here. These issues matter to every Pakistani and you must raise your voice.

   
  • We have a poorly organized health care structure. We need to clearly define the four tier health care system and reorganize our health apparatus accordingly thus enhancing its credibility as well as functional capability.
  • Our health priorities are not properly defined. We work in a reactionary way in response to issues. That is why our health machinery is mainly controlled through a plethora of various programs instead of a general purpose & competent health provision system. We should clearly define our Health issues, Health priorities and Health policy.
  • We neither have insight nor physical existence of a properly functioning preventive health care system. Instead of an adhoc service we must have full time properly functioning public health departments at all levels.
  • We neither have insight nor physical existence of properly functioning Primary Health care facilities.  We lack experts in the field of Primary health care. The field of Family medicine needs to be properly highlighted, promoted and utilized by govt to the best of its advantage and to the advantage of public.
  • We like to spend more on secondary and tertiary care centers while neglecting primary and preventive care systems although by spending less on preventive & primary health care we can save a lot on secondary and tertiary level treatment.
  • Majority of our public belong to socioeconomic strata that cannot afford the costly medicines and treatment procedures. We must endeavor to reduce the cost of medicines and procedures. We should work around the system to accommodate everyone under health umbrella. We should quit the concept of free treatment. We should adopt the concept of affordable treatment for all.
  • Promotion of Research in Medical Field towards self reliance on production of pharmaceuticals and medical equipments is a must to reduce the cost of treatment.
  • There is a circulation of fake medicines, poor regulation & standardization of pharmaceuticals. More authenticity & Transparency needs to be imparted to pharmaceutical standardization, licensing and control procedures.
  • Quackery should be clearly defined and assumed to be a crime and therefore it should be stopped forthwith.
  • Our Public lacks health education. A national health education curriculum should be devised that should enable every citizen to know certain dos and don’ts regarding health. Public should also be made aware of legitimate / illegitimate and scientific /unscientific methods of treatment.
  • A gap exists between our medical training focus and our on ground health issues. Training structure & Curriculum of our medics/paramedics should be revised in the light of our own socioeconomic environments. Instead of blindly following books of foreign authors we should endeavor to prepare our own curriculum corresponding to our own needs through specially designated institutions/bodies by incorporating the services of existing bodies.
  • Demand and supply of health professionals for different services has not been properly worked out resulting in gross discrepancies at various health care giver levels. A statistical analysis in realistic terms of availability of health professionals in comparison to actual needs is needed and directed efforts are required to equate the availability of manpower to actual demand.


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