December 2, 2006 2:43pm CST
Current problems faced by the health care services include: 1. Persistent gaps in manpower and infrastructure especially at the primary health care level. 2. Suboptimal functioning of the infrastructure; poor referral services. 3. Plethora of hospitals not having appropriate manpower, diagnostic and therapeutic services and drugs, in Govt., voluntary and private sector; 4. Massive interstate/ interdistrict differences in performance as assessed by health and demographic indices; availability and utilisation of services are poorest in the most needy states/districts. 5. Sub optimal intersectoral coordination 6. Increasing dual disease burden of communicable and noncommunicable diseases because of ongoing demographic, lifestyle and environmental transitions, 7. Technological advances which widen the spectrum of possible interventions 8. Increasing awareness and expectations of the population regarding health care services 9. Escalating costs of health care, ever widening gaps between what is possible and what the individual or the country can afford.