public health presentation

8/13/2019 Public Health Presentation

1/17

Health in India vs.Minnesota


2/17

Life Expectancy

United Stateso Males (2010): 75.9 years

o Females (2010): 80.7 years

Indiao Males (2010): 63.6 years

o Females (2010): 66.7 years


3/17

Millennium Development Goals

On track to complete 10 of 22 Goals Poor job eradicating poverty

o Extreme poverty only drop 7.8% in 10 years

o 8 of the 29 states in India have more poor people than26 poorest African countries combined

Lagging behind in both infant and maternal mortality rates Primary enrollment raised from 85% to 96.9% in 8 years

Significant progress in reducing TB and HIV prevalencerates.


4/17

Housing/Sanitation

Times of India: "Majority of indians have per capita space of 10x10 ft roomfor their living, sleeping, cooking, washing, and toilet needs.

Except for major metros, no city provides full-day water supply 400 million Indians do not have access to proper toilet UN study: 1 toilet per 1,440 residents (2006) rent control laws


5/17

Overpopulation

Minnesota density: 25.23 population/mile2


6/17

Healthcare in India

Urban areas predominantly use Westernmedicine

80% of health care paid "out of pocket"

Rural areas tend to use traditional healingo Western Med seen as a threat to traditional

beliefs

Traditional medicines have major concernso Many medicines have highly toxic compoundso Poor quality control of medicines

Traditional medicine focuses on body and mind Many of the workers in the healthcare industry


7/17

Nutrition

Genetic Factor: Insulin resistant highrate of diabetes

3 million deaths per year Lots of ghee (butter), oils, fats


8/17

Jobs/Corruption

Corruption "fact oflife"o Hard to advance

social classeso bribery

Economic Statushighly valuedo Especially in

marriage


9/17

Gender Inequity

Women seen as economic burden to familieso Sex Selective abortions

7.1% increase in crimes against women (2011) Rape complaints increased 25% (2006-2011)

o Severe sexual assaults often result in lesser charges

o Blame is on victim

o Political parties have nominated 260 candidates withoutstanding sexaul assault charges (2006-2011)


10/17

Comparison to National Standards

Tend to have higher levels of educationo 67% have bachelor's or higher degree vs 28%

nationally

o 40% have a master, doctorate, or a professionaldegree (e.g. MD)

o Double-edged sword (Brain Drain)

Median Household Income (2010): $88,538vs $50,221


11/17

Demographics


12/17

Indian Immigration

Indians are 2ndlargest ethnic group immigrating into U.S (2004)

Number of immigrants from India increased by 20.7 percent

2,602,676 Indians immigrants in United States

29,700 Indians immigrants in Minnesota

Number of Indians living in Minnesota doubled from 2000-2010

Not a refugee movement!!


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Benefits of Minnesota

Highly developed Tech industry Greater job opportunities

Religionso Largest Hindu temple in United States

Asian-Indian community is well-establishedo Support and promote each other

o SEWA-AIFW and India Association of Minnesota


14/17

Recommendations for India

Universal Health Care

o Increase spending on Healthcare to 3% of GDP

Roughly $56 billion annually 3x present spending

Hire more doctors, nurses, health care workers etc

o Reduce user fees

deter poor from seeking healthcare

pay with taxes

o Emphasize Preventive Care

Catch disease in early stages

Less use of more costly treatments

o Improve Quality of Medical Care in Rural Areas

National Rural Health Mission

636, 000 villages, 700 million people, but only 23,000 health

centers

Meds on Wheels

Wockhardt Foundation, Mobile 1000

Advance Women's' Rights


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Recommendations for India cont.

Advance Women's Rights

o Provide contraceptives

o immunizations (rural area)

o Enforcement of laws

stricter police

harsher punishments

goes back again to issue of corruption

CLASH BETWEEN WESTERN AND EASTERN!


16/17

Recommendations for Minnesota

Educate non-indians about their cultureo 9/11

o 2006 Vandalization of Hindu Mandir Minnesota - $200,000 damage

Multicultural Community Centerso share, embrace their cultureo learn about other cultures

o Provide active youth groups

o Promote healthy living

Require Physical Education in k-12 grade

Colleges implement required workout classes Work with Community leaders and groups to

promote diet and exercise


17/17

References

http://blogs.wsj.com/indiarealtime/2011/12/19/five-ways-to-improve-indian-health-care/

https://www.google.com/publicdata/explore?ds=d5bncppjof8f9_&met_y=sp_dyn_le00_in&idim=country:USA&dl=en&hl=en&q=life%20expectancy

http://articles.timesofindia.indiatimes.com/2008-11-25/india/27912135_1_sq-ft-sq-feet-urban-areas

http://www.nytimes.com/2006/11/10/world/10toilet.html?ex=1189828800&en=905358c57769b677&ei=5070&_r=0

http://www.demography.state.mn.us/PopNotes/EvaluatingEstimates.pdf

http://www.culturecareconnection.org/documents/InformationSheet_AsianIndians.pdf

Asian Nation, Asian Nation, http://www.asian-nation.org/demographics.shtml,

Asian Indian numbers in metro surge, Article by: ALLIE SHAH , Star Tribune,

http://www.startribune.com/local/122756984.html,

https://www.cia.gov/library/publications/the-world-factbook/geos/in.html

http://www.cgdev.org/article/healthcare-india-call-innovative-reform-interview-victoria-fan-nbr

http://www.indianchild.com/health_care_in_india.htm

http://articles.economictimes.indiatimes.com/2012-02-18/news/31074955_1_mdgs-extreme-poverty-millennium-development-goals

http://articles.economictimes.indiatimes.com/2012-02-18/news/31074955_1_mdgs-extreme-poverty-millennium-development-

goalshttp://www.hsph.harvard.edu/obesity-prevention-source/ethnic-differences-in-bmi-and-disease-risk/

http://chartsbin.com/view/1200

http://www.indianchild.com/health_care_in_india.htm

http://www.sciencedirect.com.ezp1.lib.umn.edu/science/article/pii/S0899900704000346#

http://articles.timesofindia.indiatimes.com/2013-04-12/india/38490451_1_anti-corruption-arthasastra-congress-party-india

http://commons.wikimedia.org/wiki/File:Census_Bureau_2000,_Asian_Indians_in_the_United_States.png

http://en.wikipedia.org/wiki/Household_income_in_the_United_States
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