Review of Community-Based Health Care Movement and Palliative Care in Kerala

By Azeez, Abdul E. P. | Journal of Management and Public Policy, June 2015 | Go to article overview

Review of Community-Based Health Care Movement and Palliative Care in Kerala


Azeez, Abdul E. P., Journal of Management and Public Policy


Introduction

Policies and legislations are the key for initiating social security and social welfare programs; it gives a direction and systematization in application levels with special focuses. Time to time government both state and central, has taken serious concern on formulation and implementation of policies. A policy in the field of social security is aimed at the alleviation of the problems, ailments and improvement of the general concerns of the people. Public policies objective is to achieve a desired goal that is considered to be in the best interest of all the members in a society (Torjman, 2005). It initiates social welfare and promote the existing systems through advanced applications appropriate to the time. Public policies are the principal guide to sate in delivering services to citizens. According to Jenkins (1978) policy is a set of interrelated decisions taken by a political actor or group of actors concerning the selection of goals and the means of achieving them within a specified situation where these decisions should, in principle, be within the power of these actors to achieve. It is the study of 'how, why and to what effect governments pursue particular courses of action and inactio n' (Heidenheimer, 1990). Here the policy makers are concerned with solving community problems and improving general wellbeing of people through decision making process at the government level and allocate resources accordingly.

In the field of health care, policy is a corner stone of practice and delivery of quality service. According to WHO (2010) "an explicit health policy can achieve several things: it defines a vision for the future; it outlines priorities and the expected roles of different groups; and it builds consensus and informs people."i Health sector is a prominent area which needs policy level intervention that can make a comprehensive change in the health care. Policy level interventions should focus on the segments that have not benefited yet to redress their existing sufferings and improve health care facilities. Policies are very crucial for a country like India, where social security measures are least developed.

There are certain typical examples of policies that are made significant change in the health sector of India both in prevention and promotion. Policy makers are given considerable importance to the health sector in all times, but some of the segment hasn't benefited from these policies. The chronically ill, bedridden patients, el derly population are the examples of such segment. Alternative approaches like palliative care have a vital role to play in this context. Palliative care is comparatively a new approach of care in Indian scenario and it's unlike in many dimensions of the w estern approach of end life care. "Palliative care is an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual" (WHO, 2002).

Palliative care is not just a pain relieving institution which is having a wide and holistic approach in regard with patient care. The history of Palliative care movement in India goes back to the late 1990's with special concentration in the state of Kerala. Palliative care is an emerging concern of public health in Indian context. By the late of 1980's palliative care services began to exist in our country. But during the mid-90's it takes shape as an established mode of service delivery. These activities are mostly concentrated in large cities, with the exception of Kerala, where this movement has much more widespread (Abdul Azeez, 2013). Palliative care can't be consider mere as an approach of medical care its having a unique socio-economic implications in regard with Public health.

Palliative Care Movement: Implications and Relevance of the Approach

The implications and importance of Palliative care can be understood from the segments of population it addressed for, the method and approach utilized for operating intervention. …

The rest of this article is only available to active members of Questia

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Buy instant access to cite pages or passages in MLA 8, MLA 7, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

(Einhorn 25)

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Note: primary sources have slightly different requirements for citation. Please see these guidelines for more information.

Cited article

Review of Community-Based Health Care Movement and Palliative Care in Kerala
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Help
Full screen
Items saved from this article
  • Highlights & Notes
  • Citations
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

    Style
    Citations are available only to our active members.
    Buy instant access to cite pages or passages in MLA 8, MLA 7, APA and Chicago citation styles.

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

    1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

    Cited passage

    Thanks for trying Questia!

    Please continue trying out our research tools, but please note, full functionality is available only to our active members.

    Your work will be lost once you leave this Web page.

    Buy instant access to save your work.

    Already a member? Log in now.

    Search by... Author
    Show... All Results Primary Sources Peer-reviewed

    Oops!

    An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.