public health presentation
TRANSCRIPT
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Health in India vs.Minnesota
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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
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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.
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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
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Overpopulation
Minnesota density: 25.23 population/mile2
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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
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Nutrition
Genetic Factor: Insulin resistant highrate of diabetes
3 million deaths per year Lots of ghee (butter), oils, fats
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Jobs/Corruption
Corruption "fact oflife"o Hard to advance
social classeso bribery
Economic Statushighly valuedo Especially in
marriage
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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)
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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
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Demographics
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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
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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!
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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
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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
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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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