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Review the Final Paper criteria in Week Six of the course. Choose a country of your choice for your Final Paper. Make sure you choose one that has enough information to assess. In 200-300 words, describe the country you have chosen and list at least three sources that you will be able to use to extract the information necessary for the Final Paper. In Week 4, you will present an outline and concept paper of the country you have chosen for instructor feedback.
Carefully review the Grading Rubric (Links to an external site.)Links to an external site. for the criteria that will be used to evaluate your assignment.
Final Paper
Based on the country you have selected, analyze its health system in terms of cost, quality, and access to care. Discuss how the country you chose is different from the United States. Politics, culture, wealth, history and environmental factors influence the development and distribution of health services. Your analysis should speak to the following elements:
Include appropriate comparison and contrasts with the health systems of countries that were covered in this course.
Week 3 Standard Guidance:
The healthcare systems in developing nations differ from the developed nations. The author provides some interesting quotes: The roof of the house fights the rain, but he who is sheltered ignores it (Nigerian Proverb) and Understanding human needs is half the job of meeting them (Adlai Stevenson). As you go through this week’s information on India (Links to an external site.)Links to an external site. and the Russian Federation (Links to an external site.)Links to an external site., you will learn what makes the countries in developing nations more of a challenge. Many cultural differences and lifestyle habits contribute to the differences including spirituality, domination of one group over another, wealth of population, and education. Here are some interesting facts from your readings about India and the Russian Federation (Lovett-Scott & Prather, 2014):
Fact:
India
The Russian Federation
Introduction and Overview
A. The population in India is 1,205,073,612 (approximately 1.2 Billion)
B. High infant mortality rate; 85:1,000 under 5 year old mortality rate
C. Low life expectancy of 62 years
D. Low literacy rate
E. Male dominated society, women are subservient to males
F. Poorly managed and funded, National Health Care System.
G. Residents receive acute care only
H. Major public health problems like contaminated water, and poor sanitation
I. Health care system challenged by numerous chronic, infectious diseases
J. India’s endemic problems include cholera, CR-Malaria.
K. Incentives for voluntary male sterilization.
L. Predominate religion is Hindu (practiced by 83% of population)
M. Fatalistic views of health common
N. Death welcomed as natural, cremation preferred
O. Belief in reincarnation
A. Largest country in the world
B. Geographic Location
C. Largest ethnic group (79.8%) – Russian
D. Literacy rate (99.4%) one of the highest in the world
E. Health status- substandard worldwide and below Western standards
F. A Market economy
G. Break-up from Soviet Union and impact of transition from communism
H. A shrinking population-severe demographic decline
I. Devastating mortality rates for working age males and middle-aged males
J. Infant mortality rate and impact of legalized abortion
K. Prevalence of smoking
L. Prevalence of alcohol consumption
M. Prevalence of HIV/AIDS
Preventive
A. Lack of dental coverage (Gates, Senate Foreign Relations).
B. No clear policy or strategy for the development of health care for older people.
C. A comprehensive care package that includes, “promotive, preventive, curative and rehabilitative services is essential for this population group” (Dey, 2006, p. 134).
D. Many of the poorest communities, lack clean water, electricity, sanitation (UN-HABITAT, 2007); perfect conditions for especially infections. Many residents live in what is referred to as the 21st Century slums which presents some of India’s greatest challenges.
A. Important linkages with UNAIDS
B. Partnership with WHO Framework Convention on Tobacco
Financing
A. Relatively low overall spending on health care; spends $14.8 billion annually on health care (approximately 5.2% of its GDP); predicted to spend $33.6 billion by 2012 (8.5% of the GDP) (WHO, 2007).
B. Grossly inadequate and underfunded.
C. According to WHO (2003) “only five other countries in the world are worse off than India regarding public health spending
D. 59% of India’s health care budget funds primary health care (curative, preventive, and health promotion).
E. Out-of pocket expenditures are high, and account for 98.4% of the total health expenditures by household.
A. Article 41 Russian Constitution
B. Mandatory Medical Insurance program (1993)
C. The Guaranteed Package Program (1998)
D. Health Expenditures – 3.6% of the GDP
E. Healthcare Workforce
References
Allianz. (n.d.). Healthcare in Russia. Retrieved from http://www.allianzworldwidecare.com/healthcare-in-russia
AngloINFO. (n.d.). Healthcare System in India | India. Retrieved from http://india.angloinfo.com/healthcare/health-system/
Lovett-Scott, M., & Prather, F. (2014). Global health systems: Comparing strategies for delivering health services. Burlington, MA: Jones & Bartlett Learning.
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