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Item A Study on Economic Evaluation of an Outreach Health-Care Facility in Jhajjar District of Haryana: Service Delivery Model for Increasing Access to Health Care(Indian J. Public Health, 2021) Mohammad Kausar; Vijaydeep Siddharth; Shakti Kumar GuptaBackground: An outreach (OR) health-care facility providing broad specialty outpatient services was started by All India Institute of Medical Sciences (AIIMS), New Delhi, in rural area of district Jhajjar, Haryana. Objectives: This study aimed to ascertain the resource requirement for establishing an OR health-care facility and patient satisfaction with regard to the services being provided. Methods: A cross-sectional study was conducted in 2017 at an OR Outpatient Department (OPD) of AIIMS, New Delhi, at Jhajjar. Service delivery model adopted for health-care delivery was hub and spoke. Traditional method of costing was used for economic evaluation. Feedback pro forma of 400 patients who attended OPD services was analyzed to measure health service accessibility. Results: Capital expenditure to set up the facility was calculated to be approximately INR 17,57,49,074/- ($ 2,703,832) and operational cost per year was approximately INR 8,73,86,370/- ($ 1,344,406). Approximate per-patient cost for single OPD consultation was calculated to be INR 874 ($13.45) which included medicines and investigations. High scores for all domains of accessibility of health care were observed. Conclusion: The study provides a preliminary evidence that OR health-care facilities can be instrumental in increasing access to health-care delivery with lesser capital outlays, however, large-scale multicentric studies are needed to arrive at any conclusion. The services have been very well accepted by the local community members being quality medical care with highly subsidized health-care services.Item The Impact of Right to Health Under Legal Public Health Care System in India(South Eastern European Journal of Public Health, 2024) Akanksha Choudhary; Deshant Singh ThakurAn individual's right to health is fundamental to a decent life, hence it is important to examine the several aspects that support this right from different perspectives. Furthermore, since modern health care includes a larger social component in addition to an individualistic demand, this right must be examined in the context of the individual's personal and social life. Discrimination against members of society's most vulnerable groups women, children, the economically disadvantaged, the elderly, individuals with disabilities, including those who are mentally retarded means that people's right to health is violated. Additionally, this right is threatened by a number of other variables, including harmful working conditions and settings, natural disasters and wars, food and nutrition, housing and living situations, and forced population displacement. Therefore, in order to achieve the aim of "Health for All," this work advocated a right to health by assessing the impact of these several previously mentioned elements.Item What we don't talk about in health inequalities: Value judgements(Public Health in Practice, 2023) John Ford; Michelle Black; Jo MorlingHundreds of pages of journals are filled every year describing health inequalities, but few discuss why these differences are unfair and avoidable. These value judgements raise important philosophical and ethical questions.