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	<title>Empowerment Archives - InnoHEALTH magazine</title>
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		<title>Transformational Leadership: Inspiring Positive Change</title>
		<link>https://innohealthmagazine.com/2023/persona/transformational-leadership-inspiring-positive-change/</link>
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		<dc:creator><![CDATA[InnoHEALTH magazine digital team]]></dc:creator>
		<pubDate>Tue, 22 Aug 2023 07:36:00 +0000</pubDate>
				<category><![CDATA[Guest Column]]></category>
		<category><![CDATA[Persona]]></category>
		<category><![CDATA[driving change]]></category>
		<category><![CDATA[Empowerment]]></category>
		<category><![CDATA[inspirational leadership]]></category>
		<category><![CDATA[leadership impact]]></category>
		<category><![CDATA[organizational transformation]]></category>
		<category><![CDATA[positive change]]></category>
		<category><![CDATA[societal impact]]></category>
		<category><![CDATA[transformational leadership]]></category>
		<category><![CDATA[transformative shifts]]></category>
		<category><![CDATA[visionary leaders]]></category>
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					<description><![CDATA[<p>Leaders who adopt this approach aim to uplift and motivate their followers to exceed their own expectations and achieve collective goals. In today&#8217;s rapidly evolving world, effective leadership is crucial...</p>
<p>The post <a href="https://innohealthmagazine.com/2023/persona/transformational-leadership-inspiring-positive-change/">Transformational Leadership: Inspiring Positive Change</a> appeared first on <a href="https://innohealthmagazine.com">InnoHEALTH magazine</a>.</p>
]]></description>
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<h2 class="Body" style="text-align: justify; text-justify: inter-ideograph; color: #2b322f; font-size: 19px; line-height: 1.7;"><strong><em>Leaders who adopt this approach aim to uplift and motivate their followers to exceed their own expectations and achieve collective goals.</em></strong></h2>



<p>In today&#8217;s rapidly evolving world, effective leadership is crucial for organizations to thrive. Among the various leadership styles, transformational leadership has emerged as a powerful approach that inspires and motivates individuals to achieve remarkable outcomes. Rooted in charisma, inspiration, intellectual stimulation, and individual consideration, transformational leadership fosters a shared vision, encourages personal growth, and empowers followers.&nbsp;</p>



<p>Transformational leadership is a leadership style that focuses on inspiring and transforming individuals and organizations. Leaders who adopt this approach aim to uplift and motivate their followers to exceed their own expectations and achieve collective goals. Transformational leaders are characterized by their ability to create a compelling vision and communicate it.</p>



<p>The theory of leadership states that when a leader works with the team to identify needed change, creating a vision to guide the change through inspiration and executing the change in tandem with committed members of the group. There are several approaches to leadership that can be applied in nursing practice. In day-to-day activities we see leaders practicing different leadership styles according to the situation. But in the complex world of the present era, one needs to be very careful while practicing leadership style.</p>



<p>Many management Gurus are advocating a transformational leadership style nowadays, though it is as old as the Mahabharata time. We remember the preaching from Bhagwat Gita where Lord Krishna transforms Arjuna to fight when he was totally bewildered and did not want to fight. Lord Krishna further left it up to Arjuna to decide his own path after letting him know the pros and cons of both situations.&nbsp;</p>



<p>This is an extraordinary example of transformational leadership. Transformational leadership is an approach that focuses on the attributes and behavior of the leader, required to empower and motivate team members.</p>



<p><strong>The four elements of transformational leadership are</strong> idealized influence, inspirational motivation, intellectual stimulation, and individualized consideration.</p>



<ol class="wp-block-list">
<li><strong>Idealized Influence</strong>: when the leader is positive and a role model, leads by example and is confident. A leader is energetic and engages in respectful interactions. He/she engenders respect and demonstrates personally held values. Practitioners of this style are not afraid of apology if a mistake is committed.</li>



<li><strong>Inspirational motivation</strong>: Encourage manatees to leave their comfort zones and explore new possibilities. Let them know that you believe in them and motivate them to redefine their goals and achieve them for their personal growth. A leader communicates high expectations, inspiring and energizing others to go beyond minimum standards. Instill in the manatees to be optimistic. Leader conveys. <strong>I BELIEVE IN YOU</strong></li>



<li><strong>Intellectual stimulation</strong>: Encourage the mentees to tackle old problems in new ways. Mentees to think critically about their ways of doing things and share new ideas to help them to create new ideas to solve problems.</li>



<li><strong>Individualized considerations</strong>: Treat each individual manatee as unique, and valued, listen carefully, and give specific, personalized feedback or advice that suits the individual. The Almighty God has created everyone with different characteristics like the fingerprints of one person will not match with another, the same is true with the human mind to respond to the same situation. So, one needs to treat each individual differently as per their personality traits.</li>
</ol>



<p class="has-text-color" style="color:#4e0000;font-size:25px"><strong>Traits of a successful transformational leader&nbsp;</strong></p>



<p>Transformational leaders are self-aware, open mind people who accept criticism. They are proactive, adaptive, and innovative. Above all, they lead with humility.</p>



<h2 class="Body" style="text-align: justify; text-justify: inter-ideograph; color: #2b322f; font-size: 19px; line-height: 1.7;"><strong><em>Transformational leaders are self-aware, open mind people who accept criticism. They are proactive, adaptive, and innovative.</em></strong></h2>



<p class="has-text-color" style="color:#4e0000;font-size:25px"><strong>Benefits of Transformational Leadership</strong></p>



<p>&nbsp;<strong>&nbsp;&nbsp;a) </strong>Enhanced Motivation: Transformational leaders create a sense of purpose and meaning, igniting intrinsic motivation within their followers. They promote a shared vision that aligns individual goals with organizational objectives, fostering a sense of ownership and commitment.</p>



<p>&nbsp;&nbsp;<strong>&nbsp;b)</strong> Increased Productivity: Through their inspirational and empowering leadership, transformational leaders cultivate a positive work environment that enhances productivity and efficiency. They encourage innovation, collaboration, and continuous improvement.</p>



<p>&nbsp;&nbsp;&nbsp;<strong>c)</strong> Talent Development: Transformational leaders prioritize individual growth and development. They identify and nurture talent, providing opportunities for learning, skill-building, and career advancement. This leads to a highly skilled and engaged workforce.</p>



<p>&nbsp;&nbsp;&nbsp;<strong>d)</strong> Organizational Adaptability: Transformational leaders foster a culture of adaptability and change readiness. They encourage flexibility, resilience, and a proactive approach to challenges, enabling organizations to navigate uncertainty and seize opportunities.</p>



<h2 class="Body" style="text-align: justify; text-justify: inter-ideograph; color: #2b322f; font-size: 19px; line-height: 1.7;"><strong><em>Transformational leadership is a powerful leadership style that empowers individuals, inspires change and drives organizational success.</em></strong></h2>



<p class="has-text-color" style="color:#4e0000;font-size:25px">&nbsp;<strong>Impact of Transformational Leadership:</strong></p>



<p>&nbsp;&nbsp;&nbsp;<strong>a) </strong>Employee Engagement: Transformational leadership fosters high levels of employee engagement and satisfaction. When individuals feel valued, inspired, and empowered, they become more committed and motivated, resulting in higher job satisfaction and reduced turnover.</p>



<p>&nbsp;&nbsp;&nbsp;<strong>b)</strong> Organizational Culture: Transformational leaders shape organizational culture by promoting openness, trust, and collaboration. They create an inclusive and supportive environment that values diversity of thought, leading to enhanced teamwork and cohesion.</p>



<p>&nbsp;&nbsp;&nbsp;<strong>c)</strong> Innovation and Creativity: By stimulating intellectual curiosity and encouraging innovation, transformational leaders drive creativity within the organization. They inspire individuals to think beyond boundaries, leading to breakthrough ideas and solutions.</p>



<p>&nbsp;&nbsp;<strong>&nbsp;d) </strong>Sustainable Success: Transformational leadership lays the foundation for sustainable success. By building strong relationships, fostering growth, and promoting a shared vision, leaders create a legacy that extends beyond their tenure, ensuring long-term organizational prosperity.</p>



<p><strong>&nbsp;</strong>But what if one has set back most people attempting major behavior change suffer set back-including leaders. There can be short-term causes like interpersonal conflict, bad moods, and unpredictable events. The chronic set back like stress, fatigue, and lack of social support. The leader leads in this situation by coping positively and setting the example to bounce back with full vigour and zest to overcome the situation.</p>



<p>Transformational leadership is a powerful leadership style that empowers individuals, inspires change and drives organizational success. By embodying charisma, inspiration, intellectual stimulation, and individual consideration, transformational leaders create a positive work environment that encourages personal growth, innovation, and collaboration. The benefits of transformational leadership extend beyond individual and organizational growth, impacting employee engagement, organizational culture, and long-term success. In an ever-changing world, transformational leadership serves as a guiding light, illuminating the path toward a brighter and more prosperous future.</p>



<p><strong><em>Learning is defined as a change in behavior. One has not learned a thing until one can take action and use it.</em></strong><br><strong><em>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Leaders and Mentors change lives.</em></strong></p>



<p style="color: #a13621;"><em><strong> &#8220;Composed by: Prof. Urmila D Bhardwaj has a vast experience in nursing and is presently working as Principal cum Dean at Sharda University.&#8221;</strong></em></p>
<p>The post <a href="https://innohealthmagazine.com/2023/persona/transformational-leadership-inspiring-positive-change/">Transformational Leadership: Inspiring Positive Change</a> appeared first on <a href="https://innohealthmagazine.com">InnoHEALTH magazine</a>.</p>
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		<title>Taking Charge of Wellness: Apple Powerful Insights for Mental and Vision Health</title>
		<link>https://innohealthmagazine.com/2023/research/taking-charge-of-wellness-apple-powerful-insights-for-mental-and-vision-health/</link>
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		<dc:creator><![CDATA[InnoHEALTH magazine digital team]]></dc:creator>
		<pubDate>Tue, 04 Jul 2023 05:40:51 +0000</pubDate>
				<category><![CDATA[Research]]></category>
		<category><![CDATA[Apple]]></category>
		<category><![CDATA[data analysis]]></category>
		<category><![CDATA[Empowerment]]></category>
		<category><![CDATA[Mental Health]]></category>
		<category><![CDATA[powerful]]></category>
		<category><![CDATA[vision health]]></category>
		<category><![CDATA[wellness insights]]></category>
		<guid isPermaLink="false">https://ztt.nrm.mybluehostin.me/innohealthmagazine?p=17868</guid>

					<description><![CDATA[<p>In a groundbreaking move, Apple has recently announced the integration of innovative mental and vision health features into its operating software updates. These developments highlight Apple&#8217;s commitment to leveraging technology...</p>
<p>The post <a href="https://innohealthmagazine.com/2023/research/taking-charge-of-wellness-apple-powerful-insights-for-mental-and-vision-health/">Taking Charge of Wellness: Apple Powerful Insights for Mental and Vision Health</a> appeared first on <a href="https://innohealthmagazine.com">InnoHEALTH magazine</a>.</p>
]]></description>
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<p><strong>In a groundbreaking move</strong>, Apple has recently announced the integration of innovative mental and vision health features into its operating software updates. These developments highlight Apple&#8217;s commitment to leveraging technology for the betterment of overall well-being. By incorporating powerful insights and tools into its devices, Apple aims to revolutionize the way individuals manage and monitor their mental and vision health. Let&#8217;s delve deeper into the key features and their potential impact on user health. These recent updates, which integrate both inclusivity and health consciousness, have set a new benchmark in the realm of user-centric software design.</p>



<p>Apple&#8217;s revolutionary focus on health began with the inception of the Health app and its accompanying features on iOS 8, promoting fitness and wellness. However, it&#8217;s the recent software updates that have truly elevated this philosophy, interweaving it into the core functioning of Apple devices.</p>



<p class="has-white-color has-text-color has-background" style="background-color:#686868;font-size:23px"><strong>Mindfulness at the Forefront: Enhanced Mental Health Features</strong></p>



<div style="height:25px" aria-hidden="true" class="wp-block-spacer"></div>



<p>Understanding the need for mental well-being in our increasingly digital society, Apple has taken strides to promote mindfulness and relaxation. Apple&#8217;s new operating software updates prioritize mental health by introducing several groundbreaking features. One notable feature is the Mindfulness app, which guides users through meditation and breathing exercises to promote relaxation and stress reduction. The app offers tailored sessions based on user preferences and tracks progress over time, fostering a consistent mindfulness practice.</p>



<p>Additionally, the Mental Health Insights feature provides users with valuable data regarding their mental well-being. Leveraging machine learning and advanced algorithms, the feature analyses factors such as sleep patterns, physical activity, and screen time to generate personalized insights. This information empowers users to make informed decisions about their daily routines, enabling them to better manage stress and enhance their overall mental health.</p>



<p>Apple has also integrated an Emotional Health Tracker into its operating software. This feature utilizes advanced facial recognition technology to detect and analyze emotions through subtle facial expressions. By offering users a comprehensive understanding of their emotional state, this tracker acts as an invaluable tool for self-reflection and emotional well-being.</p>



<p class="has-white-color has-text-color has-background" style="background-color:#686868;font-size:23px"><strong>Revolutionizing Vision Health: Transformative Vision Health Innovations</strong></p>



<div style="height:25px" aria-hidden="true" class="wp-block-spacer"></div>



<p>Recognizing the widespread impact of digital screens on eye health, Apple has introduced a suite of vision health features designed to alleviate digital eye strain and promote healthier viewing habits. The operating software now includes an Eye Comfort mode, which adjusts the display&#8217;s colour temperature and brightness to reduce eye fatigue during extended screen usage. This feature is particularly beneficial for individuals who spend long hours working on computers or mobile devices.</p>



<p>Moreover, Apple&#8217;s Vision Health Insights feature provides users with personalized analytics regarding their screen time and visual habits. By tracking metrics such as usage patterns, distance from the screen, and breaks taken, the feature offers tailored recommendations to mitigate eye strain and improve overall eye health. These insights serve as a gentle reminder for users to take necessary breaks and adopt healthy screen-related habits.</p>



<p class="has-white-color has-text-color has-background" style="background-color:#686868;font-size:23px"><strong>Apple&#8217;s Health-focused Innovations: A Giant Leap for Public Health</strong></p>



<div style="height:25px" aria-hidden="true" class="wp-block-spacer"></div>



<p>The introduction of Apple&#8217;s mental and vision health features in its operating software updates holds tremendous usefulness from a public health perspective. Here are some key points highlighting their significance:</p>



<p><strong>Increased Accessibility</strong>: Apple&#8217;s widespread popularity and user base mean that these mental and vision health features will reach millions of individuals globally. By integrating these features directly into their devices, Apple ensures accessibility for a wide range of users, making it easier for people to prioritize their mental and vision health.</p>



<p><strong>Empowering Self-Care:</strong> These features provide users with valuable insights and tools to actively monitor and manage their mental and vision health. By offering personalized recommendations and data-driven insights, Apple empowers individuals to take control of their well-being and make informed decisions regarding their daily habits and routines.</p>



<p><strong>Early Detection and Prevention:</strong> The Mental Health Insights feature, which analyzes various factors like sleep patterns and physical activity, can contribute to the early detection and prevention of mental health issues. By identifying patterns and changes in behavior, individuals can seek timely intervention and support, potentially mitigating the severity of mental health conditions.</p>



<p><strong>Stress Reduction and Mindfulness:</strong> The Mindfulness app serves as a practical tool for stress reduction and promoting mindfulness. By guiding users through meditation and breathing exercises, Apple encourages regular mindfulness practice, which has been proven to have positive effects on mental well-being, stress management, and overall health.</p>



<p><strong>Eye Health Awareness:</strong> The vision health features address the growing concern of digital eye strain caused by prolonged screen usage. By providing users with insights into their screen time, breaks, and viewing habits, individuals are prompted to adopt healthier practices and take necessary breaks, ultimately reducing the risk of eye strain and related issues.</p>



<p><strong>Personalized Recommendations</strong>: The personalized nature of these features ensures that recommendations and insights are tailored to each user&#8217;s specific needs and habits. This individualized approach enhances the effectiveness of the features, making them more impactful in promoting positive health behaviours and habits.</p>



<p><strong>Privacy and Security:</strong> Apple&#8217;s strong emphasis on user privacy and data security ensures that personal health information remains confidential and protected. This commitment to safeguarding user data helps build trust among users and encourages them to utilize these features without concerns about their privacy being compromised.</p>



<p><strong>Public Health Research</strong>: The data collected through these features, while anonymized and encrypted, can potentially contribute to public health research efforts. Aggregated and anonymized data could provide valuable insights into population-level trends and patterns related to mental and vision health, aiding public health professionals in understanding and addressing these issues more effectively.</p>



<p>Apple&#8217;s mental and vision health features have significant usefulness from a public health perspective. By promoting self-care, stress reduction, and healthy habits, these features empower individuals to prioritize and manage their mental and vision health. Furthermore, the widespread accessibility and commitment to privacy ensure that many users can benefit from these features while maintaining control over their personal information. Overall, Apple&#8217;s efforts in integrating health-focused features into its operating software contribute positively to public health promotion and awareness.</p>



<p>As we reflect on the transformational mental health features introduced by Apple in its latest operating software updates, we are ushered into a new era where technology and wellness are intertwined in unprecedented ways. Apple&#8217;s innovative tools and applications present a holistic approach to mental well-being, reflecting the company&#8217;s commitment to enhance the quality of life for its users.</p>



<p class="has-white-color has-text-color has-background" style="background-color:#686868;font-size:23px"><strong>Shaping a Healthier Future with Apple&#8217;s Mental Health Innovations</strong></p>



<div style="height:25px" aria-hidden="true" class="wp-block-spacer"></div>



<p>From the Mindfulness app encouraging daily relaxation and stress management practices, to the Mental Health Insights feature offering personalized data on our daily habits, Apple empowers individuals to take charge of their mental wellness. Moreover, the Emotional Health Tracker serves as a tool for fostering self-awareness and emotional intelligence, demonstrating how technology can play a pivotal role in mental health support.</p>



<p>These features not only provide an avenue for proactive self-care but also contribute to early detection and prevention of mental health issues. By integrating such services into devices, we use every day, Apple brings mental health to the forefront, making it an integral part of our digital lifestyle.</p>



<p>Moreover, Apple&#8217;s unwavering commitment to privacy and security ensures that our health information is well-protected, fostering trust and confidence in users to take full advantage of these tools. At the same time, the potential for contributing anonymized data to public health research signifies the far-reaching impacts of this innovative venture beyond individual users.</p>



<p class="has-white-color has-text-color has-background" style="background-color:#636363"><strong>In conclusion</strong>, Apple&#8217;s mental health innovations are more than just software updates; they represent a profound shift in the way we perceive and manage our mental health. By merging technology with health, Apple is not only enhancing the user experience but also championing the importance of mental well-being in the digital age. As we move forward, the integration of health-focused features into our technology continues to reshape our approach to wellness, offering promising prospects for a healthier and more mindful future.</p>



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<p style="color: #a13621;"><em><strong>Composed by: &#8220;Varsha, proficient as a Business Analyst, has an educational foundation in healthcare IT, acquired through a PGDHM from IIHMR Delhi. Her primary interest rests at the intersection of healthcare and technology, with a specific focus on harnessing cutting-edge tech solutions to revolutionize patient care and enhance healthcare systems. Her work areas comprise optimizing healthcare data flow and improving operational efficiency, driving enhanced patient care and system robustness.&#8221;</strong></em></p>
<p>The post <a href="https://innohealthmagazine.com/2023/research/taking-charge-of-wellness-apple-powerful-insights-for-mental-and-vision-health/">Taking Charge of Wellness: Apple Powerful Insights for Mental and Vision Health</a> appeared first on <a href="https://innohealthmagazine.com">InnoHEALTH magazine</a>.</p>
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		<title>Urban Health in India: Present and Future</title>
		<link>https://innohealthmagazine.com/2022/persona/urban-health-in-india-present-and-future/</link>
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		<dc:creator><![CDATA[InnoHEALTH magazine digital team]]></dc:creator>
		<pubDate>Mon, 31 Oct 2022 11:13:20 +0000</pubDate>
				<category><![CDATA[Guest Column]]></category>
		<category><![CDATA[Persona]]></category>
		<category><![CDATA[Ayushman bharat]]></category>
		<category><![CDATA[Empowerment]]></category>
		<category><![CDATA[Free Drugs]]></category>
		<category><![CDATA[Global]]></category>
		<category><![CDATA[Health and wellness centres]]></category>
		<category><![CDATA[health issues]]></category>
		<category><![CDATA[housing and infrastructure]]></category>
		<category><![CDATA[Malnutrition]]></category>
		<category><![CDATA[non-communicable diseases]]></category>
		<category><![CDATA[overcrowding]]></category>
		<category><![CDATA[Urban Areas]]></category>
		<category><![CDATA[Urban Health]]></category>
		<category><![CDATA[Urban Population]]></category>
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					<description><![CDATA[<p>Maj. Gen. (Prof.) Atul Kotwal is currently serving as Executive Director, National Health Systems Resource Centre (NHSRC), an apex body for technical assistance under NHM, MoHFW, GoI. With more than...</p>
<p>The post <a href="https://innohealthmagazine.com/2022/persona/urban-health-in-india-present-and-future/">Urban Health in India: Present and Future</a> appeared first on <a href="https://innohealthmagazine.com">InnoHEALTH magazine</a>.</p>
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<figure class="wp-block-image size-full is-resized"><img fetchpriority="high" decoding="async" src="https://innohealthmagazine.comwp-content/uploads/2022/10/Maj-GenProf-Atul-Kotwal_.png" alt="Maj Gen(Prof) Atul Kotwal" class="wp-image-15545" width="400" height="400" srcset="https://innohealthmagazine.com/wp-content/uploads/2022/10/Maj-GenProf-Atul-Kotwal_.png 400w, https://innohealthmagazine.com/wp-content/uploads/2022/10/Maj-GenProf-Atul-Kotwal_-300x300.png 300w, https://innohealthmagazine.com/wp-content/uploads/2022/10/Maj-GenProf-Atul-Kotwal_-150x150.png 150w, https://innohealthmagazine.com/wp-content/uploads/2022/10/Maj-GenProf-Atul-Kotwal_-100x100.png 100w, https://innohealthmagazine.com/wp-content/uploads/2022/10/Maj-GenProf-Atul-Kotwal_-140x140.png 140w, https://innohealthmagazine.com/wp-content/uploads/2022/10/Maj-GenProf-Atul-Kotwal_-350x350.png 350w" sizes="(max-width: 400px) 100vw, 400px" /></figure>
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<p style="color:#FFFFFF;  padding:5% 5% 1% 5%;"><b>Maj. Gen. (Prof.) Atul Kotwal</b> is currently serving as Executive Director, National Health Systems Resource Centre (NHSRC), an apex body for technical assistance under NHM, MoHFW, GoI. With more than 37 years of experience, Dr. Kotwal is a medical professional, public health researcher, administrator, educator, mentor, and teacher with significant contribution to the field of Public Health. He has diverse experience including serving in the armed forces, as a Public Health Advisor in Botswana, Africa and providing technical support to GoI in the erstwhile Planning Commission. </p>



<p style="color:#FFFFFF; padding:1% 5% 5% 5%;)">His areas of expertise include health systems, policy and planning, primary healthcare, urban health, health technology, epidemiology, implementation and inter-disciplinary research. Dr. Kotwal has received numerous awards for his contribution to the Armed Forces, Sena Medal (Gallantry) and Vishisht Sewa Medal (VSM), being the notable ones. With more than 140 publications in indexed journals, his contribution to research, evidence generation, knowledge sharing and providing academic support in the field of public health is invaluable.</p>
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<h2 class="Body" style="text-align: justify; text-justify: inter-ideograph; color: #48542b; font-size: 21px; line-height: 1.7;"><strong><em>India too is urbanizing rapidly, in alignment with the global trend. As per the Census of India, the population in urban areas has increased from 286.1 million in 2001 to 377.1 million in 2011 (projected 483 million, in 2022).</em></strong></h2>



<p>Urbanization is one of the leading global demographic trends with a significant impact on the health and well-being of the population. As per <a href="https://www.who.int/india" target="_blank" rel="noreferrer noopener">World Health Organisation</a> (WHO), more than 55% of the world&#8217;s population lives in urban areas, which is likely to increase to 68% by 2050. This scenario puts great demand on governments across the globe to address the varied vulnerabilities and issues affecting the health issues and health outcomes of urban populations. As most of the urban population growth will occur in developing countries, their governments have a unique opportunity to plan and guide urban development in a way that favourably affects the health and well-being of the urban population. &nbsp;</p>



<p>India too is urbanizing rapidly, in alignment with the global trend. As per the Census of India, the population in urban areas has increased from 286.1 million in 2001 to 377.1 million in 2011 (projected 483 million, in 2022). The urban population constitutes 31% of the total population in India and is expected to increase to more than 550 million by 2030.&nbsp;</p>



<p>The unprecedented growth of this scale comes with issues such as disparities, inadequate urban housing and infrastructure, overcrowding, insufficient urban amenities, etc. An increasing number of communicable and non-communicable diseases, malnutrition among children, insufficient water and sanitation facilities, etc., affect the health status of the urban population. According to the National Family Health Survey (NFHS 5), 18.5 percent of the urban population does not have access to an improved sanitation facility, and 1.4 percent do not have access to an improved drinking water source.&nbsp;</p>



<h2 class="Body" style="text-align: justify; text-justify: inter-ideograph; color: #48542b; font-size: 21px; line-height: 1.7;"><strong><em>The private sector undoubtedly makes significant contributions to fill the existing gaps in healthcare service provision; however, several issues plague the efficiency, equity and quality of their services.</em></strong></h2>



<h2 class="wp-block-heading" style="font-size:26px"><strong>Urban Health: Existing Policies and Programmes in India</strong></h2>



<p>India&#8217;s focus on the comprehensive development of the urban health system is a recent phenomenon. The Tenth Plan observed that &#8220;<em>Unlike the rural health services, there have been no efforts to provide well-planned and organized primary, secondary and tertiary care services in geographically delineated urban areas. As a result, in many areas, primary health facilities are not available; some of the existing institutions are underutilized, while there is overcrowding in most of the secondary and tertiary centres&#8221;</em>.&nbsp;Responding to this reality, the National Urban Health Mission (NUHM) was launched in 2013 under the overarching umbrella of the National Health Mission (NHM).</p>



<p>The launch of NUHM was a decisive step taken by the Government of India, acknowledging the heterogeneous nature of communities in urban areas, which resulted in unique vulnerabilities and requirements and initiated systematic development of urban health systems across the country. NUHM provides a comprehensive framework for setting up urban health systems in different contexts and defines institutional mechanisms at the national, state, and district levels for implementation.</p>



<p>Under the National Urban Health Mission, every municipal corporation and town panchayat becomes a unit of health planning. The Mission provides flexibility to states/UTs to choose the model which suits the needs and capacities of states to best address the healthcare needs of the urban population, especially the urban poor. The broad framework of programme implementation proposes rationalizing the available human resources, improving access through communitised risk pooling mechanisms, and enhancing participation of community in planning and management of the health care service delivery by ensuring a community link volunteer such as ASHA (Accredited Social Health Activist) or Link Worker from other programs like ICDS, etc. </p>



<p>Empowerment of the community through awareness generation, whereby they can demand services from the Health System, is also an important area of emphasis under the NUHM. Urban health systems have an edge over their rural counterparts in the availability of human resources for health, as the urban density of doctors is nearly four times that in rural areas and three times higher in the case of nurses. However, the outcome of NUHM has not been uniform across urban areas in the country.&nbsp;</p>



<p>Although, the out-of-pocket expenditure (OOPE) as a percent of Total Health Expenditure has reduced from 64.2% in 2013-14 to 48.2% in 2018-19,&nbsp; the average OOPE in government hospitals in urban areas is Rs. 326, while it is Rs. 1082 in private facilities. There also exist wide variations in OOPE across states in the country. The Government of India is implementing programmes such as the Free Drugs and Diagnostics initiative, PM-National Dialysis programme, etc., in rural and urban areas with the aim to reduce OOPE endured by families; However, It is imperative also to understand the context-specific direct and indirect costs which people in urban areas might have to spend like transportation to the health facility, loss of wages, etc., to understand the true extent of the financial burden endured while accessing healthcare services.&nbsp;</p>



<p>The role of private healthcare providers in provisioning healthcare services in urban areas is another critical aspect which requires more focus. The private sector healthcare providers in urban areas consist of individual practitioners or small nursing homes that provide services focusing on curative care, in addition to medium-sized hospitals and large hospital chains targeting tertiary care. The private sector undoubtedly makes significant contributions to fill the existing gaps in healthcare service provision; however, several issues plague the efficiency, equity and quality of their services. </p>



<p>These include distributional inequalities of private providers in urban areas, a lack of uniform standards and protocols to which the private practitioners may adhere to, a need for quality assurance and cost control mechanisms for private providers, lack of implementation of the Clinical Establishment Act (CEA) in some states, leading to a regulatory vacuum, etc.</p>



<p>Although the 74<sup>th</sup> Amendment of the Constitution places the healthcare system under local governance, its role in delivering healthcare in many states is almost negligible. In states like Kerala, decentralization under NUHM has resulted in the devolution of functions, funds, and functionaries to the ward level; some states in India have not reached this stage. Research shows that the weak capacity of ULBs is one of the major reasons for their sub-optimal involvement in planning and implementing health policies and programs.</p>



<p>It is in this context that the Government of India launched the Ayushman Bharat – Health and Wellness Centres (HWCs) in 2018, marking the shift of focus from selective to comprehensive primary healthcare. Under this program, the Government of India targets the conversion of 1.5 lakhs SHCs, PHCs, and UPHCs into Health and Wellness Centres by December 2022. Funds for converting UPHCs into UPHC-HWCs are also provided under recently launched schemes like Ayushman Bharat – Prime Minister&#8217;s Health Infrastructure Mission (PM-ABHIM) and the 15<sup>th</sup> Finance Commission earmarked grants for local bodies.&nbsp;</p>



<p>Universal Comprehensive Primary Health Care is planned to be provided through these Urban Health and Wellness Centres (Urban HWCs) and Polyclinics, in addition to dedicated funds for diagnostics in close collaboration with Urban Local Bodies. Another critical intervention is establishing cost-effective laboratory systems at the district level that provide rapid, reliable, and accurate test results, with defined upwards and downwards linkages. </p>



<p>These facilities will enable decentralized delivery of health care services closer to people, thereby increasing the reach of the public health system to the vulnerable and marginalized in urban areas. The Government of India is building the capacity of rural and urban local bodies to plan and implement the urban components envisaged under PM-ABHIM and the 15<sup>th</sup> Finance Commission grants. This can bring revolutionary improvements in the governance of urban and rural health systems.&nbsp;</p>



<h2 class="Body" style="text-align: justify; text-justify: inter-ideograph; color: #48542b; font-size: 21px; line-height: 1.7;"><strong><em>A &#8216;one size fits all&#8217; approach will not work for urban areas, as the requirements of residents residing in the same slum area may vary as they migrate to slums from different contexts and cultures.</em></strong></h2>



<h2 class="wp-block-heading" style="font-size:26px"><strong>Way Forward:&nbsp;</strong></h2>



<p>Moving forward, the most crucial strategy to improve health outcomes in urban areas is&nbsp;<strong><em>understanding the dynamic and complex nature of health vulnerabilities experienced by the urban population</em></strong>. A &#8216;one size fits all&#8217; approach will not work for urban areas, as the requirements of residents residing in the same slum area may vary as they migrate to slums from different contexts and cultures. In order to respond suitably and adequately to improve health outcomes, there is a need for a granular understanding of the vulnerable groups and the nature of their vulnerability. This strategy will pay huge dividends in improving the health of urban communities and will improve social inclusion.&nbsp;</p>



<p><strong><em>Strengthening communities&#8217; involvement</em></strong> in the governance of urban health systems also requires enhanced focus. Community platforms like Mahila Arogya Samitis (MAS) in urban areas bring community members into the governance process through their participation in regular monitoring of health care services. This empowers communities to take ownership and hold the health system accountable for their needs.&nbsp;</p>



<p><strong><em>Strengthening convergence and collaboration between different departments</em></strong>&nbsp;in urban areas is another aspect that needs improvement. Implementation of vertical programs without integration into the existing health system results in duplication of efforts and resources and poses a sustainability issue.&nbsp;</p>



<p>The ‘Framework of Implementation for NUHM’ emphasizes that the focus of the Mission is on the urban poor, which includes residents of listed and unlisted slums and vulnerable populations such as the homeless, rag-pickers, street children, rickshaw pullers, construction and brick and lime kiln workers, sex workers, and other temporary migrants. However, considering the efforts made by the government to ensure quality, affordability and availability of healthcare services in urban areas, <strong><em>it is time to move from the current targeted approach to a holistic approach</em></strong>. Additionally, following a targeted approach in the provision of services is not easy, given the dynamic and temporary nature of populations in urban areas.</p>



<p>With the exponential growth of the urban population, it is only rational to anticipate a parallel increase in the urban poor population in the coming years. The above mentioned approaches are not exhaustive; however, these could be used as a starting point in devising strategies. Effective knowledge-based health planning, implementation, monitoring, evaluation, and health governance are required at all levels to ensure equitable access, affordability, and quality of services provided at urban health facilities and to ensure equitable health outcomes in the dynamic and complex urban populations.&nbsp;</p>
<p>The post <a href="https://innohealthmagazine.com/2022/persona/urban-health-in-india-present-and-future/">Urban Health in India: Present and Future</a> appeared first on <a href="https://innohealthmagazine.com">InnoHEALTH magazine</a>.</p>
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