外文翻译--全国农村卫生代表团和获得保健服务：问题与挑战.docVIP

外文原文 National rural health mission and access to health services: issues and challenges Anant Kumar Peoples health and well being are considered as one of the major indicators of development. In Jharkhand, if this indicator is used, then its level of development leaves much to be desired. The state is confronted with many grave challenges in the health sector. A sizeable share of population remains deprived of basic health care facilities despite the National Rural Health Mission (NRHM) and other health initiatives by the government and related agencies. The issues of availability, accessibility, acceptability, affordability and quality with regard to health care remain as serious concerns. Double burden of diseases has further aggravated the problem together with escalating cost of health care and collapse of state support. The solution is to make the public health system accountable, affordable and accessible by improved management of resources and community action. Health status of population is one of the significant indicators of social and economic well being. Jharkhand, as one of the empowered action group state, continues to share a number of characteristics with other backward states of India such as high infant mortality, low immunization of children and expectant mothers, high mortality due to infectious and contagious diseases, high maternal mortality, and low institutional delivery. These coupled with poor accessibility to health care facilities and high costs of treatment by households have made all achievements in health sector insignificant. Despite the National Rural Health Mission (NRHM) and Governments commitment to improve the availability of and access to quality health care by people, especially for those residing in rural area, the improvement in public health care services in the states has not shown marked improvement in public health indicators. Like in most countries, the poor and marginalized have less access to health services, whether