Although There are many
problems regarding our health system.we have poorly organized system of health
,lack of basic structure,design,and organization .our health priorties are not
well defined.The soul problem is that our health system has been
designed,develop and maintain by politicians instead of health professionals.The
second main problem which has more importance is the lack of communication,lack
of mutual sharing and understaning among members of basic health team i.e
physician,pharmacist,nursis and dispenser.In our society people know few about
the role of pharmacists,even physicians have less knowledge about their role in
health system,infact pharmacists have very important and key role in health care
system,without pharmacists health system is like a building without
pillars.There are two main domains in health sector that are running in pakistan.
1:government healthcare system
2:private healthcare system
Both are working for their own benefit they have no concern about the health of
society.Both have weak regulations and infrastructure sometime behaviour of
medical staff is very rough toward patients specially in government hospitals
that’s why and due to some other reasons society is now more oriented toward
private sector hospitals.although the private sector playing an increasingly
important role in health care in pakistan but still it should be updated and
maintain regularly.
There are few fact and figures that help us in estimating underline causes in
our health system
1:lack of expert,trained,and skilled medical staff.
2: lack of health education in community.
3:lack of promotin of reaserch in medical field.
4:Neglecting primary and preventive health care system.
5:Circulation of fake and unregistered drugs.
6:Difference between demand and supply of medical professionals for different
services.
7:political interference.
8:Nursing homes are mostly acting as maternity homes and generally are not well
versed in providing most of the primary healthcare services and even not equiped
for new born care.
9:Non qualified ,inexperience ,untrained, unauthorized personals.
10:In the name of herbal medicines.
11:Non allopathic service providers e.g house hold
hakims,homeopaths,jirahs,acupuncture and chinese medicine service providers.
12:informal structure these are general store,marchants ,kryana also providing
medicine for minor diseases.
13:lack of knowledge about rational use of medicine
14:lack of knowledge about drug indication,side effects,adverse drug
reaction.drug drug interaction.
15:Misbelieves and perception about allopathic system of health
16:lack of knowledge of some religious scholars about health care programs they
are spreading false information about health programs e.g vaccination programs
for polio control and TB.
RESPONSIBILITY OF GOVERNMENT
It is the important duty of government of pakistan to pay its keen interest in
health sector by making laws in different fields of health sytem,their
implementaion,by promoting ,updating and by maintaing them.Health infrastructure
should be well organised in both private and government structure.Hospitals
should be equipped with necessary staff,supplies,only trained and skilled
personnel should be employed.For rational use of medicines standard treatment
guidelins should be followed according to WHO.Government should establish DIC
(drug information center) in every hospital for rational use of medicine and
proper counseling of every patient , to run this system trained pharmacist
should be employed.prophylaxis treatment and vaccination program should be run
throughout the country for eradication of polio,TB,Malaria .