Barack Obama’s ambitious health care plan is fairly simple and straightforward. His plan seeks to dramatically and swiftly increase the number of people that have health insurance. He insists that this plan will save the typical American family approximately $2500 in annual costs. Since the average Ohio health insurance premium is less than most other states, savings to Ohio residents may average less than $2500.

The Obama plan is designed to give the federal government more control over health care decisions and dollars, a major difference from the current decentralized system of employer-based insurance and state-based insurance regulation. Here in Ohio, health insurers have been effectively held in check by the Ohio Department of Insurance. This, however, is not the case in many other states.

The Obama Plan

Many parts of the Obama plan resemble initiatives from the Clinton health plan of 1994 and the Kerry Health plan of 2004. Essentially, Obama’s health care plan is divided into three sections:

1. Modernizing the US health care system to lower costs and improve quality 2. Promoting prevention and strengthening public health 3. Quality, portable and affordable health coverage for every person

The “Savings”

The $2500 in savings will come from health care reform, using some of the following initiatives:

*Making health insurance universal, which may reduce spending on uncompensated care. *Improving management and prevention of chronic conditions. *Increasing insurance industry competition and reducing underwriting costs and profits. *Providing reinsurance for catastrophic coverage, which will reduce insurance premiums.

Shifting Cost Burden

While all of these ideas are feasible, the underlying theme seems to be simply shifting some of the cost burden from the private sector to the government. And of course, much more control of our health dollars and decisions would come from Washington D.C and not Anthem or UnitedHealthCare.

The Obama plan will actually compete directly with Ohio private health insurance companies in a “National Health Insurance Exchange.” The federal government (not health insurance carriers) would determine the quality of health benefits that Americans would receive. And these new rules would apply to both the new national health plan and all participating private health plans.

Preventative Coverage Would Be Emphasized

Obama’s health care plan will encourage “healthy lifestyles” with specific emphasis on wellness. Employer wellness programs will be increased, and cafeterias and vending machines in the workplace may see healthier food.

School-based health screening programs may increase along with increased support for physical education.

For Ohio individuals and families, the Obama plan would require preventative services on many federally-supported health programs such as Medicare, Medicaid and SCHIP. One benefit may be possible discounts to on health insurance premiums for enrollment in wellness and prevention programs.

Currently, some Ohio individual health insurance policies offer a similar discount, such as Anthem’s Lumenos Health Incentive Account (HIA).

Ohio Group Health Insurance

Employer-based health insurance would radically change under the Obama plan. Here in Ohio, both small and large employers are able to choose among many different health plans for their employees. The Obama plan would force employers to offer a specific level of health benefits to their employees or pay a tax to finance a national health program. Currently, the amount of provided health benefits and the size of the tax have not been specifically discussed.

Perhaps the best and most economical health insurance plan for Ohio residents would be a concept already in place…HSAs (Health Savings Accounts). Thus, instead of imposing a top-down change on the health care system, it would seem to be prudent to transfer direct control of health care dollars to individuals and families. This would allow Americans to choose their own health plans and benefits, while making health insurance companies compete directly for consumer’s dollars by providing a real value to patients.

All of this could be accomplished by specific tax and regulatory changes designed to utilize the power of free-market competition. Health care spending could be reduced, preventative treatment could be emphasized and portability could be promoted. Reforming the tax treatment of health insurance and aiding employers that help their employees buy health insurance would help quite a bit.

For now, Ohio health insurance rates are remarkably low compared to many other states. There are many reputable health insurance companies that offer a wide array of policies, including Health Savings Accounts. That shouldn’t change much for the next two years. In 2011, things might change…hopefully, for the better.

For additional information on Ohio health insurance plans, or an instant Ohio health insurance quote, please visit http://www.ohioquotes.com

Health Maintenance Through Positive Thinking

Paper presented in National Seminar on Positive Perspectives of Health and Behaviour, Department of Psychology, M.D. University, Rohtak, February, 1&2, 2008.

M. FAIM A. ANSARI (RESEARCH SCHOLAR)       

ASIYA AIJAZ (READER)

DEPARTMENT OF PSYCHOLOGY             

THE ALIGARH MUSLIM UNIVERSITY                                     

ALIGARH

Psychological resources such as hope, optimism, personal control, sense of meaning, and subjective well-being are known to exercise a protective influence on health. The Greek physician Hippocrates anticipated that positive emotions and health outcomes may be linked through multiple pathways. In the developed and developing countries, health is seen as the most valuable asset for a good quality of life, particularly in later years of life. Good health of the citizen is key facilitator to contribute to society. Smith (1990) said, “In the past, good health meant the absence of disease.” Today the definition of health is high level wellness that goes beyond the absence of disease toward one’s maximum potential which includes mind, body and sprit. High level wellness is the integration of health component, i.e. emotional, physical, social, spiritual and mental.

The common origin of the word health from “hoelth”, an English word meaning safe or sound and whole of body (Dolfman, 1973). There is no one contemporary meaning for the term. A nursing oriented definition of health consistent with the theme that the health is a subjective phenomenon that is operationalizable has been proposed by the Lynn. Lynn, 1990 defined health as a subjective representation of a person’s composite evaluation of somatic sense of self (how one is feeling) and functional ability (how one is doing).As such, health is manifested in the subjective judgment that one is experiencing wellness or illness. These subjective experiences are dynamic and are an outgrowth of person and environment interactions. As long as a person is capable of evaluating how he/she is feeling and doing at some level, the person has health.

The World Health Organization (WHO, 1948) defines health as a “state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity”. Thus, the World Health Organization (WHO) has very clearly indicated that the absence of disease is not enough for health. This, definition emphasizes on positive and negative dimensions of health. Negative health or ill health has a subjective component expressed in the concept of illness and discomforts and an objective component express in concept of disease, injury, handicap or deformity. Positive health has two components: wellbeing and fitness. This state entails an appropriate balance of the physical, mental, social ingredients. Fitness can be considered as the objective physical components, where as, wellbeing can indicate the psychosocial component of positive health.

Lau (1995) found that when young healthy adults were asked to describe in their own words “what being healthy means to you?” their beliefs about health could be understood within the following dimensions:-

Ø     Physiological/Physical- good condition, having energy.

Ø     Pathological-happy, energetic, feels good psychologically.

Ø     Behavioural-eat and sleep properly.

Ø     Future consequence-live longer.

Ø     The absence of, e.g., sickness, disease & symptoms.

Kasl and Cobb (1966) states that health behaviour is any activity undertaken by a person believing himself to be healthy for the purpose of preventing disease or detecting it at an asymptomatic stage. Therefore, positive health can be defined as activities that may prevent disease, detect disease and disability at an early stage, promote and enhance health, or protect from risk of injury. Thus, “positive health can be defined as any activity undertaken by individual with a frequency or intensity that increases health or reduces disease”

As, we all know that the good health is a gift of God, but having good health is not sufficient but to maintain it also equally important. For this reason one should also focus on healthy lifestyle and positive thinking.

The positive aspect of health is reflected in the Arabian proverb, “A man, who is healthy, has an optimistic view and who has an optimistic view, has everything” (Husain, 2005).

POSITIVE THINKING FOR GOOD HEALTH:

Happy people are always focusing on good events and worthy quality of life; they have optimistic view of life. Positive thinking can help people to gain peace of mind, obtain better health and attain an unceasing stream of energy. Positive thinking can have a beneficial effect on people’s health by increasing a person’s intellectual, physical, psychological, and social resources. Positive thinking leads to opportunity, Positive thinking is healthy. By practicing positive thinking one can enhance positive emotions, feeling and positive mental attitude which improve the quality of peoples lives and heal their bodies from illness and stresses.

According to Frederickson (2001) Positive emotions increase people’s physical, cognitive and social resources, which in turn help them cope more effectively with stressful experiences and live healthier.

   According to Nudel and Nudel, positive thinking is an effective way to achieve mastery of bio-energy healing. Maintenance of a positive energy level in a healer’s own bio-energy field reduces stress and emotional tension in the healer and in others positive emotions and feelings and a positive mental attitude can improve the quality of people’s lives and heal their bodies of illnesses and stresses.

 On the other hand, negative emotions and feelings bring poisonous toxins to the organism. Strong negative emotions such as anger, spite, envy, jealousy, and fear make the endocrine system accumulate poisons in the blood. Anxiety, depression, and doubt can also cause poisoning of the blood. Passive and lengthy negative emotions are even more dangerous for health than for active, sudden and momentary negative emotions. Negative emotions shorten the span of life. Treatment of physical symptoms with positive thoughts and statements was popularized in France a century ago, and it still has the power to overcome unwanted states (stress, tension, and unhappiness). Thoughts and feelings make up reality and add color to it. So, unhappiness brings a gray world and reality. To change a gray world and to overcome the feeling of unhappiness, anxiety, or tension, one needs to refocus the mind on positive, healing thoughts. When people predict that something wrong is going to happen to them, it is more likely to happen because negative thoughts will be reflected in their unconscious. Moreover, the person may develop psychosomatic illnesses (about 70% of all illnesses are psychosomatic, or caused by mental stress). Psychosomatic illnesses worsen when given special attention. Instead of paying direct attention to pain or illness, every time a negative thought occurs, say something like, “It will be better than I think.” When a wish of any desired condition is established in the mind, somehow the unconscious mind leads the wish to realization-not magically, but through mental programming. Besides healing illnesses, positive attitudes help one to withstand troubles and problems, make correct decisions, and overcome obstacles. Do not focus on negative events; try to discover a positive perspective. For example, individuals should understand that they need to read more or think more of others in order to find the ways of perfect communications. Because the thoughts of individuals are either positive or negative, they are reflected in their social or asocial behaviors. People should observe and conceive the world around them, as well as their inner worlds, with positive perceptions. Healers should have “a positive mind state” before they begin practicing bio-energy healing. Healers communicate with other people giving them energy. “Negative” energy cannot bring healing; only damage and it is destructive for both a healer and a healee. Healing energy is “a positive energy” sent by “a positive mind.” Your thoughts are in your control, and they can be very powerful.

Positive thoughts can motivate healthy behaviors, such as eating healthy food and being active. It’s simple really. If you believe you can take 10,000 steps a day, you will be more likely to take an extra walk to meet your goal. If you know you can avoid holiday weight gain, you’ll feel great when you pass the tempting dessert buffet, and fit comfortably in your winter clothes. If you set your mind to do something, you can do it. Positive thinking can also help you achieve and maintain healthy behaviors, such as becoming more physically active or limiting your sugar intake.

Peale (1996) has measured the success of positive-thinkers and found that those who think positively they can lose weight, or increase their physical activity, these people are more successful than people with less faith in themselves. The confidence you have in performing a certain behavior is called self-efficacy; and self-efficacy is a key in successful behavior change.

A “can-do” attitude may be just what it takes to jumpstart a healthier lifestyle. Best of all, your attitude is something you can control. You have the choice to have a positive outlook. Chances are when you choose to think positively, you’ll feel better about yourself and be able to perform better in whatever you do.

 HOW TO STAY POSITIVE:

Positive thinkers admit when they feel frustrated or depressed. They don’t ignore it. But they also don’t blame themselves. Instead, they try to understand the negative thoughts and feelings and counter them with more positive ones. So how do you stay positive, maintain momentum and sustain healthy behaviors? Here are few tips given by Peale (1996):-

 Ø     Look for a good role model. There is always someone who seems to be doing just what you want to be doing. Maybe they’ve scheduled exercise into their workday and switched from coffee to herbal tea. Learn from a successful friend, family member or colleague. Ask them how they keep healthy and follow in their footsteps.

 Ø     Try some positive self-talk and avoid negative-talk. Take a minute to give yourself an ego boost. Repeat some motivational words out loud or to yourself. Negative talk, “I can’t do it,” “I’m fat,” is dangerous for your well-being and healthy goals. Try to avoid the negative self-talk before it harms you. Remind yourself that you deserve happiness and can make positive changes.

 Ø     Get support. Tell your friends and family about your healthy habits. It helps to have an encouraging network.

 Ø     Reward yourself. Give yourself a pat on the back for your healthy efforts. Take a nice bath, get a massage, and enjoy a new DVD or CD.

 Ø     Have a plan. Making a plan to exercise or eat healthy lunches with a friend can mean the difference of sticking with your goals or falling off track. If you’ve planned for an activity, you’ll likely stick with it. You may even find that writing down your goals and steps to achieve them can help you stay on track. Take it day by day or week by week. The process of writing down your personal action plan is a good way to keep you honest and watch your progress or pitfalls.

Positive thinking is mental attitude that enters into the mind through words and images that are conducive to growth, expansion and success. It is mental attitude that expects good and favorable results. A positive mind anticipates happiness, joy, health and a successful outcome of every situation and action, whatever the mind expects, it finds.

The power of positive thinking can change and improve your life. Maintaining positive thinking and attitude will drive you to success, healthy life and happiness. Positive thinking is a habit that is right practice. Positive thinking is something you have to do everyday as often as possible and whenever you can. By practicing positive thinking everyday, you create a state of mind where you are constantly positive- it becomes a state of being positive. By doing this at last you will find an amount of positive energy that will create a positive situation for you everyday. Positive emotions and feelings and a positive mental attitude can improve the quality of people’s lives and heal their bodies of illnesses and help to regain health.

One approach to positive thinking given by Martin (1991) is called the three C’s: Commitment, Control and Challenge.

 Commitment: Make a positive commitment to yourself, to learning, work, family, friends, nature, and other worthwhile causes. Praise yourself and others, Always dream of success, Be enthusiastic.

Control: Keep your mind focused on important things. Set goals and priorities for what you think and do. Visualize practicing your actions. Develop a strategy for dealing with problems. Learn to relax. Enjoy successes. Be honest with yourself.

Challenge: Be courageous. Change and improve each day. Do your best and don’t look back. See learning and change as opportunities. Try new things. Consider several options. Meet new people. Ask lots of questions. Keep track of your mental and physical health. Be optimistic.

Martin (1991) has shown that people with these characteristics are winners in good times and survivors in hard times. “……People who begin consciously to modify their inner conversations and assumptions report an almost immediate improvement in their performance. Their energy increases and things seem to go better…”

Commitment, control and challenge help build self-esteem, reduce stress, live healthier and promote positive thinking.

Mental and emotional expectations can influence medical outcomes. The effectiveness of any medical treatment depends in part on how useful you expect it to be. As we know that our feeling of ineffectiveness of recourses lead us to stressful situation, we can overcome this situation by maximizing our efforts and our positive thoughts like “I can do it, even with limited resources” “So what, if I am running short of recourses, I can manage this.” This thinking can only be developed through positive thinking.

Positive affirmations are created through positive thinking to counter negative thoughts. These affirmations neutralize negative thoughts and build your self confidence. Positive affirmations give ways to the opportunities that are always present to some degree in a difficult situation.

Positive thinking help one to withstand troubles and problems, make correct decisions and overcome obstacles, stresses, and remains healthy. People should observe and conceive the world around them, as well as their inner worlds, with positive perceptions.

Spiritual strength promotes positive thinking, positive ideas, positive habits, positive attitudes, and positive efforts. There are qualities that promote wisdom, physical and mental well-being. Positive emotions stimulate the nervous system that protects the heart and reduces blood pressure. A realistic assessment of one’s limitations, the development of autonomy, and an ability to cope effectively with stress enable individuals to boost their positive thinking. The ability to recognize, accept and manage our feelings plays an integral role in our emotional development.

Meaning in life is very important for developing positive thinking. Those who are having meaning in their life are more likely to develop positive thinking. It has been observed that people who have meaning in their lives are keener to reduce stress for healthy life.

To develop positive thinking the person should be open to new ideas, activities and doing new things and new innovations, so that they can be more positive in their thinking.

The positive thinking can be developed by positive self talk, healthy attitudes, following effective fitness programmes (healthy diet), financially sound, hopefulness, new ideas, sense of responsibility etc. we can also develop positive thinking by acquiring new knowledge through stimulating mental activities that allows us to create environment in which useful and productive lives can be enjoyed.

Practicing positive self-talk will improve your outlook. When your state of mind is generally optimistic, you’re able to handle everyday stress in a constructive way. That ability may contribute to the widely observed health benefits of positive thinking. Positive thinking decreased negative stress. As it is very much clear that the people who think positively are more optimistic than the people who don’t.

 CONCLUSION:

It is very much clear from the above discussion that the people who think positively enjoy better and healthy life. Positive thoughts can motivate healthy behaviors, such as eating healthy food and being active. Positive thinking is the process of creating thoughts, that creates and focus energy into reality, to bring into creation a positive outcome, which you see as a benefit to yourself or others. This is a powerful gift that we all have but a lot of people are not aware of it.

Thus, we can say positive events are even sweeter when you see them as evidence of more to come, and see yourself as the master of your own fate.  Therefore, we can say those who habitually practice positive thinking tend to experience more success, which can add up to a less stressful and healthier life. The power of positive thinking can change and improve your life. Maintaining positive thinking and attitude will drive you to success, healthy life and happiness.

REFERENCES:

1.      Dolfman, M.L. (1973). The concept of health: A historic and Analytic examination. Journal of School Health, 43 (8), 491-497.

2.      Frederickson, B.L. (2001). The role of positive emotions in positive psychology: the broaden-and-build theory of positive emotions. American Psychologist, 56, 218-226.

3.      Husain, A. (2005). Islamic life styles: The right path for the maintenance of health. In R. Singh, A. Yadava and N.R. Sharma (Eds.) Health Psychology (pp. 329-339). New Delhi: Global Vision.

4.      Kasl, S. V. & Cobb, S. (1966). Health behaviour, illness behaviour and sick role behaviour I: Health & illness behaviour. Archives of Environmental Health, 12, 246-266.

5.      Lau, R.R. (1995). Cognitive representation of health and illness. In D. Gockman (Ed.), Handbook of Health Behaviour Research, Vol.I

6.      Lynn, B. (1990). Getting back on Track: Nursing’s autonomous Scope of Practice. In N. Chaska (Ed.), the nursing profession: Turning points (267-274). St. Louis, MO: C.V. Mosby.

7.      Martin, D (1991). How to be a Successful Student. http://www.suddenlyseparated.com/sub_menu.php?id=12

8.      Nudel, M. & Nudel, E. Positive Thinking for Your Health. http://www.bioenergy-services.com

9.      Peale, N.V. (1996). The Power of Positive Thinking. {Books available online at Barnes & Noble.com}, Random House Publications. http://www.aarp.org/health/fitness/get_motivated/positive_thinking.html

10.  Smith, S. (1990). Personal Health Choices. Boston: Jones and Bartlett Publishers.

11.  World Health Organization (1948). World Health Organization Constitution. In Basic documents, Geneva: Author.

A review of health seeking behavior: problems and prospects

Author: Sara MacKian               Article reviewed by: Dr Nihar Ranjan Ray

INTRODUCTION:

Health seeking behavior refers to all those things humans do to prevent diseases and to detect diseases in asymptomatic stages. In contrast illness behavior refers to all those activities designed to recognize and explain symptoms after one feels ill, and sick role behavior refers to all those activities designed to cure diseases and restore health after a diagnosis has been made.

I agree to the author that there is growing recognition, in both developed and developing countries, that providing education and knowledge at the individual level is not sufficient in itself to promote a change in behavior. We need do something extra or focus to a different dimension to bring effective changes in health indicators. One more important thing that the author has insisted that factors promoting ‘good’ health seeking behaviors are not rooted solely in the individual, they also have a more dynamic, collective, interactive element. Understanding of the social capital and proper understanding of health seeking behavior could reduce delay to diagnosis, improve treatment compliance and improve health promotion strategies in a variety of contexts. Author has given utmost importance to make studies of health seeking behavior more useful from a health systems development perspective. In initial part of the article the author suggested the two approaches namely

(a) Health care seeking behaviors: utilization of the system

(b) Health seeking behaviors: the process of illness response

According to author variety of studies were conducted on the basis of macro analysis. Taking age, sex, geographical region etc.. But author aptly suggested that these determinants can be further broken to smaller fragments like Status of women, Elements of patriarchy, Social Age and sex, Socioeconomic Household resources Education level, Maternal occupation, Marital status, Economic status, ‘Cultural propriety’, Economic Costs of care Treatment, Travel time, Type and severity of illness Geographical Distance and physical access, Physical, Organizational Perceived quality and so many to identify the reality of the back ground problems. Despite the ongoing evidence from different studies that people do choose traditional and folk medicine or providers in a variety of contexts which have potentially profound impacts on health, few studies recommend ways to build bridges to enable individual preferences to be incorporated into a more responsive health care system. I find it most interesting that has been quoted by (Needham et al, 2001).  As they suggested “the need to improve integration of private sector providers with public care to tackle this problem in a better way” And with the Indian perspective at least I can’t agree with Ahemad et al that the training to these non formal providers are wrong. At least we can use their community motivation in a modern way so that the health seeking behavior of these people will change gradually.

 Now it is time to focus upon to understand the psycho logical process of these people as discussed in the section  Health seeking behaviors: the process of illness response. The understanding of the ‘healthy choices’, in either their lifestyle behaviors or their use of medical care and treatment. Among the different models discussed here namely (a) social cognition models (b) Health belief model (c) health locus of control

•(a)  social cognition models:

Predicting health behavior with social cognition models as per the figure illustrates I am completely agree with the author as she criticizes the model as “The downfall of these models is that most view the individual as a rational decision maker, systematically reviewing available information and forming behavior intentions from this. They do not allow any understanding of how people make decisions, or a description of the way in which people make decisions.”

•(b)  Health belief Model:

The health belief model is a largely accepted theory and like any other theory it has its limitation also like the author writes “The health belief model has been criticized for portraying individuals as asocial economic decision makers, and its application to major contemporary health issues, such as sexual behavior, have failed to offer any insights” Any how I personally feel this can be a model of reference for contemporary diseases. and also what I feel this model is still holds good in describing the STIs though stigma, shame ness and sexual conservativeness comes into play.

It may be right that the way Mc Phill et all thinks “developed country research has a better track record of exploring this broader contextual picture, whilst work in developing countries tends not to acknowledge the poor relationship between knowledge and health seeking behavior.” Apart from the KABP model I find the description of the Reflexive communities are interesting .Reflexive communities reflect the particular ways of behaving, thinking and reaching decisions of individuals or groups, that in turn reflect the social construction of their position in wider society at a particular place and time. Information regarding health seeking has many facets and determinants like ‘moral, affective, aesthetic, narrative and meaning dimensions’. So more scientific way of approach will be ‘aesthetic reflexivity’ which “means making choices about and/or innovating background assumptions and shared practices upon whose bases cognitive and normative reflection is founded” In order to understand how people reach the decision  we need to know also how  the underlying, unspoken, unconscious feelings and assumptions which support that cognitive process. These concepts that are been discussed here  are seems to be more theoretical to practice . But still these issues are need to be addressed aptly for events like HIV/AIDS . I and I am completely agreed with Harvey that “the way people perceive risks and experience risk should be a matter for public policy”

Health seeking behavior and the probes: a review

Health seeking behavior differs for the same individuals or communities

when faced with different persons, times& illnesses.   The article has described some of the examples here. They have  given a very nice example here regarding the health seeking practices of women when faced with abnormal vaginal discharge, as opposed to malaria. I think this is more a big problem in countries like India & Bangladesh than the developed worlds. Again the shortage of the female Health care staffs worsens the problem. And the most important thing that I feel is most of the sensitive illnesses or diseases or public health problems are having this problem. Or thinking in the reverse way that due to this embedded problem it is very difficult to address these problems or not getting quick results. Among the examples I try to touch them in short. Only the key issues are given as described the author. I think she has identified it very nicely from different studies.

Tuberculosis

(a) Late presentation and delayed diagnosis are  problems for TB, reflecting both

individual and social factor. Delay can be related to social stigma, gender, fear or multiple health seeking.

(b) Culturally sensitive and situated understanding of health seeking behavior may

Provide better  treatment compliance and shorten delay of diagnosis.

©Health education should be started  at family and community level to improve

awareness and to avoid stigma.

(d)The doctor-patient relationship may need particular attention in relation to TB due to the lengthy treatment period.

Maternal and child health

(a) The way in which women reach the decisions they can have a great influence

on child morbidity and mortality and is therefore worthy of continued study.

(b) There may be a better ways of exploring women’s involvement in health

system and social structures .

Diabetes Type 1

(a)Perhaps the lack of material suggests there is more work needed in this area?

          (b)The doctor-patient dynamic can potentially be used to promote ‘good’ health

seeking behavior and compliance with treatment, and is an issue reflected across

the probes.

Social capital and Health & Development

Social resources norms and networks or processes and conditions within society that allow for the development of human and material capital. So  social capital is created and used through individual participation. Bonding social capital which links members of a particular group, and bridging  social capital which links across groups. So the first one when addresses the Horizontal Equity the later addresses the Vertical Equity. Social capital provides a means of shifting the focus from individuals to social groups, and the social involvement of the actions of individuals. Though it varies from community to community but social capital also has implications for the operation of health systems description of that in detail is beyond the scope of this literature.

Health seeking behavior in the context of health systems

Non formal practitioners  and birth attendants so embedded in the existing social

fabric and reflexive communities so that mostly the women deny delivery in favour of trained public service doctors. And in the Indian sub-continent  public doctors running private clinics alongside their public role, where they can charge patients they have referred from the public system, may have the effect of undermining trust in the wider system.

Conclusion

  “To begin to picture the resources and constraints…the way the actor experiences them, is to take a crucial step towards understanding why and how people do what they do”

   This statement by  Wallman and Baker I think we always need to remember be coz Health care is a system that is so much embedded into the society and individuality of the people that if you search for the influencing the factors than finally you will get all the branches of science on your table. So to be practical is more important than criticizing any issue theoretically and parallely we can’t ignore any issue how ever that may seem impractical. That is the beauty and problem of designing the policy for the Health care. What I feel like head of the family neglects himself in due course of taking care of other family members we should not land in a troubled water by focusing more on the peripheral issues of Health care delivery system than the center stage. We should not forget to address the problems of the internal clients to provide a better motivated care to the external clients. Which in my view very poorly addressed in international, national & regional level. And last but not the least is the financing system and its proper management is the key issue.

                   Dr Nihar Ranjan Ray

                   Indian Institute Of Public Health, Gandhinagar

Health coaching is a collaborative and personalized program that focuses on improving health and wellness. Health Coaching builds an individual’s capacity to achieve short- and long-term health and fitness goals. Participants in a health coaching program interact one-on-one with their health coach by telephone, instant messenger, email and online journal.

Frequently Asked Questions About Health Coaching

Health coaching is a collaborative and personalized program that focuses on improving health and wellness. Health Coaching builds an individual’s capacity to achieve short- and long-term health and fitness goals. Participants in a health coaching program interact one-on-one with their health coach by telephone, instant messenger, email and online journal.

Unlike personal training or counseling, YOU, the client, are the expert when working with a health coach. Whether you’re working toward general wellness or a more specific health-related issue, a health coach will focus on enhancing your quality of life. Our health coaches guide, motivate, provide customized resources, and help you to set achievable goals. Health Coaches do not diagnose, prescribe, or give advice. Instead health coaches use their expertise to provide you with tools, not opinions.

The role of a health coach is unique. A health coach will not just ask you if you have done your crunches for the day UNLESS that is what you want your health coach to do. Instead, the health coach is there to help you identify and achieve whatever goals you set for improved vitality by coordinating the many resources available to you through this and other programs.

No. We know that no two people are exactly the same and your health status may vary from day to day. Health coaches help you to assess your level of health and well-being and to work on the issues at hand. Your health coach will provide the human touch to motivate you toward setting and achieving your goals through a personalized plan of action. However, if you do have a serious health issue, your health coach can help. If you need to modify your lifestyle due to an issue such as diabetes, high blood pressure, high cholesterol, and/or musculoskeletal injuries, a degreed and highly trained expert health coach can assist.

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Health coaching is a collaborative and personalized program that focuses on improving health and wellness. Health Coaching builds an individual’s capacity to achieve short- and long-term health and fitness goals. Participants in a health coaching program interact one-on-one with their health coach by telephone, instant messenger, email and online journal.