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Emergency health infrastructure plays major role in combating health
emergencies. Wuhan, China, where novel corona virus outbreak started and spread
across the world started to construct makeshift hospitals that included transforming
local exhibition centre, sports stadium and cultural complex into hospitals. As of 28
February 2020, 16 temporary hospitals were constructed in Wuhan, China, adding
13,000 beds, that treated 12,000 people. These hospitals were closed after the cases
of novel corona virus disease declined (India today 2020).
Even though primary health care aims to ensure health of citizens in the community, disposal of biomedical waste unscientifically can induce spread of diseases.
Utmost care is required to dispose the biomedical waste.
A robust health infrastructure shall include but not restricted to the following:
• Network of well-equipped healthcare establishment sufficient to cater for the
need of society
• Ambulances to reach patient within a short span of time and transfer patient
before his/her condition deteriorates
• Sufficient number of life-saving drug manufacturing factories and network of
dealers/distributors so as to reach the needy in time
• Waste collection and disposal facility that is generated in healthcare sector
• Health surveillance
Most health adaptation focus on enhancement in public health functions to
decrease the current adaptation deficit like monitoring environmental exposures,
enhancing ailment surveillance, facilitating coordination between health and other
sectors, as well as improving disaster risk management (Woodward et  al. 2011).
This is significant because the present health status of a community might be the
single most significant predictor of both the future health impacts of climate change
and the expenses of adaptation (Pandey 2010).
Examples of health adaptations include beginning of vaccination programmes in
the United States (Tate et al. 2009), improving the resilience of susceptible populations to heat waves by cooling of healthcare facilities, monitoring those in the highest risk population, training staff to recognize and treat heat strain (WHO Regional
Office for Europe 2009) and expanding health insurance arrangements, so that diseases can be treated promptly and effectively (Dossou and GlehouenouDossou 2007).
Failure of hospital quality assurance will result in failure to influence physicians’
therapeutic decisions (Restuccia and Holloway 1982). As observed by the literature,
even though quantitative improvement is achieved in majority of states of India, the
quality needs scrutiny (Sharma 2012). Quality control should not be restricted to
boundaries of hospital. The hospitals procure many medicines, equipment and consumables, and the cure or recovery of patient depends on quality of these items too.
Lack of quality control in manufacture of equipment, drugs, and consumables
invariably reflects on recovery of patient.
The issue is true in many parts of the world. Adaptation strategy should ensure quality of healthcare service besides increasing number of healthcare establishment and
professionals. Clinical governance and better human resource management practices
11.2 Improving Basic Public Health and Healthcare Services
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