Comprehensive Community
Home-based Health Care
Projected deaths in India 2010
Source: ICMR Tenth Plan documents
Fig 2: Share in health care spending among the different
Source: National Health Accounts 2007, MoHFW
India's Population 2011
Current Population of India in 2011
1,190,000,000 (1.19 billion)
Age structure
0 to 25 years
50% of India's current population
Currently, there are about 51 births in India in a minute.
India's Population in 2001
1.02 billion
Population of India in 1947
350 million
•72.2% of the population lives in some 638,000
• 27.8% in about 5,480 towns and urban .
• The birth rate 22.22 births/1,000 population (2009
• Death rate is 6.4 deaths/1,000 population.
Fertility rate is 2.72 children born/woman (NFHS-3,
2008) and Infant mortality rate is 30.15 deaths/1,000
live births (2009 estimated). India has the largest
illiterate population in the world. The literacy rate of
India as per 2001 Population Census is 65.38%, with
male literacy rate at 75.96% and female at 54.28%.
Kerala has the highest literacy rate at 90.86%,
Mizoram (88.80%) is on the second position and
Lakshadweep (86.66%) is on third.
community- and home-based health
care (CCHBHC) has been developed to
ensure better accessibility to health and
quality community health care.
CCHBHC is defined as an
integrated system of care
designed to meet the health
needs of individuals, families
and communities in their local
Ensure better accessibility
Effective and efficient health care
To improve health and well-being
Contribute to morbidity and
mortality reduction
• Promoting a healthy lifestyle and
preventing illness
• Managing the consequences
• Serving the needs of the vulnerable
and underprivileged
• Supporting informal caregivers
• Strengthening the community
• Quality - structures and processes of
care are organized to ensure that the
care delivered is holistic, integrated and
continuous, and in accordance with the
agreed standards
• Partnership -appropriate opportunities and
methods are made available to enable and
empower all stakeholders, and work in an
honest and open
Equity - equitable access is ensured to all services and resources with a
focus on the vulnerable and underprivileed groups.
Effectiveness - special efforts are made to ensure that an intervention
or service provided for the patient/client yields the intended result.
Efficiency -optimal use is made of the range and mix of available
resources (e.g. financial, human, physical and technical resources) in
support of the delivery of evidence-based practice.
Political commitment and support
Resources building
Appropriate health information systems.
Figure 1. A conceptual framework of the model
Implementation of the model in a country
• National policy and support
• Local action
• Involvement of all stakeholders throughout the
• Initiation of small trials in selected areas to learn
• Evaluation of experiences and lessons learned
for sustainable strategies
• Coverage of and expansion to other areas
This model provides one response to improve the
equity of, and accessibility to, quality health services
within a local community. It includes a particular
emphasis on involving all members of the
community in identifying their needs and agreeing
on priorities. It acknowledges the contribution made
by those outside the formal health system to health
and health care, and provides additional support.
A group of students were asked to
list what they thought were the
"Seven Wonders of the World."
Though there were some
the following received the most
1. Egypt's Great Pyramids
2. Taj Mahal
3. Grand Canyon
4. Panama Canal
5. Empire State Building
6. St. Peter's Basilica
7. China's Great Wall
While gathering
the votes,
the teacher
that one student
had not finished
her paper yet.
So she asked the girl if she was
having trouble with her list. The girl
replied, "Yes, a little. I couldn't quite
make up my mind
because there were so many."
The teacher said,
"Well, tell us
what you have,
and maybe we can help".
"The girl hesitated, then read:
"I think the 'Seven Wonders of the
World' are:
1. To See...
2. To Hear...
3. To Touch...
4. To Taste...
5. To Feel...
6. To Laugh...
7. And to Love."
The room was so quiet you could have
heard a pin drop.
The things we overlook as simple and
ordinary and that
we take for granted are truly wondrous!
A gentle reminder :
That the Most precious things in
life cannot be built by hand or
bought by man.
Iguassu Falls,

Comprehensive Community and Home