In Thailand, where sex trade is prevalent, HIV/AIDS program obtains primary importance, whereas in Russia, intravenous drug use is the single most important factor in the spread of the disease.
Social stigmas, discrimination, and government policies and health systems alter the best practices for combating these diseases in different countries. Yet, diseases manifest themselves differently in different countries, and their cultural contexts are best understood in the countries themselves. The disease patterns are similar in developing countries, and so the problems in implementation of the health programs are similar, with problems like lack of resources, poverty and ignorance. Health programs Program failure Developing country ImplementationĬhronic disease now makes up almost one-half of the world's burden of disease, creating a double burden of disease when coupled with those infectious diseases that are still the major cause of ill health in developing countries. Conclusions: Poverty mitigation, reduction of inequalities, health care financing, strengthening of public health information system, health education and communication, positive life style changes are some of the important domains on which the success of a program depends. Poor communication about benefits of health due to lack of awareness, poor use of healthcare informatics, insufficient management training, lack of financial resources and limited collaboration with other healthcare organizations were found to lead to program failure. Even a single distraction of any of these determinants can be enough deterrent causing program-failure. Any program's inadequacy in achieving its goal can be attributed to one or more of the following: (1) Technical insufficiency, (2) Administrative inanity and (3) Operational incapacity.
Methods and Findings: A SWOT (Strengths, Weakness, Opportunities and Threats) has been undertaken to review the National Health Programs in India. This review is undertaken to look at the possible reasons for program failure focusing on India. Many of these countries are also facing epidemiological transition and facing a dual disease pattern, which leads to increasing burden on the limited resources, leading to program failure. Background: Developing countries, including India, face similar problems in implementation of health programs and thus have shown poor progress on the Millennium Development Goals.
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