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Government sector:Inadequate services
Disorganized/ Poor infrastructure for large population and high mortality
Multiple small pediatric departments in government hospitals with medical
colleges with either small or no PICU
Handfull of big PICUs at AIIMS,PGI etc.
Very few PICUs in the Government institutions in Eastern India
Overall: More is desirable
Private sector
Multiple small pediatric ICUs in private hospitals (Surat, Nagpur, Hyederabad, Indore,Bengal etc)and bigger private PICUs at Apollo group hospitals, Ganga ram,Hinduja,KKCT Chennai etc.
Better PICU services than government institutions
Larger picture
given the large population of India,services are
GROSSLY INADEQUATE and unaffordable due to high cost
So what is so different in pediatric care in the West?
There are More than 60 Childrens hospitals in the US and More than 100 PICUs in general hospitals.Each medical college affiliated institution has attached speciality services including PICU
CHILDRENS HOSPITALS Treat all aspects of the patient, including emotional well-being and that of the child's family under one roof by pediatric trained and experienced personnel. EXAMPLE:Boston Childrens Hospital ,BOSTON( MA)USA Private Comprehensive and High Tech Care with Harvard university affiliation and training programs
Can we do it? In INDIA?
In private sector :probably YES

Though Investors And Land availability remains a challenge.
Building materials, infrastructure,technology and the trained medical personnel Are becoming more available
In Government sector? MAY BE
Political will and speed of action in Government remains a challenge.Big challenges for the Government sector are Organization&Finances and to
1.ABSORB/SUBSIDIZE COST OF HIGH TECH UNAFFORDABLE ICU CARE TO COMMON MAN
2.LACK OF CRITICAL CARE AND TRANSPORT FACILITIES
3.LONG DISTANCES:TOO FEW TERTIARY CENTERS
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