In its three year action agenda, NITI Ayog call to for a new wave of institution building with a strong and a proactive stewardship role by the government to overcome the persistent challenges while leveraging the potential of mixed health system. The government has launched several reform initiatives over the last few years which need to be rigorously implemented.
Additionally, the key enables of health system reform such as financing organisation and provision of service delivery as well as digital help need to be strengthened.
Health system: towards a new India
India had made noteworthy strides on health and nutrition over the last two decades. Given the size, complexity and diversity of our country, the importance of these improvements in the health and nutrition status of the population cannot be underestimated.
Having said that India’s health system is still facing multiple challenges there are significant inter and intra State disparities in outcomes and socio-economic disadvantages groups are especially vulnerable to gaps in healthcare access. Additionally, while the burden of non communicable diseases as well as maternal and child health.
The health system is fragmented at multiple levels: payers and modes of financing, providers of healthcare services and the digital backbone.
Delivery of health Services is also fragmented into small sub scale inteties with 95% of the care being delivered by providers employing less than 10 workers each, adversely affecting the quality and efficiency of service delivery.
The digital system used in these health in if at all used are also siloed in the absence of mandatory adherence to any data standard.
The result is that the patient health records lie buried in manual systems or disparate IT systems with little standardisation and almost no possibility of interoperability. This limits the availability of information that could potentially guide policy making.
Public and primary heath
Over 2.55 crore children and 7000000 pregnant women wear immunized over a period of 2 years under mission indradhanush. The program has emerged as a global best practice in public health.
Cleanliness is crucial for preventing diseases. Following the implementation of the Swachh Bharat Abhiyan, nearly hundred percent of households in rural India now have access to a toilet, compared to merely 29.1% in 2005-06.
Going forward the establishment of dedicated public health caders by States need to be prioritised with training impact on critical skills.
We cannot build a world class health system without first investing in a world class medical education system.
More than 5500 Jan aushadhi store have been opened for providing quality products at affordable prices and the government plans to spend the number of stores to 7500 by 2020. It is estimated that the store serve between 10 to 15 lakh people across India on a daily basis.
Tools such as telehealth mobile health and artificial intelligence are helping to lower barrier between hospitals and patient.