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Health System in India: Bridging the Gap between Current Performance and Potential

Health System in India: Bridging the Gap between Current Performance and Potential
Start Date :
Apr 23, 2015
Last Date :
Jun 09, 2015
12:45 PM IST (GMT +5.30 Hrs)
Submission Closed

This discussion is now closed. To view the summation of content from this discussion visit our Blog. The topic has now been furthered into nine new discussions along the pillars of ...

This discussion is now closed. To view the summation of content from this discussion visit our Blog. The topic has now been furthered into nine new discussions along the pillars of health systems strengthening. You are invited to contribute actively to these discussions.

Health Information Systems
Human Resources for Health
Availability of drugs, vaccines and other consumables
Public Health
Service Delivery in Health
Using Available Financial Resources in Health as a Tool for Efficiency
Stewardship and Governance in Health
Regulation of Drugs, Food and Medical Practice
Increasing Financial Resources for Health

India has made remarkable achievements in areas like Polio elimination, lowering fertility and disease control. However, our progress in health outcomes has been slower in comparison to other countries with comparable incomes and at similar stages of development. Impressive gains in per capita income should match with increase in life expectancy or health status. We now face a triple burden of disease. Out of pocket expenditures in India is high (70 percent of total health expenditure). This is catastrophic for the poor and pushes an estimated 37 million into poverty every year.

Health is a subject allotted to the State List, under the Seventh Schedule of the Indian Constitution. The Central Government is jointly responsible for items in the Concurrent List.We have one of the most expansive publicly provided networks of health facilities yet issues of regional disparity, access and quality remain. The private sector despite being utilized by the majority of the population also has issues of quality and cost.

Even though the Union Budget allocation for the Ministry of Health and Family Welfare in 2015-16 has remained at the level of revised expenditure in 2014-15, an opportunity lies in encouraging States to spend more on the social sector with greater devolution of untied funds following the recommendations of the Fourteenth Finance Commission.

India is brimming with possibilities. Successful conduct of election, Census survey, projects in space and atomic sciences are some examples. India is termed as the “pharmacy of the global south”, providing affordable, life saving generic medicines to developed and developing countries. In the same way, there is potential for our health system to deliver optimal outcomes to the population.

The Twelfth Plan charts the path towards strengthening health systems so as to reach the long term objective of Universal Health Coverage (UHC). It is our belief that a Health System Strengthening approach is the solution to bridging the gap between our current status and potential performance. The Health Division of the NITI Aayog invites you to an open and informed discussion to elicit ideas for overcoming the enormous challenges in the sector with limited funds at hand and guide future action at all levels, in our system. Your opinion is important and valued.

Detailed note on the current status of health system in India

We invite your responses on these two questions:

1. How can we maximize health returns from available resources?
2. How can we increase investments in health?

This discussion is open for the next two weeks after which we will post a summary of the ideas generated on the forum. We will also follow-up with a more detailed note on the issues in health system and learning from best practices in the country as well as globally for further discussion. Informed briefs on the above mentioned questions will also be made available after the initial two weeks for more a targeted dialogue.

Comments made by our Division will appear as “NITIHealth”.

Showing 585 Submission(s)
drsheetaldesai
Dr Sheetal Reddy Desai 10 years 2 months ago

There is lot of potential but no facilities available in govt hospitals - mainly PHCs, taluka hospitals . Minimal charges should be collected and facilities improved according to requirements with the amount collected as charges. Concept of Completely free treatment , free medicines should be abolished . For ex 5 Rs for OPD patients , 50 Rs per day for admitted patients should be collected and same amount can be used to provide more facilities.

trn_bharadwaj
TARUN BHARADWAJ 10 years 2 months ago

Every sub divisional hospital should have preventive officers for health who should be skilled enough to prevent basic domestic diseases for the publics of surrounding areas . In kolkata hygiene inst is there who have this type of course for the doctors as well as employees working in health services in different states at the same batch. There should be more such type of institute . Due to shortage of doctor , lack of infrastructure ,huge population it is very difficult to cope up the problem

karthik_jayaraman
Karthik Jayaraman 10 years 2 months ago

Encouraging investment in preventive care or fitness is critical to lowering the need for treatments. Incentivising the set up of fitness centres, providers of healthy food, propagation of balanced diets etc can yield disproportionate results, especially as Indians become more sedentary and transform their food preferences towards fattier Western diets.

Narendra Patel_1
Narendra Patel_1 10 years 2 months ago

Cleanliness and hygiene are the utmost important which must be taught from school to visit of Hospital. Doctor must ensure they follow it and transfer same to staff which lacks everywhere in hospital. All antibiotics must be under prescription drug, n doctor should try to resolve simple flue without medicine, unless patient with low immune or older patient with stage 1-2 antibiotics. Eye nose ear and blood check must be routine for children under Gov resolve problem early.

rajkumarpandey1964
rajkumar pandey 10 years 2 months ago

government will never be able to bridge the gap between performance and potential, if it is giving priority to allopathic system imported from europe. unless yog and ayurved is given priority and primacy in health policy of india, masses will not be able to connect to initiatives of government. and without mass participation nothing improvement or transformation can happen. why bharat is not giving importance to yog when 177 foreign countries have adopted it. is there any fear of secularists?

amitchitravanshee
Amit Srivastava 10 years 2 months ago

The Prime Minister Shri Narendra Modi ji will address the nation in the next series of ‘Mann Ki Baat’ on 31st May 2015.
But on mygov.nic.in there is no link available for this 8th episode of 'Mann Ki Baat'
Why this is so ?...

Ajay Setia_1
Ajay Setia_1 10 years 2 months ago

Sir,my I suggest U to bring all child related issues under one roofof Child protection department under single handed Ministery of Child Protection. Issues like RTE, Child Labour,Specially Abled children, Child Health, Child protection, child participation ,Juvenile skill devolpment (14-18) may be included. Medical and education be totally free in next three years up to the age of 16...I have some more ideas, as I have performed under Sh.Khanduri ji in Uttarakhand as SCPCR chairman.

Dr shashidhar
Dr shashidhar 10 years 2 months ago

Hi sir there is such huge human resources in health that many of doctors are moving to non clinical jobs lot of bams and bhms doctors are working in us healthcare sir please bring bridge course for these doctors we are also citizens of this country we are also unemployed sir as you 95% bams and bhms doctors do allopathy practise sir this is fact and if u stop this nearly there will be at least two lakh unemployed youth sir we study allopathy and banning is not solution sir I request u please uti

Gita Bisla
Gita Bisla 10 years 2 months ago

like the pradhan mantri gram sadak yojna there should be an aim to establish Primary health centers in the villages with all basic facilities. PHC's established by AIIMS - Delhi in the surrounding villages has done a good job. there is a urgent need to save the poor from unnecessary corrupt system of private hospitals.

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