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Universal Health Coverage: A Path to Health Equity in India

Bridging the Gap in Healthcare Access

Universal Health Coverage: A Path to Health Equity in India

  • 19 Dec, 2024
  • 429

Understanding Universal Health Coverage (UHC)

Universal Health Coverage (UHC) aims to ensure that every individual can access essential health services without facing financial hardship. This concept emphasizes equity, quality, and financial protection, which collectively contribute to a healthier society.

Significance of UHC for India

In India, UHC is crucial for addressing the healthcare access gap created by economic disparities, urban-rural divides, and social inequalities. It endeavors to create a fair health system that meets the unmet needs of the population.

Core Challenges to Implementing UHC in India

  • Limited public healthcare funding, which stands at only 1.5% of GDP.
  • An overburdened private sector that results in increased healthcare costs.
  • Lack of accountability in healthcare services.
  • Inadequate primary healthcare infrastructure and a shortage of skilled professionals.
  • Overemphasis on curative care rather than preventive strategies.

Strengthening Primary Healthcare

By investing in robust primary healthcare, India can reduce dependence on tertiary care. This approach addresses the root causes of diseases and ensures continuity of care. Global evidence shows that doubling investments in primary care leads to improved health outcomes.

The Role of Ayushman Bharat in UHC

Ayushman Bharat plays a significant role in advancing UHC through a dual approach. It enhances preventive healthcare via Health and Wellness Centres while providing free hospitalizations under the PM-JAY scheme for economically weaker sections of society.

Shifting from Curative to Preventive Care

A shift towards preventive care is necessary to tackle the root causes of diseases, including inadequate nutrition and sedentary lifestyles. This approach not only reduces healthcare costs but also lessens the burden on tertiary hospitals.

Structural Changes for Healthcare Equity

  • Strengthening governance to improve accountability in both public and private sectors.
  • Enhancing regulations to ensure affordable and quality care delivery.
  • Revamping financing models to encourage long-term, sustainable healthcare solutions.

Impact of Privatization on India’s Healthcare System

The growing trend of privatization in hospitals, including investments from foreign entities, has led to commercialization, escalating costs, and inequitable access to healthcare services.

Implications of Insufficient Public Healthcare Investment

With only 1.5% of GDP allocated to public health, India faces significant challenges, including poor infrastructure and a high out-of-pocket expenditure burden. Increasing investment to the global average of 3% could dramatically enhance service delivery.

Non-Communicable Diseases (NCDs) and Healthcare Goals

The rise of non-communicable diseases such as diabetes and cardiovascular conditions is linked to urbanization and lifestyle changes. Addressing these requires early diagnosis, public health campaigns, and strategic policy interventions.

Importance of Social Determinants of Health

Social determinants like nutrition, clean water, sanitation, education, and environmental sustainability are vital in reducing health inequalities. Addressing these factors is essential for achieving UHC.

Reforms in Public-Private Partnerships (PPP)

Reforming PPPs to focus on affordability and accountability is crucial. Policies must ensure that private investments align with public health objectives rather than merely seeking profit margins.

Improving Continuity of Care

Establishing a referral-based system among primary, secondary, and tertiary care can enhance continuity of care. This strategy prevents overcrowding in hospitals and minimizes treatment delays.

Significance of Accountability in Healthcare

A lack of accountability can lead to inefficiencies and corruption within the healthcare system. Strong governance mechanisms are essential for monitoring service delivery and enforcing quality standards.

The Role of Community-Based Care in UHC

Community-based care empowers local healthcare providers, fosters trust within the health system, and ensures that culturally relevant solutions are implemented to address health challenges.

Frequently Asked Questions (FAQs)

Q1. What is the main goal of Universal Health Coverage?
Answer: The primary goal of Universal Health Coverage is to ensure that all individuals can access essential health services without experiencing financial hardship, promoting equity and quality in healthcare.

Q2. Why is strengthening primary healthcare important for UHC?
Answer: Strengthening primary healthcare reduces the reliance on tertiary care, addresses disease root causes, and improves overall health outcomes by ensuring continuity of care.

Q3. What challenges does India face in achieving UHC?
Answer: Challenges include limited public healthcare funding, an overburdened private sector, gaps in infrastructure, and a need for greater accountability in service delivery.

Q4. How does Ayushman Bharat contribute to UHC in India?
Answer: Ayushman Bharat enhances preventive healthcare and provides free hospitalizations through the PM-JAY scheme, particularly benefiting economically weaker sections of the population.

Q5. What role do social determinants play in health outcomes?
Answer: Social determinants like nutrition and clean water significantly influence health outcomes by affecting health inequalities, making their addressal crucial for achieving UHC.

UPSC Practice MCQs

Question 1: What does UHC primarily aim to ensure?
A) Access to healthcare for the wealthy
B) Financial protection in healthcare
C) Privatization of healthcare services
D) Focus on curative care only
Correct Answer: B

 

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