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Health Systems Resilience Index: A Sub-National Analysis of India’s COVID-19 Response
India’s COVID-19 battle will be told and retold in the coming years, inspiring both praise for what the country has achieved, and critique for its shortfalls. As India’s story continues to unfold, two strands will mould the various assessments. First is India’s aggregate performance as a developing economy: It marshalled its meagre resources to respond to the exponential threat of the virus, and was determined, too, to be part of global solutions to this scourge, such as the manufacture and supply of life-saving vaccines. The second, and perhaps even more important story is on ground-zero: In its cities and villages, India’s success or failure would be a factor of the leadership and ...
Free Medical Care to the Poor
Charitable Trust Hospitals get various benefits from the government such as land, electricity at subsidised rates, concessions on import duty and income tax, in return for which they are expected to provide free treatment to a certain number of indigent patients. In 2005, a scheme was instituted by the high court formalising that 20 per cent beds set aside for free and concessional treatment at these hospitals. In Mumbai, these hospitals have a combined capacity of more than 1600 beds. However, it has been brought to light both by the government and the media that these hospitals routinely flout their legal obligations. Considering that charitable hospitals are key resources for provisioning...
Transforming India's Approach to Cancer Care
In India, a country with a vast population and a diverse socio-economic fabric, healthcare remains fraught with challenges including disparities in access. These socio-economic disparities are deep, and they influence health outcomes. It is imperative to bridge these gaps amid the ongoing epidemiological, nutritional and demographic transitions that are bringing about massive challenges in healthcare. Cancer, for example, has emerged as a significant cause of mortality across the country. The impact of cancer in India transcends health and affects the economic and social spheres of people’s lives. A key aspect of this challenge is the financial burden borne by families dealing with the illness: According to the latest available data from 2018, out-of-pocket (OOP) expenditure accounts for over 50 percent of total health spending.[1] This financial burden is exacerbated by inequities in access to and the affordability of cancer treatment.
Sustainability and Resilience in the Indian Health System
The COVID-19 pandemic has brought to light the importance of not only improving the resilience of health systems to crises but also of ensuring their long-term sustainability. The Partnership for Health System Sustainability and Resilience (PHSSR) was established in 2020 with the goal of building more sustainable and resilient health systems around the world. One of the key objectives of PHSSR is to build knowledge, understanding, and consensus on the dimensions of health system sustainability and resilience, and how they can be improved. To achieve this goal, PHSSR focuses on seven key domains: Governance: the wide range of steering and rule-making related functions carried out by governmen...
Tracking SDG targets on health and nutrition: Challenges and opportunities for streamlining surveys
The achievement of global sustainable development goals (SDGs) depends largely on India’s progress, given the country’s massive size and its moderate historical success in key health and nutrition outcomes over the last several years. This further increases the relevance and need for effective monitoring of India’s performance, through timely and disaggregated data, which ensures systematic assessments and course-correction. As India will be depending mainly on surveys to supply target-related data in the medium run, this paper classifies existing health and nutrition indicators from the draft National Indicator Framework (NIF), in terms of data availability. By highlighting the gaps in available data, the authors make specific recommendations to streamline existing surveys to align them with the requirements of an NIF for the SDGs. The authors review the draft NIF released by the Ministry of Statistics and Programme Implementation (MoSPI), and propose a revised one as part of this exercise.
Health policies of BIMSTEC states: The scope for cross-learning
Public health is identified by BIMSTEC member countries as one among its fourteen priority areas for cooperation. Such collaborations, however, have been limited around traditional medicine. This year’s launch of the JIPMER-BIMSTEC Telemedicine Network (JBTN) which combines public health, communication, and technology, is bound to change the status quo. In per-capita terms, three BIMSTEC members are wealthier than India, while three are poorer. Yet India’s health improvements have been slower than even its poorer neighbours. This brief argues that given the diversity within India, the country can learn from the other BIMSTEC members in striving for improvements in its health system. It makes a case for India to conduct and support comparative health system studies within BIMSTEC.
ORF Special Report: Tracking health and nutrition targets
India has made it clear that its development goals will be in alignment with the Sustainable Development Goals (SDGs), as NITI Aayog prepares the vision document for the country’s development for the 15 years beyond the Twelfth Five-Year Plan. The global success of SDGs over the next 15 years will depend, to a large extent, on India’s performance. However, India is faced with formidable challenges not only in implementing its national health and nutrition goals, but also in tracking its progress towards those targets. In July 2016 the Observer Research Foundation organised a panel discussion on the subject, titled, “Better Data for Better Health: Developing an Indian Approach on Indicators to Achieve SDGs”. This Special Report draws policy lessons built around the key themes shared during the event. A longer paper is in progress.
ORF Occasional Paper 104: Overcoming data challenges in tracking India’s health and nutrition targets
In May 2016, the Health Secretaries of the States and Union Territories of India gathered in the capital and issued “The Delhi Commitment on Sustainable Development Goals for Health”. Among others, the document acknowledged the need to invest in health data collection, analysis and research so that these can properly inform government policies and strategies necessary to address the various challenges facing India’s healthcare. Such commitment is imperative, given that the success of global SDGs over the next 15 years will largely depend on India’s performance. Measuring progress closely to ensure mid-course corrections when needed should be key to India’s health strategy. To examine the issues related to insufficient, district-level data for customised and evidence-based planning, the Observer Research Foundation organised a panel discussion in July 2016, bringing together experts in the field. This paper builds on the key themes discussed by the panel, and from these, draws policy lessons for the road ahead.
