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

Health System in India: Bridging the Gap between Current Performance and Potential
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)
prasad desai 6 years 3 months ago

Dear Sir,
In order to improve Health system in India i suggest the following:
1. Pre Medical Test(PMT) to made compulsory for all students in the schools & records to maintained with Aadhar card numbers.
2. First Aid Kit & First Aid Training to be made mandatory in all schools
3. Doctor to be made available for consulting in school atleast weekly
4. All schools to have water filters & Toilets

Chanchal MAl Chordia 6 years 3 months ago

दवाइयों के परीक्षणों हेतु बेकसूर जीवो का अनावश्यक विच्छेदन हिंसा है -

vijay kumar 6 years 3 months ago

Govt should re think of providing free Health services to citizens instead provide assured services at subsidised rates improve the quality and compete & control unethical practices of private and corporate hospitals. Public instead of blaming govt for failure take active participation in the policy making and management of primary health centre. 2. Use of modern HR & IT for monitoring and evaluation of health depaerment and performance based incentives and promotions
change govt service rules

HARISH RACHAMADUGU 6 years 3 months ago

Drs and Hsptls are askng patients to undergo many unnecessary tests which sucks out patients money.And a poor cnt affrd these tsts.Ayurvdic drs some today and from olden days just check the pulse and decide,what is disease and start treating.So,if a technology is developed which finds out the problem by catching the pulse.Thn the doctor may write for most appropriate test,there by saving time,money and leads to early treatment and saving patients.Top ayurvedic Drs can help in devloping this tech

neeta kumar 6 years 3 months ago

i appreciate abhishek rajoria- really worthwhile suggestions, we at ICMR are working to filed test Health account scheme in which individual will have health diary, self carbon page of which is used to enter health account information in individualized account, which consumer can show to consultant. this take account of need and address then using health volunteers, health system in real time.

abhishek rajoria 6 years 3 months ago

Billings in hospital should also be regularized with biometric verification .

Benefits :
Corruption can be minimized
Ease in claiming insurances
Raw data of expenditure on health will be available

Integration of government - insurance companies - private hospitals - medical and drug stores through biometric finger print verification linked with aadhar card

#NITIAayog #HealthSysteminIndia

abhishek rajoria 6 years 3 months ago

Sale of medicines should also be done with biometric verification linked with aadhar card (finger print verification with a portable device just like we swipe our credit cards )

Unauthorised sale can be curbed
Self medication can be avoided
Any sort of corruption when it can be minimised
Will be helpful to vat authorities

abhishek rajoria 6 years 3 months ago

Sale of cigarettes and alcohol should be with biometric verification linked with aadhar card .. Which will provide correct figure of alcohol and tobacco consumption and will curb under age consumption no sale of cigarette should be done without proper documentation .

Apple uses finger print identification for security

We can use similar technology by providing portable devices or use of existing devices by vendors for biometric verification linked with aadhar card

abhishek rajoria 6 years 3 months ago

When we plant saplings of new plants/trees why do we plant fruitless trees ...instead we can plant trees bearing fruits and plants bearing vegetables which will in turn provide multiple benefits .. Corporates can be involved (CSR) as it provides benefits with revenue as well

Benefits :
Organic vegetables and fruits drive can be initiated using public tree plantation drive

Revenue can be generated due to abundance if properly implemented

Proper use of public properties/road dividers