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- Title
Strengthening Public Financing of Primary Healthcare in India: A Perspective.
- Authors
Kadarpeta, Rahul Sankrutyayan Reddy; Anand, Jaidev Singh; Achungura, Grace
- Abstract
Resilient and high-performing health systems that can respond to the global polycrisis hinge upon the effectiveness of their primary healthcare (PHC) system. This requires adequate and sustainable financing for PHC, which should be predominantly government financed. The recent Ayushman Bharat health reforms in India aim to ensure comprehensive PHC services and enhance financial risk protection through increased government financing. The government has augmented investments to fortify the PHC system by establishing Health and Wellness Centers (HWCs), equipped with an expanded benefit package for PHC services & human resource capacity. Aligned with the National Health Mission's targeted and flexible financial mechanisms, this offers States the opportunity to contextualize solutions and offer incentives to healthcare workers. However, aligning public financing arrangements to service delivery complexities and health outcomes pose intricate challenges in shaping the required reforms. The economic growth and room for increased taxation on health products provide an avenue for increased funding. Smart and efficient payment mechanism with improved accountability should complement increased investment.
- Subjects
INDIA; ECONOMIC statistics; HEALTH services administration; PRIMARY health care; RESPONSIBILITY; HEALTH; GOVERNMENT aid; HEALTH care reform; MOTIVATION (Psychology); PURCHASING; FINANCIAL management; ECONOMIC impact; PUBLIC health; INTEGRATED health care delivery
- Publication
Health Services Insights, 2024, p1
- ISSN
1178-6329
- Publication type
Article
- DOI
10.1177/11786329241249289