Samal Janmejaya, Dehury Ranjit Kumar
Medical Consultant-Urban TB, Catholic Health Association of India (CHAI), Chhattisgarh, Indai.,
Assistant Professor, Health Care Management Area, Goa Institute of Management, Panaji, Goa 403505, India.,
Indian J Med Ethics. 2018 Jan-Mar;3(1):61-65. doi: 10.20529/IJME.2017.084. Epub 2017 Sep 26.
Universal health coverage (UHC) in the Indian context is understood as easily accessible and affordable health services for all citizens. The Planning Commission of India constituted a High Level Expert Group (HLEG) in October 2010 for the purpose of drafting the guidelines of UHC. While the primary focus of UHC is to provide financial protection to all citizens, its delivery requires an adequate health infrastructure, skilled health human resources, and access to affordable drugs and technologies so that all people receive the level and quality of care they are entitled to. This paper attempts to link the ayurveda, yoga and naturopathy, unani, siddha and homoeopathy (AYUSH) systems of medicine with UHC. Here, the AYUSH system refers to the AYUSH workforce, therapeutics and principles, and their individual role in delivering UHC to the citizens of India. In outlining the role of AYUSH, the paper lays stress on the 10 guiding principles of UHC, as proposed by the HLEG. However, as the AYUSH system is not the principal health service provider in India, the dominant system being that of allopathic medicine, a few components of UHC may not fit neatly into the AYUSH system. This paper has adopted the definition of UHC quoted by the HLEG.
在印度背景下,全民健康覆盖(UHC)被理解为为所有公民提供易于获得且负担得起的医疗服务。印度计划委员会于2010年10月成立了一个高级别专家组(HLEG),旨在起草全民健康覆盖的指导方针。虽然全民健康覆盖的主要重点是为所有公民提供经济保护,但其实施需要充足的卫生基础设施、熟练的卫生人力资源以及获得负担得起的药品和技术,以便所有人都能获得他们应得的医疗水平和质量。本文试图将阿育吠陀、瑜伽与自然疗法、尤纳尼、悉达和顺势疗法(AYUSH)等医学体系与全民健康覆盖联系起来。在此,AYUSH体系指的是AYUSH的劳动力、治疗方法和原则,以及它们在为印度公民提供全民健康覆盖方面各自的作用。在概述AYUSH的作用时,本文强调了高级别专家组提出的全民健康覆盖的10项指导原则。然而,由于AYUSH体系并非印度主要的医疗服务提供者,占主导地位的体系是西医体系,全民健康覆盖的一些组成部分可能无法完全适用于AYUSH体系。本文采用了高级别专家组引用的全民健康覆盖的定义。