Director Professor and Head, Department of Community Medicine, Maulana Azad Medical College, New Delhi, India.
Indian J Public Health. 2018 Jul-Sep;62(3):167-170. doi: 10.4103/ijph.IJPH_221_18.
The realization of Universal Health Coverage requires adequate healthcare financing and human resources to provide financial protection to the economically disadvantaged population by covering their medicine, diagnostics, and service costs. Conventionally, inadequate public healthcare financing and the lack of skilled human resources are considered as the major barriers towards achieving UHC in India. To strengthen the Indian healthcare system, there has been significant increase budgetary allocation towards healthcare, a national health protection scheme targeting low-income households, upgrading of primary health-care and expansion of the health work-force. Nevertheless, an evolving paradigm for improving holistic health, sanitation, nutrition, gender equity, drug accessibility and affordability, innovative initiatives in national health programs for reduction of maternal deaths, tuberculosis and HIV burden and the utilization of information technology in healthcare provision of the underserved and the marginalized is gaining rapid acceleration. These represent a genuine innovation towards fulfillment of UHC goals for India.
实现全民健康覆盖需要充足的医疗保健融资和人力资源，通过覆盖经济弱势群体的药物、诊断和服务费用，为其提供经济保护。传统上，公共医疗保健融资不足和缺乏熟练人力资源被认为是印度实现全民健康覆盖的主要障碍。为了加强印度的医疗保健系统，已经对医疗保健进行了大量的预算分配，制定了一个针对低收入家庭的国家健康保护计划，提升了初级卫生保健水平并扩大了卫生工作队伍。然而，一个正在发展的改善整体健康、卫生、营养、性别平等、药物可及性和可负担性、国家卫生计划中减少孕产妇死亡、结核病和艾滋病毒负担的创新举措以及在医疗保健中利用信息技术为服务不足和边缘化人群提供服务的范例正在迅速加速。这些代表了印度实现全民健康覆盖目标的真正创新。
