Swain Sumant, Aggarwal Divya, Kumar Sanjiv
Assistant Professor, International Institute of Health Management Research, New Delhi, India.
Director, International Institute of Health Management Research, New Delhi, India.
Indian J Public Health. 2020 Oct-Dec;64(4):417-420. doi: 10.4103/ijph.IJPH_343_19.
Substantial progress has been made to improve health in India in terms of availability, accessibility, cost-effectiveness, and quality. However, there are major health inequalities between and within the states. Strategic planning of health programs is required to address inequities in health. Need of the hour is to address this using a simplified strategic approach; who is left out, why are they left out, what causes are responsible for it and what are the determinants of inequality. The basic steps of strategic management, including strategic assessment, objectives, strategy formulation, and implementation, can be used to address the health equity. This article cites the examples of Serbia immunization programme, Government of India programme on Mission Indradhanush, and Thailand's universal health coverage to get better understanding to use strategic management to address health inequity. This approach is crucial in achieving sustainable development goals.
在印度,无论是在医疗服务的可及性、可获得性、成本效益还是质量方面,改善健康状况都已取得了重大进展。然而,各邦之间以及邦内存在着严重的健康不平等现象。需要对卫生项目进行战略规划,以解决健康方面的不平等问题。当前迫切需要采用一种简化的战略方法来解决这一问题:哪些人被遗漏了,为什么他们被遗漏了,造成这种情况的原因是什么,以及不平等的决定因素是什么。战略管理的基本步骤,包括战略评估、目标、战略制定和实施,可用于解决健康公平问题。本文列举了塞尔维亚免疫计划、印度政府的“印度色彩使命”计划以及泰国的全民健康覆盖的例子,以便更好地理解如何运用战略管理来解决健康不平等问题。这种方法对于实现可持续发展目标至关重要。