Public Health Resource Network, Chhattisgarh, India.
People's Health Movement, New Delhi, India.
Int J Health Policy Manag. 2022 Jun 1;11(6):847-850. doi: 10.34172/ijhpm.2021.137.
India has established health and wellness centres (HWCs) and appointed mid-level healthcare providers (community health officers, CHOs) to provide free and comprehensive primary healthcare (PHC), through screening, prevention, control, management and treatment for non-communicable diseases (NCDs), in addition to existing services for communicable diseases, and reproductive and child health. The range of services being provided and the number of people accessing ambulatory care in these government centres have increased, leading to more equitable healthcare access and financial protection. In policy debates, contestations exist prioritising between PHC or hospital services, and between publicly-provided healthcare or privatised and "purchased" services. Nationally and globally the influence of industries and corporations in health governance has weakened the response against NCDs. PHC initiatives for NCDs must be publicly funded and provided, located within communities, and necessitate action on the determinants of health. The experiences from Australia (a high-income country) and India (a low-and middle-income country) amply illustrate this.
印度已经建立了健康和保健中心 (HWCs),并任命了中级医疗保健提供者 (社区卫生官员,CHO),通过筛查、预防、控制、管理和治疗非传染性疾病 (NCDs),除了现有的传染病服务,以及生殖和儿童健康服务。这些政府中心提供的服务范围和接受门诊护理的人数都有所增加,从而使获得医疗保健的机会更加公平,并提供了财务保护。在政策辩论中,存在着在初级保健或医院服务之间、在公共提供的医疗保健或私有化和“购买”服务之间进行优先排序的争议。在国家和全球范围内,行业和企业在卫生治理方面的影响力削弱了对非传染性疾病的应对。必须为 NCD 提供的初级保健举措由公共资金提供,并在社区内提供,需要对健康决定因素采取行动。澳大利亚(高收入国家)和印度(中低收入国家)的经验充分说明了这一点。