Majhi Madan M, Mishra Anshita, Garg Suneela, Kumar Raman
Department of Community Medicine, SCB Medical College, Cuttack, Odisha, India.
Department of Community Medicine, Maulana Azad Medical College, New Delhi, India.
J Family Med Prim Care. 2024 Jan;13(1):5-9. doi: 10.4103/jfmpc.jfmpc_398_23. Epub 2024 Feb 8.
Political will is the key to public health policy-making and a major driving force for the attainment of Universal Health Coverage (UHC) in any nation. To achieve UHC, the Indian government laid down National Health Policy in 1983 and updated it in 2002 and recently in 2017. This recent policy emphasized increasing healthcare spending and economic growth. In the current budget, there is an increment in the share of GDP of 0.34% from the previous year's allocation, but still staggering for the envisaged 2.5% to achieve UHC. Enthusiastic announcements of opening 157 new nursing colleges, a separate programme for eliminating sickle cell anemia by 2047, and Centers of excellence establishment for pharma companies for promoting research and development and focusing on Particularly Vulnerable Tribal Groups (PVTGs) are the few overarching and new highlights in the current budget. But, in a country so huge and varied in terms of its needs in every sector, the announcements in the financial budget speech taking India forward in becoming a "shining star" is a matter of debate. This is an attempt to review the budget for this financial year in the healthcare sector and what it means: is the country willing to build a self-driven healthcare sector in the Amrit Kaal with strong public finances and a robust financial sector through "efforts by all"?
政治意愿是公共卫生政策制定的关键,也是任何国家实现全民健康覆盖(UHC)的主要驱动力。为实现全民健康覆盖,印度政府于1983年制定了《国家卫生政策》,并于2002年和最近的2017年进行了更新。最近的这项政策强调增加医疗保健支出和经济增长。在当前预算中,国内生产总值(GDP)的占比相较于上一年度拨款增加了0.34%,但与实现全民健康覆盖所需的2.5%相比,仍相去甚远。在当前预算中,一些总体的新亮点包括:热情宣布开设157所新的护理学院、一项到2047年消除镰状细胞贫血的单独计划,以及为制药公司设立卓越中心以促进研发并关注特别脆弱部落群体(PVTGs)。但是,在一个各个部门需求如此庞大且多样的国家,财政预算演讲中的这些宣布能否推动印度成为一颗“闪耀之星”,这是一个值得探讨的问题。本文旨在审视本财政年度医疗保健领域的预算及其意义:这个国家是否愿意通过“各方努力”,在“甘露之年”建立一个拥有强大公共财政和稳健金融部门的自我驱动型医疗保健部门?