Copyright © Khushboo Balani, Alok Kumar Singh and Sandhya Venkateswaran Centre for Social and Economic Progress (CSEP) CSEP Research Foundation 6, Dr Jose P. [...] The Centre for Social and Economic Progress (CSEP) conducts in-depth, policy-relevant research and provides evidence- based recommendations to the challenges facing India and the world. [...] CSEP is based in New Delhi and registered as a company limited by shares and not for profit, under Section 8 of the Companies Act, 1956. [...] The Centre for Social and Economic Progress (CSEP) does not hold an institutional view on any subject. [...] Designed by Umesh Kumar Strengthening Primary Care in India Opportunities and Challenges Khushboo Balani Research Associate Centre for Social and Economic Progress New Delhi, India Alok Kumar Singh Research Associate Centre for Social and Economic Progress New Delhi, India Sandhya Venkateswaran Senior Fellow Centre for Social and Economic Progress New Delhi, India The authors would like to thank t.
- Pages
- 49
- Published in
- India
Table of Contents
- Abbreviations 5
- Abstract 6
- 1. Background 7
- 2. Government Initiatives Aimed at Primary Healthcare 8
- 3. Key Gaps in Policy Design and Implementation 9
- 3.1 Financing Primary Healthcare 9
- 3.2 Health Infrastructure Deficit 12
- 3.3 Quality of Care and Accountability 16
- 3.4 Structural Design Elements 18
- 4. Insights from Other Countries 18
- 4.1 Adequate and Well–Targeted Financing 18
- 4.2 Transitioning from Patient-Initiated to a System-Initiated Model 21
- 4.3 From Fragmented to Integrated Care 25
- 4.4 Addressing Workforce Shortage 25
- 4.5 Mechanisms to Ensure Quality and Accountability 28
- 4.6 Engaging Private Providers 30
- 5. Discussion and Potential Pathways 30
- 5.1 Population Health Through Patient-Centric and Integrated Systems 31
- 5.2 Workforce as a Key Input 31
- 5.3 Quality and Accountability 34
- 5.4 Organisation and Governance 34
- 5.5 Financing Primary Healthcare 37
- 5.6 Summing Up 37
- References 39
- About the authors 47