In the recent index produced by UN India stand at the 143rd position out of 188 countries by this, one can imagine the conditions and situations of the country in SDG index. SDG has set a goal which includes the overall growth of the country and after aggregating such growth rate the UN publish the rank. The growth rate also includes the country’s contribution towards its health sector. There have been many reforms and Act to improve the country’s health sector, but it is really somber to watch such delicate situation of the health unit.
Division of Health Care Sector:
The country has one of the largest health sectors as compared to another country, hence the organization of such sector becomes really vulnerable. The sector is divided into two parts:
• Government Statutory Body: include AIIMS, District Hospitals, Government Hospital (Sub-Divisional Hospital)
• NGO Hospital
• Private Statutory Body
However, as we often visit the government hospital the condition of such hospital is really critical where there is one doctor for more than 50 outdoor and indoor patients. By, this one can imagine the amount of negligence done by the government sector.
Cause of Poor health care system
In India, the health care system lack skilled people, lack of robust control, lack of public (government) anticipation, lack of allocation of budget to health care and lack of reliability and feasibility. However, where most of the countries spend more than 20 to 30 percent (approx) of the GDP on the health sector, whereas India due to lack of capital is helpless to allocate money for health care sector and thus badly hits the healthcare sector India’s health sector is so broad that the government is unable to control the contingencies and continues falls in the sector.
Vulnerable measures and trends New National Health Policy
India recent government has issued the New National Health Policy 2017 along with some other reforms to improve the present pursuit of the country health. The people nowadays levy their trust on the private sector based health unit, not on the public health center or any other multi-specialist hospital. Hence, in order to make the Healthcare system effective and affordable government has paid their focus on:
• Increase the funding by 2.5 percent of the GDP by 2025
• Reduced the minimum criteria of CD 4 counts to 200 for ART treatment so that the patients suffering from HIV can be cured.
• Robust control on the price of the health either it is equipment or medicines through NPPA (National Pharmaceutical Pricing Authority)
• Enhance and improve the level of health care at secondary and tertiary unit or centers
• Introduction of Capitation fee model
• District Hospital should be strengthened with due importance to public funding
• SD hospital also need to be strengthened for which NHSO (National Health Care Standard Organization) has been proposed to establish in order to provide Provide evidence-based standard management guidelines
• NDHA (National Digital Health Authority) to be set up in order to deploy, develop and regulate the digital health care across the health care unit.
• AYUSH and ASHA both will be the mainstream line in promoting the health care unit.
• To improve the life expectancy, reduce the mortality and also eradicate the malicious price tag on the medicine and medical equipment.
However, some of the steps are taken on based on future certainty but besides this there is huge work which is still undone such as lack of skilled person, high price exercised by private multi-specialist hospital, cost of medical health insurance is also high which people still dubious to invest in such policy etc., so government must also make effort to eradicate them from the society.