Can Mohalla Clinics be a Catalyst for Ayushman Bharat Pradhan Mantri Jan Arogya Yojna to achieve Universal Health Coverage in India?
BACKGROUND: Expenditure on health sector in India is one of the lowest public health expenditures in the world at just over 1% of GDP, with substantial disparities in population, infrastructure, availability and provision of services that define the Indian health care system. In a reform of Indian health systems approved by the Indian Government in March 2018, Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) was launched on 23rd September, 2018 to provide financial health insurance coverage of Rs. 5 lakhs per family per year for secondary and tertiary care hospitalizations to more than 10.74 million poor families that form the bottom 40% of population in India.
OBJECTIVES: The objective of this paper is to discuss and analyze the benefits and weaknesses of the AB-PMJAY model and investigating the position that these clinics can play in (I) improving the provision of urban health facilities (II) resolving health inequities (III) and enhancing primary health care.
MATERIALS AND METHOD: The authors explored different databases. Government portals, research publications on AB-PMJAY and Mohalla clinics (MC) to do in-depth analysis of various parameters.
RESULTS: Although there are significant obstacles to the programme, by building impetus for program reform, AB-PMJAY offers an opportunity for the nation to resolve long-standing and ingrained shortcomings in governance, quality control and stewardship, and to accelerate India's development towards the stated UHC supply goal. The main achievement of these facilities in the last 18 months has been to introduce wellness to civic and political dialogue.
CONCLUSION: Mohalla Clinics can prove as a major catalyst for Ayushman Bharat Pradhan Mantri Jan Arogya Yojna for health reforms and progress towards universal health coverage in India.
A Study of Constitutional and Judicial Attitude Right to Health in India 2010. (Online PDF). Available from: https://shodhganga.inflibnet.ac.in/bitstream/10603/40578/10/13_chapter4.pdf. [Last Accessed on 16th November, 2020]
Bakshi H, Sharma R, Kumar P. Ayushman bharat initiative (2018): What we stand to gain or lose!. Indian J Community Med 2018;43:63-6. https://doi.org/10.4103/ijcm.IJCM_96_18
Mohanty SK, Kastor A. Out-of-pocket expenditure and catastrophic health spending on maternal care in public and private health centres in India: a comparative study of pre and post national health mission period. Health Econ Rev. 2017; 7(1):31. https://doi.org/10.1186/s13561-017-0167-1
WHO. Global action plan on physical activity 2018-2030: more active people for a healthier world. (Online PDF). Available from: https://apps.who.int/iris/bitstream/handle/10665/272722/9789241514187-eng.pdf?ua=1. [Last Accessed on 15th November, 2020]
Vivek V. Indians Sixth Biggest Private Spenders on Health Among Low-Middle Income Nations. (Online Article). Available from: https://www.indiaspend.com/indians-sixth-biggest-private-spenders-on-health-among-low-middle-income-nations-78476/. [Last Accessed on 15th November, 2020]
Lahariya C. ‘Shining a light on invisibles’: Specific learning disabilities and Universal Health Coverage. J Postgrad Med 2019;65:132-3. https://doi.org/10.4103/jpgm.JPGM_95_19
Lahariya C. Mohalla Clinics of Delhi, India: Could these become platform to strengthen primary healthcare?. J Family Med Prim Care. 2017;6(1):1-10. https://doi.org/10.4103/jfmpc.jfmpc_29_17.
PTI. Delhi gets first ‘Aam Aadmi Clinic’, CM Kejriwal says 1000 more in line. (Online Article). Available from: https://indianexpress.com/article/cities/delhi/delhi-gets-first-aam-aadmi-clinic-cm-kejriwal-says-1000-more-in-line/. [Last Accessed on 15th November, 2020]
Pomeroy M, Shankland A, Poskitt A, Bandyopadhyay KK, Tandon R. Civil Society, BRICS and International Development Cooperation: Perspectives from India, South Africa and Brazil. The BRICS in International Development: Springer; 2016. p. 169-206.
Eye on polls, Gujarat govt to set up ‘mohalla clinics’ in 4 cities: Indian Express; 2016 [Available from: https://indianexpress.com/article/cities/ahmedabad/eye-on-polls-gujarat-govt-to-set-up-mohalla-clinics-in-4-cities-3069359/.
Panda PK. Ayushman Bharat: Challenges and Way Forward. Jaipuria International Journal of Management Research. 2019;5(2):89.
Pareek M. Ayushman Bharat–national health protection mission a way towards universal health cover by reaching the bottom of the pyramid–To be a game changer or non-starter. international journal of advanced and innovative research. 2018;7(7):1-10.
Sindhwani R, Goyal P. Assessment of traffic-generated gaseous and particulate matter emissions and trends over Delhi (2000–2010). Atmospheric Pollution Research. 2014;5(3):438-6.
Mohalla Clinics: Govt. of India; 2016. Online PDF. Available from: https://www.dshm.delhi.gov.in/pdf/AamAadmiMohallaClinics.pdf . [Last Accessed on 16th November, 2020]
Lahariya C. Health & Wellness Centers to Strengthen Primary Health Care in India: Concept, Progress and Ways Forward. Indian J Pediatr. 2020;87(11):916-929. https://doi.org/10.1007/s12098-020-03359-z.
Lahariya C. ‘Ayushman Bharat’program and universal health coverage in India. Indian Pediatr. 2018;55(6):495-506.
Hindustan Times. Eight lakh treated in five months at Delhi mohalla clinics. (Online Article). Available from: https://www.hindustantimes.com/delhi/eight-lakh-treated-in-five-months-at-delhi-mohalla-clinics/story-KQl2baCrJ5lz8TS3ZmuziN.html. [Last Accessed on 16th November, 2020]
National Health Profile 2015. Central Bureau of Health Intelligence. Nirman Bhawan, New Delhi: MoHFW, Govt. of India: Government of India; 2018. (Online PDF). Available from: http://www.cbhidghs.nic.in/WriteReadData/l892s/Before%20Chapter1.pdf. [Last Accessed on 16th November, 2020]
Reserve Bank of India. State Finances a Study of Budgets Of 2017-18 And 2018-19. (Online PDF). Available from: https://smartnet.niua.org/sites/default/files/resources/0sf201718_full6ee17cfbd8004287a0cd4fdb0632afe8.pdf. [Last Accessed on 16th November, 2020]
Berman P, Bhawalkar M, Jha R. Government financing of health care in India since 2005: What was achieved, what was not and why?. (Online PDF). Available from: https://cdn1.sph.harvard.edu/wp-content/uploads/sites/2031/2017/01/Government-financing-of-health-care-in-India-since-2005.pdf. [Last Accessed on 16th November, 2020]
Chowdhury S, Mukherjee S. Can Ayushman Bharat National Health Protection Mission protect health of India’s Poor?.(Online Article). Available from: http://idsk.edu.in/wp-content/uploads/2019/01/OP-64.pdf. [Last Accessed on 16th November, 2020]
Ravi S, Ahluwalia R, Bergkvist S. Health and morbidity in India (2004-2014). Brookings India (2016). (Online PDF). Available from: https://www.brookings.edu/wp-content/uploads/2016/12/201612_health-and-morbidity.pdf. [Last Accessed on 17th November, 2020]
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