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LATEST NEWS UPDATES | The basics are vital -Soham D Bhaduri

The basics are vital -Soham D Bhaduri

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published Published on Mar 4, 2019   modified Modified on Mar 4, 2019
-The Hindu

Making hospitalisation affordable will spell relief, but there is no alternative to strengthening primary health care

In 2011, a high-level expert group on universal health coverage reckoned that nearly 70% of government health spending should go to primary health care. The National Health Policy (NHP) 2017 also advocated allocating resources of up to two-thirds or more to primary care as it enunciated the goal of achieving “the highest possible level of good health and well-being, through a preventive and promotive healthcare orientation”. However, if current trends and projections are anything to go by, this goal is likely to remain a pious hope.

Last year, an outlay of Rs.1,200 crore was proposed to transform 1.5 lakh sub-health centres into health and wellness centres by 2022, which would provide a wider range of primary care services than existing sub- and primary health centres (PHC). Going by the government’s own estimate, in 2017, it would cost Rs.16 lakh to convert a sub-health centre into a health and wellness centre. This year, the outlay is Rs.1,600 crore (a 33% increase) clubbed under the National Health Mission (NHM) budget. Assuming that at least the same number (15,000) of new health and wellness centres would be planned for 2019-20, and that at least half the aforementioned amount of Rs.16 lakh would be required to run an already approved health and wellness centre, the required sum for the year 2019-20 stands at around Rs.3,600 crore. While this is a conservative estimate, the realistic figure could easily exceed Rs.4,500 crore. The current outlay is less than half the conservative estimate — not to mention that building health and wellness centres at the given rate (15,000 per year) can fulfil not even half the proposed target of 1.5 lakh health and wellness centres till 2022.

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The Hindu, 4 March, 2019, https://www.thehindu.com/opinion/op-ed/the-basics-are-vital/article26425127.ece?homepage=true


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