Ishita KishoreAIR 1 · 234 wordsTheir whole copy
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"Minimum Government and Maximum Governance" motto requires amalgamation of public sector's welfare & private sector's efficiency. PPP model is thus the golden mean.
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Role in India's healthcare
-i- Dire state of Primary Health Centres can be improved Eg 25% do not meet min. 4 bed criteria
-ii- Address expertise needed in Non communicable Diseases
- Eg they account for 60% deaths
iii- Emerging virus strains requires genomic research & fast vaccine delivery Eg SII's Covaxin
iv- PPP can ensure cost friendly approach Eg 60% out of pocket expenditure on health
v- It can augment the spread of health insurance Eg currently 1% - well below BRICS average
vi- Foster Secondary & Tertiary health care (as under Jan Arogya Mission - Ayushman Bharat)
However there are (concerns) with the PPP model
-i- Ensuring privacy of patients is threatened. Eg NHRC
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gives Patient Charter of Rights
ii- Accessibility of poor may be threatened without sufficient subsidies Eg meager 1-2% of GDP spent on health
iii- Affordability can become a challenge. Eg Rashtriya Arogya Nidhi helps those with rare/orphan diseases (PPP may reduce this)
iv- Other successful models exist Eg : Mohalla Clinics - Delhi Model Decentralised governance - Kerala Model Mobile Health Vans - Brazil Model
The need of the hour is to retain welfarist approach for A. Sen's capability development, yet augment private sector's support to achieve SDG 3 - Health & Alma Ata Declaration