Steps Taken to Improve Primary Healthcare System

IAS Prelims 2023

Health being a State subject, the technical and financial support by various development partner including international agencies are given to the States where they are implementing the program for women and children and the data on financial and technical support is with the concerned States.

The Union Government brings out a regular annual publication titled “Rural Health Statistics” which provides detailed data on rural health infrastructure, human resources facilities, training etc. This caters to the needs of health planners, policy makers, other government and non- government organizations and research institutions working in the field of health & family welfare.

The key steps taken by the Union Government under National health Mission to improve the primary healthcare system and medical facilities for the people living in the rural areas of the country are:

Health System Strengthening Component- Financial assistance for health systems strengthening which inter alia includes augmentation of infrastructure, human resources and programme management, patient transport services (including Dial 108 for critical care and Dial 102 for predominantly transporting pregnant women and sick infants), Mobile Medical Units, community participation including engagement of ASHAs, involvement of Rogi Kalyan Samitis, mainstreaming of AYUSH and availability of drugs and equipment etc.

Reproductive, Maternal, Newborn, Child and Adolescent Health Services – A Continuum of care approach has been adopted under NHM with the articulation of ‘Strategic approach to Reproductive Maternal, Newborn, Child and Adolescent health (RMNCH+A) in India, bringing focus on all the life stages, notably the adolescents.

Control of Communicable Diseases– This includes programmes for control of communicable diseases namely National Leprosy Eradication Programme, Revised National Tuberculosis Control Programme, National Vector Borne Disease Control Programme and Integrated Disease Surveillance Project.

Control of Non-Communicable diseases: To address the emerging challenge of growing disease burden of Non Communicable Diseases (NCD), a newly constituted NCD flexi-pool has been introduced under the National Health Mission. All interventions up to District Hospital level and below for non-communicable disease programmes are funded through this NCD flexi-pool under NHM.

National Urban Health Mission: To cater to primary health care needs of urban population, particularly the poor and vulnerable sections amongst them

Infrastructure Maintenance: Financial assistance is provided under this head for salary support to regular ANMs, LHVs etc.