Public health is squarely a State responsibility. It has to go hand-in-hand with sanitation, drinking water, health education and disease prevention

1. CHALLENGES IN THE PUBLIC HEALTH SECTOR
IN
INDIA

4. WHERE ARE WE?
INDIA HAS GAINED 30 YEARS IN LIFE
EXPECTANCY SINCE INDEPENDENCE.
INFANT MORTALITY RATE HAS DROPPED FROM
145.6/1000 LIVE BIRTHS IN 1947 TO 37/1000
FROM 725 PHCs in 1947, THERE ARE AROUND
29000 PHCs IN THE COUNTRY TODAY

5. WHERE ARE WE?

9. Key Healthcare Challenges
1. Complexity- Health is a state subject- governance variations,
multiple sectors & actors,
2. Inequity- Interstate, intra-state, rich –poor and urban-rural etc
3. Affordability- High out of Pocket Expenditure,
4. Social Determinants of Health
5. Availability of Health care - Paucity of HR, poor Infrastructure &
logistics
6. Accessibility- geographical (mountains, forests, deserts)
7. Lack of investments in public health systems and primary health
care - sick care rather than health/ wellness care
8. Quality
9. Poor regulation
10.Growing burden of lifestyle diseases
11.Lack of development and implementation of IT standards

13. Public health is squarely a State
responsibility. It has to go hand-in-hand
with sanitation, drinking water, health
education and disease prevention.

14. CHINA 1.37 BILLION
INDIA 1.34 BILLION -2017
PROJECTED TO REACH 1.7 BILLION BY 2050

16. EVIDENCE BASED, INFORMED HEALTH
POLICIES REQUIRE DATA

17. FLIP SIDE OF COMPUTERISED HEALTH
CARE

18. LITTLE ACCOUNTABILITY

19. DIFFICULT TO GET RID OF SILOS IN GOVT.

21. EFFECTIVE REFERRAL SYSTEM

22. OVERCROWDING IN SECONDARY & TERTIARY FACILITIES

23. THE MATA KA MANDIR SYNDROME

24. REGULATORY OVER REACH

27. THANK YOU

29. Centre Plain Area Hilly/Tribal/Diffi
cult
Sub Centre 5000 3000
Primary Health
Centre
30000 20000
Community
Health Centre
120000 80000
POPULATION NORMS FOR HEALTH FACILITIES