Ayushman Bharat: Building India’s new health base
Hindustan TimesPreparations for Ayushman Bharat began two years before Union finance minister Arun Jaitley announced the government’s flagship health insurance programme in his 2018 Budget speech. Ayushman Bharat offers up to Rs 5 lakh cashless cover for hospitalisation to 100 million poor and vulnerable families for 1,354 treatment packages, but with district hospitals and medical colleges understaffed and overburdened treating people for simple infections like diarrhoea and viral fevers, there is a desperate need to strengthen primary health services so people get basic treatment within a 2-3 km radius of their homes. Strengthening health sub-centres at the village level will free up doctors for tertiary care and reduce patients’ out-of-pocket spending on healthcare substantially, as the need to go to private practitioners, clinics and hospitals will fall, which has been validated last year by the pilot universal health coverage project in Tamil Nadu,” said Tapasvi Puwar, associate professor, Indian Institute of Public Health,Gandhinagar. Neighbourhood clinics The UHC project launched in three rural blocks in Tamil Nadu in early 2017 by the Centre for Technology and Policy at Indian Institute of Technology, Madras, demonstrated that strengthening health sub-centres that ensuring trained personnel, services, basic infrastructure and medicines were always available, reduced the dependence on private hospitals drastically and lowered the out-of-pocket expenditure of the patient as well as the cost of care incurred by the government. Ayushman Bharat is the world’s largest healthcare coverage programme, we need to ensure it’s also the world’s most robust healthcare coverage programme,” said Jagat Prakash Nadda, Union health and family welfare minister.