Improving Healthcare Access
in India

Challenges and Progress

Here are the key takeaways from the topic

  • India has made significant improvements in the health outcomes of its people, with life expectancy at birth increasing to 69.6 years in 2020.
  • India has a mixed health-care delivery system, with both public and private providers.
  • Quality of care, accessibility, and affordability of health care services, medicines, and diagnostics are challenges that need to be addressed.
  • The government has launched several initiatives to improve access to healthcare and reduce disparities, including the Ayushman Bharat programme.
  • Health equity is important in India because the existing health care infrastructure has always been centred on those who can pay.

India has made significant improvements in the health outcomes of its people. Life expectancy at birth increased to 69.6 years in 2020, from expected 47.7 years in 1970. However, progress is uneven across states, and demographic and epidemiological changes mean the country faces a double burden of disease and an ageing population. 

India has a mixed health-care delivery system. Policy recommendations in the 1940s laid the foundation for a government-funded, three-tiered public health system to deliver preventive and curative health care services. By the 1980s the private sector’s role in health began to gain prominence. Today, nearly 70% of all outpatient visits, about 58% of all inpatient episodes are provided by either for-profit or not-for-profit private providers. 

Quality of care, accessibility and affordability of health care services, medicines and diagnostics are a challenge. There are also differences in health outcomes between states. Several policy initiatives since the 2000s have been launched to strengthen India’s health system towards providing UHC and improving health outcomes and the Ayushman Bharat programme is attempting to tackle these issues at both hospital and outpatient settings, it is still too early to look at its impact. 

The constitution of India obliges the government to ensure the “right to health” for all⁵. Each state is required to provide free universal access to health care services. However, health care in India has been chronically underfunded.

India has a multi-payer universal health care model that is paid for by a combination of public and private health insurance funds along with the element of almost entirely tax-funded public hospitals. The public hospital system is essentially free for all Indian residents except for small, often symbolic co-payments in some services.

Health equity is important in India because the existing health care infrastructure has always been centred on those who can pay. There are two types of healthcare – private and government – with vastly different services and level of quality, meaning that access to healthcare is not equal. 

In conclusion, while India has made significant progress in improving the health outcomes of its people, there are still challenges that need to be addressed. The government has launched several initiatives to improve access to healthcare and reduce disparities, but there is still much work to be done. 

Key achievements and numbers related to Healthcare Access in India

Improved Life Expectancy: In the last 75 years, India has improved tremendously with respect to life expectancy. In 1947, the expectancy of an average Indian citizen was around 32 years and it has increased to 70.19 years in 20227.

The increase in life expectancy in the last 75 years has been over 100 percent. United Nations-World Population Perspective states that the average global life expectancy is 72.98 years.

According to the World Health Organization (WHO), India has significantly improved its people’s health outcomes. According to experts, life expectancy is one of the most important and most used indicators for human development. Several studies have revealed that India’s life expectancy has increased due to the better availability of treatments, medicines, and evolving technology.

The current life expectancy for India in 2022 is 70.19 years which is a 0.33 percent increase from 20217. Experts opine that there have been significant enhancements in infant and child mortality along with maternal mortality that has led to the longevity of life in the country.

National-level Initiatives: Since gaining independence, India has launched several national programmes to curb the menace of communicable diseases like Malaria, Tuberculosis, and AIDS, among others.

Research and Analysis: ACCESS Health India acted as the nodal center for in-depth research and analysis of the Indian health system. Working closely with national and international experts and researchers in health financing, healthcare provision, and digital health, ACCESS Health India developed a portfolio of strategies for policymakers to choose from.

Here are some reference URLs for the topic of healthy choices

India health system review - World Health Organization.
https://apo.who.int/publications/i/item/india-health-system-review

India | International Health Care System Profiles - Commonwealth Fund.
https://www.commonwealthfund.org/international-health-policy-center/countries/india

Healthcare in India - Wikipedia.
https://en.wikipedia.org/wiki/Healthcare_in_India

Health equity and access: The only way to reduce health outcome
https://timesofindia.indiatimes.com/blogs/voices/health-equity-and-access-the-only-way-to-reduce-health-outcome-disparities-in-india/

What’s the future for health care in India? – Harvard Gazette.
https://news.harvard.edu/gazette/story/2021/02/whats-the-future-for-healthcare-in-india/

Access Healthcare.
https://www.accesshealthcare.com/

India at 75: Important healthcare achievements of the country
https://www.financialexpress.com/healthcare/news-healthcare/india-at-75-important-healthcare-achievement-of-the-country-since-gaining-independence/2621945/

India – ACCESS
https://accessh.org/india/

India | International Health Care System Profiles - Commonwealth Fund.
https://www.commonwealthfund.org/international-health-policy-center/countries/india

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