Mapping the two year progress of the National Urban Health Mission policy of India
Abstract
Introduction: Unavailability of effective and responsive health care services has led to over dependence of the urban poor on the unorganized private sector and high out of pocket expenditure in India. Recognizing the... [ view full abstract ]
Introduction:
Unavailability of effective and responsive health care services has led to over dependence of the urban poor on the unorganized private sector and high out of pocket expenditure in India.
Recognizing the significant gap in availability of public health services in urban areas, the National Urban Health Mission (NUHM) was approved by Government of India as a sub-mission under an overarching National Health Mission (NHM) for providing equitable and quality primary health care services to the urban population with special focus on slum dwellers and vulnerable population like homeless, rag-pickers, migrant workers etc.
Methodology:
All 36 State Programme Implementation Plans (PIPs) and the administrative approvals under NUHM for financial years 2013-14 to 2014-15 were examined. The article maps two year progress of key elements in urban health planning and budgeting across States in India.
Conclusion:
The NUHM has given a separate identity to the health of urban poor. Based on the principles of equity, flexible financing, leadership and political commitment the decision has led to an increased focus on health of the vulnerable urban poor. Till 2013, the urban poor were seldom talked about in most of the health discourses and were overlooked as an extension to rural coverage. With the launch of NUHM there has been an increase in the number of States/UTs which have planned for the Urban Health (29 in 2013-14 to 35 in 2015-16). During the last two year there has been considerable increase in the approval of budget for the same with corresponding increase in coverage (764 to 993 cities). Similar increase has been registered in the infrastructure development and HR including frontline workers. There has been a definite shift in the urban health planning and resource allocation, paving a way forward for a strengthened health system for urban health service delivery.
Authors
-
shahab siddiqui
(Ministry of Health and family Welfare, India)
-
Jatin Dhingra
(Pricewaterhouse Coopers India)
Topic Area
V. Healthcare Service 5.1 Accessibility of healthcare services and its optimization 5.2 He
Session
LMIC-O-05 » LMIC Lessons Learned - The Business Community and Urban Economic Development (15:00 - Sunday, 3rd April, TBA)
Paper
NUHM.docx
Presentation Files
The presenter has not uploaded any presentation files.