The ‘Health Systems Resilience Index (HSRI)’ report by global think tank Observer Research Foundation (ORF) provides insight on the state of country’s health systems at individual sub-national level and the parameters that need to be addressed briefly . Condition.
“There is no better time than now to invest in health systems. Today, as the world looks to the potential future of recurring infections, state leaders need to prioritize building knowledge systems and investing in human capital and critical infrastructure. need, and put in place, a robust evaluation mechanism. This would require the consent of the entire board for action to be taken,” Dr. Sameer Saran, Chairman, ORF, wrote in the report.
India’s healthcare delivery system has historically suffered from ad-hoc regulation, poor monitoring and meager budgetary allocations.
The report highlighted how some states and union territories (UTs) were more successful than others in swiftly mobilizing resources to fight COVID during the pandemic.
“The key was aligning their health systems with the needs of the population,” Saran said.
The report showed that in the area of institutional support to the health sector, Meghalaya has performed extremely well, and Himachal Pradesh, Sikkim and even smaller states such as Tripura, Goa and Mizoram have performed relatively well. Among the Union Territories, Jammu and Kashmir is at the fore.
In terms of managing COVID-related health outcomes, Himachal Pradesh, among the larger states, and smaller states such as Goa and Tripura performed better than others. Among the Union Territories, Lakshadweep and Andaman and Nicobar Islands showed remarkable results, even outperforming all the states.
Tamil Nadu and Chhattisgarh (among larger states) and Goa (among smaller states) have the best records in their general health profiles, and the union territories of Dadra and Nagar Haveli and Daman and Diu are the leaders.
In medical infrastructure, smaller states such as Arunachal Pradesh, Sikkim and Mizoram have the best population-level services, as do larger states such as Kerala and Maharashtra. Lakshadweep is the most well-equipped among the Union Territories.
Goa, among the smaller states, and Tamil Nadu and Kerala, among the larger states, meet the highest criteria for technology infrastructure. Delhi is at the fore among the Union Territories.
The report calls for better data infrastructure to drive policy and an aggressive push toward universal health coverage to “fill yawning gaps in the country’s health systems”.
This showed that only states and union territories with higher per capita income levels are significantly more resilient than poorer regions to combat a potential new wave of the pandemic or any other health crisis of similar magnitude.
Calling the COVID vaccination campaign a “remarkable” achievement, the report advises policy makers to “learn from the past three waves and develop sound strategies for increased investment in health and expected future waves”.
“As unprecedented as the COVID-19 crisis has been, it will not be the last. We need to strengthen our health systems and make them cohesive, equitable and sustainable. It would be good for us to start now,” Saran said.
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