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Health: Motivational initiative of Uttarakhand

Uttarakhand health motivational step
Uttarakhand health motivational step

Uttarakhand health Initiative

On December 25, 2018, the Uttarakhand government announced the "Atal Ayushman Uttarakhand Yojana". This scheme of the state has been made on the basis of Ayushman Bharat Program (ABP). ABP has a provision of providing financial protection to 40 percent of the population for treatment in large hospitals under the Pradhan Mantri Jan Arogya Yojana (PM-JAY). But the state government has also decided to bring the remaining 60 percent population of the state under the Atal Ayushman Uttarakhand scheme. This has made the scheme truly accessible. There are many other states like Himachal Pradesh, Meghalaya, Punjab and Karnataka, which are preparing to extend the scheme to the remaining sixty percent of its population. But Uttarakhand has become the first state in the country to make the Ayushman Bharat program "comprehensive". It is expected that other states will also grow in this direction in the coming months. The second part of the Health and Wellness Center (HWC) has already planned to reach 100 percent population.

Uttarakhand health motivational step

In a federal system like India, where health is a state subject, states certainly play an important role in improving health services and health outcomes. Also, in a modern society people have certain expectations from health systems and governments. 

motivational step for better health
motivational step for better health 

These include- 
1) Health facilities and providing them should be within their reach; 
2) When a person reaches a health facility, he should get services according to his health needs; 
3) The services should be either free of cost or have the ability to pay; 
4) No person should get services according to his needs or should not provide services that he does not need.

From these points we conclude that health services are 
1) accessible; 
2) be available; 
3) be affordable; 
4) be of quality or proper health care. 
In this context, with the success of the Ayushman Bharat program, two parts of HWC and the PMJAY and the National Health Mission (NHM), it seems that enhancing access and density of health services in India will play a good role. Therefore the Ayushman Bharat program has the potential to fulfill the promise of UHC proposed in India's National Health Policy (2017). This program focuses on bringing maximum population within the realm of health services and financial protection. It is said that the beginning is good, so the outcome is also good. But in the case of health services, this saying will only be made if efforts are made well. India is known for drafting good policies, and devours them at various levels of implementation.

Uttarakhand health & Politician

Political will is necessary for the implementation of UHC. Implementation is as important as the declaration of a policy. As far as political will is concerned, some lessons can be learned from Thailand. Thailand has successfully implemented the Universal Coverage Scheme (UCS) only in 2001. Since then, despite the political changes at the level of Prime Minister and Health Minister, this health service continued to move forward first. This trend continued during the tenure of successive governments. Due to the federal system in India, any scheme launched at the central government level is seldom considered to be the beginning. Now take ABP only. The way forward will depend on the interventions of state governments and additional initiatives or efforts.

issue of better health
issue of better health 

The experience of NHM in India has seen that the outcome and impact of this mission depended on the capacity and leadership of the state government. States like Uttarakhand should now move rapidly towards implementation. Other states should follow this and move towards providing health services to as many people as possible. Healthy competition among state governments has been measured through the rankings given in NITI Aayog's report released in 2018.

Healthy States: Progressive India - presents the true picture of the nation as a whole. If state governments take the first two-and-a-half years of their five-year tenure, and spend the remaining half-year reviewing the implementation, it will certainly help fulfill the purpose of providing health services. ABP is a means for Indian states to move towards UHC. This will require vision, design, finance and five to ten years. States can try their own way in this direction, and if they want, they can also move forward through a "five-party strategy" make-build-choose-launch-converge.

Make political and publicly committed and make draft and move towards achieving UHC in a fixed period.

Build means increasing the reach and intensity of existing programs and initiatives.
Decide in which direction to move the chuj.

Uttarakhand health department & Finicial department

But to achieve UHC, three dimensions (population outreach, service outreach and financial protection) need to be completed. Launch means that the initiatives already taken and emerging health-related challenges can be resolved and overcome inequality. All parties and non-health sectors should be united with all the initiatives of the health sector so that common goals can be achieved in the health system.
India has a position of adequacy in terms of technical and public health expertise at all levels. Such that the plans can be fulfilled. Ayushman Bharat is a courageous and ambitious program. But will we be able to bring everyone in the domain of health services? This will depend on the steps taken by the states other than Uttarakhand. It remains to be seen how many other states meet this challenge and the expectations of the people of India.

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