Strengthening public healthcare systems in India; Learning lessons in COVID-19 pandemic

Suneela Garg; Nidhi Bhatnagar; M Meghachandra Singh; Amod Borle; Sunil K Raina; Raman Kumar; Sagar Galwankar

doi:10.4103/jfmpc.jfmpc_1187_20

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Year : 2020 | Volume : 9 | Issue : 12 | Page : 5853-5857

Strengthening public healthcare systems in India; Learning lessons in COVID-19 pandemic

Suneela Garg¹, Nidhi Bhatnagar², M Meghachandra Singh¹, Amod Borle², Sunil K Raina³, Raman Kumar⁴, Sagar Galwankar⁵
¹ Director Professor, Department of Community Medicine, Maulana Azad Medical College, New Delhi, India
² Assistant Professor, Department of Community Medicine, Maulana Azad Medical College, Delhi University, Kangra, Tanda, Himachal Pradesh, India
³ Professor, Department of Community Medicine, Dr. Rajendra Prasad Government Medical College, Kangra, Tanda, Himachal Pradesh, India
⁴ Chief Editor, Journal of Family Medicine and Primary Care, President Academy of Family Physicians of India, Ghaziabad, Uttar Pradesh, India
⁵ Chief Executive Officer, INDUSEM, Associate Professor and Director for Research in Emergency Medicine, University of Florida, Sarasota Memorial Hospital, New Delhi, India

Correspondence Address:
Dr. Nidhi Bhatnagar
Assistant Professor, Department of Community Medicine, Maulana Azad Medical College, Delhi University, New Delhi
India

Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/jfmpc.jfmpc_1187_20

COVID-19 pandemic has involved nations and incapacitated the health systems globally. The pandemic preparedness has been tested with immense losses. Universal health coverage is needed more than ever to recuperate from the effects of the current pandemic. Post pandemic, many lessons need to be learnt especially for developing economies like India where public healthcare system is grossly inadequate to take care of health needs of citizens. World Health Organization's framework of six health system building blocks was utilized to study the lessons learnt and actionable points in the post pandemic period. Participation in Global Health Security Alliance has to be stepped up with involvement in Joint external evaluation and development of epidemiological core capacities. National Health Security Action Plan needs to drafted and available for health emergences. Ayushman Bharat scheme should incorporate elements to address surge capacity at the time of health emergencies and measures to deliver care at the time of pandemic. Technology through telemedicine, m-health, and digital platforms or apps should contribute to trainings, supervision, and facilitation of healthcare delivery at remote locations. Open data sharing policies should be developed for the practice of evidence-based public health. Public healthcare system and health manpower trained in epidemiology should be given a boost to have system readiness to respond in case of future pandemics.

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