Policy making in the country’s health sector is shaped by its federal structureand the Central-State divisions of responsibilities and financing.
Important points:

  1. Public health and sanitation, hospitals and dispensaries are state subjects, which means the primary responsibility of their management and service delivery lies with the states.
  2. The Centre also invests in health services through Centrally Sponsored Schemes such as the National Health Mission (NHM) and Ayushman Bharat.
  3. The Centre plays an important role in vital statistics, medical education, and drugs administration, among others, which are subjects in the Concurrent List, as also in planning, policy making, and funding for public health at state and national levels.

Digitisation of Healthcare:

  • The NDHM is a complete digital health ecosystem. The digital platform will be launched with four key features: health ID, personal health records, Digi Doctor and health facility registry.
  • It has an objective of enabling bluetooth based contact tracing and mapping of likely hotspots and dissemination of relevant information about Covid-19.

National Health Policy 2017:

  • The policy aims to achieve universal access to good quality health care services without anyone having to face financial hardship as a consequence.
  • It intends to gradually increase public health expenditure to 2.5% of the GDP by 2025.
  • It also envisages a three-dimensional integration of AYUSH systems encompassing cross referrals, co-location and integrative practices across systems of medicines.


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