Page 10 - HSTP Annual Report Final

Strengthening Urban Health Systems

Increased investments on primary health care have seen India make improvements in health
promotion, disease prevention and service outreach. Despite e orts, in urban areas, primary
health care remains inadequate, fragmented, and associated with high out-of- pocket
expenditures. Patient health seeking behavior and the organization of the urban health care
system is complex with enormous disparities. We are trying to understand the underlying
reasons for the poor performance of primary health systems in urban areas through following
initiatives:

This year we implemented the formative research for comprehensive primary health care in
Mysuru city in collaboration with Karnataka Health Promotion Trust & St. John's Research
Institute. Research findings will be available in 2022 and allows us to identify potential
interventions in consultation with local stakeholders to provide comprehensive primary
healthcare in an urban setting. In collaboration with Swasti, we developed a white paper on
healthy city framework.

Health Systems Governance

One of our objectives is to provide technical assistance to governments, regulatory bodies and quantity, pricing, and cost containment, protecting patients, information provision and
concerned stakeholders to strengthen health system governance with a focus on health grievance redressal. It focusses on legal provisions, institutional mechanisms including
regulations. We host a repository of health regulations to provide easy access to information regulatory agencies, and gaps and challenges of the regulatory system. Proceedings of the
on relevant acts, rules, schedules, and notifications issued by the government of India over the release event may be accessed here.
years. Progress made during the year:

Exploratory qualitative research on organisation
Landscape study on Regulation of Health Care

Delivery in India and delivery of home healthcare:

Undertook a study on Home Healthcare. The objectives were to understand how Home
Released the report ‘Regulation of Health Care Delivery in India - A Landscape Study’, which Healthcare is organised and delivered in India, with respect to the services, providers, users,
reviews the landscape of health regulations in India, at the central government level with a and interaction between them. Home healthcare as a professional form of care in India is
focus on health care delivery. The areas covered are Practitioners, Health Facilities, Supportive relatively new and emerging. Considering the rising need for home healthcare and the growth
Services, Professional Actions, Illnesses and Diseases, and Outbreaks, Epidemics and that this sector is experiencing, the study would contribute to the discourse on integrating
Pandemics. The study touches upon issues related to licensing and registration, quality, home healthcare as a mode of service delivery within the Indian health system.

Webinars

 A session ‘Regulation of Clinical Establishments in India - 'The Train is Still Only Inching
Forward’ was organised to deliberate upon the present status of legislation to regulate
clinical establishments in India and the regulatory challenges. October 2021.

 A session 'Silence of the Stories - Health Journalism in India' was organized where
journalists and media persons shared their perspective on the state of health journalism
in India and how media, research institutions, academia, civil society organizations, and
the state could work together to increase the profile of health systems through
strengthened reporting.

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