Lack of policy prioritization of surgical, obstetric, trauma and anesthesia (SOTA) care in South and Southeast Asian countries could be a potential contributor to limited access to care. To assess the SOTA care prioritization in National Health Policies, Strategies, and Plans (NHPSPs). We analyzed NHPSPs from twelve South and Southeast Asian countries.
View Article and Find Full Text PDFLancet Reg Health Southeast Asia
December 2023
India bears greatest under-5 diarrheal burden and mortality. We studied geographical variation in under-5 diarrhea prevalence, oral rehydration solution (ORS) and zinc supplementation treatment gaps and hospitalization rates. We point to treatment gap in western Maharashtra, Andhra Pradesh and Gujarat.
View Article and Find Full Text PDFImproving access to surgical care in India requires policy-level prioritization of surgical, obstetric, trauma, and anesthesia (SOTA) care. We quantified SOTA care prioritization in the last seven decades by analyzing India's national policy and programmatic documents. Forty documents of national importance over seven decades (1946-2017) were screened for a set of 52 surgical and 6 non-surgical keywords.
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June 2023
India has run multiple Government-Funded Health Insurance schemes (GFHIS) over the past decades to ensure affordable healthcare. We assessed GFHIS evolution with a special focus on two national schemes - Rashtriya Swasthya Bima Yojana (RSBY) and Pradhan Mantri Jan Arogya Yojana (PMJAY). RSBY suffered from a static financial coverage cap, low enrollment, inequitable service supply, utilization, etc.
View Article and Find Full Text PDFBackground: Rural India has a severe shortage of human resources for health (HRH). The National Rural Health Mission (NRHM) deploys HRH in the rural public health system to tackle shortages. Sanctioning under NRHM does not account for workload resulting in inadequate and inequitable HRH allocation.
View Article and Find Full Text PDFBackground: Human Resources for Health (HRH) are crucial for improving health services coverage and population health outcomes. The World Health Organisation (WHO) promotes countries to formulate holistic policies that focus on four HRH dimensions-availability, accessibility, acceptability, and quality (AAAQ). The status of these dimensions and their incorporation in the National Health Policies of India (NHPIs) are not well known.
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