AJ

Animesh JainAIR 63

Question Q17GS2GS2

Despite progress in healthcare infrastructure and policy reform in India, critical challenges in the primary healthcare sector persist. (Answer in 250 words)

Open scan (p.41)
AnswerStrengthsGapsKeywords

Introduction

Primary healthcare refers to the basic level society approach to provide comprehensive healthcare services as close as possible to the place of residence

23 words

Main Body

Primary healthcare refers to the basic level society approach to provide comprehensive healthcare services as close as possible to the place of residence

Progress in healthcare infra and policy reforms:

National Health Policy 2017 mandate

2.5/3 expenditure of GDP on health and focus on primary care

Creation of 2.5 table Aayushmaan Mandirs.
Capacity of professionals increased (9147 doctors per lakh against WHO 1000/lakh determined),

Despite this critical challenges persist in Primary healthcare:

Lack of adequate branding for PHC (9 lakh goal not realized)
Poor infrastructure - lack of beds, medicine, etc in PHCs.
Limited number of services provided at maternal/child care.
Focus on cure over prevention, lack focus on target determinants of healthcare
Unwillingness of doctors to serve in PHC due to poor facilities
Non-availability of medicine and high cost of pocket expenditure
Emerging challenges like geriatric care, Non-communicable diseases (diabetes) - hours in nursing.

Primary healthcare challenges:

Lack of adequate branding for PHC (9 lakh goal not realized)
Poor infrastructure - lack of beds, medicine, etc in PHCs.
Limited number of services provided at maternal/child care.
Focus on cure over prevention, lack focus on target determinants of healthcare
Unwillingness of doctors to serve in PHC due to poor facilities
Non-availability of medicine and high cost of pocket expenditure
Emerging challenges like geriatric care, Non-communicable diseases (diabetes) - hours in nursing.
1Increase funding for PHC.
2Comprehensive coverage of services including NCDs, geriatric, dental services
3Engage ASHA workers to enhance capacity.

Through above measures, India can restart its commitment on PHC under Alma Ata and dotang declaration thereby achieving (SDG 3) - Good health and well being.

286 words7 paragraphs17 bullet points

Conclusion

Through above measures, India can restart its commitment on PHC under Alma Ata and dotang declaration thereby achieving (SDG 3) - Good health and well being.

26 words

Answer continues on next page
  • Defines primary healthcare clearly
  • Lists both progress and challenges
  • References specific policy and schemes
  • Comprehensive list of challenges
  • Addresses both structural and human resource issues
  • Provides concrete recommendations
  • Links to international frameworks
  • Mentions community health workers

Open original scan

Page 41

Topper

Animesh Jain

AIR 63

Subject & Paper

GS2GS2

Topic

Primary Healthcare

Challenges and Policy Response

Healthcare Infrastructure Deficits

Writing Stats

335

Total words

7

Paragraphs

17

Bullets

prescriptive

Tone