सार्वजनिक-निजी भागीदारी मॉडल, यदि सही तरीके से लागू किया जाए, तो इसमें भारत की स्वास्थ्य सेवा प्रणाली में अंतराल को पाटने की क्षमता है। (उत्तर 250 शब्दों में विवेचना) OR Public-Private Partnership model, if harnessed properly, has the potential to bridge the gaps in India's healthcare system. Discuss. (Answer in 250 words)

Indian healthcare system is characterised by the allocation of (2.1/?) expenditure as (?) of GDP - 2021-22 as per economic survey (2021-22).

Gaps in Indian healthcare :-

1. (Absence) of (private) (rural) Urban (divide) — 1 (4/10) people (left) in tural, (0.5 beds) (1000 people), (1.25 nurses) (1000 people), (71) (lack) of infrastructure in rural areas.

2. Absence of (private) (rural) (Urban) divide — too limited doctor to work in rural areas.

3. Lack of infrastructure in (PPC) (primary nodal centre), (community) (health) (centre).

3. Absence of (low insurance) —

out of pocket infra-structure on healthcare is (15.8/?) as per National Health Estimate.

Private - public partnership to bridge this gap —

1. (Penetration) — in rural areas and (Tier 2/3) areas can be enhanced.

2. (Infrastructure) — availability of X-ray imaging, (pathology), (ventilator) etc can also be enhanced.

3. (Manpower) — bringing public-private would improve number of (doctors), (nurses) as per WHO guidelines WHO - 1 doctor/1000 people, 2.5 nurse/1000 people.

4. (Investment) — by private sector in health-care will inflate.

5. (Insurance) — penetration may inflate.

6. (Data based decision) — private sector would be incentivised to take (data) and (decisions) based on it.

However, there may be challenges —

1. Lack of (interest) of private sector, (unclear) (idea) understandably of (risk-return) available to private-public entities.

2. Unequal (idea) understandability of (risk-return) available to private-public entities.

3. (Landlord) understanding of both entities to be inflamed. (Vijay Kelkar) field (contract understanding) to be liable upon.

4. Sharing of (costs) two would have to be mutually decided.

5. Distortion on part of private (sector) to go in (rural areas).

These can be strengthened by investing (prior project) and augmenting it with (Ayushman Bharat) (Mission) to have (SGI-3) (rural healthcare) and hence.