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Home / Health / Lancet Report: Fix Governance for India's Universal Health

Lancet Report: Fix Governance for India's Universal Health

21 Jan

•

Summary

  • Lancet Commission report recommends public sector dominance for universal healthcare.
  • Governance failures, not funding, hinder health equity for 1.4 billion people.
  • Roadmap targets universal health coverage by India's independence centenary in 2047.
Lancet Report: Fix Governance for India's Universal Health

A comprehensive review by The Lancet Commission has recommended that India establish publicly provided healthcare as the primary means to achieve universal coverage. The report, based on a survey of 50,000 households, emphasizes that governance failures and fragmented delivery, rather than a lack of funding, are the principal impediments to health equity for the nation's 1.4 billion people.

The commission has outlined a strategic roadmap to attain universal health coverage by 2047, coinciding with the centenary of India's independence. It concludes that despite India's global strength in pharmaceutical manufacturing, its domestic health system suffers from uneven quality and inefficiencies, leaving many citizens vulnerable.

The report advocates for six structural reforms, including empowering local governance, decentralizing authority, and scaling up technology for care coordination. It suggests shifting the public sector from a passive funder to a strategic purchaser of services and embedding a culture of continuous improvement.

This push for public sector leadership challenges the current trend where nearly half of households rely on private providers. While acknowledging the private sector's significant role, the commission recommends aligning it with national goals through balanced incentives and regulations, moving towards payment models that reward quality and long-term disease management.

Disclaimer: This story has been auto-aggregated and auto-summarised by a computer program. This story has not been edited or created by the Feedzop team.
The Lancet Commission recommends establishing publicly provided healthcare as the primary vehicle for universal coverage in India.
The report identifies governance failures and fragmented delivery, rather than a lack of funding, as the biggest barriers to health equity.
The commission's roadmap aims for India to achieve universal health coverage by 2047, the centenary of its independence.

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