September 2022

Mohammad Anas Wahaj | 20 sep 2022

India's healthcare challenge is to be taken seriously at all levels - policy, public, private etc. Considering the large population size, an estimated 1.4 billion, it requires consistent and unfaltering efforts to standardize healthcare across all regions, both urban and rural. Within many challenges facing India's healthcare, the two important ones are affordability and accessability. Indian government spends only 2.1% of GDP on healthcare compared to 9.7% across OECD countries. This is one of the main reasons for the large portion of healthcare burden going to Indian people's pockets, which amounts to more than 55%. Another statistics that is disturbing in India's healthcare is vast divide between rural and urban health delivery. India's urban population is 28% while they have access to 66% of the hospital beds. Moreover, 67% of the doctors work in urban areas. One aspect of the solution related to India's many healthcare challenges is collaboration and partnership between public and private entities. The recent COVID-19 challenge highlighted the value of public-private partnerships (PPP) in healthcare. Collaborative public and private efforts in diagnostics, technology and treatment, helped India take the challenge of saving lives during the pandemic. The CoWin portal for vaccination is one such example. There are many instances of such public-private collaborations during the pandemic that provide evidence for the success of PPP model. This model can be taken further to improve and enhance the quality, affordability and accessability of the overall healthcare system in India. In the last few years PPP focused policy initiatives have led to increased investments in PPP projects. India received US$ 7.7 billion of committed investments across 25 projects in 2021, the largest in the South Asia Region. The three ways the PPP projects can help overcome affordability and accessability challenge in India's healthcare are - (1) Expertise: Private sector with urban focus have 58% hospitals and 81% doctors while public sector have most infrastructure in rural areas. Collaboration between urban and rural health by making the private sector services and expertise available in rural public health facilities can become a transformative strategy for improving India's healthcare. (2) Technology: Can be fully utilized to improve affordability and accessability in rural areas. Telemedicine is one such strategy. eSanjeevani, the national teleconsultation service, is an example. (3) Efficiency: The existing healthcare infrastructure can be uplifted through ehnanced efficiencies by implementing PPP model. Read on...

World Economic Forum: How public-private partnerships could be the booster dose for India's healthcare ecosystem
Authors: Neelima Dwivedi, Ruma Bhargava

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