NITI Aayog Report on Building a 21st Century Health System for India

NITI Aayog Report on Building a 21st Century Health System for India

NITI Aayog released the report on ‘Health Systems for a New India : Building Blocks – Potential Pathways to Reforms’.

Over the last few years, India has embarked on a journey towards providing improved access to high-quality, affordable healthcare for the most unreached and vulnerable population of the country. Many indicators, however, continue to show significant scope for improvement. By placing health at the centre-stage of the policy narrative, this report charts a clear roadmap for the complete transformation of India’s health system. It focuses on breaking silos in the health space and removing fragmentation between various initiatives, ensuring greater convergence between ministries as well as the Centre and states, as already initiated under Ayushman Bharat.

Lauding the significant improvements made in India’s health sector, Bill Gates, co-chairman of Bill and Melinda Gates Foundation, said primary healthcare is extremely important for all. India is in a very hopeful situation, he said, and is set to be an example for other countries. He mentioned that the private sector needs to be involved to meet key challenges and that the Gates Foundation through its initiatives will extend all possible help.

The report identified 5 focus areas of future health system, deliver on unfinished public health agenda, change health financing away from out of pocket so spend into large insurers, integrate service delivery vertically and horizontally, empower citizens to become better buyers of health, harness the power of digital health.

Highlighting the need to build India’s opportunities, the vision for health over the next fifteen years is to transform the delivery of health services in a way that they improve at a much greater pace, without financially burdening its citizens. A synthesis of all the discussions and efforts initiated at NITI Aayog’s ‘Development Dialogues’ held on 30 November 2018, the report consolidates global findings on key health system themes of financing and provisioning, with a focus on risk pooling, strategic purchasing, health-service provisioning and digital health. With insights to transform the Indian health system in the twenty-first century, the report presents a preliminary menu of strategic choices available before India to reform its healthcare system.