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Bridging Gaps building resilience

Context & Theme

  • World Health Day 2025 theme: “Healthy Beginnings, Hopeful Futures”, focusing on maternal and newborn health.
  • Aims to highlight equitable, accessible, and quality healthcare as a global and national priority.

Relevance : GS 2(Health , Governance)

Indias Health Progress & Challenges

  • Ayushman Bharat & PM-JAY: Provides financial protection to over 500 million people.
  • Health & Wellness Centres (HWCs): Strengthen primary healthcare, but face shortages in staff, diagnostics, and medicine.
  • Despite 70rural population, only 35–40% of healthcare infrastructure is rural — reflects urban–rural disparity.
  • Investment needed in Tier-2/Tier-3 cities and incentives for medical professionals in underserved areas.

 Disease Burden & Socioeconomic Factors

  • Dual burden: Infectious diseases + rising non-communicable diseases (NCDs) (65% of deaths).
  • Lifestyle issues: Sedentary habits, poor diets, tobacco use → diabetes, heart disease, cancer.
    • 101 million Indians have diabetes (IDF 2024).
    • 1.6 million deaths due to air pollution (The Lancet, 2019).
  • NFHS-5 data:
    • 35% of under-5 children stunted.
    • 57% women (15–49) anemic.
  • Reflects issues of poverty, sanitation, education, gender inequality.

Policy Responses to Malnutrition

  • Poshan Abhiyaan & ICDS aim at child nutrition but need:
    • Strong data tracking.
    • Community-level engagement.
    • Multi-sectoral coordination.

Healthcare Funding & Economic Stress

  • Health Ministry’s allocation in 2025–26 Budget: ₹99,858.56 crore (1.97% of total).
  • High out-of-pocket expenditure pushes ~55 million Indians into poverty annually.
  • Emphasis must shift to preventive care: screenings, health education, school-based health programs.

Digital Health: Promise & Pitfalls

  • Ayushman Bharat Digital Mission & eSanjeevani: Over 10 crore teleconsultations.
  • Challenges:
    • Only 37% rural internet penetration.
    • Low digital literacy among patients and providers.
    • Concerns over cybersecurity and data privacy.
  • Needs:
    • Rural internet infrastructure.
    • Training for healthcare workers.
    • Strong data protection laws.

Future-Ready Innovations

  • AI diagnostics, wearables, remote monitoring — promise early detection and personalized care.
  • Must be inclusive, accessible, and equitable across regions and social groups.

Resilience & Global Health Alignment

  • India aligns with SDG 3 (Good Health and Well-being).
  • Leverages strengths: young population, pharma industry, digital ecosystem.
  • G20 presidency (2023): Showcased health diplomacy and digital health leadership.
  • Need to align with
  • International Health Regulations & Global Health Security Agenda.

Mental Health & Climate Resilience

  • Tele-MANAS and NAP on Climate Change and Human Health are key initiatives.
  • 14% of Indians suffer mental disorders (NIMHANS 2023) — requires more investment and destigmatisation.

Conclusion & Way Forward

  • India must view health as strategic investment, not just a social service.
  • Requires a cohesive, inclusive, well-funded system focused on:
    • Innovation
    • Equity
    • Resilience
  • Whole-of-society approach: Collaboration between government, civil society, and private sector essential for achieving Health for All.

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