Rao, Neethi Varadaraja and N. S., Prashanth and Hebbar, Pragati Bhaskar
(2021)
Beyond numbers, coverage and cost : adaptive governance for post-COVID-19 reforms in India.
BMJ Global Health.
pp. 1-6.
Abstract
Crisis as an opportunity for change has been
part of historical and development literature
and is an oft-repeated theme. The Chinese word
for crisis (危機), for example, consists of two
symbols often characterised in popular literature
as denoting ‘danger’ and ‘opportunity’.1
For
India’s healthcare system, the COVID-19 crisis
has highlighted the urgency of reform. We have
learnt that no matter how long or how stringent
a lockdown is, we cannot flatten the curve effectively, nor fairly, without a robust health system.
In the pre-COVID-19 world, practitioners
and policy-makers were gathering around the
Universal Health Coverage (UHC) agenda that
sought to expand the number of health services
provided to the largest number of beneficiaries
at the cheapest possible cost, constituting the
three dimensions of UHC.2
This pandemic has
made it clear that incremental progress along
those three dimensions while necessary, is insufficient to move towards a health system that is
responsive, resilient and fair
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