Role of civil society in health care: Mechanisms for realizing universal health coverage in vulnerable communities of India

The role of civil society as a partner in the delivery of primary health care is well-established. The pandemic placed a great burden on the existing public health system and civil society stepped forward not only to help the vulnerable population to mitigate challenges that subsequently arose but a...

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Main Authors: Anuja Jayaraman, Armida Fernandez
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-02-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2023.1091533/full
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author Anuja Jayaraman
Armida Fernandez
author_facet Anuja Jayaraman
Armida Fernandez
author_sort Anuja Jayaraman
collection DOAJ
description The role of civil society as a partner in the delivery of primary health care is well-established. The pandemic placed a great burden on the existing public health system and civil society stepped forward not only to help the vulnerable population to mitigate challenges that subsequently arose but also to fill the gaps the pandemic exposed in India's health care system. The objective of this paper is to provide mechanisms for realizing universal health coverage by strengthening primary health care from the perspective of civil society. The paper uses examples of efforts of SNEHA, a non-profit organization working on the health of women and children in informal settlements of Mumbai and other civil society organizations working with vulnerable or hard-to-reach populations. We use existing literature, field data, reports and published work over the years. We find that civil society helps the health system to connect with difficult-to-reach populations and achieve wider coverage. They can also build the capacity of frontline staff in the public systems in formal and informal ways. They can recommend ways to change the attitudes and motivations of these workers. Civil society organizations with their close connection with the community can play the part of a “gap-filler” and data messenger. Finally, they can refer people to appropriate health facilities minimizing out-of-pocket expenditure on health.
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spelling doaj.art-1b51f45323b844ce89059a4d32df1ecc2023-02-22T07:08:43ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-02-011110.3389/fpubh.2023.10915331091533Role of civil society in health care: Mechanisms for realizing universal health coverage in vulnerable communities of IndiaAnuja JayaramanArmida FernandezThe role of civil society as a partner in the delivery of primary health care is well-established. The pandemic placed a great burden on the existing public health system and civil society stepped forward not only to help the vulnerable population to mitigate challenges that subsequently arose but also to fill the gaps the pandemic exposed in India's health care system. The objective of this paper is to provide mechanisms for realizing universal health coverage by strengthening primary health care from the perspective of civil society. The paper uses examples of efforts of SNEHA, a non-profit organization working on the health of women and children in informal settlements of Mumbai and other civil society organizations working with vulnerable or hard-to-reach populations. We use existing literature, field data, reports and published work over the years. We find that civil society helps the health system to connect with difficult-to-reach populations and achieve wider coverage. They can also build the capacity of frontline staff in the public systems in formal and informal ways. They can recommend ways to change the attitudes and motivations of these workers. Civil society organizations with their close connection with the community can play the part of a “gap-filler” and data messenger. Finally, they can refer people to appropriate health facilities minimizing out-of-pocket expenditure on health.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1091533/fulluniversal health coveragecivil society organizationsprimary health carecommunity participationcollaboration with health systemsgap-filler
spellingShingle Anuja Jayaraman
Armida Fernandez
Role of civil society in health care: Mechanisms for realizing universal health coverage in vulnerable communities of India
Frontiers in Public Health
universal health coverage
civil society organizations
primary health care
community participation
collaboration with health systems
gap-filler
title Role of civil society in health care: Mechanisms for realizing universal health coverage in vulnerable communities of India
title_full Role of civil society in health care: Mechanisms for realizing universal health coverage in vulnerable communities of India
title_fullStr Role of civil society in health care: Mechanisms for realizing universal health coverage in vulnerable communities of India
title_full_unstemmed Role of civil society in health care: Mechanisms for realizing universal health coverage in vulnerable communities of India
title_short Role of civil society in health care: Mechanisms for realizing universal health coverage in vulnerable communities of India
title_sort role of civil society in health care mechanisms for realizing universal health coverage in vulnerable communities of india
topic universal health coverage
civil society organizations
primary health care
community participation
collaboration with health systems
gap-filler
url https://www.frontiersin.org/articles/10.3389/fpubh.2023.1091533/full
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