How far we are from achieving universal health coverage? A situational analysis and way forward for India

Introduction: Universal Health coverage (UHC) is required for fulfilment of Health for All. Currently World Health Organization has proposed indicators for tracing coverage of UHC. This study aimed to find the current status of the UHC in India and Indian States. Material and Methods: Data were coll...

Full description

Bibliographic Details
Main Authors: Rama Shankar Rath, Vineet Kumar Pathak, Akhil Goel, S A Rizwan, Ayush Lohiya
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Indian Journal of Community and Family Medicine
Subjects:
Online Access:http://www.ijcfm.org/article.asp?issn=2395-2113;year=2018;volume=4;issue=1;spage=16;epage=23;aulast=Rath
_version_ 1797866624444792832
author Rama Shankar Rath
Vineet Kumar Pathak
Akhil Goel
S A Rizwan
Ayush Lohiya
author_facet Rama Shankar Rath
Vineet Kumar Pathak
Akhil Goel
S A Rizwan
Ayush Lohiya
author_sort Rama Shankar Rath
collection DOAJ
description Introduction: Universal Health coverage (UHC) is required for fulfilment of Health for All. Currently World Health Organization has proposed indicators for tracing coverage of UHC. This study aimed to find the current status of the UHC in India and Indian States. Material and Methods: Data were collected from the national data portals, national surveys and annual reports of ministry. In case of non-availability, numerator and denominator were used from different sources. Data were entered in to Microsoft excel and analysed using Stata-12. Results: Coverage indicators for Non Communicable diseases and cataract surgery were not available in any national survey or national report of ministry. Coverage of none of the health system indicators were found to be 100%. Few indicators like Skilled attendance at birth, TB cure rate, Preventive chemotherapy against filariasis, access to improved water source had a coverage of 80%. Across the states and union territories the coverage was variable but no significant difference was observed between the EAG and Non EAG states. Very few states have achieved the minimum coverage of 80% in various coverage indicators. Conclusion: There is non-availability of some data and some data were collected in duplication. Because of the lack of data, it is not yet possible to compare the UHC service coverage index across key dimensions of inequality. Until these data gaps are overcome, inequalities in service coverage cannot be assessed.
first_indexed 2024-04-09T23:27:03Z
format Article
id doaj.art-35336db830fe4da59da20541ea865232
institution Directory Open Access Journal
issn 2395-2113
language English
last_indexed 2024-04-09T23:27:03Z
publishDate 2018-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Indian Journal of Community and Family Medicine
spelling doaj.art-35336db830fe4da59da20541ea8652322023-03-21T08:35:06ZengWolters Kluwer Medknow PublicationsIndian Journal of Community and Family Medicine2395-21132018-01-0141162310.4103/2395-2113.251342How far we are from achieving universal health coverage? A situational analysis and way forward for IndiaRama Shankar RathVineet Kumar PathakAkhil GoelS A RizwanAyush LohiyaIntroduction: Universal Health coverage (UHC) is required for fulfilment of Health for All. Currently World Health Organization has proposed indicators for tracing coverage of UHC. This study aimed to find the current status of the UHC in India and Indian States. Material and Methods: Data were collected from the national data portals, national surveys and annual reports of ministry. In case of non-availability, numerator and denominator were used from different sources. Data were entered in to Microsoft excel and analysed using Stata-12. Results: Coverage indicators for Non Communicable diseases and cataract surgery were not available in any national survey or national report of ministry. Coverage of none of the health system indicators were found to be 100%. Few indicators like Skilled attendance at birth, TB cure rate, Preventive chemotherapy against filariasis, access to improved water source had a coverage of 80%. Across the states and union territories the coverage was variable but no significant difference was observed between the EAG and Non EAG states. Very few states have achieved the minimum coverage of 80% in various coverage indicators. Conclusion: There is non-availability of some data and some data were collected in duplication. Because of the lack of data, it is not yet possible to compare the UHC service coverage index across key dimensions of inequality. Until these data gaps are overcome, inequalities in service coverage cannot be assessed.http://www.ijcfm.org/article.asp?issn=2395-2113;year=2018;volume=4;issue=1;spage=16;epage=23;aulast=Rathuniversal health coveragedlhs-4nfhs-4
spellingShingle Rama Shankar Rath
Vineet Kumar Pathak
Akhil Goel
S A Rizwan
Ayush Lohiya
How far we are from achieving universal health coverage? A situational analysis and way forward for India
Indian Journal of Community and Family Medicine
universal health coverage
dlhs-4
nfhs-4
title How far we are from achieving universal health coverage? A situational analysis and way forward for India
title_full How far we are from achieving universal health coverage? A situational analysis and way forward for India
title_fullStr How far we are from achieving universal health coverage? A situational analysis and way forward for India
title_full_unstemmed How far we are from achieving universal health coverage? A situational analysis and way forward for India
title_short How far we are from achieving universal health coverage? A situational analysis and way forward for India
title_sort how far we are from achieving universal health coverage a situational analysis and way forward for india
topic universal health coverage
dlhs-4
nfhs-4
url http://www.ijcfm.org/article.asp?issn=2395-2113;year=2018;volume=4;issue=1;spage=16;epage=23;aulast=Rath
work_keys_str_mv AT ramashankarrath howfarwearefromachievinguniversalhealthcoverageasituationalanalysisandwayforwardforindia
AT vineetkumarpathak howfarwearefromachievinguniversalhealthcoverageasituationalanalysisandwayforwardforindia
AT akhilgoel howfarwearefromachievinguniversalhealthcoverageasituationalanalysisandwayforwardforindia
AT sarizwan howfarwearefromachievinguniversalhealthcoverageasituationalanalysisandwayforwardforindia
AT ayushlohiya howfarwearefromachievinguniversalhealthcoverageasituationalanalysisandwayforwardforindia