Restructure Health Systems to Address Equity, Responsiveness, Accountability and Community Engagement

Abstract

Eighty years since Bhore committee report, country has underwent many reforms. But the basic structure of Primary Health Care as per Bhore Committee was retained throughout, although it could never deliver comprehensive health care as envisaged. Till date, country is nowhere near the recommendations of Bhore committee. Health Systems Problems need a re-analysis. Solutions need refocus to promote network building by involving public health experts, find managerial solutions to the problems for performance improvement and motivation of staff, create centres of excellence in the medical colleges, promotion of information technology, redesign of the health systems by diluting the Primary Heath Centers and strengthen the  Health and Wellness Centres and CHCs with ensured medicines, supplies, laboratory tests, functional equipment linked with Telemedicine and ambulances and mobile camps and community engagement. There is need to redefine the role of health care staff at various levels.