Chennai: Tamil Nadu has extremely strong health systems founded in the primary care and public health and it is among four states that have achieved the Millennium Development Goals (MDG-5). The challenge will be to replicate such successes all over the country, notes the health division of Niti Aayog (National Institute for Transforming India).
Apart from Tamil Nadu, Andhra Pradesh, Kerala and Maharashtra are at MDG 5. Ten States (Delhi, Kerala, Maharashtra, Punjab, Tamil Nadu, Goa, Manipur, Sikkim, Nagaland, Tripura and all UTs except Dadra & Nagar Haveli) have already achieved Millennium Development Goals-4 (MDG-4). According to Niti Aayog, disparity in healthcare exists across states and there is an excessive focus on vertical disease control programmes and inadequate attention to health system strengthening.
In its report on ‘Health System in India: Bridging the Gap between Current Performance and Potential,’ NITI Aayog has pointed out that the healthcare needs to access efficient systems are adequate funding resources. The country’s polio elimination, lowering fertility rate, decrease in HIV prevalence, fall in malaria fatality are attributed to National Rural Health Mission (NRHM) through deployment of additional human resources, over 18,000 ambulances for free emergency response, and cash transfers to one crore women annually, providing access to maternal health care services.
NRHM has been converted into National Health Mission (NHM) with a universal coverage agenda.
“The infrastructure that has been stepped up at PHC level and at all government hospitals across the state and several welfare measures like the new born baby kit and Chief Minister’s Comprehensive Health Insurance Scheme has helped to further improve the healthcare delivery system,” says a senior health official here.