A health worker administers a deworming tablet to a boy during a door-to-door campaign in Hyderabad.(AFP/ File photo)
A health worker administers a deworming tablet to a boy during a door-to-door campaign in Hyderabad.(AFP/ File photo)

Lancet introduces Commission for universal health coverage

The work of the commission will begin on Friday with an aim to publish a final report of its findings and recommendations in the next two years
By Jayashree Nandi | New Delhi, Hindustan Times
UPDATED ON DEC 12, 2020 04:51 PM IST

The Lancet on Friday launched the Lancet Citizens’ Commission on Reimagining India’s Health System, which will work on developing a strategy for implementing universal health coverage (UHC) in India. The work of the commission will begin on Friday with an aim to publish a final report of its findings and recommendations in the next two years.

The Lancet, a global health journal, and the Lakshmi Mittal And Family South Asia Institute, Harvard University, together formulated the commission which will be led by four distinguished health and business leaders—Gagandeep Kang, a professor at the Wellcome Trust Research Laboratory of Christian Medical College, Vellore, and one of India’s leading scientists; Tarun Khanna, Jorge Paulo Lemann Professor, Harvard Business School; Lakshmi Mittal And Family South Asia Institute, Harvard University and Director, Lakshmi Mittal and Family South Asia Institute; Kiran Mazumdar Shaw, CMD, Biocon Ltd and Vikram Patel, Professor in the Department of Global Health and Population at Harvard Medical School and founder of Sangath. They have brought together 13 experts from academia, the scientific community, civil society, and private healthcare to serve with them on the Commission.

The mission of the Lancet Citizens’ Commission is to lay out the path to achieving UHC in India in the coming decade. The commission will take a participatory approach with engagement of all sectors engaged in healthcare and citizens. “We expect that the commission will formulate a roadmap for realising a resilient health system that offers comprehensive, accountable, accessible, inclusive, and affordable quality health care to all citizens in India. Although we recognise the important role that social determinants have in influencing health, the focus of the Commission will be on the architecture of India’s health system…”a commentary in Lancet India said on Thursday.

The commentary also said that despite progress in health indicators such as maternal and infant mortality, disease burden in India is disproportionately high and that less than two-thirds of children were fully immunised in 2017–18, malnutrition and other risk factors for disease and injury are widespread. The commission observed that the Covid 19 pandemic has exposed the weaknesses of India’s health system ranging from inadequate medical supplies and shortage of health care workers in public hospitals to profiteering by private hospitals. “Out-of-pocket payments for health care in India continue to be among the leading causes of poverty for many households… An estimated 400 million people could fall deeper into poverty. In the coming year, as India’s gross domestic product contracts by a projected 10·3%. The pandemic could worsen health disparities since much of the public health system has been redeployed in the Covid-19 response,” the commentary said.

Data from India’s National Health Mission showed there was a 64% decrease in child immunisation, a 50% drop in BCG vaccinations, and a 39% fall in oral polio immunisation in April, 2020, compared with January, 2020.

The commission organised a webinar on Monday where Dr Vinod Paul, member Niti Ayog said Ayushman Bharat and Digital Health Mission have laid the path towards UHC. “A few significant big tickets steps have been taken in the past few years. On the human resource front, I assure you that we will achieve a doctor patient ratio of 1 per 1000 which is the WHO norm by 2024. Our public spending has to increase we made a commitment to go to 2.5% of GDP by 2025 which we will follow through. Our 15TH Finance Commission has also put weight behind it. Two-thirds of spending on health comes from state governments. State spending should be disaggregated,” said Paul, adding: “We have a chronic problem of human resources. Our specialist scarcity is huge. The Commission should think about that granularity. We have 20 to 25% of what we should have. We need five times the number of paediatricians we have today. We cannot do without specialists. The Commission also needs to work on infrastructure. We have just about one bed per 1000 population. Under the national health policy, we aspire to be 2 beds per 1000 population.”

WHO Chief Scientist Soumya Swaminathan said “the index that’s now used was developed years ago which looks at 14 indicators focused on process indicators. We wanted to measure UHC by looking at health outcomes and impact. So instead of focusing on distribution of ORS in primary health centres as a management of childhood diarrhoea, let’s look at mortality incidence ratio for diarrhoea. India could innovate in the measurement system to move ahead. We have proposed a new UHC measuring index.”

Gagandeep Kang said that all stakeholders will be consulted. “Engagement must start with listening to issues, perspectives, goals and preferences of all stakeholders which includes the designers, providers and recipients of healthcare services. In the next year or so we will make sure we use every opportunity to listen and engage so our framing of a reliable, efficient and accountable healthcare system can be realised in ten years.”

SHARE THIS ARTICLE ON
Close
Jagan Reddy also announced that a price stabilisation fund with <span class='webrupee'>₹</span>3,000 crore would be established in order to ensure remunerative price for farmers.(PTI)
Jagan Reddy also announced that a price stabilisation fund with 3,000 crore would be established in order to ensure remunerative price for farmers.(PTI)

Andhra CM Jagan Reddy urges SC to restart Amravati land scam probe

By Abraham Thomas
PUBLISHED ON MAR 06, 2021 01:05 AM IST
  • When the matter came up before a bench of Justices Ashok Bhushan and R Subhash Reddy on Friday, the bench adjourned it to April 7 as it had no time for a full fledged hearing.
Close
After Indore, the highest number of active cases have been reported from Bhopal, Jabalpur, Betul, Ujjain and Chhindwara on Thursday. (HT PHOTO)
After Indore, the highest number of active cases have been reported from Bhopal, Jabalpur, Betul, Ujjain and Chhindwara on Thursday. (HT PHOTO)

6 new cases of UK’s Covid-19 strain found in Indore, warning issued

PUBLISHED ON MAR 06, 2021 12:51 AM IST
  • Madhya Pradesh chief minister Shivraj Singh Chouhan also held a review meeting on Friday to discuss with the divisional commissioners the steps being taken to contain the spread of the infection.
Close
Official logo: Container Corporation of India (Concor).
Official logo: Container Corporation of India (Concor).

Container Corporation of India to push production, end dependency on China

By HT Correspondent, New Delhi
UPDATED ON MAR 06, 2021 12:30 AM IST
  • There is a cost difference of about 25-30 per cent in containers made in India and abroad.
Close
People’s Liberation Army (PLA) soldiers and tanks during military disengagement along the Line of Actual Control (LAC) at the India-China border in Ladakh. (AFP PHOTO).
People’s Liberation Army (PLA) soldiers and tanks during military disengagement along the Line of Actual Control (LAC) at the India-China border in Ladakh. (AFP PHOTO).

India pushes China for disengagement at remaining friction points on LAC

By Rezaul H Laskar, Sutirtho Patranobis
PUBLISHED ON MAR 06, 2021 12:18 AM IST
  • After an agreement last month on pulling back frontline troops along with armoured vehicles and artillery from strategic heights around Pangong Lake, the two sides have been unable to make progress on disengagement at other friction points such as Depsang, Hot Springs and Gogra.
Close
Handcuffs - Handcuff
Handcuffs - Handcuff

Assam farmer sentenced to time in jail for death of elephant by electrocution

PUBLISHED ON MAR 05, 2021 11:48 PM IST
  • According to state government figures, between 2011 and 2019, at least 90 elephants have fallen prey to electrocution.
Close
HT Image
HT Image

BJP releases first list of 70 candidates for Assam polls

UPDATED ON MAR 05, 2021 11:46 PM IST
GUWAHATI The Bharatiya Janata Party (BJP), heading the coalition government in Assam, released a list of 70 candidates on Friday for the first two phases of the assembly polls in the state
Close
HT Image
HT Image

Kerala CM and Speaker knew about gold smuggling, HC told

UPDATED ON MAR 05, 2021 11:45 PM IST
Thiruvananthapuram: Kerala Chief Minister Pinarayi Vijayan, three ministers of his LDF (Left Democratic Front) cabinet and the Speaker of the assembly were aware of the gold and dollar smuggling activities routed through the United Arab Emirates (UAE) consulate in Thiruvananthapuram, the customs department told the Kerala High Court on Friday, citing the main accused in the case, Swapna Suresh
Close
The decision to hold the Quad summit soon after the Joe Biden administration takes charge indicates that the security dialogue has been institutionalised.(Agencies)
The decision to hold the Quad summit soon after the Joe Biden administration takes charge indicates that the security dialogue has been institutionalised.(Agencies)

'Quad summit to become feature of Indo-Pacific engagement': Morrison

By Rezaul H Laskar, New Delhi
UPDATED ON MAR 06, 2021 12:01 AM IST
  • Australian PM Scott Morrison said the Quad Summit was one of the first things he and US president Joe Biden had discussed.
Close
Greta Thunberg did not say in which city or school she would be continuing her studies.(Bloomberg)
Greta Thunberg did not say in which city or school she would be continuing her studies.(Bloomberg)

Greta's comments on farm stir not bilateral issue between India, Sweden: MEA

Posted by Harshit Sabarwal | PTI
PUBLISHED ON MAR 05, 2021 10:39 PM IST
At a special briefing after the summit, Vikas Swarup, Secretary (West) in the ministry, was asked whether the issue of Thunberg's comments on the farmers' protest was taken up by India with Sweden during the meeting.
Close
Illuminated view of India Gate on the eve of Independence Day at Vijay Chowk in New Delhi, India, on Friday, August 14, 2020. (Sanchit Khanna/HT PHOTO)
Illuminated view of India Gate on the eve of Independence Day at Vijay Chowk in New Delhi, India, on Friday, August 14, 2020. (Sanchit Khanna/HT PHOTO)

Government constitutes panel to commemorate 75 years of India's independence

PTI, New Delhi
PUBLISHED ON MAR 05, 2021 10:33 PM IST
The members of the panel include former president Pratibha Patil, Chief Justice of India SA Bobde, NSA Ajit Doval, 28 chief ministers, artistes like Lata Mangeshkar, Nobel laureate Amartya Sen, senior BJP leader LK Advani, almost all Union ministers and several governors.
Close
Senior citizens wait to register at a counter for a Covid-19 coronavirus vaccine at the Rajawadi hospital in Mumbai on March 3, 2021. (AFP)
Senior citizens wait to register at a counter for a Covid-19 coronavirus vaccine at the Rajawadi hospital in Mumbai on March 3, 2021. (AFP)

5 states see fresh spike in daily cases; Delhi, Gujarat, MP latest additions

By hindustantimes.com | Written by Harshit Sabarwal, New Delhi
PUBLISHED ON MAR 05, 2021 10:33 PM IST
The overall Covid-19 curve in India has not seen a major rise in recent months and the vaccination drive, which began on January 16, is in full swing with the highest-single day doses administered to people on Friday.
Close
The SKM's legal panel also denounced the alleged repressive measures and violation of human rights by the Centre and the Delhi Police to foil the "peaceful" agitation of farmers. In picture - Prem Singh Bhangu.(ANI)
The SKM's legal panel also denounced the alleged repressive measures and violation of human rights by the Centre and the Delhi Police to foil the "peaceful" agitation of farmers. In picture - Prem Singh Bhangu.(ANI)

SKM seeks judicial probe into Republic day tractor rally clashes in Delhi

PTI, Chandigarh
PUBLISHED ON MAR 05, 2021 10:04 PM IST
"We demand a high-level judicial probe into the incident that happened on January 26 where a peaceful 'kisan parade' was intentionally disrupted and the route was blocked," SKM's Prem Singh Bhangu said.
Close
After the Kerala High Court granted bail to former Principal Secretary to Chief Minister Pinarayi Vijayan, M Sivasankar, on January 25, the ED approached the top court to cancel his bail. (PTI PHOTO).
After the Kerala High Court granted bail to former Principal Secretary to Chief Minister Pinarayi Vijayan, M Sivasankar, on January 25, the ED approached the top court to cancel his bail. (PTI PHOTO).

Top court reprieve for Kerala gold smuggling accused IAS officer M Sivasankar

By Abraham Thomas
PUBLISHED ON MAR 05, 2021 09:55 PM IST
  • The bench of Justices Ashok Bhushan and R Subhash Reddy issued notice to Sivasankar on ED’s plea but refused to stay the HC order. The bench enquired from the counsel for Sivasankar if he was already out of jail.
Close
File photo: Ministry of External Affairs spokesperson Anurag Srivastava.(PTI photo)
File photo: Ministry of External Affairs spokesperson Anurag Srivastava.(PTI photo)

'India wants normal ties with all neighbours, including Pakistan': MEA

By HT Correspondent, New Delhi
UPDATED ON MAR 05, 2021 09:51 PM IST
  • The Indian and Pakistani armies have said they began strictly adhering to a ceasefire on the LoC in J-K from the midnight of February 24.
Close
Andhra Pradesh chief minister YS Jagan Mohan Reddy on Friday launched an official “Factcheck” portal aimed at curbing misinformation.(PTI FILE)
Andhra Pradesh chief minister YS Jagan Mohan Reddy on Friday launched an official “Factcheck” portal aimed at curbing misinformation.(PTI FILE)

News updates from HT: Jagan Reddy launches fact checking portal in Andhra

By hindustantimes.com, Hindustan Times, New Delhi
PUBLISHED ON MAR 05, 2021 09:19 PM IST
  • Here are today’s top news, analysis, and opinion. Know all about the latest news and other news updates from Hindustan Times.
Close
SHARE
Story Saved
OPEN APP