Question
Describe the major government and non-government initiatives taken for health care in India.
Answer :
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Skip in 10
Health care in India has evolved through a wide range of government and non-government initiatives aimed at improving access, affordability, equity, and quality of health services, particularly for rural and vulnerable populations. Given India’s vast population, socio-economic diversity, and regional disparities, health care initiatives have had to address multiple challenges such as communicable and non-communicable diseases, maternal and child health issues, malnutrition, inadequate infrastructure, shortage of trained personnel, and financial barriers to care. Over time, a combination of public policies, welfare schemes, community-based programs, and voluntary sector interventions has shaped the Indian health care landscape. Government initiatives form the backbone of India’s health care system, especially in rural areas where private services are often limited or unaffordable. The public health system is structured in a three-tier framework comprising Sub-Centres, Primary Health Centres, and Community Health Centres. Sub-Centres serve as the first point of contact for rural populations and focus on preventive and promotive health services such as immunization, antenatal care, family planning, and health education. Primary Health Centres provide basic curative services along with maternal and child health care, while Community Health Centres function as referral units with specialist services. This institutional framework has played a crucial role in extending health care to remote and underserved regions. One of the most significant government initiatives in recent decades has been the National Health Mission, which includes the National Rural Health Mission and the National Urban Health Mission. The National Rural Health Mission was launched with the objective of strengthening rural health infrastructure, improving availability of human resources, and enhancing community participation in health care delivery. It emphasized decentralised planning, integration of various health programs, and flexible financing to meet local needs. Accredited Social Health Activists were introduced as community health workers to act as a bridge between the health system and rural households, particularly focusing on maternal and child health, immunization, nutrition, and sanitation. Maternal and child health has been a major priority area of government intervention. Programs such as Janani Suraksha Yojana and Janani Shishu Suraksha Karyakram were introduced to promote institutional deliveries and reduce maternal and infant mortality. These schemes provide financial incentives, free delivery services, medicines, diagnostics, and transport facilities to pregnant women. The expansion of immunization programs, including the Universal Immunization Programme and Mission Indradhanush, has significantly reduced the incidence of vaccine-preventable diseases among children. The government has also launched initiatives to address nutritional deficiencies and related health issues. The Integrated Child Development Services scheme provides supplementary nutrition, health check-ups, and referral services to children, pregnant women, and lactating mothers through anganwadi centres. Mid-day Meal programmes in schools contribute to improving child nutrition while also enhancing school attendance. These initiatives recognize the close link between nutrition
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