Health system in India: opportunities and challenges for improvements

Abstract

Purpose

The paper seeks to show that health and socio‐economic developments are so closely intertwined that is impossible to achieve one without the other.

Design/methodology/approach

This paper sees that building health systems that are responsive to community needs, particularly for the poor, requires politically difficult and administratively demanding choices. Health is a priority goal in its own right, as well as a central input into economic development and poverty reduction.

Findings

The paper finds that, while the economic development in India has been gaining momentum over the last decade, the health system is at a crossroads today. Even though Government initiatives in public health have recorded some noteworthy successes over time, the Indian health system is ranked 118 among 191 WHO member countries on overall health performance.

Originality/value

This working paper describes the status of the health system, discusses critical areas of management concerns, suggests a few health sector reform measures, and concludes by identifying the roles and responsibilities of various stakeholders for building health systems that are responsive to the community needs, particularly for the poor.

Citation

Ramani, K.V. and Mavalankar, D. (2006), "Health system in India: opportunities and challenges for improvements", Journal of Health Organization and Management, Vol. 20 No. 6, pp. 560-572. https://doi.org/10.1108/14777260610702307