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SPECIAL ARTICLE
Year : 2013  |  Volume : 57  |  Issue : 2  |  Page : 59-64

Strengthening of primary health care: Key to deliver inclusive health care


1 Dean, Faculty of Health Sciences, Symbiosis International University (SIU) and Director Symbiosis Institute of Health Sciences, Pune, India
2 Principal Director, Symbiosis and Executive Director, Symbiosis Center for International Education, Pune, India
3 Former Vice Chancellor, Medical Project Symbiosis International University, Pune, India
4 Officer- Medical Project Symbiosis International University, Pune, India
5 Professor and Head, Department of PSM, SBH Govt. Medical College, Pune, India

Correspondence Address:
Neeta P Bhatia
Symbiosis Vishwabhavan, Senapati Bapat Road, Pune - 411 004, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-557X.114982

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Inequity and poverty are the root causes of ill health. Access to quality health services on an affordable and equitable basis in many parts of the country remains an unfulfilled aspiration. Disparity in health care is interpreted as compromise in 'Right to Life.' It is imperative to define 'essential health care,' which should be made available to all citizens to facilitate inclusivity in health care. The suggested methods for this include optimal utilization of public resources and increasing public spending on health care. Capacity building through training, especially training of paramedical personnel, is proposed as an essential ingredient, to reduce cost, especially in tertiary care. Another aspect which is considered very important is improvement in delivery system of health care. Increasing the role of 'family physician' in health care delivery system will improve preventive care and reduce cost of tertiary care. These observations underlie the relevance and role of Primary health care as a key to deliver inclusive health care. The advantages of a primary health care model for health service delivery are greater access to needed services; better quality of care; a greater focus on prevention; early management of health problems; and cumulative improvements in health and lower morbidity as a result of primary health care delivery.


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