Strengthen mental health services for universal health coverage in India

Lahariya, Chandrakant

doi:10.4103/jpgm.jpgm_185_17

Cited by 33 publications

(20 citation statements)

References 4 publications

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“…There is growing recognition that depressive symptomology needs to be identified and treated in primary care settings and diabetes educators can be trained to address diabetes-related distress[56]. In countries with limited mental health infrastructure like India[57], the implementation of such an approach can be particularly valuable.…”

Section: Challenges In the Provision Of Diabetes Self-management Suppmentioning

confidence: 99%

Diabetes self-care in primary health facilities in India - challenges and the way forward

Basu¹,

Sharma²

2019

WJD

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India has approximately 73 million people living with diabetes and another 37 million with prediabetes while nearly 47% of the diabetes cases are undiagnosed. The high burden of poor glycemic control and early onset of complications with associated economic costs indicates a high prevalence of poor self-management practices. It is well-established that achieving patient-centered primary care consistent with a chronic care model ensures optimum diabetes self-management support and improves long-term clinical and health outcomes in diabetes patients. The public sector primary care system in India provides services free of cost to beneficiaries but lacks patient-centered care that undermines diabetes self-management education and support. Furthermore, factors like poor patient knowledge of diabetes, suboptimal medication adherence, persistent clinical inertia, lack of data for monitoring and evaluation through clinical audit worsens the standards of diabetes care in primary care settings of India. There is a need for government initiatives to be directed towards the provision of comprehensive outpatient care that is inclusive of uninterrupted supply of drugs, provision of essential laboratory investigators, training and availability of qualified diabetes educators and availability of specialist support when required. Furthermore, the integration of depression screening and smoking cessation services at the primary care level is warranted.

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Section: Challenges In the Provision Of Diabetes Self-management Suppmentioning

confidence: 99%

Diabetes self-care in primary health facilities in India - challenges and the way forward

Basu¹,

Sharma²

2019

WJD

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“…The mental health issues are a major health challenge in India. However, there are not enough mental health services in the country [75]. COVID-19 is expected to exacerbate the psychosocial and mental health issues and the provision of such services should be prioritized through AB-HWCs.…”

Section: Discussionmentioning

confidence: 99%

Health & Wellness Centers to Strengthen Primary Health Care in India: Concept, Progress and Ways Forward

Lahariya

2020

Indian J Pediatr

163

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In February 2018, the Indian Government announced Ayushman Bharat Program (ABP) with two components of (a) Health and Wellness Centres (HWCs), to deliver comprehensive primary health care (PHC) services to the entire population and (b) Pradhan Mantri Jan Arogya Yojana (PMJAY) for improving access to hospitalization services at secondary and tertiary level health facilities for bottom 40% of total population. The HWC component of ABP aims to upgrade and make 150,000 existing Government Primary health care facilities functional by December 2022. The first HWC was launched on 14 April 2018 and by 31 March 2020, a total 38,595 AB-HWCs were operational across India. This article documents and analyses the key design aspects of HWCs, against core components of PHC & the health system functions. The article reviews the progress and analyses the potential of HWCs to strengthen PHC services and therefore, advance Universal Health Coverage in India. Challenges emerged from COVID-19 pandemic & learnings thus far has also been analyzed to guide the scale up of HWCs in India. It has been argued that effectiveness and success of HWCs will be dependent upon a rapid transition from policy to accelerated implementation stage; focus on both supply and demand side interventions, dedicated and increased funding by both union and state governments; appropriate use of information and communication technology; engagement of community and civil society and other stakeholders, focus on effective and functional referral linkages; attention on public health services & population health interventions; sustained political will & monitoring and evaluation for the mid-term corrections, amongst other. Experience from India may have lessons and learnings for other low and middle-income countries to strengthen primary healthcare in journey towards universal health coverage.

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“…Even under normal circumstances, India has a scarcity of mental health professionals. There is > 1 mental health professional per 100,000 individuals in India [33]. Therefore, it is evident that these services will become even scarcer during pandemics, causing these patients to spiral more profoundly into the web of debilitating mental illness as the governments around the world almost forget this collateral.…”

Section: Policy Issues In Mental Healthmentioning

confidence: 99%

A Comparative Study of Challenges and Strategic Management: Lessons Learned from SARS, MERS, HIV & Ebola Outbreaks

Saraff¹,

Rishipal²,

Bhattacharyya³

et al. 2018

EAI Endorsed Transactions on Smart Cities

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INTRODUCTION: The challenges related to several viral outbreaks spanning over the centuries have exceeded human resources and capacities of the health departments to deal with the consequent adversities. Each epidemic or pandemic faced has brought out the inequalities and gaps in our systems and infrastructure. OBJECTIVES: The focus of the current paper is to do a comparative study of complex challenges faced and strategies adopted by governments during the SARS, MERS, HIV, and Ebola outbreaks. METHODS: To achieve the objective, a comprehensive summary of the challenges that the world has faced, and lessons learned from the strategic management of these viral outbreaks were analysed. CONCLUSION: An inclusive approach for the development of a multi-pronged strategic framework to benefit the concerned or affected stakeholders is discussed. These actions can guide health care workers and individuals to be aware of health hazards and complexities.

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Strengthen mental health services for universal health coverage in India

Cited by 33 publications

References 4 publications

Diabetes self-care in primary health facilities in India - challenges and the way forward

Diabetes self-care in primary health facilities in India - challenges and the way forward

Health & Wellness Centers to Strengthen Primary Health Care in India: Concept, Progress and Ways Forward

A Comparative Study of Challenges and Strategic Management: Lessons Learned from SARS, MERS, HIV & Ebola Outbreaks

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