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  • Community action for health in India: evolution, lessons learnt and ways forward to achieve universal health coverage / Chandrakant Lahariya;Bijit Roy;Abhay Shukla;Mirai Chatterjee;Hilde De Graeve;Manoj Jhalani;Henk Bekedam
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Community action for health in India: evolution, lessons learnt and ways forward to achieve universal health coverage / Chandrakant Lahariya;Bijit Roy;Abhay Shukla;Mirai Chatterjee;Hilde De Graeve;Manoj Jhalani;Henk Bekedam

Tác giả : Chandrakant Lahariya;Bijit Roy;Abhay Shukla;Mirai Chatterjee;Hilde De Graeve;Manoj Jhalani;Henk Bekedam

Nhà xuất bản : World Health Organization. Regional Office for South-East Asia

Năm xuất bản : 2020

Chủ đề : 1. Universal Health Care. 2. Journal / periodical articles.

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Tóm tắt :

The role of civil society and community-based organizations in advancing universal health coverageand meeting the targets of the 2030 Agenda for Sustainable Development has received renewedrecognition from major global initiatives. This article documents the evolution and lessons learntthrough two decades of experience in India at national, state and district levels. Community andcivil society engagement in health services in India began with semi-institutional mechanisms underprogrammes focused on, for example, HIV/AIDS, tuberculosis, polio and immunization. A formalsystem of community action for health (CAH) started with the launch of the National Rural HealthMission in 2005. By December 2018, CAH processes were being implemented in 22 states, 353districts and more than 200 000 villages in India. Successive evaluations have indicated improvedperformance on various service delivery parameters. One example of CAH is community-basedmonitoring and planning, which has been continuously expanded and strengthened in Maharashtrasince 2007. This involves regular, participatory auditing of public health services, which facilitates theinvolvement of people in assessing the public health system and demanding improvements. At districtlevel, CAH initiatives are successfully reaching “last-mile” communities. The Self-Employed Women’sAssociation, a cooperative-based organization of women working in the informal sector in Gujarat,has developed community information hubs that empower clients to access government social andhealth sector services. CAH initiatives in India are now being augmented by regular activities led and/or participated in by civil society organizations. This is contributing to the democratization of communityand civil society engagement in health. Additional documentation on CAH and the further formalizationof civil society engagement are needed. These developments provide a valuable opportunity bothto improve governance and accountability in the health sector and to accelerate progress towardsuniversal health coverage. Lessons learnt may be applicable to other countries in South-East Asia, aswell as to most low- and middle-income countries.
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https://iris.who.int/handle/10665/331837