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Creating awareness, cultivating healthy habits, promoting healthy lifestyle and state-of-the-art medical infrastructure across the state are the pillars of a healthy state. Emphasis should be given to preventive and promotive healthcare which is a big component in providing the healthcare services to the people.

Now let us understand the three ‘Ps’:

Prevention – Immunisation and inculcating healthy habits

Promotion – Nutrition, diet, exercise and healthy lifestyle

Primary – Health and wellness centres, oral hygiene, woman and childcare

The three ‘Ps’ are the backbone of any state’s healthcare system, and it reiterates the necessity of efficient health facilities right at the primary health level. Under the Union government’s Ayushman Bharat Scheme, 1.5 lakh health and wellness centres are being built across the country.

Maharashtra, being a progressive state, has good infrastructure facility at all the levels – primary, secondary and tertiary. However, when we look closely, the health infrastructure in rural areas is in the process of expansion. We need to upgrade the available health infrastructure, strengthen the system and make healthcare available and accessible to all.

The present gap in the healthcare services can be filled by adopting the Public-Private Partnership (PPP) model. The immediate solution to solve this crisis is a health insurance scheme that can assure health insurance to all.

Our Honourable Prime Minister Shri Narendra Modi launched the Ayushman Bharat Scheme to fulfil the visions – Health for All and Universal Health Coverage – enshrined in the National Health Policy 2017. The scheme is truly federal in nature and is a transition from segmented, sectoral and fragmented programme implementation models towards a comprehensive, holistic, need-based healthcare system. It has two components – primary level coverage through health and wellness centres(HWCS) and secondary and tertiary level coverage through Pradhan Mantri Jan ArogyaYojana (PM-JAY).

AYUSHMAN BHARAT SCHEME

HEALTH & WELLNESS PM-JAY

CENTRES

For primary medical        For secondary and tertiary

facilities   medical facilities      

1.5 lakh wellness centres   Cashless medical insurance

will be  setup across India to          cover of Rs5 lakh per

offer facilities including      family per year for more

obstetrics, dentistry,           than 10 crore economically

psychiatry, geriatrics and   deprived families for more

diagnosis of ailments like   than 1,300 procedures,

blood pressure, diabetes, etc.        which can be availed

all across India

PM-JAY seeks to provide financial protection for accessing curative care at secondary and tertiary levels to the bottom 40% of the population. It will cover over 10.74 crore vulnerable families across the country through engagement with PPP.

Ayushman Bharat and Mahatma Phule Jan Aarogya Yojana have benefited 24.76 lakh people so far in Maharashtra. Under Ayushman Bharat, 1,300 procedures are carried out. Mahatma Phule Jan Aarogya Yojana caters to people through 971 procedures that have been designed as per the requirement of the people living in Maharashtra. Health insurance scheme assures health services through private hospitals.

The government has, so far, paid the health insurance for 2.23 crore people every year for six years. A total of 493 hospitals at district, taluka and village levels are empanelled with the government under Mahatma Phule Jan Aarogya Yojana. The state has managed to cover 90% of the population through the insurance scheme. Maharashtra is the only state, which has rolled out India’s biggest state healthcare scheme.

Integration of the available resources, effective utilisation and implementation are the core issues the state is focusing on. The government has worked out a holistic and integrated solution in order to help the poor and needy. Cashless insurance schemes provide a major relief to the poor. It helps reduce the financial burden on the patients and their families. We need to spread awareness of such schemes so that more and more people can be benefitted.

In a developing country like ours, health insurance can be a game-changer and uplift the health index of the common people. With the rising disease burden, the health cost is also increasing. Incidence of diseases is also very high. The time has come when we should have health insurance for all in order to build a healthy state.

One more important aspect of health is to identify the burden of diseases. The state government needs facilities to analyse the disease pattern, determine the burden, pinpoint the challenges, evaluate the magnitude and form a decisive strategy to prevent and treat them.

Identifying new disease patterns will prove to be much more crucial in preventing and curtailing them at the primary health centre level itself. Upgrading health infrastructure, introducing preventive measures, focussing on early detection and treatment and strict compliance are the paths to build a Healthy Maharashtra.

The author is the CEO of the Mahatma Jyotiba Phule Jan Aarogya Yojana

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