Subject: Social Justice

The National Family Health Survey (NFHS-5) data highlights persistent health inequities in India, where local healthcare interventions become crucial in achieving the goal of "Health for All". The community-based healthcare model has emerged as a cornerstone in bridging healthcare gaps, particularly in rural and underserved areas.

Key Components of Local Community Healthcare

• Infrastructure Development: India's network of 6,359 Community Health Centers (CHCs) and 169,615 Sub-Centres (SCs) forms the backbone of primary healthcare delivery at the grassroots level.

• Community Health Workers: The ASHA (Accredited Social Health Activist) workers and Anganwadi Workers serve as crucial links between communities and healthcare systems, providing essential services and health education.

• Preventive Healthcare: Local interventions focus on preventive measures through health camps, immunization drives, and awareness programs to address the rising burden of chronic diseases like hypertension and diabetes which account for 68% of elderly health issues.

Significance of Local Healthcare Interventions

• Accessibility: Community-based healthcare ensures last-mile delivery of health services, particularly beneficial for vulnerable populations through initiatives like Ayushman Bharat.

• Cultural Sensitivity: Local health workers understand community-specific needs and cultural practices, enabling better health communication and acceptance of medical interventions.

• Cost-Effectiveness: Decentralized healthcare reduces the financial burden on both the state and individuals through early intervention and prevention.

Challenges and Way Forward

• Resource Allocation: Strengthening the National Health Mission to ensure adequate staffing and infrastructure at community health centers.

• Capacity Building: Regular training programs for local health workers through initiatives like the National Digital Health Mission.

• Integration: Seamless coordination between various levels of healthcare delivery through the Hub and Spoke Model.

The success of Universal Health Coverage in India heavily depends on strengthening local community healthcare interventions. Programs like PM-JAY and Health and Wellness Centers demonstrate the government's commitment to achieving "Health for All" through community-based approaches, aligned with SDG-3 (Good Health and Well-being).