Strengthening of Primary Health Care: Conceptual Development of Community Health Model for Lower Income Group of Delhi & NCR

Abstract

 Delhi being the capital city of India is very prestigious for the country in many aspects. Health sector of the state is one of the most affected domains of the state. There has been a major shortfall and a big disparity seen in the rural and the urban health of the state, where the urban health of the people is still better as compared to the rural population. To bridge this gap several remarkable steps have been taken by the government in this direction. The major step taken is the launch of National Rural Health Mission (NRHM) in 2005, which has the prime objective to significantly improve the rural health care delivery by using the techniques of planning and decision-making and several initiatives taken for financial risk protection. It also initiated Rashtriya Swasthya Bima Yojana, the milestone of Central Government, which provides cashless facility for hospitalisation to the poor people population. Approximately 35 million families have been benefited by this scheme nationwide till date. In spite of the several government initiatives taken to improvise the health of the citizens still there is a major shortfall of good public health services primarily for the poor population of the state. The paper focuses on the development of a feasible self-sufficient community health model for the lower income group of the population of Delhi NCR. The proposed model will be executed and maintained by the community fund itself without much of the financial dependencies on other external parameters. For the successful implementation of the proposed model, the requirements for the establishment were also analysed. Apart from these the benefits of the proposed health model were also assessed which is going to impact the overall health of the society, particularly for the ones who fall under Below Poverty Line.  The paper has been divided in three sections. The first section comprises of introduction, objectives, research methodology used and need of the present study. The next section identifies the requirements for the establishment of the proposed model and the last section of the paper looks forward for the Feasibility Analysis of the Proposed Health Model.