ArticleJournal of family medicine and primary care2020
What makes primary healthcare facilities functional, and increases the utilization? Learnings from 12 case studies.
Article in Journal of family medicine and primary care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Understanding pathways from primary health care to universal health coverage outcomes: a realist review.Frontiers in public health · 2026Pooled it
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- Triple Burden of Malnutrition among Children in India: Current Scenario and the Way Forward.Indian journal of pediatrics · 2023Review
- Monitoring the Family Health Centres in Kerala, India: Findings from a facility survey.Journal of family medicine and primary care · 2023Article
- Achieving Universal Health Coverage in Low- and Middle-Income Countries: Challenges for Policy Post-Pandemic and Beyond.Risk management and healthcare policy · 2023Review
- Universal health coverage in India and health technology assessment: current status and the way forward.Frontiers in public health · 2023Article
- Cancer prevention and control in India can get a boost through primary health care-based approach: A review.Journal of family medicine and primary care · 2022Review
- Health system readiness for roll out of theJournal of family medicine and primary care · 2022Article
- Impact of Covid-19 on Transgender Persons: The Need for an Inclusive Approach.International journal of sexual health : official journal of the World Association for Sexual Health · 2021Article
- Access, utilization, perceived quality, and satisfaction with health services at Mohalla (Community) Clinics of Delhi, India.Journal of family medicine and primary care · 2020Review
- Health & Wellness Centers to Strengthen Primary Health Care in India: Concept, Progress and Ways Forward.Indian journal of pediatrics · 2020Review
- A New Strategy for Rejuvenating Primary Healthcare: The Government-Society Partnership Model.Journal of primary care & community healthArticle
- Send a 'good camel' to the tent: Health system responsiveness to advance universal health coverage.Journal of postgraduate medicineArticle
- Electricity Access, Sources, and Reliability at Primary Health Centers in India and Effect on Service Provision: Evidence from Two Nation-wide Surveys.Indian journal of community medicine : official publication of Indian Association of Preventive & Social MedicineArticle
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Authors and funding
7 authors.
Funding
Abstract
backgroundThe last few decades have witnessed a number of innovative approaches and initiatives to deliver primary healthcare (PHC) services in different parts of India. The lessons from these initiatives can be useful as India aims to strengthen the PHC system through Health and Wellness Centers (HWCs) component under Ayushman Bharat Program, launched in early 2018. MATERIALS AND
methodsComparative case study method was adopted to systematically document a few identified initiatives/models delivering the PHC services in India. Desk review was followed by field visits and key informant interviews. Twelve PHC case studies from 14 Indian states, with a focus on equity and "potentially replicable designs" were included from the government as well as the "not-for-profit" sector. The cases studies comprised of initiatives/models having the provision of PHC services, whether exclusively or as part of broader hospital services. The data was collected from May 2016 to March 2017.
resultsThe "political will" for government facilities and "leadership and motivation" for "not-for-profit" facilities adjudged to contribute towards improved functioning. A comprehensive package of services, functional 'continuity of care' across levels, efforts to meet one or more type of quality standards and limited "intention to availability" gap (or assured provision of promised services) were considered to be associated with increased utilization. A total of 10 lessons and learnings derived from the analysis of these case studies have been summarised.
conclusionsThe case studies in this article highlights the components which makes PHC facilities functional and have potential for increased utilization. The article underscores the need for institutional mechanisms for health system research and innovation hubs at both national and state level in India, for the rapid scale of comprehensive primary healthcare. Lessons can be applied to other low- and middle-income countries intending to deliver comprehensive PHC services to advance towards universal health coverage.
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