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Equity and AccessHealth Care Studies in India$
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Purendra Prasad, Amar Jesani, and Sujata Patel

Print publication date: 2018

Print ISBN-13: 9780199482160

Published to Oxford Scholarship Online: July 2019

DOI: 10.1093/oso/9780199482160.001.0001

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Kerala’s Early Experience

Kerala’s Early Experience

Moving towards Universal Health Coverage

(p.323) 15 Kerala’s Early Experience
Equity and Access

Sunil Nandraj

Devaki Nambiar

Oxford University Press

Despite a strong legacy of human development, the state of Kerala faces challenges of shifting epidemiologic burden and privatization driven cost escalation. Mindful of this, the Government of Kerala initiated a pilot study on Universal Health Coverage reforms in two districts. An assessment was carried out, drawing data from about 60 sources, revealing critical information about overcrowding and understaffing at block level facilities, critical gaps in health human resources, the top 20 conditions and events for which care is sought—where non-communicable conditions dominate. On the basis of this, it was proposed that comprehensive care pathways be created—Kerala’s version of an Essential Health Package, delivered through a re-engineered health system.

Keywords:   Universal Health Coverage, Kerala, Essential Health Package, Public System, Privatisation, District level Assessment

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