Universal Health Coverage- A Case Study of Indian Healthcare System during COVID-19 Pandemic

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Rashika Nandwani


Aim: The main purpose of this paper is to look at the Indian healthcare system during the COVID-19 pandemic and how COVID-19 acts as barrier and also presents some opportunities towards the road of Universal Health Coverage (UHC).

Background: COVID-19 has exposed the vulnerability of health systems across the world and India is no exception. The World Health Organization (WHO) has kept the definition of UHC very flexible and has left on the country which is implementing it as to how much of the population and which services should be included in the scheme. 

Discussion: India already has a unique flagship program Ayushman Bharat where it is trying to cover her most vulnerable population against catastrophic expenditure of health. This paper further investigates the progress of India towards UHC and how COVID-19 is acting as an impediment for India to progress towards it. On the other hand, it also poses some opportunities which had not been explored in the past. Health Systems Strengthening is the path towards the achievement of UHC and due to COVID-19, India has touched upon all the six building blocks which are needed to strengthen our system towards the achievement of UHC.

Recommendations and Conclusion: It recommends that Indian system should be more proactive than reactive; it also suggests following a systems-based approach and to not target the problem in silos. It also suggests increasing the government funding as well as establishment of proper public health cadre. To conclude, this paper also suggests that the government should include outpatient expenses into their scheme, and they should also concentrate towards building adequate infrastructure in order to face future pandemics like COVID-19.

COVID-19, Universal health coverage, Indian healthcare system

Article Details

How to Cite
Nandwani, R. (2021). Universal Health Coverage- A Case Study of Indian Healthcare System during COVID-19 Pandemic. Asian Journal of Medicine and Health, 19(1), 1-6. https://doi.org/10.9734/ajmah/2021/v19i130291
Opinion Article


World Health Orgnaisation. Universal Health Coverage (UHC); 2019. Available:https://www.who.int/news-room/fact-sheets/detail/universal-health-coverage-(uhc)

World Health Orgnaisation. Universal Health Coverage; 2019. Available:https://www.who.int/health-topics/universal-health-coverage#tab=tab_3

National Health Authority. Ayushman Bharat, Pradhan Mantri Jan Arogya Yojana; 2019. Available:https://www.pmjay.gov.in/about/pmjay

World Health Orgnaisation, The World health Report; 2010.

Khasne RW, Burnout among Healthcare Workers during COVID-19 pandemic in India: Results of a Questionnaire-based Survey. Indian Journal of Critical Care Medicine. 2020;8:664-671.

Matharu S, Ayushman Bharat could be India's Big Bang moment in healthcare, but addressal of OPD care issues remains a key, in Firstpost; 2018.

Kamath S, Kamath R, Salins P. COVID-19 pandemic in India: challenges and silver linings. Prograduate Medical Journal, 2020; 96:422-423.

Keshri VR. Gupta SS, Ayushman Bharat and Road to Universal Health Coverage in India. Journal of Mahatma Gandhi Institute of Medical Sciences; 2019.

Sengupta A, Universal Health Care in India; 2013.

Ghosh K. Inter-state transmission potential and vulnerability of COVID-19 in India. Progress in Disaster Science. 2020;7:1-6.

Mahajan V, Singh T, Azad C. Using Telemedicine During the COVID-19 Pandemic. Indian Pediatrics. 2020;57.

The Economic Times, A step India is taking could make doctor shortage a non-issue in coronavirus battle in The Economic Times; 2020.

Admin, I.E.D.B. New Medical Colleges set up in last three years; 2020. Available:https://indiaeducationdiary.in/new-medical-colleges-set-up-in-last-three-years/.

Dey S, Covin App to track, schedule Covid vaccine rollout in The Times of India; 2020.

Chetterje P, Gaps in India's preparedness for COVID-19 control. The Lancet Infectious Diseases. 2020;20:(5).

Zodpey S, Negandhi H. COVID-19: Why We Need a Public Health Cadre Now More Than Ever, in The Quint; 2020.

Team DW. India aims to raise health spending to 2.5% of GDP, says Health Minister Harsh Vardhan, in DNA; 2020.

Trbovich P, Five Ways to Incorporate Systems Thinking into Healthcare Organizations; 2014.

Hassan I. A Systems thinking approach for responding to the COVID-19 pandemic. Eastern Mediterranean Health Journal. 2020;26(8).

PTI, India spends less than BRICS, SAARC nations on health in The Economic Times; 2017.