Institute of Health Systems

Policy Briefs on Public Health Care System



Working Papers

Policy Briefs


  The Institute has produced three policy briefs on Public Health Care System with the support of Unicef, Hyderabad. 

PB01: Primary vs Specialist Medical Care: Which is more Equitable:

Equity in health and equitable access to healthcare has been at the core of health policy in India. Time and again Governments have reiterated their commitment to improve access to medical and health care by the poor and disadvantaged, to medical and health care. Achievement of this objective has been a key policy challenge.  

Download PB01: Policy Brief on Primary vs Specialist Medical Care ...

PB02: Mere Institutional Delivery is Not Enough: Quality Obstetric care is Important for Further Reductions in Maternal Mortality:

Institutional delivery is a key maternal and newborn care strategy of the National Health Mission (NHM), for reducing maternal and neonatal mortality. According to latest Health Management Information System (HMIS) Institutional deliveries account for 98 percent of all births in the erstwhile combined state of Telangana (TS) and Andhra Pradesh (AP). According to the sample registration system (SRS) findings of 2012 which provides for an independent and unbiased estimates of medical attention at birth, about 88 percent of deliveries in TS&AP were institutional in nature. Despite high level of institutional delivery, the maternal mortality ratio (MMR) continues to be around 100 per 100,000 live births. The potential for further reduction of MMR simply by increased coverage of institutional deliveries is limited. Thus, improving the quality of Obstetric Care services for these deliveries has the potential to bring down the existing high MMR.

Download PB02: Policy Brief on Institutional Deliveries ...

PB03: Rising Cesarean Sections: Causes & Concerns Towards a Public Health Agenda for Quality & Safty of Maternity Services: 

A Cesarean section (C-section/CS) is an operation to deliver a baby through the abdominal route, instead of the natural vaginal route. When medically indicated, CS saves lives and enhances perinatal outcome in high-risk pregnancies. In the absence of medical indications, the operative and consequential risks of C-sections may outweigh benefits. Hence, overuse of C-sec on is cause for concern.

Download PB03: Policy Brief on Cesarian Sections ...



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