Primary Healthcare

CERVICAL CANCER AS A RURAL HEALTH CRISIS

Cervical cancer remains a major rural health crisis in India despite being preventable, due to low screening coverage, late diagnosis, weak referral systems, limited access to diagnostic and treatment facilities, and gaps in HPV vaccination. The high burden reflects systemic health inequities rather than medical limitations, underscoring the need for integrated prevention, early detection, and equitable healthcare delivery aligned with global elimination goals.

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India’s Public Health Spending

India’s public health spending remains persistently low, with total government expenditure hovering around 1.5–2% of GDP, far below the 2.5% target set by the National Health Policy. While States have gradually increased their health allocations, the Union government’s share as a percentage of GDP has declined after a temporary rise during COVID-19. This underinvestment leads to overburdened public hospitals, weak primary healthcare, high out-of-pocket expenses, and regional inequalities. Despite major initiatives like Ayushman Bharat and the National Health Mission, inadequate and inconsistent funding continues to limit progress toward universal, affordable, and equitable healthcare in India.

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UNIVERSAL HEALTH COVERAGE (UHC): MEANING, CHALLENGES, WAY FORWARD

Universal Health Coverage (UHC) aims to ensure equitable, affordable healthcare for all citizens. Despite progress, challenges include low public spending, skilled personnel shortages, out-of-pocket expenses. A path forward involves increasing public investment, strengthening primary care, leveraging technology like telemedicine and digital health records (ABDM), to guarantee quality and accessible services for all.

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