The state of primary health care in south Asia

被引:2
|
作者
Prinja, Shankar [1 ,2 ]
Purohit, Neha [1 ,2 ]
Kaur, Navneet [1 ,2 ]
Rajapaksa, Lalini [3 ]
Sarker, Malabika [4 ,5 ]
Zaidi, Raza [6 ]
Bennett, Sara [7 ]
Rao, Krishna D. [7 ]
机构
[1] Post Grad Inst Med Educ & Res, Dept Community Med, Chandigarh, India
[2] Post Grad Inst Med Educ & Res, Sch Publ Hlth, Chandigarh, India
[3] Univ Colombo, Dept Community Med, Colombo, Sri Lanka
[4] BRAC Univ, BRAC James P Grant Sch Publ Hlth, Dhaka, Bangladesh
[5] Heidelberg Univ, Heidelberg Inst Global Hlth, D-69120 Heidelberg, Germany
[6] Minist Natl Hlth Serv Regulat & Coordinat, Islamabad, Pakistan
[7] Johns Hopkins Univ, John Hopkins Bloomberg Sch Publ Hlth, Baltimore, MD USA
来源
LANCET GLOBAL HEALTH | 2024年 / 12卷 / 10期
关键词
DELIVERY; SYSTEMS; INDIA;
D O I
10.1016/S2214-109X(24)00119-0
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The south Asian region (SAR) is home to 1<middle dot>74 billion people, corresponding to 22% of the global population. The region faces several challenges pertaining to changing epidemiology, rapid urbanisation, and social and economic concerns, which affect health outcomes. Primary health care (PHC) is a cost-effective strategy to respond to these challenges through integrated service delivery, multi-sectoral action, and empowered communities. The PHC approach has historically been an important cornerstone of health policy in SAR countries. However, the region is yet to fully reap the benefits of PHC-oriented health systems. Our introductory paper in this Lancet Series on PHC in the SAR describes the existing PHC delivery structure in five SAR nations (ie, Bangladesh, India, Nepal, Pakistan, and Sri Lanka) and critically appraises PHC performance to identify its enablers and barriers. The paper proposes investing in a shared culture of innovation and collaboration for revitalisation of PHC in the region.
引用
收藏
页码:e1693 / e1705
页数:13
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