Mains Paper 2: Governance | Issues relating to development and management of Social Sector/Services relating to Health, Education, Human Resources.
From UPSC perspective, the following things are important:
Prelims level: Particulars of the report and India’s ranking and performance in recent years
Mains level: The report highlights stagnation of healthcare system in India esp. for certain diseases like TB etc.
Highlights of the HAQ Report
- India ranks a lowly 145th among 195 countries in terms of healthcare access and quality in 2016, as assessed in a Global Burden of Disease study published in The Lancet.
- The global average HAQ score was 54.4. Iceland and Norway top the list with a HAQ score of 97 each.
- India’s HAQ score is 41.2, up from 24.7 in 1990 showing improvement.
- For the first time, the study also analysed healthcare access and quality between regions of seven countries including India.
- The study used an index based on 32 causes of death that should be preventable with effective medical care. Each country was given a healthcare access and quality (HAQ) score between 0-100.
Performance by States
- Goa and Kerala had the highest scores in 2016, both over 60, whereas Assam and Uttar Pradesh had the lowest, both below 40.
- Particularly low were scores like 12 for skin cancer, 24 for neonatal deaths and adverse medical treatment, and 30 for tuberculosis and chronic kidney ailments.
Low score in TB
- This is not surprising, since India accounts for nearly 30 per cent of global TB deaths.
- TB being often missed by practitioners and MDR-TB is diagnosed very late.
What are its inferences?
- This scorecard shows that the health system is weak in our country.
- While centrally funded schemes have provided health access in some areas, quality has not improved in certain states.