Road to universal health coverage: unique model of Karnataka, India
Keywords:UHC, AB-PMJAY, Ayushman Bharat-PMJAY-Arogya Karnataka, Karnataka’s model, Health insurance
With the goal of achieving universal health coverage (UHC), Karnataka, a national leader in healthcare, launched the Arogya Karnataka scheme in March 2018. It was later integrated with the government of India's national health protection scheme Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) to help with financial protection for accessing curative care at the secondary and tertiary levels through collaboration with the public and private sectors. The AB-PMJAY is a rare opportunity to enhance the health of hundreds of millions of Indians and get rid of a significant cause of the country's poverty. The study intends to define the State's distinctive characteristics with relation to AB-PMJAY-ArK and to highlight the State's top initiatives through the scheme. Karnataka has a unique scheme even if it is integrated due to various striking features. The country has an opportunity to address persistent and deeply ingrained issues with governance, quality assurance, and stewardship owing to AB-PMJAY-ArK. The complete approach used by the AB-PMJAY-ArK cell of the department of health and family welfare, government of Karnataka has enhanced the performance of public health institutions and can be adopted as a model by all the Indian States. Access to care, compliance, and timely assistance have all drastically enhanced. This has improved national health indices, but more crucially, it has led to the development of a bigger and stronger public health system, leading the road to UHC.
Goal 3: Ensure healthy lives and promote well-being for all at all ages SDG Indicators. Available at: https://unstats.un.org/sdgs/report/2017/Goal-03/. Accessed on 12 January, 2023.
Universal Health Coverage. WHO | Regional Office for Africa. Available at: https://www.afro. who.int/health-topics/universal-health-coverage. Accessed on 12 January, 2023.
Lahariya C. ‘Ayushman Bharat’ Program and Universal Health Coverage in India. Indian Pediatr. 2018;55:495-506.
Angell BJ, Prinja S, Gupt A, Jha V, Jan S. The Ayushman Bharat Pradhan Mantri Jan Arogya Yojana and the path to universal health coverage in India: Overcoming the challenges of stewardship and governance. PLOS Med. 2019;16:e1002759.
National health profile India 2021.pdf. Available at: http://www.indiaenvironmentportal.org.in/files/file/national%20health%20profile%20india%202021.pdf. Accessed on 12 January, 2023.
Mehra P. India’s economy needs big dose of health spending. Mint. 2020. Available at: https://www.livemint.com/news/india/india-s-economy-needs-big-dose-of-health-spending-11586365603651.html. Accessed on 12 January, 2023.
Dhaka R, Verma R, Agrawal G, Kumar G. Ayushman Bharat Yojana: a memorable health initiative for Indians. Int J Community Med Public Heal. 2018;5:3152-3.
Press information Bureau Government of India. Ministry of Finance. Ayushman Bharat for a new India. 2022.
Selvaraj S, Farooqui HH, Karan A. Quantifying the financial burden of households’ out-of-pocket payments on medicines in India: a repeated cross-sectional analysis of National Sample Survey data 1994-2014. BMJ Open. 2018;8:e018020.
Ayushman Bharat for a new India 2022, announced. Available at: https://pib.gov.in/newsite/Print Release.aspx?relid=176049. Accessed on 12 January, 2023.
National Health Authority. Available at: https://setu.pmjay.gov.in/setu/. Accessed on 12 January, 2023.
Arogya Karnataka GO-English.pdf. Available at: http://arogya.karnataka.gov.in/sast/Details/Arogya%20Karnataka%20GO-English.pdf. Accessed on 12 January, 2023.
karnataka_integrated_public_health_policy_2017.pdf. Available at: https://karunadu.karnataka.gov.in/ hfw/kannada/documents/karnatakaintegratedpublichealthpolicy2017.pdf.Accessed on 12 January, 2023.
G O AB-AK.pdf. Available at: http://arogya. karnataka.gov.in/sast/details/G%20O%20AB-AK.pdf. Accessed on 12 January, 2023.
About AB_ArK. Available at: http://arogya. karnataka.gov.in/sast/english/index.php/site-map/2018-11-23-07-28-59/about-ab-ark. Accessed on 12 January, 2023.
India-Census of India 2011, National Population Register and Socio Economic and Caste Census. Available at: https://censusindia.gov.in/nada/index. php/catalog/42619. Accessed on 12 January, 2023.
NHA. Setu Dashboard. Available at: https://dashboard.pmjay.gov.in/pmj/#/. Accessed on 12 January, 2023.
GO Accident victims.pdf. Available at: https://morth.nic.in/sites/default/files/RA_2021_Compressed.pdf. Accessed on 12 January, 2023.
Chellaiyan VG, Rajasekar H, Taneja N. Pradhan Mantri Jan Arogya Yojana-Ayushman Bharat. 2020;32.
Joseph J, Sankar DH, Nambiar D. Empanelment of health care facilities under Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY) in India. Plos one. 2021;16:e0251814.
Transformation-of-AspirationalDistricts-Primer-ANew-India2022.pdf. Available at: https://www.niti. gov.in/sites/default/files/2018-12/Transformation-of-AspirationalDistricts-Primer-ANew-India2022.pdf. Accessed on 12 January, 2023.
Policy Brief 3_PM-JAY and India’s Aspirational Districts (PRINT)WB. Available at: https://www.niti.gov.in/aspirational-districts-programme. Accessed on 12 January, 2023.
Policy Brief 9_PM-JAY: The role of Private hospitals-November 2020. Available at: https://pmjay.gov.in/sites/default/files/2020-11/ Policy_Brief_9_Private_PM-JAY_201123_WB_ NHA_R.pdf. Accessed on 3 June 2022.
Agrawal P, Chauhan AS, Pandey DC, Tiwari R. Ayushman Bharat for Inclusive Health Insurance in India: A Critical Review. YTMER. 2022;21(11):1483-92.