Need to Loosen the Politico-bureaucratic Stranglehold over the National Health Mission
National Health Mission (NHM), started in 2008, is a paradigm shift in public health system in India in terms of higher allocation, community involvement, setting standards. However, it is working suboptimally due to the politico-bureaucratic stranglehold. Increasing bureaucratization is seen in pro...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Indian Journal of Public Health |
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| Online Access: | https://journals.lww.com/10.4103/ijph.ijph_684_24 |
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| author | Anand Krishnan |
| author_facet | Anand Krishnan |
| author_sort | Anand Krishnan |
| collection | DOAJ |
| description | National Health Mission (NHM), started in 2008, is a paradigm shift in public health system in India in terms of higher allocation, community involvement, setting standards. However, it is working suboptimally due to the politico-bureaucratic stranglehold. Increasing bureaucratization is seen in promotion of a top-down-one-size-fits-all model or introducing complexity in the system or making the processes more important than the ends. Politicization includes (re) naming for political gains and converting routine service into events. The oversight of the NHM is mainly political and bureaucratic. There is a need for strengthening technical leadership of NHM to fully realize its potential gains. |
| format | Article |
| id | doaj-art-0cbc3610cb884017bfb4935d7e702b5e |
| institution | DOAJ |
| issn | 0019-557X 2229-7693 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Public Health |
| spelling | doaj-art-0cbc3610cb884017bfb4935d7e702b5e2025-08-20T03:06:25ZengWolters Kluwer Medknow PublicationsIndian Journal of Public Health0019-557X2229-76932025-01-0169112412610.4103/ijph.ijph_684_24Need to Loosen the Politico-bureaucratic Stranglehold over the National Health MissionAnand KrishnanNational Health Mission (NHM), started in 2008, is a paradigm shift in public health system in India in terms of higher allocation, community involvement, setting standards. However, it is working suboptimally due to the politico-bureaucratic stranglehold. Increasing bureaucratization is seen in promotion of a top-down-one-size-fits-all model or introducing complexity in the system or making the processes more important than the ends. Politicization includes (re) naming for political gains and converting routine service into events. The oversight of the NHM is mainly political and bureaucratic. There is a need for strengthening technical leadership of NHM to fully realize its potential gains.https://journals.lww.com/10.4103/ijph.ijph_684_24bureuacracycontractualincentivesnational health mission |
| spellingShingle | Anand Krishnan Need to Loosen the Politico-bureaucratic Stranglehold over the National Health Mission Indian Journal of Public Health bureuacracy contractual incentives national health mission |
| title | Need to Loosen the Politico-bureaucratic Stranglehold over the National Health Mission |
| title_full | Need to Loosen the Politico-bureaucratic Stranglehold over the National Health Mission |
| title_fullStr | Need to Loosen the Politico-bureaucratic Stranglehold over the National Health Mission |
| title_full_unstemmed | Need to Loosen the Politico-bureaucratic Stranglehold over the National Health Mission |
| title_short | Need to Loosen the Politico-bureaucratic Stranglehold over the National Health Mission |
| title_sort | need to loosen the politico bureaucratic stranglehold over the national health mission |
| topic | bureuacracy contractual incentives national health mission |
| url | https://journals.lww.com/10.4103/ijph.ijph_684_24 |
| work_keys_str_mv | AT anandkrishnan needtoloosenthepoliticobureaucraticstrangleholdoverthenationalhealthmission |