Healthcare workers’ perspectives on Ayushman Bharat Yojana in Kashmir: Insights for policy and practice

Background: In India, the Ayushman Bharat Program aims to provide comprehensive healthcare coverage to underprivileged communities, guided by the 2017 National Health Policy and aligned with Sustainable Development Goals. This study explores healthcare workers’ perspectives on the implementation, im...

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Main Authors: Shahroz Nabi, Taha Ayub, S. Muhammad S. Khan, Mohammad Iqbal Pandit, Inaamul Haq, Mariya Amin Qurieshi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Journal of Family Medicine and Primary Care
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Online Access:https://journals.lww.com/10.4103/jfmpc.jfmpc_1028_24
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author Shahroz Nabi
Taha Ayub
S. Muhammad S. Khan
Mohammad Iqbal Pandit
Inaamul Haq
Mariya Amin Qurieshi
author_facet Shahroz Nabi
Taha Ayub
S. Muhammad S. Khan
Mohammad Iqbal Pandit
Inaamul Haq
Mariya Amin Qurieshi
author_sort Shahroz Nabi
collection DOAJ
description Background: In India, the Ayushman Bharat Program aims to provide comprehensive healthcare coverage to underprivileged communities, guided by the 2017 National Health Policy and aligned with Sustainable Development Goals. This study explores healthcare workers’ perspectives on the implementation, impact, and challenges of Ayushman Bharat Yojana (ABY) in Kashmir, focusing on primary care services. Methods: A mixed-methods study was conducted over ten months (October 2020 to August 2021) across ten districts in Kashmir. Fifty healthcare professionals, including 30 mid-level healthcare providers (MLHPs) and 20 medical officers, participated in semi-structured interviews and completed structured questionnaires. Data were analyzed using thematic analysis for qualitative data and descriptive statistics for quantitative data. Results: Demographics: Among the respondents, 64% were under 30 years, and 56% were female. Positions included 40% medical officers and 60% MLHPs. Qualitative Findings: Both MLHPs and medical officers had varying levels of awareness about ABY. Key challenges included inadequate infrastructure, staffing shortages, additional duties, and long commutes. Effective communication and collaboration between MLHPs and medical officers were deemed crucial for successful implementation. Ongoing training and support were highlighted as essential needs. Quantitative Findings: Significant issues included irregular payments (66.6% MLHPs reported receiving regular incentives), staffing shortages (50% medical officers), and lack of training (35% medical officers). Common ailments managed included hypertension (33.33%) and infections (26.66%). Conclusion: The study highlights the challenges and insights from healthcare workers regarding the ABY program in Kashmir. Addressing infrastructure deficiencies, improving communication, and providing ongoing training and financial stability are essential for enhancing the program’s effectiveness. Policymakers must consider these findings to improve healthcare delivery and ensure the sustained success of the Ayushman Bharat initiative.
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spelling doaj-art-36c6f2716b4047bca6db748925a96b452025-01-11T10:08:51ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632278-71352024-12-0113125781578610.4103/jfmpc.jfmpc_1028_24Healthcare workers’ perspectives on Ayushman Bharat Yojana in Kashmir: Insights for policy and practiceShahroz NabiTaha AyubS. Muhammad S. KhanMohammad Iqbal PanditInaamul HaqMariya Amin QurieshiBackground: In India, the Ayushman Bharat Program aims to provide comprehensive healthcare coverage to underprivileged communities, guided by the 2017 National Health Policy and aligned with Sustainable Development Goals. This study explores healthcare workers’ perspectives on the implementation, impact, and challenges of Ayushman Bharat Yojana (ABY) in Kashmir, focusing on primary care services. Methods: A mixed-methods study was conducted over ten months (October 2020 to August 2021) across ten districts in Kashmir. Fifty healthcare professionals, including 30 mid-level healthcare providers (MLHPs) and 20 medical officers, participated in semi-structured interviews and completed structured questionnaires. Data were analyzed using thematic analysis for qualitative data and descriptive statistics for quantitative data. Results: Demographics: Among the respondents, 64% were under 30 years, and 56% were female. Positions included 40% medical officers and 60% MLHPs. Qualitative Findings: Both MLHPs and medical officers had varying levels of awareness about ABY. Key challenges included inadequate infrastructure, staffing shortages, additional duties, and long commutes. Effective communication and collaboration between MLHPs and medical officers were deemed crucial for successful implementation. Ongoing training and support were highlighted as essential needs. Quantitative Findings: Significant issues included irregular payments (66.6% MLHPs reported receiving regular incentives), staffing shortages (50% medical officers), and lack of training (35% medical officers). Common ailments managed included hypertension (33.33%) and infections (26.66%). Conclusion: The study highlights the challenges and insights from healthcare workers regarding the ABY program in Kashmir. Addressing infrastructure deficiencies, improving communication, and providing ongoing training and financial stability are essential for enhancing the program’s effectiveness. Policymakers must consider these findings to improve healthcare delivery and ensure the sustained success of the Ayushman Bharat initiative.https://journals.lww.com/10.4103/jfmpc.jfmpc_1028_24ayushman arogya mandirsayushman bharatprimary healthcareuniversal health coverage
spellingShingle Shahroz Nabi
Taha Ayub
S. Muhammad S. Khan
Mohammad Iqbal Pandit
Inaamul Haq
Mariya Amin Qurieshi
Healthcare workers’ perspectives on Ayushman Bharat Yojana in Kashmir: Insights for policy and practice
Journal of Family Medicine and Primary Care
ayushman arogya mandirs
ayushman bharat
primary healthcare
universal health coverage
title Healthcare workers’ perspectives on Ayushman Bharat Yojana in Kashmir: Insights for policy and practice
title_full Healthcare workers’ perspectives on Ayushman Bharat Yojana in Kashmir: Insights for policy and practice
title_fullStr Healthcare workers’ perspectives on Ayushman Bharat Yojana in Kashmir: Insights for policy and practice
title_full_unstemmed Healthcare workers’ perspectives on Ayushman Bharat Yojana in Kashmir: Insights for policy and practice
title_short Healthcare workers’ perspectives on Ayushman Bharat Yojana in Kashmir: Insights for policy and practice
title_sort healthcare workers perspectives on ayushman bharat yojana in kashmir insights for policy and practice
topic ayushman arogya mandirs
ayushman bharat
primary healthcare
universal health coverage
url https://journals.lww.com/10.4103/jfmpc.jfmpc_1028_24
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