Urban health in India: from smaller steps to a big leap

The focus on urban health in India was majorly lagging in the initial years post-independence except in some specific areas like family planning during the 1st and 2nd Five Year Plans (FYPs). The subsequent FYPs too for the next ten to fifteen years did not witness any shift in focus to the diverse...

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Main Authors: Smita Shrivastava, Ashutosh Kothari, Himanshu Bhushan
Format: Article
Language:English
Published: International Society of Global Health 2023-04-01
Series:Journal of Global Health Economics and Policy
Online Access:https://doi.org/10.52872/001c.117363
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author Smita Shrivastava
Ashutosh Kothari
Himanshu Bhushan
author_facet Smita Shrivastava
Ashutosh Kothari
Himanshu Bhushan
author_sort Smita Shrivastava
collection DOAJ
description The focus on urban health in India was majorly lagging in the initial years post-independence except in some specific areas like family planning during the 1st and 2nd Five Year Plans (FYPs). The subsequent FYPs too for the next ten to fifteen years did not witness any shift in focus to the diverse health-related problems in urban areas. The National Rural Health Mission in 2005 had a primary focus on rural health, with some initiatives taken up to expand health services in urban areas. However, the major milestone in urban health was the launch of the National Urban Health Mission (NUHM) in 2013, wherein urban health in India got centre stage. The COVID-19 pandemic led to an accelerated response in strengthening the health systems across the country including health infrastructure in urban areas. Overall, it can be said that urban health in the country is currently undergoing major transitions. Despite there being several issues, the reforms for assured comprehensive primary health care services seem promising in improving the status of health in urban India. Convergence with key stakeholders and other sectors beyond health would be the key to bridging the gap in addressing social determinants of health, social protection for migrants and floating population and focusing on environmental protection. Such actions would leverage enhanced health access of urban poor to quality and equitable healthcare services. The paper focuses on government policies that began prioritising urban health, the limitations of present health systems, and the roadmap to construct a much-needed future foundation for improved health outcomes in urban India.
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spelling doaj-art-e247615c8ed04996adf08183aaa4d8b22025-08-20T02:20:06ZengInternational Society of Global HealthJournal of Global Health Economics and Policy2806-60732023-04-01310.52872/001c.117363Urban health in India: from smaller steps to a big leapSmita ShrivastavaAshutosh KothariHimanshu BhushanThe focus on urban health in India was majorly lagging in the initial years post-independence except in some specific areas like family planning during the 1st and 2nd Five Year Plans (FYPs). The subsequent FYPs too for the next ten to fifteen years did not witness any shift in focus to the diverse health-related problems in urban areas. The National Rural Health Mission in 2005 had a primary focus on rural health, with some initiatives taken up to expand health services in urban areas. However, the major milestone in urban health was the launch of the National Urban Health Mission (NUHM) in 2013, wherein urban health in India got centre stage. The COVID-19 pandemic led to an accelerated response in strengthening the health systems across the country including health infrastructure in urban areas. Overall, it can be said that urban health in the country is currently undergoing major transitions. Despite there being several issues, the reforms for assured comprehensive primary health care services seem promising in improving the status of health in urban India. Convergence with key stakeholders and other sectors beyond health would be the key to bridging the gap in addressing social determinants of health, social protection for migrants and floating population and focusing on environmental protection. Such actions would leverage enhanced health access of urban poor to quality and equitable healthcare services. The paper focuses on government policies that began prioritising urban health, the limitations of present health systems, and the roadmap to construct a much-needed future foundation for improved health outcomes in urban India.https://doi.org/10.52872/001c.117363
spellingShingle Smita Shrivastava
Ashutosh Kothari
Himanshu Bhushan
Urban health in India: from smaller steps to a big leap
Journal of Global Health Economics and Policy
title Urban health in India: from smaller steps to a big leap
title_full Urban health in India: from smaller steps to a big leap
title_fullStr Urban health in India: from smaller steps to a big leap
title_full_unstemmed Urban health in India: from smaller steps to a big leap
title_short Urban health in India: from smaller steps to a big leap
title_sort urban health in india from smaller steps to a big leap
url https://doi.org/10.52872/001c.117363
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