September 19, 2016

Zika Hovers, Killer Diseases Breed in Cesspool of Politics

In this New Indian Express Article, Shankkar Aiyar, Visiting Fellow at IDFC Institute, argues that India's health objectives are compromised due to the chaotic multi-layering of authority and accountability at the centre and in the states. Excerpts below:

 

"Structurally the administration of healthcare is trapped in a nightmarish maze. Health is on the Union list, the concurrent list and the state list. Policies are designed at the Centre and administered by states through local bodies. The local bodies—municipalities, zila parishads and panchayats—lack both funds and functionaries. At the implementation level, issues relating to health are governed by 78 different Acts administered by over 20 dozen ministries. Structurally the administration of healthcare is trapped in a nightmarish maze. Health is on the Union list, the concurrent list and the state list. Policies are designed at the Centre and administered by states through local bodies. The local bodies—municipalities, zila parishads and panchayats—lack both funds and functionaries. At the implementation level, issues relating to health are governed by 78 different Acts administered by over 20 dozen ministries... Decentralise implementation of national objectives to panchayats, municipalities, zila parishads, municipal corporations and state governments—prioritise bottom-up empowerment with funds, functions and functionaries... Cities need smart solutions, ranging from PPP for solid waste management to adoption of water bodies."

 

Read the full article here

 

In : OP-EDS
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