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Announcement
Urban healthcare infrastructure- case study of Delhi

Student name: Ms Prerna Arora
Guide: Mr Shri Prakash
Year of completion: 2021

Abstract:

There is a heterogeneity in health needs across the city of Delhi based on various indexes such as income, location, age, sex, etc. Various studies resulting from primary and secondary data collection reflects this heterogeneity in health needs across Delhi. Despite the varied healthcare needs. of the city, the healthcare pyramid of primary, secondary, and tertiary system is seen to be inverted.1 Delhi is observed to have a mature tertiary healthcare with high technical ability attracting medical tourism from around the world, in stark contrast with its coverage-lacking primary healthcare. The heterogenous nature of the city fails to tie-up with the healthcare services as the healthcare schemes in Delhi target a specific section of the population and miss the preventive – disease component. While vertical health programs may be helpful in reducing a specific disease burden in the short term, they often cause disruption in routine primary healthcare provision.2 This disparity causes disruption in providing equitable healthcare to the mixed population of Delhi and primary healthcare system continues to lose face with bewildered views of the general public. Other reasons attributable for the failure of Delhi Government to provide equitable healthcare services is because of lack of maintenance of infrastructure with unsustainable quality of doctors, lack of transparency, being understaffed, inconvenient timings, long queues, poor hygiene and sanitization and last but not the least inadequate supply of drugs and operational facilities. Due to the said reason, the role, availability and utilization of the public versus private healthcare in urban cities hangs by a thin thread. Additionally, with insufficient regulation of private clinics and hospitals impacting the quality of doctors the big private hospitals have burgeoned and are important players in healthcare than ever before.3The research would present an analysis of the prevailing conditions of healthcare infrastructure in the city of Delhi and further observe the strengths and limitations of healthcare services in the city. The research shall further suggest a way forward with a broad vision towards achieving advanced healthcare concepts, designs and facilities for expansion and implementation of equitable healthcare service-delivery goals set by the Delhi Government for its people.