What are the key institutional and policy limitations in India’s palliative care ecosystem? How can decentralised health governance address these gaps?
Kartavya Desk Staff
Topic: Issues relating to development and management of Social Sector/Services relating to Health, Education, Human Resources.
Topic: Issues relating to development and management of Social Sector/Services relating to Health, Education, Human Resources.
Q4. What are the key institutional and policy limitations in India’s palliative care ecosystem? How can decentralised health governance address these gaps? (10 M)
Difficulty Level: Medium
Reference: IE
Why the question India’s ageing population and NCD burden are increasing, yet palliative care remains marginalised in public health. Key Demand of the question To explain the structural and policy challenges in delivering palliative care and suggest how decentralised governance can help bridge those gaps. Structure of the Answer: Introduction Mention India’s palliative care coverage deficit and growing need due to demographic and disease transitions. Body Identify 4–5 key institutional and policy gaps like NPPC issues, lack of integration with PHCs, and weak funding. Suggest how decentralised local governance (like Kerala’s panchayat model) can overcome each gap through community networks, local budgets, and integration. Conclusion Briefly advocate for making palliative care a public health right and embedding it in primary healthcare systems.
Why the question India’s ageing population and NCD burden are increasing, yet palliative care remains marginalised in public health.
Key Demand of the question To explain the structural and policy challenges in delivering palliative care and suggest how decentralised governance can help bridge those gaps.
Structure of the Answer:
Introduction Mention India’s palliative care coverage deficit and growing need due to demographic and disease transitions.
• Identify 4–5 key institutional and policy gaps like NPPC issues, lack of integration with PHCs, and weak funding.
• Suggest how decentralised local governance (like Kerala’s panchayat model) can overcome each gap through community networks, local budgets, and integration.
Conclusion Briefly advocate for making palliative care a public health right and embedding it in primary healthcare systems.