LitCovid-sentences  

PMC:7340764 / 3960-7954 JSONTXT 7 Projects

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Id Subject Object Predicate Lexical cue
T22 0-56 Sentence denotes Box 1 Evolution of Government PHC system in India [1–30]
T23 57-164 Sentence denotes Primary Health Care (PHC) has always been considered a foundation of stronger and efficient health systems.
T24 165-374 Sentence denotes The efforts to strengthen health services, based upon stronger PHC in India started when the ‘Health Survey and Development Committee’ was established in 1943 under the chairpersonship of Sir Joseph Bhore [5].
T25 375-591 Sentence denotes India started setting up primary health centres (PHCs) in 1952, when the first few PHCs were established in Najafgarh (Delhi), Singur (West Bengal) and Poonammalle (Tamilnadu) under Community Development Program [6].
T26 592-708 Sentence denotes This was part of establishing a three-tier healthcare system in the country, which has evolved since then [2, 7, 8].
T27 709-939 Sentence denotes India started efforts to build health system around the same time when National Health Services (NHS) in United Kingdom was set up and the constitution of World Health Organization (WHO) came into force, both in year 1948 [9, 10].
T28 940-1133 Sentence denotes The successive governments continued to expand the network of PHCs, which received a major boost through various committees, set up nearly one to three in every decade for first 4 decades [11].
T29 1134-1233 Sentence denotes The efforts to strengthen PHC system in rural India have been made over the years [1, 3, 4, 12–20].
T30 1234-1339 Sentence denotes With these initiatives, by mid Sept 2019, country had an extensive network of 158,417 Health Sub Centres:
T31 1340-1501 Sentence denotes 25,743 Primary Health Centres in rural areas; 5,624 Urban PHCs; 764 district hospitals; 539 medical colleges and hospitals and 1,741 mobile medical units [7, 8].
T32 1502-1627 Sentence denotes The annual admission capacity in medical colleges was 80,000 for graduate medical seats and 41,000 for post graduate courses.
T33 1628-1843 Sentence denotes The efforts to strengthen PHC network in India apparently received a boost after Alma Ata conference on primary health care in 1978 and then with the release of India’s first National Health Policy in 1983 [14, 21].
T34 1844-2072 Sentence denotes A major initiative to further strengthen & make rural PHC system functional, started in April 2005, with the launch of National Rural Health Mission (NRHM) in India [22] soon after the second national health policy in 2002 [23].
T35 2073-2156 Sentence denotes The urban component as National Urban Health Mission was launched in May 2013 [24].
T36 2157-2246 Sentence denotes Two missions together were, thereafter, renamed as National Health Mission (NHM) [22–24].
T37 2247-2342 Sentence denotes The NRHM/NHM has focused on PHC system strengthening to make it functional to deliver services.
T38 2343-2767 Sentence denotes NRHM/NHM had a few strategies to strengthen health systems and PHC services: decentralized health planning; communization (community processes, behavior change communication and addressing social determinants of health); social protection function of public health services; partnership for NGOs and civil society; human resource strengthening; flexible funding for states, public health management and many others [22, 25].
T39 2768-2986 Sentence denotes The NRHM/NHM in India is attributed to improving several services, though mostly Reproductive Maternal, Newborn, Child and Adolescent Health (RMNCH+A) services through Government Primary Health Care Facilities (GPHCF).
T40 2987-3235 Sentence denotes The reduction in Infant Mortality Rate (IMR) and Maternal Mortality Ratio (MMR), which these programs specifically targeted, were reduced at accelerated manner and India reached very close to achieve Millennium Development Goals (MDG) 4 and 5 [26].
T41 3236-3465 Sentence denotes Yet, it was increasingly being recognized that health services for emerging burden of diseases and changing epidemiological profile, i.e., Non-communicable diseases (NCDs) through GPHCFs were either not available or insufficient.
T42 3466-3532 Sentence denotes The need for a new approach to deliver comprehensive PHC was felt.
T43 3533-3645 Sentence denotes It was also the time when various discourses on Universal Health Coverage (UHC) were happening in India [27–29].
T44 3646-3856 Sentence denotes The ongoing & identified challenges of GPHCFs include a narrow range of services, insufficient infrastructure, shortage of healthcare providers; lack of medicines and diagnostics, and limited referral services.
T45 3857-3994 Sentence denotes These challenges have been documented in various review missions and also captured in situation analysis document of NHP 2017 [1, 3, 30].