Academic Commons


Scaling Up Primary Health Services in Rural India: Public Investment Requirements and Health Sector Reform: Case Studies of Uttar Pradesh and Madhya Pradesh

Bajpai, Nirupam; Dholakia, Ravindra H.; Sachs, Jeffrey D.

We attempt to address two key questions in this paper: 1) In terms of state-wide scaling up of rural services (in Uttar Pradesh, and Madhya Pradesh) in the area of primary health, what will it cost financially and in terms of human resources to scale-up these services in all the rural areas of these two states? And 2) What policy, institutional and governance reforms may be necessary so as to ensure proper service delivery? As is well known, merely setting up more health clinics, for instance, is not going to be enough; higher public investments in these areas needs to be accompanied by systemic reforms that will help overhaul the present service delivery system, including issues of control and oversight, for example.


More About This Work

Academic Units
Center on Globalization and Sustainable Development
Earth Institute
The Earth Institute at Columbia University
CGSD Working Paper, 29
Published Here
September 28, 2009
Academic Commons provides global access to research and scholarship produced at Columbia University, Barnard College, Teachers College, Union Theological Seminary and Jewish Theological Seminary. Academic Commons is managed by the Columbia University Libraries.