Digital Governance in Transforming Health Systems and Health Policy in India

MANOJ KAR,*
Sipra Ram

Abstract

The cornerstone of a thriving nation is the health of its citizens, and Universal Health Coverage (UHC) stands as a vital measure of success of its health systems in promoting inclusivity and well-being. The 21st century has seen a growing focus on reshaping health systems around individuals, with integration of data and digital technologies offering significant opportunities for advancing concept of 'digital governance in transforming health systems.' However, despite the challenges faced by health policymakers, a tangible transformation in 'digital health governance' is still underway. Recognizing potential of digital health to expedite health system reforms, enhancing quality, efficiency, and patient-centric care, are crucial. It is considered a strategic and fundamental element for achieving UHC. Digital health governance is foundation for coordinating stakeholders and policies that facilitate well-functioning health systems. Key areas of focus include digital health input and data fundamentals, encompassing policies, interoperability standards, capacity building, public engagement and governance necessary for a meaningful transformation. This policy review explores India's digital governance initiatives aimed at revolutionizing healthcare accessibility and delivery to contribute to the realization of UHC. It sheds light on national digital health programs like National Digital Health Blueprint (NDHB), National Digital Health Mission (NDHM), Ayushman Bharat Digital Health Mission, and global health interventions. Addressing challenges such as limited infrastructure and hesitancy toward digital adoption, the paper emphasizes solutions like capacity building and awareness generation as discussed within the national health systems framework. It underscores the importance of optimal governance models fostering interdisciplinary collaboration among key stakeholders, including government, startups, hospitals, and academic institutions. The ultimate goal is to offer insights into strategic digital transformations, supported by robust public policies and governance mechanisms, which can shape a more equitable, efficient, and digitally empowered healthcare ecosystem. This, in turn, contributes to the progress of UHC in India by 2030 (UN-SDGs).