Public and Private Health Care Systems in India: Structure, Evolution, Challenges, and Policy Directions with Special Reference to Madhya Pradesh


Authors : Dr. Sachin Awasthi

Volume/Issue : Volume 11 - 2026, Issue 1 - January


Google Scholar : https://tinyurl.com/mr45yjnb

Scribd : https://tinyurl.com/26d97tfa

DOI : https://doi.org/10.38124/ijisrt/26jan739

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.


Abstract : Health care systems play a decisive role in shaping human development, economic productivity, and social well- being. India’s health care system represents a complex interaction between public and private sectors, shaped by historical evolution, policy reforms, demographic pressures, and emerging epidemiological challenges. This paper examines the conceptual foundations of health care systems, the structure and functioning of India’s public and private health care framework, and the evolving role of public–private partnerships. Special emphasis is placed on Madhya Pradesh as a representative state reflecting both progress and persistent gaps in health service delivery. The study further analyzes major government initiatives, information flow mechanisms, and systemic challenges such as infrastructure disparities, workforce shortages, and financial constraints. The paper concludes with policy-oriented suggestions for strengthening primary health care, improving equity, and leveraging technology for sustainable health system development in India.

Keywords : Health Care System, Public Health, Private Health Sector, India, Madhya Pradesh, Ayushman Bharat, Public–Private Partnership.

References :

  1. Arvind Pandey, N. R. (2010). Health Information System in India: Issues of Data Availability and Quality 1. Demography India, 39(01), 111-128.
  2. Bodenheimer, T. &. (2004). Understanding health policy: A clinical approach. . McGraw-Hill Medical.
  3. Chatterjee, P. N. (2020, Feb- Mar). The 2019 novel coronavirus disease (COVID-19) pandemic: A review of the current evidence. IJMR, 151(2-3), 147-159.
  4. Churchill, W. (n.d.). Retrieved from brainyquote.com: https://www.brainyquote.com/quotes/winston_churchill_382960
  5. Kulkarni, A. R. (2011, October - December). Health Care System in India: Towards Measuring Efficiency in Delivery of Services. The Indian Economic Journal, 59(3), 166 - 169.
  6. Kumar, A. (2023, May). The Transformation of The Indian Healthcare System. Cureus.
  7. M Chokshi, B. P. (2016, Dec). Health systems in India. Journal of Perinatology, 36(3), S9-S12.
  8. Mushtaq, M. U. (2009, Jan). Public Health in British India: A Brief Account of the History of Medical Services and Disease Prevention in Colonial India. Indian Journal of Community Medicine, 34(1), 6-14.
  9. PIB, G. (2018, september). Press release share. Retrieved from pib.gov.in: https://pib.gov.in/Pressreleaseshare.aspx?PRID=1546948
  10. PIB, G. (2019, June). Healthcare Schemes. Retrieved from pib.gov.in: https://pib.gov.in/pressreleaseshare.aspx?prid=1576128
  11. Rao, M. R. (2011, feb). Human resources for health in India. The Lancet, 377, 587-598.
  12. Rohini Dutta, S. T. (2023). Geographic and socioeconomic inequities in cesarean delivery rates at the district level in Madhya Pradesh, India: A secondary analysis of the national family health survey-5. Global Health Action, 16, 1-8.
  13. Shashi Rekha.H, D. C. (2019, May). A Study on Issues and Challenges of Indian Healthcare system and Proposed Solution. International Journal of Management, Technology And Engineering, 9(5), 4165-4173.
  14. Starfield, B. S. (2005). Contribution of primary care to health systems and health. The Milbank Quarterly, 83(3), 457-502.
  15. Suman Morampudi, G. B. (2017, March). The Challenges and Recommendations for Gestational Diabetes Mellitus Care in india: A Review. Frontiers in Endocrinology, 8, 1-10.
  16. Thadani, K. B. (2014, November). Public Private Partnership in the Health Sector: Boon or Bane. Procedia - Social and Behavioral Sciences, 157, 307-316.
  17. V. R. Muraleedharan, S. N. (2003). Private Health Care Sector in India—Policy Challenges and Options for Partnership.
  18. Vishal Chauhan, N. D. (2022). Recent initiatives for transforming healthcare in India: A political economy of health framework analysis. Journal of Global Health Economics and Policy, 2, 1-6.

Health care systems play a decisive role in shaping human development, economic productivity, and social well- being. India’s health care system represents a complex interaction between public and private sectors, shaped by historical evolution, policy reforms, demographic pressures, and emerging epidemiological challenges. This paper examines the conceptual foundations of health care systems, the structure and functioning of India’s public and private health care framework, and the evolving role of public–private partnerships. Special emphasis is placed on Madhya Pradesh as a representative state reflecting both progress and persistent gaps in health service delivery. The study further analyzes major government initiatives, information flow mechanisms, and systemic challenges such as infrastructure disparities, workforce shortages, and financial constraints. The paper concludes with policy-oriented suggestions for strengthening primary health care, improving equity, and leveraging technology for sustainable health system development in India.

Keywords : Health Care System, Public Health, Private Health Sector, India, Madhya Pradesh, Ayushman Bharat, Public–Private Partnership.

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