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Public sector engagement of private healthcare providers during the COVID-19 pandemic in Uttar Pradesh, India
The COVID-19 pandemic has strained public health resources and overwhelmed health systems capacity of countries worldwide. In India, the private sector is a significant source of healthcare particularly in large states like Uttar Pradesh (UP). This study sought to examine: (i) the government’s appro...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Public Library of Science
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021290/ https://www.ncbi.nlm.nih.gov/pubmed/36962201 http://dx.doi.org/10.1371/journal.pgph.0000750 |
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author | Meghani, Ankita Hariyani, Shreya Das, Priyanka Bennett, Sara |
author_facet | Meghani, Ankita Hariyani, Shreya Das, Priyanka Bennett, Sara |
author_sort | Meghani, Ankita |
collection | PubMed |
description | The COVID-19 pandemic has strained public health resources and overwhelmed health systems capacity of countries worldwide. In India, the private sector is a significant source of healthcare particularly in large states like Uttar Pradesh (UP). This study sought to examine: (i) the government’s approach to engaging the private health sector in the COVID-19 response in UP; (ii) the effects of government’s engagement on private providers’ practices and (iii) the barriers and facilitators to effective private sector engagement during the period. While the literature acknowledges weaknesses in private sector engagement during emergencies, our study provides deep empirical insight into how this occurs, drawing on the UP experience. We reviewed 102 Government of UP (GOUP) policy documents and conducted 36 in-depth interviews with government officials, technical partners, and private providers at district- and state-levels. We developed timelines for policy change based on the policy review and analyzed interview transcripts thematically using a framework analysis. We found that GOUP’s engagement of the private sector and private providers’ experiences varied substantially. While the government rapidly engaged and mobilized private laboratories, and enlisted private hospitals to provide COVID-19 services, it undertook only limited engagement of solo private providers who largely acted as referral units for suspected cases and reported data to support contact tracing efforts. Informal private providers played no formal role in the COVID-19 response, but in one district supported community-level contact tracing. Allopathic, alternative medicine, and diagnostic private providers faced common barriers and facilitators affecting their engagement relating to provider fear, communication, testing capacity, case reporting, and regulations. The establishment of mixed diagnostic networks during COVID-19 demonstrates the potential for public-private collaboration, however, our study also reveals missed opportunities to engage smaller-scale private health providers and establish mechanisms to effectively communicate and mobilize them during the pandemic, and beyond. |
format | Online Article Text |
id | pubmed-10021290 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-100212902023-03-17 Public sector engagement of private healthcare providers during the COVID-19 pandemic in Uttar Pradesh, India Meghani, Ankita Hariyani, Shreya Das, Priyanka Bennett, Sara PLOS Glob Public Health Research Article The COVID-19 pandemic has strained public health resources and overwhelmed health systems capacity of countries worldwide. In India, the private sector is a significant source of healthcare particularly in large states like Uttar Pradesh (UP). This study sought to examine: (i) the government’s approach to engaging the private health sector in the COVID-19 response in UP; (ii) the effects of government’s engagement on private providers’ practices and (iii) the barriers and facilitators to effective private sector engagement during the period. While the literature acknowledges weaknesses in private sector engagement during emergencies, our study provides deep empirical insight into how this occurs, drawing on the UP experience. We reviewed 102 Government of UP (GOUP) policy documents and conducted 36 in-depth interviews with government officials, technical partners, and private providers at district- and state-levels. We developed timelines for policy change based on the policy review and analyzed interview transcripts thematically using a framework analysis. We found that GOUP’s engagement of the private sector and private providers’ experiences varied substantially. While the government rapidly engaged and mobilized private laboratories, and enlisted private hospitals to provide COVID-19 services, it undertook only limited engagement of solo private providers who largely acted as referral units for suspected cases and reported data to support contact tracing efforts. Informal private providers played no formal role in the COVID-19 response, but in one district supported community-level contact tracing. Allopathic, alternative medicine, and diagnostic private providers faced common barriers and facilitators affecting their engagement relating to provider fear, communication, testing capacity, case reporting, and regulations. The establishment of mixed diagnostic networks during COVID-19 demonstrates the potential for public-private collaboration, however, our study also reveals missed opportunities to engage smaller-scale private health providers and establish mechanisms to effectively communicate and mobilize them during the pandemic, and beyond. Public Library of Science 2022-07-22 /pmc/articles/PMC10021290/ /pubmed/36962201 http://dx.doi.org/10.1371/journal.pgph.0000750 Text en © 2022 Meghani et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Meghani, Ankita Hariyani, Shreya Das, Priyanka Bennett, Sara Public sector engagement of private healthcare providers during the COVID-19 pandemic in Uttar Pradesh, India |
title | Public sector engagement of private healthcare providers during the COVID-19 pandemic in Uttar Pradesh, India |
title_full | Public sector engagement of private healthcare providers during the COVID-19 pandemic in Uttar Pradesh, India |
title_fullStr | Public sector engagement of private healthcare providers during the COVID-19 pandemic in Uttar Pradesh, India |
title_full_unstemmed | Public sector engagement of private healthcare providers during the COVID-19 pandemic in Uttar Pradesh, India |
title_short | Public sector engagement of private healthcare providers during the COVID-19 pandemic in Uttar Pradesh, India |
title_sort | public sector engagement of private healthcare providers during the covid-19 pandemic in uttar pradesh, india |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021290/ https://www.ncbi.nlm.nih.gov/pubmed/36962201 http://dx.doi.org/10.1371/journal.pgph.0000750 |
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