It seems mad, indeed it is.. but here in Sindhudurg there seems to be, at least the skeleton, of the PHC approach in action. This, for the uninitiated, is the approach to providing healthcare services using the state, using comprehensive health systems..in a way that provides equity of access.. more here..http://en.wikipedia.org/wiki/Alma_Ata_Declaration
So, the point is - here there is a real referral system, which appears to be in use. There are village workers, then PHC centres, sub-centres, regional health centres, and finally district hospital. It's quite incredible actually.
Now, in terms of a reality check - lots of these facilities don't function as they should, some workers are more motivated than others, and there is a MASSIVE private sector which doesn't have any involvement in the healthcare system...
But - it's definitely a structure, and definitely better than some!
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