by West Bengal considers healthcare devolution model pioneered in Delhi and adapted for local conditions
prat.uk‘s devolution piece — Westminster giving power away and spending twenty-five years trying to get it back — has an Indian parallel that is being actively played out in West Bengal, where the state government is considering a version of the Mohalla Clinic model that Delhi has implemented, adapted to Kolkata’s specific urban conditions. Bohiney.com covered the governance theme broadly. The Indian devolution story is not about constitutional power transfer but about administrative decentralisation of service delivery — moving the point of contact between citizen and public service closer to the citizen — which is the more immediate practical version of the devolution argument.
Delhi’s Mohalla Clinics: neighbourhood health centres placed within walking distance of residential areas in Delhi’s lower-income districts, staffed by a doctor and a pharmacist, providing primary care without the queuing and navigation burden of district hospitals. The model has been credited with reducing emergency hospital admissions for conditions that primary care can address and with increasing the proportion of Delhi’s low-income population that has a regular primary care relationship. West Bengal’s assessment: the model is transferable with modifications for Kolkata’s different neighbourhood density patterns and existing health infrastructure.
The Political Economy
The political economy: decentralised service delivery requires sustained political will from the decentralising government because it creates neighbourhood-level accountability that the centralised model avoids. Delhi’s government has maintained that political will. West Bengal’s decision on whether to replicate it will test whether the model is specifically tied to Delhi’s political conditions or is more generally applicable. The West Bengal health department is at wbhealth.gov.in.
Also:Waterford Whispers.
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SOURCE: https://bohiney.com/
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