Supporting an innovative urban primary healthcare program
The urban poor have low access to affordable, high-quality primary healthcare, exacerbating health outcomes and increasing vulnerability. Between 2015-2019, Delhi Government created 189 primary healthcare clinics provided locally within neighbourhoods, called Mohalla clinics. These clinics provided 10 million+ consultations during this same time period. The goal is to scale to 1000 clinics by 2020.
Many Mohalla clinics have been functioning for a few years, but the government had limited rigorous feedback from patients and target beneficiaries. IDinsight worked to fill this evidence gap to help the government identify gaps in the services offered at these clinics so that they could serve primary healthcare needs more effectively.
We supported the Government by collecting information about the clinics’ services from both existing patients and people who live in the areas the clinics are meant to service. We looked at peoples’ awareness of and satisfaction with the clinics, and whether they were using the clinics or alternative providers of similar healthcare services.
Nearly all patients said they would return to the clinic for care, but potential for improvement existed -- 40% of respondents suggested improvements to the clinics in terms of staff, diagnostic tests, medicines, and/or clinic infrastructure. We found only 40% of randomly selected respondents within 1km of a clinic knew about the clinic’s existence.
The process of implementation of recommendations and dissemination is ongoing.