Health-care services are delivered by a range of public and private providers. State governments play a larger role combining the role of vision, leadership, funding, regulation and delivery of health care. The national government plays an overall stewardship role, providing vision and funds to policies and programmes. ‘Under the Indian Constitution of India, health is a state subject, and implementation of health programmes is left to state governments. In the health sector, this means decision-making, planning and health delivery systems are influenced by the Central national (Union) and state governments. ‘India has a federal structure of governance with national and state jurisdiction over policies. Healthcare system 1.1 Role of the national and state governmentsġ.1.1 The World Health Organisation (WHO) 2022 report, Indian Health System Review, stated:
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