Punjab expands free medicine list to curb out of pocket expenditure
Chandigarh: In a significant move to make healthcare more affordable, the Punjab govt has expanded the list of essential medicines to be provided free of cost at all govt hospitals and health facilities across the state, increasing the total number to close to 500.
The initiative aims to reduce the financial burden on patients, particularly those from economically weaker sections, by ensuring greater access to life-saving and commonly used medicines without out-of-pocket expenses.
Punjab has one of the highest rates of out-of-pocket expenditure on healthcare in the country, exceeding the national average. According to the Comprehensive Annual Modular Survey conducted by the ministry of statistics and programme implementation for the period July 2022 to June 2023, the average medical expense per hospitalisation in the state was Rs 8,306 for rural households and Rs 8,272 for urban households.
These expenses are often met through personal savings or borrowing, putting additional pressure on household finances.
To address this concern, the Punjab health department has increased the number of essential drugs at each level of the public health system. District hospitals will now have 487 essential drugs, up from the previous count of 276. Sub-divisional hospitals will stock 362 drugs, up from 276, while community health centres (CHCs) will have 317 essential drugs, compared to the earlier 230.
At the primary health centre (PHC) level, the number has been raised from 151 to 202, and health and wellness centres will now stock 103 essential medicines.
The health department has issued updated drug lists to all civil surgeons across districts and instructed hospital in-charges to ensure the uninterrupted availability of these medicines in adequate quantities. Hospital heads have also been tasked with monitoring their inventory regularly and contacting district warehouses in case of any shortages or discrepancies.
If the Punjab Health Systems Corporation (PHSC) is unable to supply certain medicines in time, civil surgeons and senior medical officers have been authorised to procure them locally.
For local purchase, civil surgeons are authorised to spend up to Rs 10 lakh, while senior medical officers have the authority to purchase medicines worth Rs 2.50 lakh.
Principal secretary of health, Kumar Rahul, stated that the decision aims to reduce the out-of-pocket burden on patients and ensure that medicines are available across all govt hospitals without interruption.
He reiterated that hospital authorities must guarantee that all medicines on the list are provided to patients completely free of charge.
Supporting the initiative, Dr Akhil Sarin, president, Punjab Civil Medical Services Association (PCMSA), called the move a step in the right direction. He noted that with nearly 500 essential drugs now being offered for free, the initiative directly lowers the cost of healthcare by addressing the significant expense of medicines, thereby making treatment more accessible and affordable for the public.
"The Punjab govt's decision is being seen as a major policy intervention to strengthen public health infrastructure and move towards more equitable healthcare delivery," said Dr Sarin.
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CHOICE EXPANDS
FACILITY | OLD LIST | NEW LIST |
District Hospital | 276 | 487 |
Sub-divisional hospital| 276 | 362 |
Community health centre| 230 | 317 |
Primary health centre | 151 | 202 |
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Doctors told to write in bold or capitals
Following directions issued by the Punjab and Haryana high court on May 26, the directorate of health and family welfare has instructed all medical colleges and civil surgeons across Punjab to ensure that all prescription slips and diagnoses are written in capital or bold letters by doctors. The directive aims to improve legibility and prevent errors in patient care. Officials have been asked to ensure strict compliance with the order and see that all doctors under their respective jurisdiction implement these instructions in letter and spirit.
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