Stakeholder Challenges Of Pradhan Mantri Jan Arogya Yojana: A Multi-District Cross-Sectional Study In Meerut Division In Uttar Pradesh

Abstract

Pradhan Mantri Jan Arogya Yojana (PMJAY) represents India's flagship health care initiative, which intends to ensure good health and well-being for all the inhabitants and aligns well with United Nation’s Sustainable Development Goal-3; but the implementation faces various stakeholders. The Meerut Division, with its varied city-country health services, provides a representative microcosm to analyze these implementation barriers.

Objective: To identify and analyze stakeholder-specific challenges in PMJAY implementation throughout the Meerut Division and develop targeted recommendations for improved service delivery.

Methods: A cross -sectional study with several districts was conducted over 6 districts in Meerut Division (Meerut, Ghaziabad, Gautam Buddha Nagar, Hapur, Bagpat and Bulandshar), from March 2024 to August 2024. A total of 30 stakeholders each were interviewed (n = 30 each. questionnaires, focus group discussions and important informant interviews.

Results: Healthcare professionals reported moderate satisfaction with empanelment processes (90%), but significant dissatisfaction with the Package rate (26.7% satisfaction). Recipients demonstrated significant awareness gaps (8.3% had still scheme no knowledge)..

Conclusion: Challenges on stakeholder in the Meerut Division require immediate attention to Awareness campaign & Service Provider Infrastructure structures, improvement in consciousness, IT infrastructure development and streamlined administrative processes in all six districts.