A strong primary healthcare system is crucial in order to achieve health related sustainable development goals (SDG) and attaining universal health coverage (UHC). In India, a series of transformative initiatives and increased
investments on primary health care had seen it achieve improvements in health promotion, disease prevention, and service outreach. However, services at primary care still remains sporadic and fragmented; high out-of-pocket
health expenditures remained static. A larger proportion of people are still accessing private care where cost of care remains high and standards of treatment remains questionable.
While both rural and urban area of India have its share of challenges in organising health care, urban health system is posing new challenges and complexities in the recent past. Patient health seeking behaviour as well as organisation
of urban health care system are quite complex. Rapid urbanisation and large scale migration pose challenge to organisation of effective health service delivery. Health needs and challenges are complex with presence of pluralistic
health systems and multiple stakeholders in urban areas; hence, there is an urgent need for a comprehensive and multipronged approach to address such complex issues.
With this context, KHPT is striving to design, develop, implement and evaluate a comprehensive primary health care (CPHC) model in Mysuru city through an implementation research design leveraging on learning and experience from
an ongoing pilot project on Non-Communicable Disease (NCD) care. The ongoing pilot aims to develop a primary health care model for NCDs and has been in operation in the same city or last three years. Given the comprehensive
health system management needs and disease management protocols for NCDs; many learnings from a such program could be adapted while designing a comprehensive primary care model (CPHC model). While the overarching CPHC model/theme
aims to transform Mysuru city as a healthy city and provide quality essential primary care services, NCDs have remained so far the main fulcrum towards that vision.