According to Berman, health sector reform is defined as sustainable and targeted change aimed at improving efficiency, equity and efficiency of the health sector. If these involve two of these elements – health financing, expenditure, organization, regulation and consumer behavior, then we can speak of health sector reforms. In India, health sector reforms are a direct result of post-1991 economic reforms. Say no to plagiarism. Get a tailor-made essay on “Why Violent Video Games Should Not Be Banned”? Get the original essay After the economic crisis, the government was unable to provide health care effectively, hence privatization. During this period, social indicators were also poor. India had to apply for a loan under the World Bank's Structural Adjustment Program (SAP). Financing Health Services in Developing Countries” in 1987 by the World Bank. He called for the introduction of user fees, insurance or other risk coverage, efficient use of non-governmental resources and decentralization. health sector reforms following the fact that despite huge investments, the public health system is not functioning. Decrease in health expenditure, with reduced public health expenditure, inefficient spending of public expenditure, poor primary and secondary health care, high out-of-pocket expenditure. , user fees, the unregulated private sector and weak financial protection have all led to the failure of primary health care which was replaced by market-based health sector reforms. Integrated care management for sick and malnourished children will require health care systems capable of providing accessible health care and quality services, particularly to the poor and disadvantaged. It is widely recognized that the health sector in many developing countries today cannot meet these challenges without substantial reform. Even significant increases in funding will not be enough until countries have the institutions and infrastructure in place to use these funds effectively. To achieve performance objectives, five control buttons are provided: financing, payment, organization, regulation and behavior. An increase in efficiency, quality and access can be achieved by modifying these control buttons. Health financing – fundraising mechanisms to finance sector activities (taxes, insurance, bonuses, direct payment). Payment or expenditure - methods of transferring this money to health care providers (fees, capitations). Organization – mechanisms affecting healthcare providers, their roles and how they operate within and between them (impairment of competition, decentralization and direct control). Regulation – actions affecting providers, insurance companies and patients. Behavior - efforts to influence the individual to act in relation to health and health care (patients, providers). Financial protection Financial protection in the form of insurance, whether social, community or private, is slowly increasing. 10% of Indian households are covered by some form of insurance. The reason for this slow increase is that 93% of the population lives in an unorganized sector and 77% of the population is poor and vulnerable. Health care financing reforms must be initiated to ensure access. 118-125