EC Gynaecology

Gynaecological health remains a critically under-addressed component of women's health, particularly in low- and middle-income countries (LMICs) such as India. Despite medical advancements, systemic barriers-ranging from stigma, geographic inaccessibility, and economic constraints to inadequate awareness-continue to prevent millions of women from receiving timely and equitable care. This article advocates for a paradigm shift toward community-based gynaecological care, which emphasizes local engagement, decentralization, and preventive approaches. Leveraging grassroots health workers, mobile clinics, menstrual health education, and telemedicine, such models can enhance early detection, access, and continuity of care. Evidence from India, Uganda, and other settings demonstrates the effectiveness of community health networks in improving service utilization, especially among marginalized populations. Furthermore, the article underscores the need to integrate mental health support into reproductive health services, addressing the psycho-social dimensions of conditions like infertility and chronic pelvic pain. Policy recommendations include incorporating gynaecological services into the Ayushman Bharat Health and Wellness Centres, expanding financial support for grassroots infrastructure, enabling public-private partnerships, and improving data systems. Ultimately, this model offers a participatory, inclusive, and scalable path to advance reproductive justice and meet global health goals.

 Keywords: Women's Health; Community-Based Care; Gynaecology; Reproductive Justice; India; Public Health; SDG 3; SDG 5

1. World Health Organization (WHO). “Global strategy towards eliminating cervical cancer as a public health problem” (2022).
2. United Nations Population Fund (UNFPA). State of the World Population 2021: My Body is My Own (2021).
3. Rao RSP., et al. “Gynaecological morbidity among women in a South Indian community”. International Journal of Reproductive Medicine (2019): 5830162.
4. Patel V., et al. “The Lancet Commission on global mental health and sustainable development”. The Lancet10157 (2018): 1553-1598.
5. Bajpai N and Dholakia RH. “Improving the performance of Accredited Social Health Activists in India”. Columbia Global Centers South Asia (2011).
6. Ghosh A., et al. “Digital health interventions in reproductive and maternal healthcare: A systematic review”. BMC Women's Health1 (2023): 101.
7. Subramanian SV., et al. “Community engagement and participation in cervical cancer screening: Lessons from South India”. Asian Pacific Journal of Cancer Prevention5 (2021): 1345-1352.
8. Kruk ME., et al. “Mortality due to low-quality health systems in the universal health coverage era: A systematic analysis of amenable deaths”. The Lancet10160 (2018): 2203-2212.