When policy talks of shifting from selective to comprehensive primary care, it is largely referring to a few non-communicable diseases (NCDs). But the earlier package of selective primary care was restricted to less than one fifth of all infections. That package never did address the majority of fevers, and even now the transition to comprehensive primary health care, under the Ayushman Bharat’s Health and Wellness Centres (AB_HWCs) underplays this. In this conversation, we discuss the persisting problem of undifferentiated fevers that primary care providers face and talk about how health systems should be strengthened to close this gap.

