National Health Policy.pptx

Introduction
National Health Policy 1983
National Health Policy 2002
Salient features of the Policies
Key components of the Policy
National Health Policy 2017
Summary

1. National Health Policy ‹#›

2. Plan of Presentation Introduction National Health Policy 1983 National Health Policy 2002 Salient features of the Policies Key components of the Policy National Health Policy 2017 Summary ‹#›

3. Introduction Health : A state of complete physical, mental and social well being and not merely the absence of disease or infirmity and the ability to lead a “ socially and economically productive life”. Policy : Policy is a system, which provides the logical framework and rationality of decision making for the achievements. Health Policy : Health policy of a nation is its strategy for controlling and optimizing the social uses of its health knowledge of intended objective ‹#›

4. Steps in Public Health Policy Development & Implementation ‹#› Identify local health problem/need Quantify local health problem/need Synthesize evidence about effective Public Health Policy options Assess current local policy Assess local stakeholders Select and describe policy Plan for adoption/enactment Communicate with stakeholders Implement policy Measure performance

5. National Health Policy 1983 The Ministry of Health and Family welfare, Govt. of India, evolved a National Health Policy in 1983 till 2002. Policy lays stress on preventive , promotive , public health and rehabilitation aspects of healthcare. Policy stresses the need of establishing comprehensive primary health care services to reach the population in remote area of the country. India had its first National Health Policy in 1983. ‹#›

6. Objectives Of NHP 1983 A phased, time-bound programme for setting up a well-dispersed network of comprehensive primary health care services, linked with extension and health education, designed in the context of the ground reality that elementary health problems can be resolved by the people themselves. Intermediation through ‘Health volunteers’ having appropriate knowledge, simple skills and requisite technologies ‹#›

7. Objectives Of NHP 1983 Establishment of a well worked out referral system to ensure that patient load at the higher levels of the hierarchy is not needlessly burdened by those who can be treated at the decentralized level An integrated network of evenly spread speciality and super-speciality services; encouragement of such facilities through private investments for patients who can pay, so that the draw on the Government’s facilities is limited to those entitled to free use. ‹#›

8. Salient Features of NHP 1983 Creating greater awareness of health problems in the community and means to solve the problems of the community. Supply of safe drinking water and basic sanitation using technologies that people can afford. Reduction of existing imbalance in health services by concentrating more on the rural health infrastructure. ‹#›

9. Salient Features of NHP 1983 Establishing dynamic health management information system to support health planning and health program implementation Provision of legislative support to health protection and promotion. Concerned actions to combat widespread malnutrition. Research in alternative method of health care delivery and low cost health technologies. Greater coordination of different system of medicine. ‹#›

10. National Health Policy 2002 A revised health policy for achieving better health care and unmet goals has been brought out by government of India- National Health Policy 2002. According to this revised policy, government and health professionals are obligated to render good health care to the society. Optimizing the use of health service to a large group rather than a small group is a foreseen event by the NHP 2002. Inclusion of social policies adds to the credit of the revised NHP 2002 ‹#›

11. Objectives & Key Strategies Primary Health Care Approach Decentralized public health system Convergence of all health programme under single field umbrella Strengthening and extending public health services Enhanced contribution of private and NGO sector in health care delivery. Increase in public spending for health ‹#›

12. Policy Key Components Financial Resources, Equity Delivery Of National Public Health Programs The state of public health infrastructure, Extending public health service Role of local self- Government Institutions , Norms of Health care Professional Indian Medical council Act and Indian Nursing Council Act Education of Health care Professional Need for specialists in 'Public Health' and 'Family Medicine’ Use of Generic drugs Urban health: Urban Community Health Centre Mental health Women's health ‹#›

13. National Health Policy 2017 National health policy of 1983 and the National Health Policy of 2002 have served well in guiding the approach for the health sector in the Five year Plans. Health priorities are changing as there is a growing burden on account of non communicable diseases and some infectious diseases , growing incidence of catastrophic expenditure due to health care costs which is estimated to be one of the major contributions to poverty: Therefore, a new health policy responsive to these contextual changes was required ‹#›

14. National Health Policy 2017 AIM : inform, clarify, strengthen and prioritize the role of the government in shaping health systems in all its dimensions - Investment in Health Organization of healthcare services Prevention of diseases and promotion of good health through cross sectoral actions Access to technologies Developing human resources Encouraging medical pluralism Building knowledge base Developing better financial protection strategies Strengthening regulation and health assurance ‹#›

15. National Health Policy 2017 Specific ,Quantitative Goals and Objectives: Health status and programme impact Health system Performance Health system strengthening ‹#›

16. National Health Policy 2017 Health Status and Programme Impact Life expectancy and Healthy life ‹#› Reduction of TFR to 2.1 at national and sub-national level by 2025 2025 Increase in Life expectancy at birth from 67.5 to 70 by 2025 2022 Establish regular tracking of Disability Adjusted Life Years(DALY) index as a measure of burden of disease and its major categories by 2022 2025

17. National Health Policy 2017 2. Mortality by age and/or cause Reduce under five mortality to 23 by 2025 and MMR from current levels to 100 by 2020. Reduce infant mortality rate to 28 by 2019. Reduce Neonatal Mortality to 16 and still birth rate to “single digit” by 2025 ‹#›

18. National Health Policy 2017 3. Reduction of Disease Prevalence/incidence Achieve global target of 2020 which is also termed as target of 90:90:90, for HIV/AIDS 90% of all people living with HIV know their HIV status 90% of all people diagnosed with HIV infection receive sustained antiretroviral therapy 90 % of all people receiving antiretroviral therapy will have a virus suppression ‹#›

19. National Health Policy 2017 Achieve and maintain elimination status of leprosy by 2018, kala-azar by 2017 and lymphatic filariasis in endemic pockets by 2017. To achieve & maintain cure rate of > 85 % in new sputum positive patients for TB and reduce incidence of new cases, to reach elimination status by 2025. To reduce the prevalence of blindness to 0.25/1000 by 2025 and disease burden by one third from current levels . To reduce premature mortality from cardiovascular diseases, cancer, diabetes or chronic respiratory disease by 25 % by 2025. ‹#›

20. National Health Policy 2017 Health system performance ‹#› Coverage of health services Utilization of public health facilities by 50 %from current levels by 2025 Antenatal care coverage to be sustained above 90 % and skilled attendance at birth above 90% by 2025 >90% of the newborn are fully immunized by one year of age by 2025 Meet need of FP above 90 % at national & sub-national level. Cross sectoral goals related to health Relative reduction in prevalence of current tobacco use by 15 % by 2020 and 30 % by 2025 Reduction of 40 % in prevalence of stunting of under 5 children by 2025 Access to safe drinking water & sanitation to all by 2020( swachh Bharat mission ) Reduction of occupational injury by half from current levels of 334/lkh agricultural workers by 2020 National/State level tracking of selected health behaviour.

21. National Health Policy 2017 Health system strengthening Health finance Increase health expenditure by government as a percentage of GDP from the existing 1.15% to 2.5 % by 2025. Increase state sector health spending to >8 % of their budget by 2020. Decrease in proportion of households facing catastrophic health expenditure from the current levels by 25% by 2025 ‹#›

22. National Health Policy 2017 2. Health infrastructure and human resources Ensure availability of paramedics and doctors as per Indian public standard(IPHS) norm in high priority districts by 2020. Increase community health volunteers to population ratio as per IPHS norm, in high priority districts by 2025. Establish primary & secondary care facility as per norms in high priority districts ( population as well as time to reach norms) by 2025 ‹#›

23. National Health Policy 2017 3. Health management information Ensure district-level electronic database of information on health system components by 2020. Strengthen the health surveillance system and establish registries for diseases of public health importance by 2020 Establish federated integrated health information architecture, health information exchanges and national health information network by 2025 ‹#›

24. National Health Policy 2017 Summary The National Health Policy seeks to reach everyone in a comprehensive integrated way to move towards wellness. It aims at achieving universal health coverage and delivering quality health care services to all at affordable cost.The policy envisages as its goal the attainment of the highest possible level of health and well-being for all at all ages, through a preventive and promotive health care orientation in all developmental policies, and universal access to good quality health care services without anyone having to face financial hardship as a consequence. This would be achieved through increasing access, improving quality and lowering the cost of healthcare delivery. ‹#›

25. References Park K, Parks textbook of preventive & social medicine, 24th edition, 2020. National Health Policy 2017 [Internet] [cited on 27.07.2022] https://www.nhp.gov.in/nhpfiles/national_health_policy_2017.pdf National Health Policy 2002[Internet] [cited on 27.07.2022] https://www.nhp.gov.in/nhpfiles/national_health_policy_2002.pdf National Health Policy 1983 [Internet] [cited on 27.07.2022] https://www.nhp.gov.in/nhpfiles/national_health_policy_1983.pdf ‹#›