national health policy.pptx......................

national health policy.pptx......................

1. National Health Policy 1983, 2002 & 2017

2. STEPS FOR IMPLEMENTATION OF A POLICY : - Identification and issue recognition. Policy formulation. Policy implementation. Policy evaluation.

3. NATIONAL HEALTH POLICY The first National Health Policy of 1983 was a response to the commitment to the Alma Ata declaration* to achieve "Health for all by 2000". It accepted that health was central to development and had a focus on access to health services, especially for rural populations. The policy lays stress on the preventive, promotive, public health and rehabilitation aspects of health care. The Declaration of Alma-Ata was adopted at the International Conference on Primary Health Care, Almaty, Kazakhstan**, 6–12 September 1978. It expressed the need for urgent action by all governments, all health and development workers, and the world community to protect and promote the health of all people.

4. NATIONAL HEALTH POLICY (1983)  To attain the objectives “Health for all by 2000 AD” , the Union Ministry of Health and Welfare formulated National Health Policy 1983. KEY ELEMENTS OF NATIONAL HEALTH POLICY 1983:- Creation of greater awareness of health problems in the community and means to solve the problems by 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.

5. Establishing of 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 wide spread malnutrition. Research in alternative method of health care delivery and low cost health technologies. Greater co-ordination of different system of medicine.

6. FACTORS INTERFERING WITH THE PROGRESS TOWARDS HEALTH FOR ALL:- Insu f f ic i e n t po li tic a l co m m it m ent to the implementation on Health for All. Failure to achieve equity in access to all primary health care elements. The continuing low status of women. Slow socio-economic development. Difficulty in achieving intersectoral action for health.

7. Unb a lance d distributi o n o f and we a k su p p o rt f o r human resources. W idespread in a de q u a cy o f h e alth pr o m o ti o n activities. W eak health inf o rmat i o n s ystem a nd n o baseline data. Pollution, poor food, safety, and lack of water supply and sanitation. Rapid demographic and epidemiological changes. Inappropriate use of and allocation of resources, high-cost technology. Natural and man-made disasters. PTO

8. NATIONAL HEALTH POLICY 200 2 :- Considering the kind and level of progress, the barriers and the change in health problems and the circumstances, the department of Health, Ministry of Hea l th and Fa m i l y W e l fa r e fe l t i t ne c ess ary to formulate a new health policy frameworks as National Health Policy 2002 (NHP 2002)- The main objective of this National Health Policy was to achieve acceptable standard of good health amongst the general population of the country.

9. Need of Health Policy 2017 The current context has however changed in four major ways. First , the health priorities are changing. Although maternal and child mortality have rapidly declined, there is growing burden on account of non-communicable diseases and some infectious diseases. The second important change is the emergence of a robust health care industry estimated to be growing at double digit. The third change is the growing incidences of catastrophic expenditure due to health care costs, which are presently estimated to be one of the major contributors to poverty. Fourth , a rising economic growth enables enhanced fiscal capacity. Therefore, a new health policy responsive to these contextual changes is required.

10. 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.

11. Objectives Improve health status through planned policy action in all sectors and expand preventive, promotive, curative, palliative and rehabilitative services provided through the public health sector with focus on quality.

12. Specific Quantitative Goals and Objectives Life Expectancy and healthy life Increase Life Expectancy at birth from 67.5 to 70 by 2025*. Reduction of TFR to 2.1 at national and sub-national level by 2025**. * 69.16 years (2017) **2.24 births per woman (2017)

13. 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 neo-natal mortality to 16 and still birth rate to “single digit” by 2025. Reduction of disease prevalence/ incidence Achieve global target of 2020 which is also termed as target of 90:90:90, for HIV/AIDS i.e , - 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 viral suppression. PTO

14. Reduction of disease prevalence/ incidence……. cont …. Achieve and maintain elimination status of Leprosy by 2018, Kala- Azar by 2017 and Lymphatic Filariasis in endemic pockets by 2017. To achieve and maintain a cure rate of >85% in new sputum positive patients for TB a nd 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 diseases by 25% by 2025.

15. Health Systems strengthening Health finance 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. *FY 2019-20: Revised Estimates of Expenditure: at Rs 26.99 lakh crore (US$ 382.02 billion) Health Infrastructure and Human Resource Ensure availability of paramedics and doctors as per Indian Public Health Standard (IPHS) norm in high priority districts by 2020**. **In 2018 World Health Organization recommended doctor to population ratio of 1:1,000

16. Policy thrust Preventive and Promotive Health  - The policy identifies coordinated action on seven priority areas for improving the environment for health: The Swachh Bharat Abhiyan Balanced, healthy diets and regular exercises. Addressing tobacco, alcohol and substance abuse Yatri Suraksha – preventing deaths due to rail an d road traffic accidents Nirbhaya Nari – action against gender violence Reduced stress and improved safety in the work place Reducing indoor and outdoor air pollution PTO

17. Swachh Bharat Mission Swachh Bharat Mission or Swachh Bharat Abhiyan or Clean India Mission is a country-wide campaign initiated by the Government of India in 2014 to eliminate open defecation and improve solid waste management. Phase 1 of the mission lasted till October 2019. Phase 2 will be implemented between 2020-21 and 2024-25.

18. Yatri Suraksha – preventing deaths due to rail and road traffic accidents

19. Nirbhaya Fund  is an  Indian rupee  10 billion corpus announced by  Government of India  in its  2013 Union Budget . According to the then Finance Minister  P. Chidambaram , this fund is expected to support initiatives by the government and NGOs working towards protecting the dignity and ensuring safety of women in India. Nirbhaya (fearless) was the pseudonym given to the  2012 Delhi gang rape  victim to hide her actual identity. The  Ministry of Women and Child Development , along with several other concerned ministries, will work out details of the structure, scope and the application of this fund.

20. Increase community health volunteers to population ratio by 2025. Establish primary and secondary care facility as per norms in high priority districts (population as well as time to reach norms) by 2025. 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.