National health program in community hea

National health program in community health nursing

1. NATIONAL HEALTH POLICY Presented by A.Hemalatha , M.sc(N) II year , Govt.college of nursing, Cuddalore . Guided By DR.C.Seethalakshmi,M.sc.Ph.D , Lecturer, Community health nursing, Govt.college of nursing, Cuddalore .

2. INTRODUCTION Health Policy is the expression of what health care system should be, so that it can meet the heath care needs of the people. India is one of the few countries in the world to have come out with a National Policy on health.

3. NATIONAL HEALTH POLICY -1983 The joint W.H.O – UNICEF international conference in 1978 at Alma Ata declared that: “The existing gross inequalities in the status of health of people particularly between developed and developing countries as well as with in the country is politically , socially and economically unacceptable”. So the Alma Ata declaration called on all the governments to formulate health policies.

4. Aims of nhp

5. Aims of nhp elimination of

6. OBJECTIVE –NHP 1983

7. OBJECTIVE –NHP 1983 Primary health care infrastructure Coordination with health-related services Active involvement of voluntary organization Provision of essential drugs and vaccines Qualitative improvement in health and family Provision of adequate training Medical research on common health problems.

8. ELEMENTS OF NHP 1983 Creation of greater awareness of health problems and means to solve problems. Supply of safe drinking water and basic sanitation using technologies that people can afford. To reduce the imbalance in health services by concentrating more on the rural health infrastructure. Provision of legislative support to health promotion and Prevention. Concerned actions to combat wide spread malnutrition. Co-ordination of different systems of Medicine.

9. IMPORTANT GOALS AND TARGETS INDICATOR TARGET BY 2000 ACHIEVEMENTS CBR 21 26.1 CDR 9 8.7 Under-five mortality <60 70 MMR <2 4 Life expectancy 64 64.6 Family size 2.8 3 TT for pregnant 100 79 DPT 85 92.4 Polio 85 93.4 BCG 85 99.1

10. REASONS OF FAILURE OF NHP 1983

11. REASONS OF FAILURE OF NHP 1983 Insufficient political commitment. Failure to achieve equity in access to all primary health care elements. The continuing low status of women. Slow socio economic development. Unbalanced distribution and weak support for human resources. Wide spread inadequacy of health promotion activities. Weak health information system and baseline data. Pollution , poor food safety, lack of water supply and sanitation.

12. NATIONAL HEALTH POLICY 2002 Considering the kind and level of progress, the barriers and the change in health problems, and the circumstances, the Health and Family Welfare Department felt it necessary to formulate a new health policy. Objectives To achieve acceptable standard of good health amongst the general population of the country. Approaches To increase the access to the decentralized public health system

13. GOALS TO BE SET BY 2000-2015 Goals Target time year Eradication of polio and yaws 2005 Eliminate leprosy 2005 Eliminate Kala- azar 2010 Eliminate lymphatic filariasis 2015 Achieve zero level growth of HIV/AIDS 2007 Reduce mortality by 50% on account of TB malaria and other vector and water borne diseases 2010 Reduce prevalence of blindness to 0.5 percent 2010 Reduce IMR to 30/1000 2010 Reduce MMR to 100/1lakh 2010 Increase utilisation of public health facilities from current level of <20 to >75 2010 Increase health expenditure by government as a percentage of GDP from 0.9 % to 2% increase share of central . 2010

14. MILLENNIUM DEVELOPMENT GOALS Eradicate extreme poverty and hunger Achieve universal primary education. Promote gender equality and empowerment of women. Reduce child mortality. Improve maternal health. Combat HIV/AIDS, Malaria and other diseases. Ensure environmental susceptibility. Develop a global partnership for development.

15. ACHIEVEMENTS 2003 Enactment of legislation for regulating minimum standard in clinical establishment. 2005 zero reporting of Poliomyelitis since 2004. Leprosy has been declared eliminated. Integrated disease surveillance project has been launched. Decentralization of implementation of public health programs. NRHM has been launched. 2007 Achieved zero level growth of HIV/AIDS.

16. GOALS FAILED TO BE achieved BY 2005 Eradicate Poliomyelitis. Establish an integrated system of surveillance, National Health Accounts and health statistics. Increase state sector health spending from 5.5% to 7% of the budget. 1%of the total health budget for medical research. Decentralization of implementation of public health programs.

17. NHP 2017 14 years after the last health policy, the context has changed in 4 major ways. NEED OF A NEW HEALTH POLICY Health priorities are changing there is growing burden on account of non-communicable diseases and some infectious diseases. The emergence of a strong healthcare industry. Growing incidents of catastrophic expenditure due to healthcare costs. A rising economic growth enables enhanced physical capacity.

18. AIM The primary aim is to inform ,classify, strengthen and prioritize the role of the government in shaping health system in all its dimensions SPECIFIC QUANTITATIVE GOALS AND OBJECTIVES Outlined under three broad components: Health status and program impact. Health systems performance. Health system strengthening

19. GOALS TO BE ACHIEVED Increase life expectancy from 67.52 to 70 by 2025 . Establish regular tracking of disability adjusted life years index as a measure of burden of disease by 2022. Reduction of TFR to 2.1 at national and sub national level by 2025. Reduce under 5 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 rate to 16 and still birth rate ‘single digit’ by 2025. Achieved and maintain elimination of leprosy by 2018.

20. Continued … Kala – Azar by 2017 and lymphatic Filariasis in endemic pockets by 2017. To achieve and maintain a cure rate >85% in new sputum positive patients of TB and reduce incidence to reach elimination status by 2025. To reduce prevalence of blindness to 0.25/1000 by 2025 To reduce premature mortality by 25% by 2025. Increase utilization of public health facilities by 50% by 2025. Antenatal coverage to be sustained above 90% by 2025

21. Continued… More than 90% of the newborn or fully immunized by one year of age by 2025. Meet need of family planning above 90 % by 2025. 80% of known HT and DM individuals at household level maintain, ‘Controlled disease status’ by 2025. 40%reduction in prevalence of stunting of under five children by 2025. Reduction of occupational injury by half from current levels.

22. COMPARISION OF TARGETS NHP- 2000 NHP- 2017 Reduction of IMR to 30/1000 Reduction of IMR to 28/1000 Reduction of MMR to 100/ lakh Reduction of MMR to 100/ lakh Increasing public health expenditure from 0.9% to 2.0% of GDP Increasing public health expenditure from 1.16% to 2.5% of GDP Reduce mortality of TB by 50% Achieve and maintain a cure rate of >85%  Eradicate leprosy by 2005 Eradicate leprosy by 2018 Eradicate kala azar by 2010 Eradicate kala azar in 2017 Eradicate lymphatic filariasis by 2015 Eradicate lymphatic filariasis in 2017 55% of the total public health expenditure in primary health care >66% of expenditure in primary health care NHP 2002 NHP 2017

23. CONCLUSION While the public health initiatives over the years have contributed significantly to the improvement of the health indicators it is to be acknowledged that public health indicator are the outcome of several complementary initiatives under the wider umbrella of the developmental sector ,covering rural development, agriculture, food production, sanitation, drinking water supply, Education etc.. Despite the impressive public health gains, the morbidity and mortality levels in the country are still unacceptably high as compared to the developed countries. Further dedicated efforts are required to achieve goal of ‘Health for All’ in 21 st Century.

24. THEORY APPLICATION- General system theory INPUT THROUGHPUT OUTPUT By taking class teaching Student had Adequate knowledge about National health policy Student have inadequate knowledge about National health policy Feedback

25. Journal presentation National Health Policies in India With Regard to Right to Health Sandip B. et al., sep 2018 Abstract: The NHP 1983 is an approach in conformity with the DPSP, the NHP 2002 set a goal of decentralisation wherein it is expected to get the assistance of personnel from various institutions and NHP 2017 aims to clarify and strengthen the role of the government in health expenditures, organised health care services, preventive and promotive health care, health human resource development. The recent health policy is rejected straightway the recognition of the right to health as a justiciable right as the government is far away from public health targets.

26. assignment Write the strength and weakness of NHP 2017