PLANNING PROCESS -FIVE YEAR PLAN,COMMITTEES REPORTS AND POLICIES.pptx

MSc nursing

1. GOVERNMENT COLLEGE OF NURSING RAJNANDAGAON (C.G.) SUBJECT :- NURSING MANAGEMENT SEMINAR ON :- PLANNING PROCESS FIVE YEAR PLAN’S COMMITTEE REPORTS AND POLICIES GUIDED BY MRS. NISHI KASHYAP ASSOCIATE PROFESSOR MENTAL HEALTH NURSING GOVT. COLLEGE OF NURSING RAJNANDGAON (C.G.) PRESENTED BY MRS CHANDRIKA SAHU MSC. NURSING FINAL YEAR GOVT. COLLEGE OF NURSING RAJNANDGAON (C.G.)

2. Alfred and Beatty: Planning is a thinking process, the organized foresight, the vision based on facts and experience that is required for an intelligent action. Millet: Planning is a process of determining the objectives of administrative effort and devising the means calculated to achieve them. DEFINITIONS OF PLANNING

3. Health planning is an aid to political and administrative authorities to decide how health services can be modernized and improved to provide effective decent health care to the community. FIVE YEARS PLANS Five years plan is mechanism to bring about uniformity in policy formulation in programmes of national importance. HEALTH PLANNING

4. The specific objectives of the health programme, during five year plans- Control and eradication of various communicable diseases, deficiency diseases and chronic diseases. Strengthening of medical and basic health services by establishing District Health Units, Primary Health Centers and Sub-Centers. Population control (36.1 crore) in 1951, and now in jan.2023 ( 143 crore) ,population Development of health man power resources and research. Development of indigenous system of medicine. Improvement of environmental sanitation. OBJECTIVES

5. Water supply & sanitation. Control of communicable diseases. Medical education, training & research. Medical care including hospitals, dispensaries & PHCs. Public health services. Family planning. Indigenous system of medicine. SUB HEALTH SECTORS UNDER FIVE YEAR PLANS

6. The first Indian Prime Minister, Jawaharlal Nehru presented the first five-year plan to the Parliament of India on 8 December 1951. The first plan sought to get the country's economy out of the cycle of poverty. The plan mainly addressed, the agrarian sector, including investments in dams and irrigation. The agricultural sector was hit hardest by the partition of India and needed urgent attention. The total planned budget of 206.8 billion was allocated to seven broad areas- Irrigation & energy , Agriculture & community development , Transport & communication, Industry, Social services, Land rehabilitation, Other sectors & services. THE FIRST FIVE YEAR PLAN (1951 – 1956)

7. THE SPECIFIC OBJECTIVES: Safe water supply and sanitation Control of Malaria. Health care of rural population. Health services for mothers and children. Education and training and health education. Family planning and population control . The Health Outlay: During this plan period the public sector outlay was Rs. 2356 crore of which Rs. 140 crore were allotted for health programs.

8. The second five-year plan focused on industry, especially heavy industry. Unlike the First plan, which focused mainly on agriculture, domestic production of industrial products was encouraged in the Second plan, particularly in the development of the public sector. The plan followed the Mahalanobis model, an economic development model developed by the Indian statistician Prasanta Chandra Mahalanobis in 1953. The plan attempted to determine the optimal allocation of investment between productive sectors in order to maximize long-run economic growth. THE SECOND FIVE YEAR PLAN ( 1956 – 1961)

9. Establishment of institutional facilities to serve as a basis from which service could be render to the people both locally & surrounding territory. Development of technical man power through appropriate training programmes. Intensifying measures to control widely spread communicable disease. Encouraging active campaign for environmental hygiene. Provision of family planning and other supporting services . The Health Outlay During this plan period the public sector outlay was Rs. 4,800 crore of which Rs. 225 crore were allotted for health programs. . THE SPECIFIC OBJECTIVES WERE

10. The third plan stressed on agriculture and improving production of rice. Many primary schools were started in rural areas. In an effort to bring democracy to the grassroots level, Panchayat elections were started and the states were given more development responsibilities. State electricity boards and state secondary education boards were formed. States were made responsible for secondary and higher education. The plan: focused on water supply environmental sanitation (rural and urban) health care, control of communicable diseases, medical education, research and training, other services- health education, school health, Mental health, health insurance, integrated system of medicine and family planning. THE THIRD FIVE YEAR PLAN ( 1961 - 66)

11. The priorities: Safe water supply in villages and sanitation especially the drainage programme in the urban areas. Expansion of Institutional facilities to promote accessibility especially in the rural areas. Eradication of Malaria and small pox and control of various other communicable diseases. Family planning and other supporting services for improving health status of people. The health outlay: Sino Indian War, India witnessed increase in price of products. During this plan period the public sector outlay was Rs. 7,500 crore of which Rs. 341.8 crores were allotted for health programs.

12. During these plans a whole new agricultural strategy involving wide spread distribution of High Yielding varieties of seeds, the extensive use of fertilizers, exploitation of irrigation potential and soil conservation was put into action to tide over the crisis in agricultural production. The economy basically absorbed the shocks given during the Third plan, making way for a planned growth. THREE ANNUAL PLANS (1966-68)

13. The fourth five year plan is called for greater expenditure in the public sector, but was not able to meet its national income growth target. At this time Indira Gandhi was the Prime Minister. The Indira Gandhi government nationalized Green Revolution in India advanced agriculture. Main emphasis on agriculture’s growth rate so that a chain reaction can start. It fared well in the first 2 years with record production, last three years failure because of poor monsoon. THE FOURTH FIVE YEAR PLAN (1969- 74)

14.   Certain objectives: The Mudaliar committee were the base for the fourth five year plan in relation to health. The objectives are: To provide an effective base for health services in rural areas by strengthening the primary health centers, Strengthening of sub divisional and district hospitals to provide effective referral services for primary health centre Expansion of the medical and nursing education and training of paramedical personnel to meet the minimum technical manpower requirements. The health outlay: During this plan period the public sector outlay was Rs. 16,774 crore of which Rs. 1,156 crore were allotted for health programs. OBJECTIVES

15. Stress was laid on employment, poverty alleviation, and justice. The plan also focused on self-reliance in agricultural production and defense. In 1978 the newly elected Morarji Desai government rejected the plan. Electricity Supply Act was enacted in 1975. The emphasis of the plan was on removing imbalance in respect of medical facilities & strengthening the health infrastructure in rural areas. THE FIFTH FIVE YEAR PLAN(1974- 1979)

16. Increase accessibility of health services to rural areas Correcting regional imbalance. Further development of referral services. Integration of health, family planning & nutrition Intensification of the control & eradication of communicable diseases especially malaria & smallpox. Quantitative improvement in the education & training of health personnel. Development of referral services by providing specialists attention to common diseases in rural areas. The health layout During this plan period the public sector outlay was Rs. 37,250 crore of which Rs. 3,277 crores were allotted for health programs. SPECIFIC OBJECTIVES TO BE PURSUED DURING THE PLAN

17. PROBLEMS: The world economy was in a troublesome state. This had a negative impact on the Indian Economy. Prices in the energy and food sector skyrocketed and as a consequence inflation became inevitable. Rolling plan: 2 plans. One by Janta Govt (1978-83) which was in operation for 2 years only. Other by the congress government when it returned to power in 1980.

18.   Objectives: To increase in national income. Population control through family planning. Ensuring continuous decrease in poverty and unemployment. Modernization of technology etc. The health outlay: The overall lay out for Rs. 97,500 crores, out of which Rs. 1,821.05 crores was allocated for health programs and Rs.1,010.00 crores was given for family welfare programs.  Problems: The industrial development was the emphasis of this plan some opposed it specially the communist groups, this slowed down the pace of progress. THE SIXTH FIVE YEAR PLAN(1980- 1985)

19. The main objectives of the 7 th five year plans were to establish growth in the areas of increasing economic productivity, production of food grains, and generating employment opportunities. The thrust areas of the 7 th Five year plan have been enlisted below Social Justice Removal of oppression of the weak Using modern technology Agricultural development Anti-poverty programs THE SEVENTH FIVE YEAR PLAN(1985-90)

20.   Objectives: Eliminate poverty & illiteracy by 2000. Achieve near full employment secure satisfaction of the basic needs of food, cloth, shelter and provide health for all. To provide an effective base for health services in rural areas by strengthening the PHCs. Universal immunization programme. Promotion of voluntary acceptance of contraceptives. The health outlay: During this plan period the public sector outlay was Rs 1.80.000 crores of which Rs. 3,392 crores were allotted for health programs.

21. 1989-91 was a period of political instability in India and hence no five year plan was implemented. Between 1990 and 1992, there were only Annual plans. In 1991, India faced a crisis in foreign exchange ( Forex ) reserves. P.V. Narasimha Rao also called Father of Indian Economic reforms was the twelfth Prime minister of the republic of India and Head of Congress Party and led one of the most important administrations in India’s modern history overseeing a major economic transformations and several incidents affecting national security. It was the beginning of privatization and liberalization in India. ANNUAL PLANS (1990 and 1991)

22. India became a member of the World Trade Organization on 1 January 1995. The major objectives included. Population growth, Poverty reduction, Strengthening the infrastructure, Institutional building, tourism management, Human Resource development, Involvement of Panchayati raj, Nagarpalikas, N.GO's and decentralization and people's participation. THE EIGHTH FIVE YEAR PLAN (1992- 97)

23. It is based on the national health policies . Human development is the ultimate goal of this plan. Employment generation, population control literacy, education, health, drinking water & provision of adequate food & basic infrastructure. Towards health for the underprivileged was the aim of this plan. The PHCs were strengthened staff vacancies, by supplying essential equipment &drugs. AIDS control program was initiated during this plan. The health outlay The overall amount was Rs.79800 crores , out of which Rs.7575.92 crores was allocated to health and Rs.6500 crores was allocated to family welfare.

24. In ninth Five Year Plan India runs through the period from 1997 to 2002 with the main aim of attaining objectives like speedy industrialization, human development, full-scale employment, poverty reduction, and self-reliance on domestic resources. The main objectives of the Ninth Five Year Plan India are to prioritize agricultural sector and emphasize on the rural development To generate adequate employment opportunities and promote poverty reduction. To stabilize the prices in order to accelerate the growth rate of the economy. THE NINETH FIVE YEAR PLAN ( 1997- 2002)

25. To ensure food and nutritional security. To provide for the basic infrastructural facilities like education for all, safe drinking water, primary health care, transport, energy. The Reproductive & child health program was improved under following guidelines- Decentralize RCH to the level of PHCs. Base planning for RCH services on assessment of the local needs. Meet the needs of contraceptives. Involve the general practitioners & industries in family welfare work.

26. It is devised to complement and meet the United Nations Millennium Development Goals (MDG) targets. The MDG were issued in 2000 to achieve eight targets to eradicate hunger and poverty and raise the standards of living worldwide by the year 2015 through global cooperation. This plan highlighted the need for reduction of poverty ratio, increase in literacy rates, reduction in infant mortality rate, economic growth, increase in forest and tree cover etc providing gainful high quality employment. TENTH FIVE YEAR (2002- 2007)

27. TARGETS: To achieve the growth rate of GDP @ 8% and reduction of poverty to 20 % by 2007 and to 10% in 2012. Increased employment generation. Universal access to primary education by 2007 and literacy rate to 72% within the plan period and to 80% by 2012. Reduction in gender gaps in literacy and wage rates by atleast 50% by 2007. Reduction in population growth between 2001 and 2011 to 16.2%, Reduction in infant mortality to 45/1000 live birth by 2007 and to 28 by 2012 and maternal mortality to 2/1000 live births. Universal availability of drinking water, cleaning of all major polluted rivers and, Increase in forest cover to 25 percent and a lot of work still needs to be done in the health sector.

28. The major objectives are- Income generation, poverty alleviation, education, health, infrastructure, environment. Lower gender gap in literacy to 10 percentage points. Increase literacy rate for persons of age 7 yrs or more to 85% Reduce dropout rates of children from elementary school. Create 70 million new work opportunities Education. Increase agriculture GDP growth rate to 4%/ year. Accelerate GDP growth from 8% to 10% and then maintain at 10 % in the 12th plan in order to double per capita income by 2016-17. ELEVENTH FIVE YEAR PLAN (2007- 2012)

29. Health: Reduce infant mortality rate to 28 and maternal mortality ratio to 1 per 1000 live births. Reduce Total Fertility Rate to 2.1. Provide clean drinking water for all by 2009. Reduce malnutrition among children of age group 0-3 to half its present level. Women and Children: Raise the sex ratio for age group 0-6 to 935 by 2011-12 and to 950 by 2016-17. Ensure that at least 33 percent of the direct and Indirect beneficiaries of all government schemes are women and girl children. Ensure that all children enjoy a safe childhood, without any compulsion to work.

30. Infrastructure: Ensure electricity connection to all villages and BPL households by 2009. Ensure all-weather road connection to all habitation with population 1000 and above (500 in hilly and tribal areas) by 2009, and ensure coverage of all significant habitation by 2015. Connect every village by telephone by November 2007 and provide broadband connectivity to all villages by 2012. Provide homestead sites to all by 2012 and step up the pace of house construction for rural poor to cover all the poor by 2016-17. Environment: Increase forest and tree Attain WHO standards of air quality in all major cities by 2011-12. Treat all urban waste water by 2011-12 to clean river waters. Increase energy efficiency by 20 percentage points by 2016-17.

31. The Twelfth Five-Year Plan of the Government of India has been decided to achieve a growth rate of 8.2%. The Strategies are Strengthening of public sector health care, substantially increase in health care expenditure, efficient Financial and managerial systems, coordinated delivery of services, cooperation between the public and private sector, expansion of skilled human resource, prescription drugs reforms, Effective regulation through a Public Health Care , Inclusive agenda and Pilots on Universal Health Care. GOALS: Reduce maternal mortality from 212 to 100, Reduce IMR from 44 to 25, Reduce underweight children below 3 years from 40% to 23%. Reduce poor households out-of-pocket expenditure on health. Reduce Total Fertility Rate from 2.5 to 2.1 Reduce levels of anemia among women from 55% to 28%. Increase child sex ratio from 914 to 950. TWELVETH FIVE YEAR PLAN(2012- 2017)

32. Objectives: To provide access to banking services to 90% of households. To increase green cover by 1 million hectare every year. To ensure that 50% of the rural population have accesses to proper drinking water. To provide electricity to all villages. To reduce malnutrition among children aged 0-3 years. To enhance access to higher education. To remove gender and social gap in school enrolment.

33. The goal of National Health Planning in India is to attain Health for all by the year 2000. The reports of these committees have formed an important basis of health planning in India. BHORE COMMITTEE, 1946   The Health Survey & Development Committee. It appointed Sir Joseph Bhore as its Chairman, 1943. It laid emphasis on integration of curative and preventive medicine at all levels. It made comprehensive recommendations for remodeling of health services in India. The report, submitted in 1946, had some important recommendations like:- Integration of preventive and curative services of all administrative levels. Development of Primary Health Centres in 2 stages: VARIOUS COMMITTEES REPORTS ON HEALTH

34. CONT…. Short-term measure: One primary health centre as suggested for a population of 40,000. Each PHC was to be manned by 2 doctors, one nurse, four public health nurses, four midwives, four trained dais, two sanitary inspectors, two health assistants, one pharmacist and fifteen other class IV employees. Secondary health centre was also envisaged to provide support to PHC, and to coordinate and supervise their functioning. A long-term: programme (also called the 3 million plan) To set up primary health units with 75 – bedded hospitals for each 10,000 to 20,000 population and secondary units with 650 – bedded hospital, again regionalized around district hospitals with 2500 beds. 3 Major changes in medical education which includes 3- month training in preventive and social medicine to prepare “social physicians”.

35.   MUDALIAR COMMITTEE, 1962   “Health Survey and Planning Committee” Dr. A. L. Mudaliar , was appointed to assess the performance in health sector since the submission of Bhore Committee report. Recommendations- Strengthening of existing PHC before opening of new ones. Strengthening of sub divisional and district hospitals was also advised. A PHC should not be made to cater to more than 40,000 population. PHC should provide the curative, preventive and promotive services. An All India Health service should be created to replace the erstwhile Indian Medical service.

36. CHADAH COMMITTEE, 1963 Under the chairmanship of Dr. M.S. Chadah , Government of India appointed a committee to study the arrangement necessary for the maintenance phase of the National Malaria Eradication Programme Recommendations- Vigilance operations in respect of the NMEP should be the responsibility of the general health services ( eg ) PHCs. The vigilance operations should be done through monthly home visits by basic workers (Junior Health Assistant male). Now each Junior Health Assistant Male to cover 3000-5000 population.

37. MUKHERJEE COMMITTEE, 1965 Under the chairmanship of Shri Mukherjee , the secretary of health to the Government of India was appointed to review the strategy for the family planning program. Recommendations- S eparate staff for the family planning program. The family planning assistants were to undertake family planning duties only. The basic health workers were to be utilized for purposes other than family planning. To delink the malaria activities from family planning of it's that the later would receive undivided attention of its staff. Mukherjee Committee, 1966 Multiple activities of the mass programmes like family planning, small pox, leprosy, trachoma, etc. were making it difficult for the states to undertake these effectively because of shortage of funds. A committee of state health secretaries, headed by the Union Health Secretary, Shri Mukherjee , was set up to look into this problem.

38. JUNGALWALLA COMMITTEE, 1967 Under the Chairmanship of Dr. Jungalwalla Director, National Institute of Health Administration and Education, New Delhi was appointed to examine the various problems of service conditions of doctors. This committee is known as the committee on integration of Health Services. Recommendation- The main steps recommended towards integration were- Unified cadre. Common Seniority. Recognition of extra qualifications. Equal pay for equal work. No private practice and good service conditions.

39. KARTAR SINGH COMMITTEE, 1973 The Government of India constituted a committee in 1972 , known as the committee on multipurpose workers under Health and Family Planning, under the Chairmanship of kartar Singh, Additional Secretary. Ministry of Health and Family Planning, Government of India. Recommendations: The Present Auxiliary Nurse Midwives to be replaced by the newly designated "Female Health Workers" and the present day Basic Health Workers, malaria surveillance workers vaccinators, health education assistants (Trachoma) and the family planning health assistants to redesignated by "Male Health Workers".

40. The program has to be introduced in areas where malaria is in maintenance phase and smallpox has been controlled and later to other areas. One primary health centre for 50,000 populations. Each PHC should be divided into 16 sub centers and each covers 3,000 to 3,500 population. Each sub centre to be staffed by a male and female health worker. One male health supervisor to supervise 3 to 4 male health workers and one female health supervisor to supervise the work of 4 female health workers. The lady health visitors to be designated as female health supervisors. The doctor in charge of a primary health centre should have the overall in charge of all the supervisors and health workers in the area. CONT….

41. SHRIVASTAV COMMITTEE, 1975 The Government of India in the Ministry of Health and Family Planning had in November 1974 set up a Group on Medical Education and Support Manpower popularly known as Shrivastav Committee. Recommendations: Creation of bands of paraprofessional and semiprofessional health workers from within the community itself to provide simple promotive , preventive and curative health services needed by the community. Establishment of 2 cadres of health workers, namely multipurpose health workers and health assistants between the community level workers and doctors at PHC. Development of a 'Referral Services Complex' by establishing proper linkages between PHC and higher level referral services. Establishment of a Medical and Health Education Commission for planning and implementing the referrals needed in health and medical education on the lines of the University Grants Commission.

42. BALAJI COMMITTEE 1986-19877 The Ministry of Health and Family welfare, Government of India, following the adoption of the National Policy on education, 1986, set-up a committee on Health Manpower, Planning, Production and Management in 1986 under the chairmanship of Prof. J.S. Balaji , Professor of Medicine, AIIMS, New Delhi Recommendations: To formulate a National Policy on education in Health Services. To prepare curriculum for school teachers , this should constitute a holistic approach including social, moral, health and physical education. Health service statistics needs to be improved in quality. To utilize the services of Indian system of medicine viz. Homeopathy, in the area of National Health Program. Continuing education program for the health personnel. Health manpower requirements for nursing personnel.

43. • The ministry of health and family welfare evolved a National Health Policy in 1983, keeping in view the national commitment to attain the goal health for all by 2000 A.D. • The policy lays stress on the preventive, promotive , public health and rehabilitation aspects of health care. 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. NATIONAL HEALTH POLICIES

44. 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. 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. KEY ELEMENTS OF NATIONAL HEALTH POLICY 1983:-

45. Insufficient political commitment 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. Pollution, poor food, safety, and lack of water supply and sanitation. FACTORS INTERFERING WITH THE PROGRESS TOWARDS HEALTH FOR ALL

46. 2. National Health Policy (2001) The department of Ministry of Health and Family welfare is necessary to formulate a new health policy framework as NHP 2001 for the achievement of public health goals in the context of prevailing socioeconomic circumstance. Objective: To achieve acceptable standard of good health amongst the general population of the country. NATIONAL HEALTH POLICY 2001

47. 3. National Health Policy (2002) It has been formulated and accepted by central government in September 2002. It emphasizes the importance of 'Health for all by year 2000AD' through the universal provision of comprehensive Primary Health Care Services. Objectives of National Health Policy: The need to establish comprehensive primary health care services within the reach of population even in the remotest areas of the country. The need to view health and human development as vital component of overall integrated socioeconomic development. Decentralized system of health care delivery with maximum community and individual self-reliance and participation.

48. 2003 – Enactment of legislation for regulating minimum standard in clinical establishment / medical institution 2005- Eradication of polio and yaws Elimination of leprosy Increase state sector health spending from 5.5% to 7% of the budget. Establishment  of an integrated system of surveillance , national health accounts and health statistics 1% of the total budget for medical research Decentralization of implementation of pubic health program GOALS OF NATIONAL HEALTH POLICY-2002

49. 2007- Achieve  zero level growth of HIV/AIDS 2010- Elimination of Kala- Azar Reduction of mortality by 50% on account of tuberculosis , malaria , other vector and water borne disease Reduce prevalence of blindness to 0.5% Reduction  of IMR to 30/1000 live births and MMR to 100/ lakh live births Increase utilization of pubic health facilities from current level of <20% to > 75% increase health expenditure by government from the existing 0,9%to 2.0% of GDP Increase share of central grants to constitute at least 25% of total health spending GOALS…..

50. 2010- Further increase of state sector health spending from 7%to 8% 2% of the total health budget for medical research 2015- Elimination of lymphatic filariasis GOALS………

51. NHP of 1983 and NHP 2002 have served well in guiding the approach for the health sector in the five years plan ,now 14 years after the last health policy , a new is introduced The primary aim of the NHP 2017 is to inform clarify , strengthen and prioritize the role of the government in shaping health system in all its dimensions. NATIONAL HEALTH POLICY 2017

52.   1) health status and programme impact – Life expectancy and healthy life –increase life expectancy at birth from 67.5 to 70 by 2025 Mortality by age and cause- reduce under five mortality to 23 by 2025 and MMR from current levels to 100 by 2020. Reduce infant mortality rate at 28 by 2019 . Reduce neonatal mortality to 16 and still birth rate to single digit Reduction of  the disease – achieved global target of 2020 is also termed as target of 90:90:90:for HIV/AIDS SPECIFIC GOALS AND OBJECTIVES

53. Achieved elimination status of leprosy by 2015 , kala azar by 2017 and lymphatic filariasis in endemic pockets by 2017 To achieve and maintain a cure rate >85% in new sputum positive cases for TB and reduced incidence of new cases Reduce prevalence  of blindness to 0.25/1000 by 2025. To reduce premature mortality rate for cardiovascular disease , cancer , diabetes or chronic disease by 25%by 2025. CONT….

54. Coverage of  health services – Increased utilization of public health facility by 50% from current levels by 2025 Antenatal care coverage to be sustained above 90% and skill attendance at birth above 90 by 2025 More than 90% of the newborn are fully immunized by one year of age by 2025 Meet need of family planning above 90% at national and sub national level by 2025. 2) HEALTH SYSTEM PRFORMANCE

55. History: National population policy was drafted on 1976; Family Welfare Programme was also prepared in 1977. In 1993-94, Dr. M. S. Swaminathan expert group was accepted by cabinet but not by parliament. In 1998, another draft of National Population Policy (NPP) was finalized by deputy chairman of planning commission and group of ministers the draft is discussed in the parliament on November. 19, 1999. It was adopted by Government of India on 15th February 2000. NATIONAL POPULATION POLICY

56. Objectives of National Population Policy 2000 Immediate objectives To fulfill the needs of contraception, healthcare infrastructure and health personnel. To provide integrated services delivery for basic reproductive child health care. Medium term objective. To bring Total Fertility Rate (TFR) down by 2010. Long-term objective. To achieve a stable population by 2045, at a level consistent with the requirements of sustainable sacio economic growth and development, environmental protection.

57. Goals: Fulfill the medical needs for basic RCH, supplies and infrastructure. Free school education up to 14 years. Reduce IMR to below 30/1000. Reduce MMR below 100/1,00,000. Achieve universal immunization of children through all vaccine. Marriage age for girls 20 years. 80% institutional delivery with 100% trained persons. 100% registration of birth, death, marriage and pregnancy. Prevent the spread of AIDS, RTI and STD. Prevent and control communicable diseases. Integrate ISM. Promote small family norm.

58. Decentralized planning and program. Delivery service at village level. Empowering women for improved health and nutrition. Child survival and child health. Meeting the unmet needs for family welfare services. Organize health care providers. Collaboration with and commitments from Non-Government organizations and private sector. Main streaming Indian system of medicine and homeopathy. Contraceptive technology and research on Reproductive Child Health. Service for older people. Information Education and Communication. STRATEGIES OF NPP 2000

59. The Indian Systems of Medicine and Homoeopathy (External website that opens in a new window) (ISM&H) were given an independent identity in the Ministry of Health and Family Welfare in 1995 by creating a separate Department of Ayurveda, Yoga and Naturopathy, Unani , Siddha and Homoeopathy (External website that opens in a new window) (AYUSH) in November 2003. The infrastructure under AYUSH sector consists of 1355 hospitals with 53296 bed capacity, 22635 dispensaries, 450 Undergraduate colleges, 99 colleges having Post Graduate Departments, 9,493 licensed manufacturing units and 7.18 lakh registered practitioners of Indian Systems of Medicine and Homoeopathy in the country. NATIONAL POLICY ON AYUSH AND PLANS

60. Budget: An outlay of Rs.775 crore has been allocated for the Department during the Tenth Five-year Plan. The Plan allocation for 2006-07 is Rs. 381.60 crore. Subordinate Offices: Pharmacopoeial Laboratory for Indian Medicine (PLIM) Homoeopathic Pharmacopoeial Laboratory (HPL) Ayurved Hospital, Lodhi Road, New Delhi

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