National Health Policy 1983, 2002 & 2017 For Nursing Education (ANM, GNM, BSc Nursing, PBBSc Nursing & MSc Nursing)

1. SHAMIL.C.B
Associate Professor
TMU, Moradabad
National Health Policy
1983, 2002 & 2017

2. National:
National is used to describe something that
belongs to or is typical of a particular country or
nation.

3. Health:
Health is a state of complete
physical, mental and social
well-being and not merely
the absence of disease or
infirmity.

4. POLICY: -
A course or
principle of
action adopted
or proposed by
an organization
or individual.

5. STEPS FOR
IMPLEMENTATION OFA POLICY: -
Identification and issue recognition.
Policy formulation.
Policy implementation.
Policy evaluation.

6. NATIONAL HEALTH POLICY
NationalhealthpolicyinIndiawasnotframedand announced
until1983.
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
andrehabilitation aspectsofhealthcare.
*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.
** The Soviet Union, officially the Union of Soviet Socialist
Republics (USSR), was a federal sovereign state in northern Eurasia that existed
from 1922 to 1991.

7. NATIONALHEALTH POLICY(1983)
To attain the objectives
“Health for all by
2000 AD”, the
Union Ministry of
Health and Welfare
formulated National
HealthPolicy1983.

8. KEY ELEMENTS OF NATIONAL
HEALTH POLICY 1983:-
1. Creation of greater awareness of health problems
in the community and means to solve the problems
by the community.
2. Supply of safe drinking water and basic
sanitation using technologies that people can
afford.
3. Reduction of existing imbalance in health services by
concentrating more on the rural health
infrastructure.

9. KEY ELEMENTS OF NATIONAL
HEALTH POLICY 1983
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
costhealthtechnologies.
Greaterco-ordination ofdifferentsystemofmedicine.

10. FACTORS INTERFERING WITH THE
PROGRESS TOWARDS HEALTH FOR ALL:-
1. Insufficient political commitment to the
implementation on Health for All.
2 . Failure to achieve equity in access to all primary health care
elements.
3 . The continuing low status ofwomen.
4 . Slow socio-economicdevelopment.
PTO

11. FACTORS INTERFERING WITH THE
PROGRESS TOWARDSHEALTH FOR ALL
5 . Difficulty in achieving intersectoral action for health.
6.Unbalanced distributionof and weak support for
human resources.
7 . Widespread inadequacy of health promotion
activities.
8. Weak health informationsystem and no baseline data.
9. Pollution, poor food, safety, and lack of water supply
and sanitation.
PTO

12. FACTORS INTERFERING WITH THE
PROGRESS TOWARDSHEALTH FOR ALL
1 0 . Rapid demographic and epidemiologicalchanges.
11. Inappropriate use of and allocation
of resources,
high-cost technology.
1 2 . Natural and man-madedisasters.

13. NATIONAL HEALTH POLICY 2002:-
Considering the kind and level of progress, the
barriers and the change in health problems and the
circumstances, the department of Health, Ministry of
formulate a new health policy frameworks
Health and Family Welfare felt it necessary to
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.

14. GOALS TO BE ACHIEVED BY
2001-2002 TO 2015:-
Eradicate Polio andYaws - 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 - 2010
PTO

15. GOALS TO BE ACHIEVED BY
2001-2002 TO 2015
Other vector born and water
born Prevalence of blindness to
0.5%
- 2010
Reduce IMR to 30/1000 and
MMR to 100/lakh - 2010
Improve nutrition and reduce LBW
Babies from 30% to 10% - 2010
2010
Increase the utilization of Public Health
Facilities from current >20 to <75% -
Establish an integrated system of surveillance - 2005

17. 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.

19. 1.Goal
2.Objectives
3.Specific Quantitative Goals and Objectives
1.Health Status and Programme Impact
2.Health Systems Performance
3.Health Systems strengthening
4.Policy thrust
National Health Policy 2017
Content Needs to discuss

20. 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.

21. 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.

22. 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)
Source: World Bank
**2.24 births per woman (2017)

23.  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

24. 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 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
diseases by 25% by 2025.

25. 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.
 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**.
*FY 2019-20: Revised Estimates of Expenditure: at Rs 26.99 lakh crore (US$ 382.02 billion)
**In 2018 World Health Organization recommended doctor to population ratio of 1:1,000

26. 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

27. 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.

28. Yatri Suraksha
– preventing
deaths due to
rail an d road
traffic accidents

29. Nirbhaya Fund
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.

30.  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.

36. SHAMIL.C.Balan
Associate Professor
Teerthanker Mahaveer University
Moradabad, U.P