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National health policy, population policy, ayush

at um Mr. Kailash Nagar
14. Oct 2021
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National health policy, population policy, ayush

  1. NATIONAL HEALTH POLICY, NATIONAL POPULATION POLICY, NATIONAL POLICY ON AYUSH PRESENTED BY Kailash Nagar (M.sc, MDAM)
  2. Terminologies: • Health: it is a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity. • Health policy: it is a field of study and practice in which the priorities and values underlying health resource allocation are determined. • Strategy: it is a plan of action designed to achieve a specific goal. • Budget: A systematic plan for the expenditure of a usually fixed resource, such as money or time, during a given period • Standards: A level of quality or attainment
  3. NATIONAL HEALTH POLICY • Objectives • To achieve an acceptable standard of good health amongst the general population of the country. • Decentralized public health system • Ensuring a more equitable access to health services • To increasing the aggregate public health investment through a substantially increased contribution by the Central Government. • Strengthen the capacity of the public health administration
  4. Need for national health policy • Population stabilization • Medical and Health Education • Providing primary health care • Re-orientation of the existing health personnel • Practitioners of indigenous and other systems of medicine and their role in health care
  5. National Health Policy - 2002 goals to be achieved by 2015 • Eradicate Polio and Yaws, Leprosy, Kala-azar - 2005 • Eliminate Lymphatic Filariasis -2005 • Achieve zero level growth of HIV / AIDS -2010 • Reduce mortality by 50% on account of TB, Malaria and other vector and water borne diseases -2015 • Reduce prevalence of blindness to 0.5% -2007
  6. • Reduce IMR to 30/100 And MMR to 100/Lakh - 2010 • Increase utilization of public health facilities from current level of < 20% to > 75% -2010 • Establish an integrated system of surveillance, National Health Accounts and Health Statistics. -2010 • Increase health expenditure by Government as a % of GDP from the existing 0.9% to 2.0% -2010 • Increase share of central grants to constitute at least 25% of total health spending -2005 • Increase state sector health spending from 5.5 to 7% of the budget -2005
  7. NHP-2002-POLICY PRESCRIPTIONS 1. Delivery of National Public Health Programmes 2. The State of Public Health Infrastructure 3. Extending Public Health Services 4. Role of Local Self-Government Institutions 5. Norms for Health Care Personnel 6. Education of Health Care Professionals 7. Need for Specialists in 'Public Health' and 'Family Medicine
  8. 8. Nursing Personnel 9. Use of Generic Drugs and Vaccines 10.Urban Health 11.Mental Health 12.Information, Education and Communication 13. Health Research 14.Role of Private Sector 15.Role of Civil Society 16.National Disease Surveillance Network 17.Health Statistical 18.Women's Health
  9. 19. Enforcement of Quality Standards for Food and Drugs 20. Regulation of Standards in Para Medical Disciplines 22. Environmental and Occupational Health 23. Providing Medical Facilities to Users from Overseas 24. Impact of Globalization on The Health Sector
  10. 25. Delivery of National Public Health Programmes: 26. Encourage active participation of the state government 27. Ensures the financial resources 28. Optimize the utilization of public health infrastructure
  11. The State of Public Health Infrastructure • Decentralized Public health services • The supply of drugs Extending Public Health Services : • Availability of practitioners • Use of Para medical manpower • Simplify the recruitment procedures and rules for contract employment
  12. Role of Local Self-Government Institutions • Implementation of public health programmes • Structure of the national disease control programmes • Combines all State Governments • Norms for Health Care Personnel • Minimal statutory norms • Progressively reviewed
  13. Education of Health Care Professionals • Setting up of a Medical Grants Commission • Fund the up gradation of the infrastructure • Modify the existing curriculum • A need-based, skill-oriented syllabus • Recommends a periodic skill-updating
  14. Need for Specialists in 'Public Health' and 'Family Medicine: • The progressive implementation of mandatory norms • Sanctioning of postgraduate seats in future
  15. Nursing Personnel • Emphasizes the need for an improvement the ratio of nurses vis-à-vis doctors/beds. • Increasing the number of nursing personnel. • Emphasis on improving the skill-level of nurses • The setting up and the running of training facilities for nurses • Establishing training courses for super-specialty nurses
  16. Use of Generic Drugs and Vaccines: • Encourage the use of only essential drugs • Production and sale of irrational combinations of drugs would be prohibited
  17. Urban Health • Setting up of an organized urban primary health care structure • The adoption of appropriate population norms for the urban public health infrastructure • The structure conceived under NHP-2002 is a two-tiered one: The primary centre is seen as the first-tier A second-tier of the urban health organization at the level of the government general hospital
  18. Mental Health: • Network of decentralized mental health services • Upgrading of the physical infrastructure of mental health institutions • Programme outline for such a disease would involve the diagnosis of common disorders, and the prescription of common therapeutic drugs, by general duty medical staff.
  19. Information, Education and Communication: • Maximizes the dissemination of information • Focus would be on the interpersonal communication of information • Set specific targets
  20. Health Research • Increase in government-funded health research • Domestic medical research would be focused on new therapeutic drugs and vaccines Role of private sector: • Welcomes the participation of the private sector in all areas of health activities—primary, secondary or tertiary • The enactment of suitable legislation
  21. Role of Civil Society • Recognizes the significant contribution made by NGOS’s • Implement the disease control programmes • Emphasizes the need to simplify procedures for government-civil society
  22. National Disease Surveillance Network • Full operationalization of an integrated disease control network • Setting up the network • This public health surveillance network will also encompass information from private health care institutions and practitioners.
  23. Health Statistical • The completion of baseline estimates for the incidence of the common diseases—tb, malaria, blindness—by 2005 • Enable the periodic updating of these baseline estimates • Baseline estimates for non-communicable diseases, like CVD, cancer, diabetes; and accidental injuries, and communicable diseases like Hepatitis and JE.
  24. Women's Health • NHP-2002 envisages the identification of specific programmes targeted at women's health • The Policy notes that women, along with other underprivileged groups, are significantly handicapped due to a disproportionately low access to health care.
  25. Medical Ethics • To ensure that the common patient is not subjected to irrational or profit-driven medical regimens • Vigilant watch will have to be kept so that the existing guidelines and statutory provisions are constantly reviewed and updated
  26. Enforcement of Quality Standards for Food and Drugs • The food and drug administration will be progressively strengthened • The standards of food items will be progressively tightened up
  27. • Regulation of Standards in Para Medical Disciplines : • NHP-2002 recognises the need for the establishment of statutory professional councils for paramedical disciplines to register practitioners, maintain standards of training, and monitor performance.
  28. Environmental and Occupational Health • Independently-stated policies and programmes of the environment-related sectors be smoothly interfaced with the policies and the programmes of the health sector • The periodic screening of the health conditions of the workers
  29. Providing Medical Facilities to Users from Overseas • Capitalize on the comparative cost advantage enjoyed by domestic health facilities in the secondary and tertiary sectors • Providers of such services to patients from overseas will be encouraged by extending to their earnings in foreign exchange
  30. Impact of Globalization on The Health Sector • Takes into account the serious apprehension, expressed by several health experts • Protect the citizens of the country from such a threat
  31. NATIONAL POPULATION POLICY-2000 • DEFINITION: “A deliberate (think) effort by a national government to influence the demographic variables like fertility, mortality and migration”
  32. Need of NPP Objectives of NPP: • Immediate objective : To fulfill unmet need for contraception, strengthening the health infrastructure, integrating the services for Reproductive and Child Health. • Medium Term : Effective implementation of inter- sector strategies to substantially reduce the TFR by 2010. • Long Term : To sustain the economic growth, social development and eco-conservation, stabilize the population by 2045.
  33. NEW STRUCTURES • National Commission on Population • State / UT Commissions on Population • Coordination Cell in the Planning Commission • Technology Mission in the Department of Family Welfare
  34. Socio-Demographic goals by 2010 • Address the unmet needs for basic reproductive and child health services • Make school education up to age 14 free and compulsory • Reduce infant mortality rate to below 30 per 1000 live births. • Reduce maternal mortality ratio to below 100 per 100,000 live births. • Achieve universal immunization of children against all vaccine preventable diseases.
  35. • Promote delayed marriage for girls • Achieve 80 percent institutional deliveries and 100 percent deliveries by trained persons • Achieve universal access to information/counseling • Achieve 100 per cent registration of births, deaths, marriage and pregnancy • Promote greater integration between the management of reproductive tract infections (RTI) and sexually transmitted infections (STI) and the National AIDS Control Organization • Prevent and Control communicable diseases • Promote vigorously the small family norm
  36. Promotional and motivational measures: • Incentives for Panchayat and Zila Parishads • Run Balika Samridhi Yojana • Maternity Benefit Scheme run by Department of Rural Development • A revolving fund will be set up for income- generating activities Child care centre's open in rural, urban, and slum areas. • Affordable choice of contraceptives will be made accessible at diverse points with counseling. • Facilities for safe abortion will be strengthened and expanded. • Ambulance services for referral transportation • Vocational training for self employment to girls. • Strict enforcement of child marriage Act, 1976
  37. NATINAL POLICY ON AYUSH • OBJECTIVES • Promote good health and expand the outreach of health care to all people • Improve the quality of teachers and clinicians by revising curricula • Ensure affordable ISM&H services & drugs which are safe and efficacious • Facilitate availability of raw drugs
  38. • Ensure optimal use of the vast infrastructure of hospitals, dispensaries and physicians. • Re-orient and prioritize research in ism&h • Provide full opportunity for the growth and development of these systems
  39. STRATERGIES: • Education • Legislative measures would be taken to regulate starting of a new college • Increase in intake and introduction of new course of study • Establishment of model colleges and Centres of Excellence of ISM&H • The course curricula would be reviewed and revised • Nursing and Pharmacy education would be introduced
  40. Research • Research on fundamental principles of ISM&H. • Drug research to establish efficacy and safety of ISM medicine • Disease oriented clinical drug research following “reverse • pharmacology approach • Identification and evaluation of promising and widely accepted practices and skills of traditional healers in rural and tribal areas. • Revival of ancient literature
  41. Integration of ISM & H and National Health Care Programmes and Delivery System. • integrate and mainstream ISM&H in health care delivery systems including National Programmes. • utilization of ISM & H manpower in the health care delivery system • modify laws governing the practice of modern medicine by ISM practitioners • Referral ISM hospitals in the country would be renovated
  42. • Central government would assist speciality hospitals of allopathy • Private allopathic hospitals would be encouraged to set up specialist treatment centres of ISM&H • States would be encouraged to consolidate the ISM infrastructure and raise the salary and social/professional status of ISM practitioners
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