PRESENTED TO: Mrs. Kalpna mandal Lecturer cum vice Principal (NIN)PRESENTED BY: Monika Sharma Student(NIN)
What is a Policy? Set of Ideas or Plans that is used as a basis for decision making; actions of an organization regarding a particular issue; General Statement of understanding which guide decision making.
CONT…. It is more than mere statement of goals: How the stated goals can be achieved? Who will carry out the tasks? In what manner?
Policies related to Health SectorNational Health PolicyNutrition PolicyWomen PolicyTraining PolicyPopulation Policy
What is Population Policy? Measures formulated by Government which may influence the size, distribution or composition of human population (Driver,1972). A deliberate effort by a national government to influence the demographic variables like fertility, mortality and migration (Organski & Organski,1961)
National Population Policy -Milestones 1946- Bhore Committee Report 1952- Family Planning Programme 1976- draft of National Population Policy was prepared 1977- Policy Statement of Family Welfare Programme
Cont……… 1983- national health policy emphasized the need 1991- national development council appointed a committee
Cont……… 1993- dr. swaminathan group prepared a draft and discussed by cabinet but because of political reasons it was never presented before parliament 1998- another draft prepared by group of experts and approved by cabnet and then presented before the parliament and then approved in 15feb,2000
OBJECTIVES The immediate objective:to address the unmet needs for contraception, health care infrastructure, and health personnel to provide integrated service delivery for basic reproductive and child health care.
Cont….The medium-term objective: to bring the TFR toreplacement levels by 2010, through vigorousimplementation of inter- sectoral operational strategies.
Cont….The long-term objective: is to achieve a stablepopulation by 2045, at a level consistent with therequirements of sustainable economic growth, socialdevelopment, and environmental protection
Address the unmet needs for basic reproductive and childhealth services, supplies and infrastructure.Make school education up to age 14, free and compulsory,and reduce drop outs at primary and secondary school levels tobelow 20% for both girls and boysReduce infant mortality rate to below 30 per 1000 livebirths.
Reduce maternal mortality ratio to below 100 per 100,000live births.Achieve universal immunization of children against allvaccine preventable diseases.Promote delayed marriage for girls, not earlier than age 18and preferably after 20 years of age.
Achieve 80 percent institutional deliveries and 100 percentdeliveries by trained persons.Achieve universal access to information/ counseling, andservices for fertility regulation and contraception with a widebasket of choices.Achieve 100 per cent registration of births, deaths, marriageand pregnancy.
Prevent and control communicable diseases.Integrate Indian Systems of Medicine (ISM) in theprovision of reproductive and child health services, and inreaching out to households.
Promote vigorously the small family norm to achievereplacement levels of TFR.
Decentralised Planning and Programme ImplementationConvergence of Service Delivery at Village LevelsEmpowering Women for Improved Health and Nutrition Child Health and SurvivalMeeting the Unmet Needs for Family Welfare Services
Under-Served Population GroupsDiverse Health Care Providers
CONT…Collaboration With and Commitments from Non-Government Organisations and the Private SectorMainstreaming Indian Systems of Medicine andHomeopathy
Contraceptive Technology and Research onReproductive and Child Health Information, Education, and Communication
Panchayats and Zila Parishads :universalising the small family norm, achieving reductions in infant mortality and birth rates,promoting literacy with completion of primary schooling.The Balika Samridhi Yojana : to promote survival and care of the girl child, A cash incentive of Rs. 500 is awarded at the birth of the girl child .
Maternity Benefit Scheme (5oo if child after 19 yrs of age)A Family Welfare-linked Health Insurance plan: A couplehaving 2 children, below poverty line and are undergoing sterlizationwill become eligible for health insurance of rs. 5000 for hospitalization.Crèches and child care centres are opened: To promoteparticipation of women for paid employment. choice of contraceptives (counseling services )
Facilities for safe abortionvocational training schemes for girls,Child Marriage Restraint Act, 1976.Pre-Natal Diagnostic Techniques Act, 1994.
Socio-cultural barriersNon availability and less utilization of servicesTechnical problems involving the efficacy of various methodsLack of people awarenessNon effective communication systemHigh infant mortality rates
anticipated reduction in the birth, infant mortalityand total fertility rates by 2010:In 1997: CBR-27.2, IMR-71, TFR-3.3In 1998: CBR-26.6, IMR-72, TFR-3.3In 2002: CBR-23.0, IMR- 50, TFR-2.6In 2010: CBR-21.0, IMR-30, TFR-2.1
National population policyObjectivesSocio-demographic goalsStrategies to achieve those goalsPromotional and motivational measuresImpact of NPP-2000
Gulani k.k.community health nursing.2009(newdelhi):kumar publishing house.322-326Park k .preventive and social medicine. 2007(NewDelhi):banarsidas bhanot.http://populationcommission.nic.in/npp_intro.htm