NATIONAL HEALTH POLICY AND STATE HEALTH POLICY
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NATIONAL HEALTH POLICY AND STATE HEALTH POLICY Presentation Transcript

  • 1. HEALTH CARE POLICY NATIONAL AND STATE
  • 2. CONCEPT OF HEALTH AND COMPREHENSIVE HEALTH CARE HEALTH CARE: “Services provided to individuals or communities by the agents of health services or professionals for the purpose of promoting , maintaining, monitoring or restoring health.”
  • 3. COMPREHENSIVE HEALTHCARE “The provision of integrated ,preventive ,curative and promotional health services from womb to tomb, to every individual residing in a defined geographical area”
  • 4. HEALTH STRATEGIES  Restructuring the health infrastructure.
  • 5. HEALTH STRATEGIES  Developing health Manpower , research and development.
  • 6. NATIONAL HEALTH POLICY 1983 HISTORY Bhore committee: 1943 First evolution: 1983 Revised: 2002
  • 7. ELEMENTS OF NATIONAL HEALTH POLCY IN INDIA  Awareness Of Health Problems.  Supply Of Safe Drinking Water And Basic Sanitation.  Reduction Of Imbalance In Health Services  Dynamic Health Management Information System.
  • 8. ELEMENTS OF NATIONAL HEALTH POLCY IN INDIA [contd]…….  Legislative Support.  Combat widespread Malnutrition.  Alternative methods of health care delivery system Use of low cost technologies.  Coordination of different systems of medicine.
  • 9. COMPONENTS OF HEALTH POLICY  Socioeconomic policies  Employment  Elementary Education  Integrated rural development.  Population Control.  Welfare of women and children.
  • 10. GOALS OF HEALTH POLICY  Acceptable standard of good health Increased access to decentralized public health system. Establishing new infrastructure Equitable access to health services Preventive and curative services. Emphasis rational use of drugs and target burden disease
  • 11. NATIONAL POLICIES RELATED TO HEALTH
  • 12. NATIONAL HEALTH POLICY- 2002
  • 13. NATIONAL POPULATION POLICY2000
  • 14. NATIONAL AIDS PREVENTION AND CONTROL POLICY-2002
  • 15. NATIONAL BLOOD POLICY- 2002
  • 16. NATIONAL POLICY FOR THE EMPOWERMENT OF WOMEN-2001
  • 17. NATIONAL POLICY AND CHARTER FOR CHILDREN -2003
  • 18. NATIONAL YOUTH POLICY -2003
  • 19. NATIONAL POLICY FOR OLD PERSON-1999
  • 20. NATIONAL HEALTH RESEARCH POLICY (DRAFT)
  • 21. NATIONAL POLICY ON EDUCATION
  • 22. NATIONAL PHARMACEUTICAL POLICY
  • 23. NATIONAL WATER POLICY
  • 24. NATIONAL ENVIRONMENTAL POLICY-2006
  • 25. NATIONAL HOUSING AND HABITAT POLICY -1998
  • 26. PARTS OF NATIONAL HEALTH POLCY
  • 27. PARTS OF NATIONAL HEALTH PARTS OF NATIONAL POLICY Introductory
  • 28. PARTS OF NATIONAL HEALTH POLICY Our Heritage
  • 29. PARTS OF NATIONAL HEALTH POLICY Progress achieved
  • 30. PARTS OF NATIONAL HEALTH POLICY The Existing Picture: 1. High rate of population growth
  • 31. 2. High mortality rate for women children and Infants
  • 32. 3.Malnutrition
  • 33. 4. High prevalence of Communicable and Non communicable diseases.
  • 34. 5. Poor access to potable water supply and the basic sanitation
  • 35. 6. Poverty
  • 36. 7.Ignorance
  • 37. 8. Adoption of Health manpower models
  • 38. 9. Establishment of Curative centers.
  • 39. 10.Emphasis on hospital based, cure oriented approach
  • 40. 11.Failure to involve the community in the identification of health needs and priorities.
  • 41. PARTS OF NATIONAL HEALTH POLICY Revised 20-point programme
  • 42. PARTS OF NATIONAL HEALTH POLICY Population stabilization
  • 43. PARTS OF NATIONAL HEALTH POLICY Medical and Health Education
  • 44. PARTS OF NATIONAL HEALTH POLICY Need for providing primary health care • • • • • Comprehensive primary healthcare Transfer of knowledge , skills and technologies Organized building Referral system Sanitary cum epidemiological stations
  • 45. PARTS OF NATIONAL HEALTH POLICY Need for providing primary health care • Location of curative centers • • • • • Planned programmes Speciality and Super speciality care Well coordinated programmes. Priority wise services Adequate mobility of personnel
  • 46. PARTS OF NATIONAL HEALTH POLICY Reorientation of Existing Health Personnel
  • 47. PARTS OF NATIONAL HEALTH POLICY Private practice by Government Functionaries
  • 48. PARTS OF NATIONAL HEALTH POLICY Practitioners of indigenous and other systems of medicine and their role in health care.
  • 49. PARTS OF NATIONAL HEALTH POLICY Problems requiring urgent attention 1. Nutrition 2. Prevention of food adulteration and maintenance of quality of drugs. 3. Water supply and Sanitation 4. Environmental protection. 5. Immunization program. 6. Maternal and child health services. 7. School health program 8. Occupational health services.
  • 50. PARTS OF NATIONAL HEALTH POLICY Health Education
  • 51. PARTS OF NATIONAL HEALTH POLICY Management information System
  • 52. PARTS OF NATIONAL HEALTH POLICY Medical Industry
  • 53. PARTS OF NATIONAL HEALTH POLICY Health Insurance
  • 54. PARTS OF NATIONAL HEALTH POLICY Health legislation
  • 55. PARTS OF NATIONAL HEALTH POLICY Medical research:
  • 56. PARTS OF NATIONAL HEALTH POLICY Inter sectoral cooperation
  • 57. PARTS OF NATIONAL HEALTH POLICY Monitoring and review of progress
  • 58. COMMENTS OF NATIONAL HEALTH POLICY  Mentions about poverty alleviation and not about social justice.  No program for Community Participation  Totally silent about health budget  Not integrated  No emphasis to certain areas.
  • 59. REVISED NATIONAL HEALTH POLICY (2002) OBJECTIVES: 1. Achieve acceptable standard of Good Health 2. Increase access to the decentralized public health system 3. Ensure more equitable access to health services . 4. Increase aggregate public health investment. 5. Strengthen the capacity of public health administration.
  • 60. REVISED NATIONAL HEALTH POLICY (2002) OBJECTIVES 6. Enhance the contribution of Private sector 7. Rationalize use of drugs within allopathic system. 8. Increase access to tried and tested systems of traditional medicine
  • 61. INITIATIVES OF REVISED NATIONAL HEALTH POLICY 1. A widespread network of comprehensive health care services. 2. Intermediation through Health Volunteers. 3. Referral System 4. Speciality and Superspeciality services.
  • 62. CURRENT SCENARIO OF OUR COUNTRY 1. Financial Resources:  Low public health investment  Declined GDP
  • 63. CURRENT SCENARIO OF OUR COUNTRY 2. Equity  Lack of equitable distribution of resources
  • 64. CURRENT SCENARIO OF OUR COUNTRY 3. Delivery of National Public Health Programme  Lack of flexibility of Public health infrastructure  No permit for state to craft their own programmes  Not need based.
  • 65. CURRENT SCENARIO OF OUR COUNTRY 4. State of Public health infrastructure:  Existing Public health infrastructure is not satisfactory.  Based on an Objective assessment of the quality and efficiency of existing public health infrastructure.
  • 66. CURRENT SCENARIO OF OUR COUNTRY 5. Extending public health Services  Shortage of Medical power  No incentive system is attempted so far, has induced private medical manpower
  • 67. CURRENT SCENARIO OF OUR COUNTRY 6. Role of Local Self- government institutions
  • 68. CURRENT SCENARIO OF OUR COUNTRY 7. Medical Education
  • 69. CURRENT SCENARIO OF OUR COUNTRY 8. Need for specialists in „Public health‟ and „Family Medicine‟
  • 70. CURRENT SCENARIO OF OUR COUNTRY 9. Urban Health
  • 71. CURRENT SCENARIO OF OUR COUNTRY 10.Mental Health
  • 72. CURRENT SCENARIO OF OUR COUNTRY 11. I E C Information Communication Education
  • 73. CURRENT SCENARIO OF OUR COUNTRY 12. Medical Research  Limited to ICMR
  • 74. CURRENT SCENARIO OF OUR COUNTRY 13.Role of the Private Sector
  • 75. CURRENT SCENARIO OF OUR COUNTRY 14. Role of Civil society
  • 76. CURRENT SCENARIO OF OUR COUNTRY 15.National Disease surveillance Network
  • 77. CURRENT SCENARIO OF OUR COUNTRY 16. Health Statistics
  • 78. CURRENT SCENARIO OF OUR COUNTRY 17. Women‟s Health
  • 79. CURRENT SCENARIO OF OUR COUNTRY 18. Medical ethics
  • 80. CURRENT SCENARIO OF OUR COUNTRY 19. Enforcement of Quality standards for food and Drugs
  • 81. CURRENT SCENARIO OF OUR COUNTRY 20. Regulation of Standards in Para medical disciplines.
  • 82. CURRENT SCENARIO OF OUR COUNTRY 21. Occupational Health
  • 83. CURRENT SCENARIO OF OUR COUNTRY 22. Providing Medical facilities to users from Overseas
  • 84. CURRENT SCENARIO OF OUR COUNTRY 23. Impact of Globalization on the health sector
  • 85. CURRENT SCENARIO OF OUR COUNTRY 24. Non Health Determinants
  • 86. CURRENT SCENARIO OF OUR COUNTRY 25. Population Growths and Health Standards
  • 87. CURRENT SCENARIO OF OUR COUNTRY 26. Alternative Systems of Medicine
  • 88. DEMOGRAPHIC trends of National health policy  Population : 1.21 billion Growth rate: 1.51% Birth rate : 20.22 birth / 1000 population  Death rate : 7.4 death /1000 population  Life expectancy: 68.89 years
  • 89. SWOT ANALYSIS OF NATIONAL HEALTH POLICY Strengths:  Identified deficiencies of the policy.  Advancement of technology and proven public health strategies  Commitment to enhance the budget on health expenditure
  • 90. SWOT ANALYSIS OF NATIONAL HEALTH POLICY Weakness  Lack of Monitoring and Evaluation  Lack of Government Expenditure on Public Health  Gap in Situation analysis and problem prescription
  • 91. SWOT ANALYSIS OF NATIONAL HEALTH POLICY Opportunities  Move ahead in Health through Health Policy Supportive environment and absence of obvious threat of water and unrest etc.  Policy initiative will provide a new impetus to the development of Health Sector
  • 92. SWOT ANALYSIS OF NATIONAL HEALTH POLICY Threats:  Health Tourism
  • 93. OBJECTIVES OF STATE HEALTH POLICY 2013 Information Governance Financing PEOPLE Human Resources Service Delivery Medicines and Technologies
  • 94. KERALA CURRENT SCENARIO
  • 95. 2. HEALTH FINANCING • Budget allocation: From NRHM Fund.
  • 96. 3.SOCIAL DETERMINANTS OF HEALTH
  • 97.  Water Supply • Increased reclamation of wetlands and Water bodies • Increased Pollution
  • 98.  Sanitation • Problems of Toilet construction in water logged areas. • Absence of appropriate models in areas of water scarcity. • Sanitary toilets without Septic Tank
  • 99.  Solid and Liquid waste Management system • Accumulation of Plastic waste • Issue of Thin Plastic Bags • Ecological degradation • Contamination of Water bodies • Misuse of Pesticides
  • 100.  Climate Change and Public Health • Challenges to control of infectious Diseases. • Seasonal changes in the availability of Fresh water. • Regional drop in Food Production • Rising Sea level
  • 101.  Other Social Determinants of Health
  • 102. Other Social Determinants of Health • Food and Nutrition
  • 103. Other Social Determinants of Health • Regular Employment
  • 104. Other Social Determinants of Health • Housing
  • 105. Other Social Determinants of Health • Women empowerment
  • 106. 4. Managing Emerging and Re emerging Diseases
  • 107. 5. Non- Communicable Diseases • 50% of Total Deaths – between the age group of 30-60 • 27% Adult males and 19% Adult females are diabetic. • Kerala – “ Diabetic Capital of India.”
  • 108. 5. Non- Communicable Diseases Contd……….  Introduction of NPCDCS  Introduction of “Amrutham Arogyam” [ NCD Control Programme]
  • 109. 6.CANCER CARE- EARLY DETECTION AND PREVENTION • Cancer treatment is limited. • Kerala reports nearly 35,000 new registrations • Nearly 1 lakh patients are under treatment every year
  • 110. 7. WOMEN‟S HEALTH
  • 111. 8. MATERNAL HEALTH
  • 112. 9. CHILD HEALTH • • • • IMR of Kerala is 12/1000 Achieve universal immunisation Nutritional Monitoring Organisation of New born Screening programmes
  • 113. 10.ADOLESCENT HEALTH [ARSH]  WIFS- Weekly Iron and Folic acid Supplementation programme  AFHCs – Hospital based Adolescent Friendly Clinics
  • 114. 11. SCHOOL HEALTH • Implementation of modified School Health programme. • Vision of a School: “ That constantly strengthens its capacity as a healthy setting for living and Working………………’’
  • 115. 12. HEALTH PROBLEMS OF ELDERLY • Present elderly population( above 60 years) is 12% and is expected to cross 25% by 2050 • Geriatric friendly Hospitals • Palliative care policy in Kerala (2008) • 700 palliative care units are established with PHC. • 250 Palliative Care Unit Attached with Community Based Organizations
  • 116. 13. MENTAL HEALTH PROBLEMS:
  • 117. 14. HEALTH OF VULNERABLE SECTIONS AND HEALTH INFRASTRUCTURE IN KERALA
  • 118. OVERVIEW OF HEALTH SERVICE SYSTEM OF THE STATE • Tertiary care • Secondary care Institutions • Primary health center • Sub -center
  • 119. Tertiary Care:
  • 120. Secondary care Institutions
  • 121. Primary Health centers
  • 122. Sub -centers  5500 ANMs  3500 JHI  5403 Sub centers
  • 123. • Emergency medical services and management of trauma.
  • 124. MEDICAL ESTABLISHMENT BILL 2013
  • 125. HUMAN RESOURCE POLICY IN HEALTH
  • 126. NURSING CARE AND NURSING EDUCATION
  • 127. TREATENT PROTOCOLS, REFERRAL PROTOCOLS AND MANAGEMENT GUIDELINES
  • 128. DATA MANAGEMENT SYSTEM
  • 129. DECENTRALIZATION AND HEALTH
  • 130. PRIVATE SECTOR
  • 131. PLAN OF ACTION
  • 132.  DETERMINANTS OF HEALTH CARE • Clean drinking water
  • 133.  DETERMINANTS OF HEALTH CARE • Sanitation facilities
  • 134.  DETERMINANTS OF HEALTH CARE • Solid waste management policy and plan of action
  • 135.  DETERMINANTS OF HEALTH CARE • Poverty
  • 136.  ENFORCEMENT OF REGULATIONS FOR GOOD HEALTH
  • 137. • Food safety
  • 138. • Public health act
  • 139. • Reorganization of Government Health systems: • • • • • Primary Health centers Community Health centers Taluk Head quarters Hospital District/ General Hospitals. Medical College Hospitals
  • 140. • OTHER SPECIALISED AREAS o Public health cadre and Health protection Agency
  • 141. o Communicable Disease Surveillance And Execution Of Control Measures”
  • 142. o Non Communicable Disease Control
  • 143. o Community Mental Health Care and Services.
  • 144. o Measures for reducing the Road traffic accidents other trauma and developing systemic trauma care services • Construction of an “Act force System” , involving police.
  • 145. o Strengthening Laboratory Network in the State:
  • 146. o AYURVEDA
  • 147. o AYURVEDA  Research and Documentation
  • 148. o AYURVEDA  Quality Assurance
  • 149. o AYURVEDA Support to Manufacturing
  • 150. o AYURVEDA  Awareness regarding the Benefits of Ayurveda
  • 151. HOMEOPATHY • In 1928, The Maharaja of Travancore acknowledged Homoeopathy as an acceptable system of treatment. • Homeopathic health care services: 1. 31 Homeopathic Hospitals. 2. 611 Homeopathic Dispensaries 3. 348 NRHM Homeo Dispensaries 4. 29 Dispensaries at SC/ST dominant areas.
  • 152. HOMEOPATHY o ESI: 13 Dispensaries and 1 Hospital o Seethalayam o Ayushman bhava o Jyothir gamaya o Chethana
  • 153. ORAL HEALTH
  • 154. FUTURE DEVELOPMENTS  Quality up gradation in health sector  Universal Health Coverage
  • 155. SSSS CONCLUSION
  • 156. BIBLIOGRAPHY Text books:  Gupta M.C, Mahajan B.K . Textbook of preventive and Social medicine:(3rd ed).New delhi : Jaypee Medical Brothers pvt.ltd; 2003  Keshav Swarnkar. Community Health Nursing: Includes behavioural sciences and personal hygiene: (2nd ed). Indore: N.R Brothers publishers Pvt.ltd:2006  Mary Lucita. Nursing: Practice and public health administration, current concepts and trends: Newdelhi: Elsevier India pvt.ltd; 2004  Park.K. Textbook of preventive and social medicine;(16th ed): Indore;Banarasi Bhanot Brothers; 2007
  • 157. BIBLIOGRAPHY Government Document:  Kerala Health care policy 2013. Department of Health and family welfare; 2013. Online Database  Chaukar D.A, Walvekar RR, Das A.K, Deshpande MS,Pai. P.S, Chaturvedi . P, Kakade A, D’cruz A.K; Quality of life in head and neck Cancer Survivors: A cross sectional study. [Internet]. 2009 May-June [ cited 2009June];30(3): 176-80; Available from pubmed , http;//:en://www.ncbi.nlm.nib.gov/pubmed] Website:  www.slideshare.chantal .net.com  www.pubmed.com  www.wikipedia.com