HEALTH CARE POLICY
NATIONAL AND STATE
CONCEPT OF HEALTH AND
COMPREHENSIVE HEALTH CARE
HEALTH CARE: “Services provided to
individuals or communities by the agent...
COMPREHENSIVE
HEALTHCARE
“The provision of integrated
,preventive ,curative and promotional
health services from womb to t...
HEALTH STRATEGIES
 Restructuring the health infrastructure.
HEALTH STRATEGIES
 Developing health Manpower , research and
development.
NATIONAL HEALTH POLICY
1983
HISTORY
Bhore committee: 1943
First evolution: 1983
Revised: 2002
ELEMENTS OF NATIONAL HEALTH
POLCY IN INDIA
 Awareness Of Health Problems.
 Supply Of Safe Drinking Water And Basic
Sanit...
ELEMENTS OF NATIONAL HEALTH
POLCY IN INDIA [contd]…….
 Legislative Support.
 Combat widespread Malnutrition.
 Alternati...
COMPONENTS OF HEALTH POLICY
 Socioeconomic policies
 Employment
 Elementary Education

 Integrated rural development.
...
GOALS OF HEALTH POLICY
 Acceptable standard of good health
Increased access to decentralized public health
system.
Esta...
NATIONAL POLICIES RELATED TO
HEALTH
NATIONAL HEALTH POLICY- 2002
NATIONAL POPULATION POLICY2000
NATIONAL AIDS PREVENTION AND
CONTROL POLICY-2002
NATIONAL BLOOD POLICY- 2002
NATIONAL POLICY FOR THE
EMPOWERMENT OF WOMEN-2001
NATIONAL POLICY AND CHARTER
FOR CHILDREN -2003
NATIONAL YOUTH POLICY -2003
NATIONAL POLICY FOR OLD
PERSON-1999
NATIONAL HEALTH RESEARCH
POLICY (DRAFT)
NATIONAL POLICY ON EDUCATION
NATIONAL PHARMACEUTICAL
POLICY
NATIONAL WATER POLICY
NATIONAL ENVIRONMENTAL
POLICY-2006
NATIONAL HOUSING AND HABITAT
POLICY -1998
PARTS OF NATIONAL HEALTH
POLCY
PARTS OF NATIONAL HEALTH
PARTS OF NATIONAL
POLICY
Introductory
PARTS OF NATIONAL HEALTH
POLICY
Our Heritage
PARTS OF NATIONAL HEALTH
POLICY

Progress achieved
PARTS OF NATIONAL HEALTH
POLICY
The Existing Picture:
1. High rate of population growth
2. High mortality rate for women
children and Infants
3.Malnutrition
4. High prevalence of Communicable
and Non communicable diseases.
5. Poor access to potable water supply
and the basic sanitation
6. Poverty
7.Ignorance
8. Adoption of Health manpower
models
9. Establishment of Curative centers.
10.Emphasis on hospital based, cure
oriented approach
11.Failure to involve the community in
the identification of health needs and
priorities.
PARTS OF NATIONAL HEALTH
POLICY
Revised 20-point programme
PARTS OF NATIONAL HEALTH POLICY
Population stabilization
PARTS OF NATIONAL HEALTH POLICY

Medical and Health Education
PARTS OF NATIONAL HEALTH POLICY

Need for providing primary health care
•
•
•
•
•

Comprehensive primary healthcare
Transf...
PARTS OF NATIONAL HEALTH POLICY

Need for providing primary health care
• Location of curative centers
•
•
•
•
•

Planned ...
PARTS OF NATIONAL HEALTH POLICY

Reorientation of Existing Health Personnel
PARTS OF NATIONAL HEALTH POLICY

Private practice by Government Functionaries
PARTS OF NATIONAL HEALTH POLICY

Practitioners of indigenous and other systems of
medicine and their role in health care.
PARTS OF NATIONAL HEALTH POLICY

Problems requiring urgent attention
1. Nutrition
2. Prevention of food adulteration and
m...
PARTS OF NATIONAL HEALTH POLICY

Health Education
PARTS OF NATIONAL HEALTH POLICY

Management information System
PARTS OF NATIONAL HEALTH POLICY

Medical Industry
PARTS OF NATIONAL HEALTH POLICY

Health Insurance
PARTS OF NATIONAL HEALTH POLICY

Health legislation
PARTS OF NATIONAL HEALTH POLICY

Medical research:
PARTS OF NATIONAL HEALTH POLICY

Inter sectoral cooperation
PARTS OF NATIONAL HEALTH POLICY

Monitoring and review of progress
COMMENTS OF NATIONAL HEALTH
POLICY
 Mentions about poverty alleviation and not
about social justice.
 No program for Com...
REVISED NATIONAL HEALTH
POLICY (2002)
OBJECTIVES:
1. Achieve acceptable standard of Good Health
2. Increase access to the ...
REVISED NATIONAL HEALTH
POLICY (2002)
OBJECTIVES
6. Enhance the contribution of Private sector
7. Rationalize use of drugs...
INITIATIVES OF REVISED
NATIONAL HEALTH POLICY

1. A widespread network of comprehensive
health care services.

2. Intermed...
CURRENT SCENARIO OF OUR
COUNTRY
1. Financial Resources:
 Low public health investment
 Declined GDP
CURRENT SCENARIO OF OUR COUNTRY
2. Equity


Lack of equitable distribution of resources
CURRENT SCENARIO OF OUR COUNTRY
3. Delivery of National Public Health Programme
 Lack of flexibility of Public health inf...
CURRENT SCENARIO OF OUR COUNTRY
4. State of Public health infrastructure:
 Existing Public health infrastructure is not s...
CURRENT SCENARIO OF OUR COUNTRY
5. Extending public health Services
 Shortage of Medical power
 No incentive system is a...
CURRENT SCENARIO OF OUR COUNTRY
6. Role of Local Self- government institutions
CURRENT SCENARIO OF OUR COUNTRY
7. Medical Education
CURRENT SCENARIO OF OUR COUNTRY
8. Need for specialists in „Public health‟ and „Family
Medicine‟
CURRENT SCENARIO OF OUR COUNTRY
9. Urban Health
CURRENT SCENARIO OF OUR
COUNTRY
10.Mental Health
CURRENT SCENARIO OF OUR COUNTRY
11. I E C

Information

Communication
Education
CURRENT SCENARIO OF OUR COUNTRY
12. Medical Research


Limited to ICMR
CURRENT SCENARIO OF OUR COUNTRY
13.Role of the Private Sector
CURRENT SCENARIO OF OUR COUNTRY
14. Role of Civil society
CURRENT SCENARIO OF OUR COUNTRY
15.National Disease surveillance
Network
CURRENT SCENARIO OF OUR COUNTRY

16. Health Statistics
CURRENT SCENARIO OF OUR COUNTRY
17. Women‟s Health
CURRENT SCENARIO OF OUR COUNTRY
18. Medical ethics
CURRENT SCENARIO OF OUR COUNTRY
19. Enforcement of Quality standards for food and
Drugs
CURRENT SCENARIO OF OUR COUNTRY
20. Regulation of Standards in Para medical
disciplines.
CURRENT SCENARIO OF OUR COUNTRY
21. Occupational Health
CURRENT SCENARIO OF OUR COUNTRY
22. Providing Medical facilities to users from
Overseas
CURRENT SCENARIO OF OUR COUNTRY
23. Impact of Globalization on the health
sector
CURRENT SCENARIO OF OUR COUNTRY
24. Non Health Determinants
CURRENT SCENARIO OF OUR COUNTRY
25. Population Growths and Health Standards
CURRENT SCENARIO OF OUR COUNTRY
26. Alternative Systems of
Medicine
DEMOGRAPHIC trends of
National health policy
 Population : 1.21 billion
Growth rate: 1.51%
Birth rate : 20.22 birth / 1...
SWOT ANALYSIS OF NATIONAL
HEALTH POLICY
Strengths:
 Identified deficiencies of the policy.
 Advancement of technology an...
SWOT ANALYSIS OF NATIONAL
HEALTH POLICY
Weakness
 Lack of Monitoring and Evaluation
 Lack of Government Expenditure on

...
SWOT ANALYSIS OF NATIONAL
HEALTH POLICY
Opportunities
 Move ahead in Health through Health Policy
Supportive environment...
SWOT ANALYSIS OF NATIONAL
HEALTH POLICY
Threats:


Health Tourism
OBJECTIVES OF STATE HEALTH
POLICY 2013
Information
Governance

Financing

PEOPLE
Human
Resources

Service
Delivery
Medicin...
KERALA
CURRENT SCENARIO
2. HEALTH FINANCING

• Budget allocation: From NRHM Fund.
3.SOCIAL DETERMINANTS OF
HEALTH
 Water Supply
• Increased reclamation of wetlands and Water
bodies
• Increased Pollution
 Sanitation
• Problems of Toilet construction in water
logged areas.
• Absence of appropriate models in areas of water
sc...
 Solid and Liquid waste Management
system
•

Accumulation of Plastic waste

• Issue of Thin Plastic Bags
• Ecological deg...
 Climate Change and Public
Health
• Challenges to control of infectious
Diseases.
• Seasonal changes in the availability ...
 Other Social Determinants of Health
Other Social Determinants of Health

• Food and Nutrition
Other Social Determinants of Health

• Regular Employment
Other Social Determinants of Health

• Housing
Other Social Determinants of Health

• Women empowerment
4.

Managing Emerging and
Re emerging Diseases
5. Non- Communicable Diseases
•

50% of Total Deaths – between the age
group of 30-60

• 27% Adult males and 19% Adult
fem...
5. Non- Communicable Diseases
Contd……….
 Introduction of NPCDCS
 Introduction of “Amrutham

Arogyam” [ NCD Control
Progr...
6.CANCER CARE- EARLY
DETECTION AND PREVENTION
• Cancer treatment is limited.
• Kerala reports nearly 35,000

new registrat...
7. WOMEN‟S HEALTH
8. MATERNAL HEALTH
9. CHILD HEALTH

•
•
•
•

IMR of Kerala is 12/1000
Achieve universal immunisation
Nutritional Monitoring
Organisation of N...
10.ADOLESCENT HEALTH
[ARSH]
 WIFS- Weekly Iron and Folic acid
Supplementation programme
 AFHCs – Hospital based Adolesce...
11. SCHOOL HEALTH
• Implementation of modified School Health
programme.
• Vision of a School: “ That constantly

strengthe...
12. HEALTH PROBLEMS OF
ELDERLY
• Present elderly population( above 60 years) is
12% and is expected to cross 25% by 2050
•...
13. MENTAL HEALTH
PROBLEMS:
14. HEALTH OF
VULNERABLE SECTIONS
AND HEALTH
INFRASTRUCTURE IN
KERALA
OVERVIEW OF HEALTH
SERVICE SYSTEM OF THE
STATE
• Tertiary care
• Secondary care Institutions
• Primary health center
• Sub...
Tertiary Care:
Secondary care Institutions
Primary Health centers
Sub -centers
 5500 ANMs
 3500 JHI

 5403 Sub centers
• Emergency medical services and
management of trauma.
MEDICAL ESTABLISHMENT
BILL 2013
HUMAN RESOURCE POLICY IN
HEALTH
NURSING CARE AND NURSING
EDUCATION
TREATENT PROTOCOLS,
REFERRAL PROTOCOLS AND
MANAGEMENT GUIDELINES
DATA MANAGEMENT SYSTEM
DECENTRALIZATION AND
HEALTH
PRIVATE SECTOR
PLAN OF ACTION
 DETERMINANTS OF HEALTH
CARE
• Clean drinking water
 DETERMINANTS OF HEALTH CARE
• Sanitation facilities
 DETERMINANTS OF HEALTH CARE
• Solid waste management policy and plan of
action
 DETERMINANTS OF HEALTH CARE
• Poverty
 ENFORCEMENT OF
REGULATIONS FOR GOOD
HEALTH
• Food safety
• Public health act
• Reorganization of Government
Health systems:
•
•
•
•
•

Primary Health centers
Community Health centers
Taluk Head quart...
•

OTHER SPECIALISED AREAS

o Public health cadre and Health protection
Agency
o Communicable Disease Surveillance
And Execution Of Control Measures”
o Non Communicable Disease
Control
o Community Mental Health Care
and Services.
o Measures for reducing the Road
traffic accidents other trauma and
developing systemic trauma care
services
• Constructio...
o Strengthening Laboratory
Network in the State:
o AYURVEDA
o AYURVEDA
 Research and Documentation
o AYURVEDA


Quality Assurance
o AYURVEDA
Support to Manufacturing
o AYURVEDA


Awareness regarding the Benefits of
Ayurveda
HOMEOPATHY
• In 1928, The Maharaja of Travancore
acknowledged Homoeopathy as an
acceptable system of treatment.
• Homeopat...
HOMEOPATHY
o ESI: 13 Dispensaries and 1 Hospital

o Seethalayam
o Ayushman bhava

o Jyothir gamaya
o Chethana
ORAL HEALTH
FUTURE DEVELOPMENTS
 Quality up gradation in health sector
 Universal Health Coverage
SSSS

CONCLUSION
BIBLIOGRAPHY
Text books:
 Gupta M.C, Mahajan B.K . Textbook of preventive and Social medicine:(3rd
ed).New delhi : Jaypee...
BIBLIOGRAPHY
Government Document:
 Kerala Health care policy 2013. Department of Health and family welfare;
2013.
Online ...
NATIONAL HEALTH POLICY AND STATE HEALTH POLICY
NATIONAL HEALTH POLICY AND STATE HEALTH POLICY
NATIONAL HEALTH POLICY AND STATE HEALTH POLICY
NATIONAL HEALTH POLICY AND STATE HEALTH POLICY
NATIONAL HEALTH POLICY AND STATE HEALTH POLICY
NATIONAL HEALTH POLICY AND STATE HEALTH POLICY
NATIONAL HEALTH POLICY AND STATE HEALTH POLICY
NATIONAL HEALTH POLICY AND STATE HEALTH POLICY
NATIONAL HEALTH POLICY AND STATE HEALTH POLICY
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NATIONAL HEALTH POLICY AND STATE HEALTH POLICY

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NATIONAL HEALTH POLICY AND STATE HEALTH POLICY

  1. 1. HEALTH CARE POLICY NATIONAL AND STATE
  2. 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. 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. 4. HEALTH STRATEGIES  Restructuring the health infrastructure.
  5. 5. HEALTH STRATEGIES  Developing health Manpower , research and development.
  6. 6. NATIONAL HEALTH POLICY 1983 HISTORY Bhore committee: 1943 First evolution: 1983 Revised: 2002
  7. 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. 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. 9. COMPONENTS OF HEALTH POLICY  Socioeconomic policies  Employment  Elementary Education  Integrated rural development.  Population Control.  Welfare of women and children.
  10. 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. 11. NATIONAL POLICIES RELATED TO HEALTH
  12. 12. NATIONAL HEALTH POLICY- 2002
  13. 13. NATIONAL POPULATION POLICY2000
  14. 14. NATIONAL AIDS PREVENTION AND CONTROL POLICY-2002
  15. 15. NATIONAL BLOOD POLICY- 2002
  16. 16. NATIONAL POLICY FOR THE EMPOWERMENT OF WOMEN-2001
  17. 17. NATIONAL POLICY AND CHARTER FOR CHILDREN -2003
  18. 18. NATIONAL YOUTH POLICY -2003
  19. 19. NATIONAL POLICY FOR OLD PERSON-1999
  20. 20. NATIONAL HEALTH RESEARCH POLICY (DRAFT)
  21. 21. NATIONAL POLICY ON EDUCATION
  22. 22. NATIONAL PHARMACEUTICAL POLICY
  23. 23. NATIONAL WATER POLICY
  24. 24. NATIONAL ENVIRONMENTAL POLICY-2006
  25. 25. NATIONAL HOUSING AND HABITAT POLICY -1998
  26. 26. PARTS OF NATIONAL HEALTH POLCY
  27. 27. PARTS OF NATIONAL HEALTH PARTS OF NATIONAL POLICY Introductory
  28. 28. PARTS OF NATIONAL HEALTH POLICY Our Heritage
  29. 29. PARTS OF NATIONAL HEALTH POLICY Progress achieved
  30. 30. PARTS OF NATIONAL HEALTH POLICY The Existing Picture: 1. High rate of population growth
  31. 31. 2. High mortality rate for women children and Infants
  32. 32. 3.Malnutrition
  33. 33. 4. High prevalence of Communicable and Non communicable diseases.
  34. 34. 5. Poor access to potable water supply and the basic sanitation
  35. 35. 6. Poverty
  36. 36. 7.Ignorance
  37. 37. 8. Adoption of Health manpower models
  38. 38. 9. Establishment of Curative centers.
  39. 39. 10.Emphasis on hospital based, cure oriented approach
  40. 40. 11.Failure to involve the community in the identification of health needs and priorities.
  41. 41. PARTS OF NATIONAL HEALTH POLICY Revised 20-point programme
  42. 42. PARTS OF NATIONAL HEALTH POLICY Population stabilization
  43. 43. PARTS OF NATIONAL HEALTH POLICY Medical and Health Education
  44. 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. 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. 46. PARTS OF NATIONAL HEALTH POLICY Reorientation of Existing Health Personnel
  47. 47. PARTS OF NATIONAL HEALTH POLICY Private practice by Government Functionaries
  48. 48. PARTS OF NATIONAL HEALTH POLICY Practitioners of indigenous and other systems of medicine and their role in health care.
  49. 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. 50. PARTS OF NATIONAL HEALTH POLICY Health Education
  51. 51. PARTS OF NATIONAL HEALTH POLICY Management information System
  52. 52. PARTS OF NATIONAL HEALTH POLICY Medical Industry
  53. 53. PARTS OF NATIONAL HEALTH POLICY Health Insurance
  54. 54. PARTS OF NATIONAL HEALTH POLICY Health legislation
  55. 55. PARTS OF NATIONAL HEALTH POLICY Medical research:
  56. 56. PARTS OF NATIONAL HEALTH POLICY Inter sectoral cooperation
  57. 57. PARTS OF NATIONAL HEALTH POLICY Monitoring and review of progress
  58. 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. 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. 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. 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. 62. CURRENT SCENARIO OF OUR COUNTRY 1. Financial Resources:  Low public health investment  Declined GDP
  63. 63. CURRENT SCENARIO OF OUR COUNTRY 2. Equity  Lack of equitable distribution of resources
  64. 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. 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. 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. 67. CURRENT SCENARIO OF OUR COUNTRY 6. Role of Local Self- government institutions
  68. 68. CURRENT SCENARIO OF OUR COUNTRY 7. Medical Education
  69. 69. CURRENT SCENARIO OF OUR COUNTRY 8. Need for specialists in „Public health‟ and „Family Medicine‟
  70. 70. CURRENT SCENARIO OF OUR COUNTRY 9. Urban Health
  71. 71. CURRENT SCENARIO OF OUR COUNTRY 10.Mental Health
  72. 72. CURRENT SCENARIO OF OUR COUNTRY 11. I E C Information Communication Education
  73. 73. CURRENT SCENARIO OF OUR COUNTRY 12. Medical Research  Limited to ICMR
  74. 74. CURRENT SCENARIO OF OUR COUNTRY 13.Role of the Private Sector
  75. 75. CURRENT SCENARIO OF OUR COUNTRY 14. Role of Civil society
  76. 76. CURRENT SCENARIO OF OUR COUNTRY 15.National Disease surveillance Network
  77. 77. CURRENT SCENARIO OF OUR COUNTRY 16. Health Statistics
  78. 78. CURRENT SCENARIO OF OUR COUNTRY 17. Women‟s Health
  79. 79. CURRENT SCENARIO OF OUR COUNTRY 18. Medical ethics
  80. 80. CURRENT SCENARIO OF OUR COUNTRY 19. Enforcement of Quality standards for food and Drugs
  81. 81. CURRENT SCENARIO OF OUR COUNTRY 20. Regulation of Standards in Para medical disciplines.
  82. 82. CURRENT SCENARIO OF OUR COUNTRY 21. Occupational Health
  83. 83. CURRENT SCENARIO OF OUR COUNTRY 22. Providing Medical facilities to users from Overseas
  84. 84. CURRENT SCENARIO OF OUR COUNTRY 23. Impact of Globalization on the health sector
  85. 85. CURRENT SCENARIO OF OUR COUNTRY 24. Non Health Determinants
  86. 86. CURRENT SCENARIO OF OUR COUNTRY 25. Population Growths and Health Standards
  87. 87. CURRENT SCENARIO OF OUR COUNTRY 26. Alternative Systems of Medicine
  88. 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. 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. 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. 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. 92. SWOT ANALYSIS OF NATIONAL HEALTH POLICY Threats:  Health Tourism
  93. 93. OBJECTIVES OF STATE HEALTH POLICY 2013 Information Governance Financing PEOPLE Human Resources Service Delivery Medicines and Technologies
  94. 94. KERALA CURRENT SCENARIO
  95. 95. 2. HEALTH FINANCING • Budget allocation: From NRHM Fund.
  96. 96. 3.SOCIAL DETERMINANTS OF HEALTH
  97. 97.  Water Supply • Increased reclamation of wetlands and Water bodies • Increased Pollution
  98. 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. 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. 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. 101.  Other Social Determinants of Health
  102. 102. Other Social Determinants of Health • Food and Nutrition
  103. 103. Other Social Determinants of Health • Regular Employment
  104. 104. Other Social Determinants of Health • Housing
  105. 105. Other Social Determinants of Health • Women empowerment
  106. 106. 4. Managing Emerging and Re emerging Diseases
  107. 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. 108. 5. Non- Communicable Diseases Contd……….  Introduction of NPCDCS  Introduction of “Amrutham Arogyam” [ NCD Control Programme]
  109. 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. 110. 7. WOMEN‟S HEALTH
  111. 111. 8. MATERNAL HEALTH
  112. 112. 9. CHILD HEALTH • • • • IMR of Kerala is 12/1000 Achieve universal immunisation Nutritional Monitoring Organisation of New born Screening programmes
  113. 113. 10.ADOLESCENT HEALTH [ARSH]  WIFS- Weekly Iron and Folic acid Supplementation programme  AFHCs – Hospital based Adolescent Friendly Clinics
  114. 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. 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. 116. 13. MENTAL HEALTH PROBLEMS:
  117. 117. 14. HEALTH OF VULNERABLE SECTIONS AND HEALTH INFRASTRUCTURE IN KERALA
  118. 118. OVERVIEW OF HEALTH SERVICE SYSTEM OF THE STATE • Tertiary care • Secondary care Institutions • Primary health center • Sub -center
  119. 119. Tertiary Care:
  120. 120. Secondary care Institutions
  121. 121. Primary Health centers
  122. 122. Sub -centers  5500 ANMs  3500 JHI  5403 Sub centers
  123. 123. • Emergency medical services and management of trauma.
  124. 124. MEDICAL ESTABLISHMENT BILL 2013
  125. 125. HUMAN RESOURCE POLICY IN HEALTH
  126. 126. NURSING CARE AND NURSING EDUCATION
  127. 127. TREATENT PROTOCOLS, REFERRAL PROTOCOLS AND MANAGEMENT GUIDELINES
  128. 128. DATA MANAGEMENT SYSTEM
  129. 129. DECENTRALIZATION AND HEALTH
  130. 130. PRIVATE SECTOR
  131. 131. PLAN OF ACTION
  132. 132.  DETERMINANTS OF HEALTH CARE • Clean drinking water
  133. 133.  DETERMINANTS OF HEALTH CARE • Sanitation facilities
  134. 134.  DETERMINANTS OF HEALTH CARE • Solid waste management policy and plan of action
  135. 135.  DETERMINANTS OF HEALTH CARE • Poverty
  136. 136.  ENFORCEMENT OF REGULATIONS FOR GOOD HEALTH
  137. 137. • Food safety
  138. 138. • Public health act
  139. 139. • Reorganization of Government Health systems: • • • • • Primary Health centers Community Health centers Taluk Head quarters Hospital District/ General Hospitals. Medical College Hospitals
  140. 140. • OTHER SPECIALISED AREAS o Public health cadre and Health protection Agency
  141. 141. o Communicable Disease Surveillance And Execution Of Control Measures”
  142. 142. o Non Communicable Disease Control
  143. 143. o Community Mental Health Care and Services.
  144. 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. 145. o Strengthening Laboratory Network in the State:
  146. 146. o AYURVEDA
  147. 147. o AYURVEDA  Research and Documentation
  148. 148. o AYURVEDA  Quality Assurance
  149. 149. o AYURVEDA Support to Manufacturing
  150. 150. o AYURVEDA  Awareness regarding the Benefits of Ayurveda
  151. 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. 152. HOMEOPATHY o ESI: 13 Dispensaries and 1 Hospital o Seethalayam o Ayushman bhava o Jyothir gamaya o Chethana
  153. 153. ORAL HEALTH
  154. 154. FUTURE DEVELOPMENTS  Quality up gradation in health sector  Universal Health Coverage
  155. 155. SSSS CONCLUSION
  156. 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. 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
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