Brief introduction and an overview of the alignments of goals and targets.

1. National Health Policy- 2017
Alignment of goals and targets with NHM and SGD
Dr. Megha Bhengra
Senior resident
Preventive and Social Medicine
JIPMER Puducherry

2. Introduction
National Health Policy 2017 :
 NHP 2017 builds on the progress made since the last NHP 2002.
 The primary aim is to inform, clarify, strengthen and prioritize the role of the
Government in shaping health systems in all its dimension.

3.  Attainment of the highest possible level of health and wellbeing 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.
 With NHP 2017 and related regulatory frameworks there is a sense of optimism
that India will make Sustainable progress towards attaining “Health for All” and
the SDG targets.

4.  National Health Mission (NHM):
 The National Health Mission (NHM) encompasses its two Sub-Missions, The
National Rural Health Mission (NRHM) and The National Urban Health Mission
(NUHM).
 The main programmatic components include Health System Strengthening,
Reproductive-Maternal- Neonatal-Child and Adolescent Health (RMNCH+A), and
Communicable and Non-Communicable Diseases.

5.  The NHM envisages achievement of universal access to equitable, affordable &
quality health care services that are accountable and responsive to people’s
needs.
 Continuation of the National Health Mission - with effect from 1st April 2017 to
31st March 2020 has been approved by Cabinet in its meeting dated 21.03.2018.

6.  Sustainable Development Goals :
 The Sustainable Development Goals (SDGs), also known as the Global Goals, were
adopted by the United Nations in 2015 as a universal call to action to end
poverty, protect the planet, and ensure that by 2030 all people enjoy peace and
prosperity.
 The 17 SDGs are integrated—they recognized that action in one area affects
outcomes in others, and that development must balance social, economic and
environmental sustainability.

8.  Alignment of goals and targets with NHM and SDG with NHP-2017
Indicators NHP
(Goals and Targets)
NHM
(Goals and Targets)
SDG 2030 Target
(Goals and Targets)
Maternal Mortality
Ratio (MMR)
Reduce MMR from current
levels (122)to 100 by 2020.
Reduce MMR to 1/1000 live
births.
By 2030, reduce the global
maternal mortality ratio to less
than 70 per 100,000 live births
Infant Mortality Rate
(IMR)
Reduce infant mortality rate to
28 by 2019.
Reduce IMR to 25/1000 live
births
-
Neonatal Mortality
rate (NMR)
Reduce neo-natal mortality to
16 by 2025.
- Reduce neonatal mortality to at
least as low as 12 per 1,000 live
births
Under-five mortality
rate
Reduce Under Five Mortality to
23 by 2025
- Reduce to at least as low as 25
per 1,000 live births
Total Fertility Rate
(TFR)
Reduction of TFR to 2.1 at
national and sub-national level
by 2025.
Reduce TFR to 2.1 -

9. Indicators NHP
(Goals and Targets)
NHM
(Goals and Targets)
SDG 2030 Target
(Goals and Targets)
Reduction of Tuberculosis
prevalence/ incidence
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.
Reduce annual incidence and
mortality from Tuberculosis
by half.
Tuberculosis incidence per
1,000 population.
Reduction of Leprosy, Kala-
Azar, Lymphatic
Filariasis, prevalence/
incidence
Achieve and maintain
elimination status of Leprosy
by 2018, Kala-Azar by 2017
and Lymphatic
Filariasis in endemic pockets
by 2017.
• Reduce the prevalence of
Leprosy to <1/10000
population and incidence
to zero in all districts.
• Kala-azar Elimination by
2015, <1 case per 10000
population in all blocks.
• Less than 1 percent
microfilaria prevalence in
all districts
-

10. Indicators NHP
(Goals and Targets)
NHM
(Goals and Targets)
SDG 2030 Target
(Goals and Targets)
Reduction of HIV
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 and 90% of all
people receiving
antiretroviral therapy will
have viral suppression.
-
Number of new HIV
infections per 1,000
uninfected population, by
sex, age and key
populations.
Mortality and morbidity
from non-communicable
diseases.
To reduce premature
mortality from
cardiovascular diseases,
cancer, diabetes or chronic
respiratory diseases by
25% by 2025.
Prevent and reduce
mortality & morbidity
from non- communicable;
injuries.
By 2030, reduce by one
third premature mortality
from non-communicable
diseases through
prevention and treatment
and promote mental
health and well-being.

11. Indicators NHP
(Goals and Targets)
NHM
(Goals and Targets)
SDG 2030 Target
(Goals and Targets)
Health finance Decrease in proportion of
households facing
catastrophic health
expenditure from the
current
levels by 25%, by 2025.
Reduce household out-of-
pocket expenditure on total
health care expenditure. -

12. References :
1.National Health Mission.[online]2022 [Cited 2022 feb15]. Available from:
https://nhm.gov.in/index4.php?lang=1&level=0&linkid=445&lid=38.
2.National Health Policy. [online]2022 [Cited 2022 feb15]. Available from:
https://www.nhp.gov.in/nhpfiles/national_health_policy_2017.pdf .
3.Sustainable development Goal. [online]2022 [Cited 2022 feb15]. Available from:
https://sdgs.un.org/goals/goal3 .