National Health Policy

1. Presented by
Iqra Zeenat
B.Sc, M.Sc, DNA
Community Health Nursing
SKIMS SRINAGAR

2. • National health policy (NHP) is a statement , outlined by GoI as a
blue print for further action. It aims at the elimination of poverty,
illiteracy, ill health, ignorance and inequality.
• In view of the commitment made by GoI to achieve the global,
social target Health For All by 2000 AD, an expert committee
appointed by the planning commission submitted the report in
1981, about assessing the health status of the country, in terms
of various indicator, which became the basis or root of national
health policy.
• NHP was finalized by the Ministry of Health and Family Welfare
in 1982, with the goal HFA by 2000 AD and NHP was approved in
August 1983
Introduction to National Health Policy 1983

4. ▪ Small family norm
▪ Improvement of maternal and
child health
▪ Immunization programme
▪ Improvement of nutritional
status
▪ Provision of safe water supply
and sanitation
▪ Environmental protection
▪ School health programme
▪ Occupational health
▪ Prevention of food adulteration
▪ Maintenance of quality of drugs

5. ▪ Prohibition of private practice
by Govt. Doctors, in a phased
manner.
▪ Exploitation of the services by
the practitioners of AYUSH.
▪ Promotion of herbal gardening
and health industry to increase
the production of drugs.
• Promotion of basic and applied
research.
• Establishment of inter sectoral
coordination.
• Training of all categories of
medical personnel.
• Universal adult literacy
education.

6. ❖ Because of the certain comments and criticism, the policy was
revised by Ministry of Health and Family Welfare, in the year 2002 as
“New National Health Policy- 2002”.
❖ NHP 1983 was perceived to achieve HFA by 2000 AD through
universal provision of PHCs, not visualizing enormous resources
necessitated to achieve the goal.
❖ Contrastingly NHP 2002 is projected as a realistic document based on
conceptual and operational framework.

9. Goals of NHP – 2002, to be achieved by 2005- 2015 are:-
DISEASE YEAR
Eradication of poliomyelitis and yaws 2005
Elimination of leprosy 2005
Elimination of Kala-azar 2010
Elimination of lymphatic filariasis 2015
Achieve zero level growth of HIV/ AIDS 2007
Reduce mortality by 50% on account of TB, malaria and other water borne and vector borne diseases 2010
Reduce prevalence of blindness to 0.5% 2010
Reduce IMR to 30/ 1000 LB and MMR to 1/ 1000 LB (i.e 100/ 1 lakh LB) 2010
Increase utilization of public health facilities from current level of <20 to >75% 2010
Establish an integrated system of surveillance, health statistics and health accounting by 2005

10. • The National Health Policy of 1983 and the National Health Policy of 2002
have served well in guiding the approach for the health sector. The current
context has however changed in four major ways.
1. Health priorities are changing. Although maternal and child mortality have
rapidly declined, there is growing burden on account of non-communicable
diseases and some infectious diseases.
2. Emergence of a robust health care industry estimated to be growing at
double digit.
3. Growing incidences of catastrophic expenditure due to health care costs,
which are presently estimated to be one of the major contributors to
poverty.
4. A rising economic growth enables enhanced fiscal capacity.
Therefore, a new health policy responsive to these contextual changes is
required. The National Health Policy, 2017 seeks to reach everyone in a
comprehensive integrated way to move towards wellness. It aims at
achieving universal health coverage and delivering quality health care
services to all at affordable cost.

11. To attain the highest possible level of health and well-being
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. This
would be achieved through:-
❖ Increasing access
❖ Improving quality and
❖ Lowering the cost of healthcare delivery.

12. • Improve health status through concerted policy action in all
sectors and expand preventive, promotive, curative,
palliative and rehabilitative services provided through the
public health sector with focus on quality.

13. 1. Health Status and Programme Impact
A. Life Expectancy and healthy life
B. Mortality by Age and/ or cause
Life Expectancy at birth from 67.5 to 70 2025
TFR to 2.1 at national and sub-national level 2025
Under Five Mortality to 23 2025
MMR from current levels to 100 2020
IMR rate to 28 2019
Neo-natal mortality to 16 and Still birth rate to “single digit” 2025

14. C. Reduction of disease prevalence/ incidence
• Achieve and maintain elimination status of Leprosy by 2018, Kala-Azar by 2017
and Lymphatic Filariasis in endemic pockets by 2017.
• 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.
• To reduce the prevalence of blindness to 0.25/ 1000 by 2025 and disease burden
by one third from current levels.
• To reduce premature mortality from cardiovascular diseases, cancer, diabetes or
chronic respiratory diseases by 25% by 2025.
• 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 90% of all people receiving
antiretroviral therapy will have viral suppression.

15. A. Coverage of Health Services
• Increase utilization of public health facilities by 50% from current levels by 2025.
• Antenatal care coverage to be sustained above 90% and skilled attendance at birth
above 90% by 2025.
• More than 90% of the newborn are fully immunized by one year of age by 2025.
• Meet need of family planning above 90% at national and sub national level by 2025.
• 80% of known hypertensive and diabetic individuals at household level maintain
"controlled disease status" by 2025.
A. Cross Sectoral goals related to health
• Relative reduction in prevalence of current tobacco use by 15% by 2020 and 30% by
2025.
• Reduction of 40% in prevalence of stunting of under-five children by 2025.
• Access to safe water and sanitation to all by 2020 .
• National/ State level tracking of selected health behavior.

16. A. Health finance
• Increase health expenditure by Government as a percentage of GDP from the existing 1.1 5 % to 2.5 % by
2025.
• Increase State sector health spending to > 8% of their budget by 2020.
• Decrease in proportion of households facing catastrophic health expenditure from the current levels by
25%, by 2025.
B. Health Infrastructure and Human Resource
• Ensure availability of paramedics and doctors as per Indian Public Health Standard
(IPHS) norm in high priority districts by 2020.
C. Health Management Information
• Ensure district - level electronic database of information on health system components by 2020.
• Strengthen the health surveillance system and establish registries for diseases of
public health importance by 2020.

17. A. Ensuring Adequate Investment - The policy proposes a potentially
achievable target of raising public health expenditure to 2.5% of the GDP in
a time bound manner.
B. Preventive and Promotive Health - The policy identifies coordinated
action on seven priority areas for improving the environment for health:
• The Swachh Bharat Abhiyan
• Balanced, healthy diets and regular exercises.
• Addressing tobacco, alcohol and substance abuse
• Yatri Suraksha – preventing deaths due to rail an d road traffic accidents
• Nirbhaya Nari – action against gender violence
• Reduced stress and improved safety in the work place
• Reducing indoor and outdoor air pollution
C. Organization of Public Health Care Delivery - The policy proposes
seven key policy shifts in organizing health care services.