Describes health indicators and targets as per National Health Policy 2017 & NITI 2017.

1. National Health Policy-2017 &
NITI-2017 & 5 Year Plans
Dr Rambadan P. Chauhan
Professor-Community Medicine
BKL Walawalkar Rural Medical College
Kasarwadi-Sawarde,District-Ratnagiri.PIN415606

2. Objectives (for a flipped class)
Before start the of the lecture the students will
be able to recall following,
1.Years of the 12 ‘Five year Plans’.
2.Salient features of NITI 2017.
3.Elements of the National health policy-2017.
(Lecture to be posted 2 days in advance in students
group. Students to study and get their doubts
cleared by faculties before the start of lecture)

3. 1.Years of the 12 ‘five year Plans’.
No of ‘5 Year Plan’ Year Remark
1st 1951-1956
2nd 1956-1961
3rd 1961-1966
4th 1969-1974
5th 1974-1979
6th 1980-1985
7th 1985-1990
8th 1992-1997
9th 1997-2002
10th 2002-2007
11th 2007-2012
12th 2012-2017 2017 NITI replaced 5 Year Plan

4. 2.Salient features of NITI 2017 ITM-O
Indicator Baseline year Indicator
status
Target by 2020
Infant mortality rate
(IMR)
(per1000 Live Births)
2013 40 30
Total Fertility Rate
(TFR) (per women)
2013 2.3 2.1
Maternal Mortality
Ratio (MMR)
(per 1 lac Live Births)
2013 167 120
Out of pocket spending
( > 10% of Income)
2014 62.4% 50%

5. 2.Salient features of NITI 2017: U5Tu KaLyP A
Indicator Baseline year Indicator status Target by 2020
Under 5 years Mortality
ratio (U5MR)
Per 1000 Live births
2015 48 38
TB Incidence
Per 1 lac Population
2015 217 130 [NTEP 142]
Kala Azar Elimination
Per 10000 population < 1
2015 80% endemic districts 100% of endemic districts
Lymphatic filariasis
Per 10000 population < 1
2015 87% endemic districts 100% of endemic districts
Premature death due to CDCC 2015 NFHS-4 NFHS-4 LEVEL 25% REDUCTION
API-MALARIA
< 1 per 1000 population
2016 74% DISTRICTS 90% DISTRICTS

6. National health policy-2017:
HeSAPI-HeSP-HeSS
A. Health status and programme
impact.[HeSAPI]
B.Health system performance [HeSyPer]
C.Health system strengthening [HeSySt]

7. A. Health status and programme impact.
LiMoRe
A1.Life expectancy and healthy life
A2.Mortality by age and/or cause
A3.Reduction of disease Prevalence & Incidence

8. A2. Life expectancy and healthy life
LET
Indicator Baseline year Indicator status Target by 2025
Life Expectancy Census-2011
Females 66.9 years 70 years
Males 63.9 years 70 years
Establish DALY as
a measure of
burden of disease
Not applicable Not applicable By 2022
Total Fertility Rate
[per woman]
SRS 2017 2.2 2.1

9. A1. Mortality by age and/or cause
IMUNS
Indicator Baseline year Indicator status Target by 2025
IMR SRS 2017 33 28 by 2019
MMR SRS 2017 122 Less than 100 by
2020
MMR SDG 2030 <70
Under 5 MR SRS2017 37 23
Under 5 MR SDG2030 <25
Neonatal mortality
rate
SRS 2017 23 16
SDG2030 < 12
Still birth rate Less than 10

10. A3.Reduction of disease Prevalence & Incidence [LOBTu KaLyP H]
Indicator Baseline year Indicator status Target by 2025
LEPROSY: [ALL DISTRICTS]
Less than 1 case per 10000 population
2011-12 PR=85%
ANCDR=69%
100%
100%
Out of pocket spending 2014 62.4% < 50%
Blindness Prevalence
Per 1 LAKH population
2015-18 45 25
TB Incidenceper 1 lac
population
2015 217
Less than 44
(Maintain cure rate>85%)
Kala Azar Elimination
less than 1 case pr 10000 population
2015
80% endemic districts 100% of endemic districts
Lymphatic filariasis Elimination
less than 1 case pr 10000 population 2015 87% endemic districts 100% of endemic districts
Premature death due to CDCC 2015 NFHS-4 NFHS-4 LEVEL 25% REDUCTION
HIV 90-90-90
Not
Applicable
Not Applicable 90% will know their status
90% on sustainably ART
90% on ART will have viral suppression
CDCC= Cancer , Diabetes mellitus, cardiovascular disease & Chronic respiratory disease

11. B.Health system performance
B1.Coverage of health services
B2.Cross sectoral goals related to health

12. B1.Coverage of health services by 2025
USAIK
1.Utilization of health services by 50% or more
2.Skill attendance at birth > 90%
3.Antenatal coverage > 90%
4.Immunization fully by 1 year >90%
5. ‘Known Hypertensive & DM individuals’ having ‘controlled
status’ > 80%

13. B2.Cross sectoral goals related to health by 2025
TUSOH
1.Tobacco use reduction by 15% in 2020 and
30% by 2025.
2.Under 5 children stunting reduction by 40%
3.Safe water and Sanitation[SWAS] 100%
4.Occupational Injury to agricultural workers
reduction by 50% by 2020 [174 per lakh by
2020). [2015-17 level 334 per lakh]
5.Health behavior (select) tracking at
national/state level

14. C.Health system strengthening
C1:Health Finance
C2:Health Infrastructure and Human Resourse
C3:Health Management Information

15. C1:Health Finance by 2025 (GroSC)
1. Increase Health expenditure[IHE] of
GDP from 1.15% to 2.5%
2. Increase State sector health
expenditure [isshe] from 7% to >8%
3. Household Catastrophic health
expenditure [che] reduction by 25%

16. C2:Health Infrastructure and Human Resourse
by 2025 in High Priority Districts[DOCOPASC]
1.Doctors and paramedics as per IPHS
2.Community health volunteers[CHV] to
Population ratio as per IPHS
3.Primary and Secondary care facility as per IPHS
IPHS=Indian Public Health Standard
Community Health Volunteers:ASHA, AWW, TBA
Paramedics: Nurses, ANM, Lab technicians, Pharmacists
[NALP]etc

17. C3:Health Management Information -DEHE
DEDOI-HSC ER-DOPHI HeSSS FIHIA-HIE-NHIN
1.DEDOI [district-level Electronic Database Of
Information] on HSC [Health system
components] by 2020
2A.ER[Establishing registries] for DOPHI [diseases of
public health importance] by 2020
2B. HeSSS= health surveillance system
strengthening by 2020
3.E FeHeNa[Establish FIHIA (Federated integrated
health information architecture)] , HIE (health
information exchange) & NHIN (national health
information network) by 2025].

18. Assignments
1.Write NITI 2017 Targets.
2.Write NHP2017 Indicators & Targets for
a. Health status & programme impact
b.Health services performance
c.Health services strengthening

19. THANKS