National health policy, population policy, ayushNational health policy, population policy, ayush

1. NATIONAL HEALTH POLICY,
NATIONAL POPULATION POLICY,
NATIONAL POLICY ON AYUSH
PRESENTED BY
Kailash Nagar (M.sc,
MDAM)

2. Terminologies:
• Health: it is a state of complete physical,
mental, and social well-being and not merely the
absence of disease or infirmity.
• Health policy: it is a field of study and practice in
which the priorities and values underlying
health resource allocation are determined.
• Strategy: it is a plan of action designed to
achieve a specific goal.
• Budget: A systematic plan for the expenditure of
a usually fixed resource, such as money or time,
during a given period
• Standards: A level of quality or attainment

3. NATIONAL HEALTH POLICY
• Objectives
• To achieve an acceptable standard of good
health amongst the general population of the
country.
• Decentralized public health system
• Ensuring a more equitable access to health
services
• To increasing the aggregate public health
investment through a substantially increased
contribution by the Central Government.
• Strengthen the capacity of the public health
administration

4. Need for national health policy
• Population stabilization
• Medical and Health Education
• Providing primary health care
• Re-orientation of the existing health personnel
• Practitioners of indigenous and other systems of
medicine and their role in health care

5. National Health Policy - 2002 goals to
be achieved by 2015
• Eradicate Polio and Yaws, Leprosy, Kala-azar -
2005
• Eliminate Lymphatic Filariasis -2005
• Achieve zero level growth of HIV / AIDS -2010
• Reduce mortality by 50% on account of TB,
Malaria and other vector and water borne
diseases -2015
• Reduce prevalence of blindness to 0.5% -2007

6. • Reduce IMR to 30/100 And MMR to 100/Lakh -
2010
• Increase utilization of public health facilities
from current level of < 20% to > 75% -2010
• Establish an integrated system of surveillance,
National Health Accounts and Health Statistics.
-2010
• Increase health expenditure by Government as a
% of GDP from the existing 0.9% to 2.0% -2010
• Increase share of central grants to constitute at
least 25% of total health spending -2005
• Increase state sector health spending from 5.5
to 7% of the budget -2005

7. NHP-2002-POLICY PRESCRIPTIONS
1. Delivery of National Public Health
Programmes
2. The State of Public Health
Infrastructure
3. Extending Public Health Services
4. Role of Local Self-Government
Institutions
5. Norms for Health Care Personnel
6. Education of Health Care Professionals
7. Need for Specialists in 'Public Health'
and 'Family Medicine

8. 8. Nursing Personnel
9. Use of Generic Drugs and Vaccines
10.Urban Health
11.Mental Health
12.Information, Education and
Communication
13. Health Research
14.Role of Private Sector
15.Role of Civil Society
16.National Disease Surveillance Network
17.Health Statistical
18.Women's Health

9. 19. Enforcement of Quality Standards for
Food and Drugs
20. Regulation of Standards in Para
Medical Disciplines
22. Environmental and Occupational
Health
23. Providing Medical Facilities to Users
from Overseas
24. Impact of Globalization on The Health
Sector

10. 25. Delivery of National Public Health
Programmes:
26. Encourage active participation of the
state government
27. Ensures the financial resources
28. Optimize the utilization of public
health infrastructure

11. The State of Public Health Infrastructure
• Decentralized Public health services
• The supply of drugs
Extending Public Health Services :
• Availability of practitioners
• Use of Para medical manpower
• Simplify the recruitment procedures and rules for
contract employment

12. Role of Local Self-Government Institutions
• Implementation of public health programmes
• Structure of the national disease control programmes
• Combines all State Governments
• Norms for Health Care Personnel
• Minimal statutory norms
• Progressively reviewed

13. Education of Health Care Professionals
• Setting up of a Medical Grants Commission
• Fund the up gradation of the infrastructure
• Modify the existing curriculum
• A need-based, skill-oriented syllabus
• Recommends a periodic skill-updating

14. Need for Specialists in 'Public Health'
and 'Family Medicine:
• The progressive implementation of mandatory
norms
• Sanctioning of postgraduate seats in future

15. Nursing Personnel
• Emphasizes the need for an improvement the
ratio of nurses vis-à-vis doctors/beds.
• Increasing the number of nursing personnel.
• Emphasis on improving the skill-level of nurses
• The setting up and the running of training
facilities for nurses
• Establishing training courses for super-specialty
nurses

16. Use of Generic Drugs and Vaccines:
• Encourage the use of only essential drugs
• Production and sale of irrational combinations
of drugs would be prohibited

17. Urban Health
• Setting up of an organized urban primary health
care structure
• The adoption of appropriate population norms
for the urban public health infrastructure
• The structure conceived under NHP-2002 is a
two-tiered one:
The primary centre is seen as the first-tier
A second-tier of the urban health organization at
the level of the government general hospital

18. Mental Health:
• Network of decentralized mental health services
• Upgrading of the physical infrastructure of
mental health institutions
• Programme outline for such a disease would
involve the diagnosis of common disorders, and
the prescription of common therapeutic drugs,
by general duty medical staff.

19. Information, Education and
Communication:
• Maximizes the dissemination of information
• Focus would be on the interpersonal
communication of information
• Set specific targets

20. Health Research
• Increase in government-funded health research
• Domestic medical research would be focused on
new therapeutic drugs and vaccines
Role of private sector:
• Welcomes the participation of the private sector
in all areas of health activities—primary,
secondary or tertiary
• The enactment of suitable legislation

21. Role of Civil Society
• Recognizes the significant contribution made by
NGOS’s
• Implement the disease control programmes
• Emphasizes the need to simplify procedures for
government-civil society

22. National Disease Surveillance
Network
• Full operationalization of an integrated disease
control network
• Setting up the network
• This public health surveillance network will also
encompass information from private health care
institutions and practitioners.

23. Health Statistical
• The completion of baseline estimates for the
incidence of the common diseases—tb, malaria,
blindness—by 2005
• Enable the periodic updating of these baseline
estimates
• Baseline estimates for non-communicable
diseases, like CVD, cancer, diabetes; and
accidental injuries, and communicable diseases
like Hepatitis and JE.

24. Women's Health
• NHP-2002 envisages the identification of
specific programmes targeted at women's health
• The Policy notes that women, along with other
underprivileged groups, are significantly
handicapped due to a disproportionately low
access to health care.

25. Medical Ethics
• To ensure that the common patient is not
subjected to irrational or profit-driven medical
regimens
• Vigilant watch will have to be kept so that the
existing guidelines and statutory provisions are
constantly reviewed and updated

26. Enforcement of Quality Standards for
Food and Drugs
• The food and drug administration will be
progressively strengthened
• The standards of food items will be progressively
tightened up

27. • Regulation of Standards in Para Medical
Disciplines :
• NHP-2002 recognises the need for the
establishment of statutory professional councils
for paramedical disciplines to register
practitioners, maintain standards of training,
and monitor performance.

28. Environmental and Occupational
Health
• Independently-stated policies and programmes
of the environment-related sectors be smoothly
interfaced with the policies and the programmes
of the health sector
• The periodic screening of the health conditions
of the workers

29. Providing Medical Facilities to Users
from Overseas
• Capitalize on the comparative cost advantage
enjoyed by domestic health facilities in the
secondary and tertiary sectors
• Providers of such services to patients from
overseas will be encouraged by extending to
their earnings in foreign exchange

30. Impact of Globalization on The
Health Sector
• Takes into account the serious apprehension,
expressed by several health experts
• Protect the citizens of the country from such a
threat

31. NATIONAL POPULATION POLICY-2000
• DEFINITION:
“A deliberate (think) effort by a national
government to influence the demographic
variables like fertility, mortality and migration”

32. Need of NPP
Objectives of NPP:
• Immediate objective : To fulfill unmet need for
contraception, strengthening the health infrastructure,
integrating the services for Reproductive and Child
Health.
• Medium Term : Effective implementation of inter-
sector strategies to substantially reduce the TFR by
2010.
• Long Term : To sustain the economic growth, social
development and eco-conservation, stabilize the
population by 2045.

33. NEW STRUCTURES
• National Commission on Population
• State / UT Commissions on Population
• Coordination Cell in the Planning Commission
• Technology Mission in the Department of
Family Welfare

34. Socio-Demographic goals by 2010
• Address the unmet needs for basic reproductive
and child health services
• Make school education up to age 14 free and
compulsory
• Reduce infant mortality rate to below 30 per
1000 live births.
• Reduce maternal mortality ratio to below 100
per 100,000 live births.
• Achieve universal immunization of children
against all vaccine preventable diseases.

35. • Promote delayed marriage for girls
• Achieve 80 percent institutional deliveries and 100
percent deliveries by trained persons
• Achieve universal access to information/counseling
• Achieve 100 per cent registration of births, deaths,
marriage and pregnancy
• Promote greater integration between the
management of reproductive tract infections (RTI)
and sexually transmitted infections (STI) and the
National AIDS Control Organization
• Prevent and Control communicable diseases
• Promote vigorously the small family norm

36. Promotional and motivational measures:
• Incentives for Panchayat and Zila Parishads
• Run Balika Samridhi Yojana
• Maternity Benefit Scheme run by Department of
Rural Development
• A revolving fund will be set up for income-
generating activities Child care centre's open in
rural, urban, and slum areas.
• Affordable choice of contraceptives will be made
accessible at diverse points with counseling.
• Facilities for safe abortion will be strengthened and
expanded.
• Ambulance services for referral transportation
• Vocational training for self employment to girls.
• Strict enforcement of child marriage Act, 1976

37. NATINAL POLICY ON AYUSH
• OBJECTIVES
• Promote good health and expand the outreach of
health care to all people
• Improve the quality of teachers and clinicians
by revising curricula
• Ensure affordable ISM&H services & drugs
which are safe and efficacious
• Facilitate availability of raw drugs

38. • Ensure optimal use of the vast infrastructure of
hospitals, dispensaries and physicians.
• Re-orient and prioritize research in ism&h
• Provide full opportunity for the growth and
development of these systems

39. STRATERGIES:
• Education
• Legislative measures would be taken to regulate
starting of a new college
• Increase in intake and introduction of new
course of study
• Establishment of model colleges and Centres of
Excellence of ISM&H
• The course curricula would be reviewed and
revised
• Nursing and Pharmacy education would be
introduced

40. Research
• Research on fundamental principles of ISM&H.
• Drug research to establish efficacy and safety of
ISM medicine
• Disease oriented clinical drug research following
“reverse
• pharmacology approach
• Identification and evaluation of promising and
widely accepted practices and skills of
traditional healers in rural and tribal areas.
• Revival of ancient literature

41. Integration of ISM & H and National
Health Care Programmes and
Delivery System.
• integrate and mainstream ISM&H in health care
delivery systems including National
Programmes.
• utilization of ISM & H manpower in the health
care delivery system
• modify laws governing the practice of modern
medicine by ISM practitioners
• Referral ISM hospitals in the country would be
renovated

42. • Central government would assist speciality
hospitals of allopathy
• Private allopathic hospitals would be encouraged
to set up specialist treatment centres of ISM&H
• States would be encouraged to consolidate the
ISM infrastructure and raise the salary and
social/professional status of ISM practitioners