its about brief overview of NHP 2017

1. Dr Neera Marathe
Professor and Head, Community
Medicine, SSMC, Rewa

2. Learning
Objectives
Current Health Status Of
India
Basic Concept about Goal,
Objectives, Targets
Overview of NHP 2017
Health care delivery system
in India

3. Current Health Status of INDIA
India is presently in a state of transition — economically,
demographically, and epidemiologically — in terms of health.
remarkable economic development particularly in terms of
gross domestic product (GDP)
growth rate,
unfortunately this progress is accompanied by growing
disparities between the rich and the poor.

4. The country
at present
suffers from
the triple
burden of
disease —
• The country at present suffers from
the triple burden of disease —
• the unfinished agenda of infectious
diseases;
• the challenge of noncommunicable
diseases (NCDs), linked with
lifestyle changes; and
• emergence of new pathogens
causing epidemics and pandemics,
disasters, mental health, addiction
and RTAs.
• the health infrastructure is already
over-stretched and needs to be
strengthened.

5. Communicable diseases
expected to continue to remain a major public health problem in
the coming (3)
Besides endemic diseases such as human immunodeficiency virus
infection and acquired immune deficiency syndrome (HIV/AIDS),
tuberculosis (TB), malaria, and neglected tropical diseases,
the communicable disease outbreaks will continue to challenge
public health, requiring high level of readiness in terms of early
detection and rapid response

6. Also of significant concern is the maternal mortality
ratio and infant mortality rate (IMR) remain
unacceptably high.

7. Infant Mortality Rate

8. non-
communicable
diseases or
NCDs
leading cause of death in the country,
contributing to 60% of deaths.(4,5)
Four diseases namely heart disease,
cancer, diabetes, and chronic
pulmonary diseases contribute nearly
80% of all deaths due to NCDs and
they share four common risk factors
namely tobacco use, harmful use of
alcohol, unhealthy diet, and lack of
physical activities.

9. • Mental health issues : 10.6% of India’s
population lives with mental health
conditions.
• Substance Abuse
• Geriatric problems
• Gender based violence
• Disparity between rural and urban
settlements in accessing health care services
• Unregulated urbanization leading to growing
slums
• Environmental pollution

11. Man is a goal seeking animal. his life only has
meaning if he is reaching out and striving for
his goals
Aristotle

12. • A goal is an aspirational statement about what
you want to achieve:
• Broad, future-oriented statement that
describes expected effect
• Defines scope
• Provides framework for objectives

13. Characteristics of OBJECTIVES
• Concise
• Free from jargon
• Specific about expected effect
• Easily understood
• Declarative statement
• Does not include solution or specific
service/program
• Conveys ultimate destination

14. Goal
I want to be fit and healthy
• Objective
• I want to loose at least 8 kg weight
• Targets
• I will follow diet prescribed by nutritionist
daily
• I will spent 30 minutes in cardio exercise daily

15. • Policies are the guiding principles stated as an
expectation

17. NHP
• The National Health Policy of 1983 and the National
Health Policy of 2002 have served well in guiding the
approach for the health sector in the Five-Year Plans
• the health priorities are changing.
• emergence of a robust health care industry
• growing incidences of catastrophic expenditure due
to health care costs
• a rising economic growth enables enhanced fiscal
capacity

18. 2017 NHP
• Goal : The policy envisages as its goal
• the 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.
• This would be achieved through increasing access, improving
quality and lowering the cost of healthcare delivery.

19. Objectives
• 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.

20. 2.3.1 Progressively achieve Universal Health
Coverage

21. 2.3.2
Reinforcing
trust in
Public
Health
Care
System:
• predictable, efficient,
patient centric, affordable
and effective, with a
comprehensive package of
services

22. 2.3.3 Align
the growth of
private health
care sector
with public
health goals

23. 2.4 Specific
Quantitative
Goals and
Objectives:
The indicative, quantitative goals
and objectives are outlined under
three broad components viz.
(a) health status and programme
impact,
(b) health systems performance
and
(c) health system strengthening.

24. Major
thrust
Areas
• 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
• Preventive and Promotive
Health:

25. 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 and
road traffic accidents
Nirbhaya Nari –action against gender violence o
Reduced stress and improved safety in the work place
Reducing indoor and outdoor air pollution

26. Organization of Public Health Care Delivery:
Free primary care provision by the public sector,
supplemented by strategic purchase of secondary care
hospitalization and tertiary care services from both public and
from non-government sector to fill critical gaps would be the
main strategy of assuring healthcare services.

27. Public facilities would remain
the focal point in the
healthcare delivery system and
services in the would be
expanded from current levels.
The policy recognizes the
special health needs of tribal
and socially vulnerable
population groups :enhanced
outreach of public healthcare
through Mobile Medical Units
(MMUs), etc

28. Urban
Health
Care:
• National health policy prioritizes
addressing the primary health
care needs of the urban
population with special focus on
poor populations living in listed
and unlisted slums, other
vulnerable populations such as
homeless, rag-pickers, street
children, rickshaw pullers,
construction workers, sex workers
and temporary migrants.

29. National Health
Programs
Mental Health:
Population
Stabilization:
W
omen’s Health
&
Gender
M
ainstreaming:
Emergency Care and Disaster
Preparedness: Assured
provision of trained
manpower from community
and life support equipments

30. It recommends that the Government
should set up new Medical Colleges,
Nursing Institutions and AIIMS.
Regional disparities in distribution of
these institutions must be addressed.
Tertiary care Services:

31. Human
Resources
for Health:
Creation of Mid level Service
Providers
Nursing education
ASHA
Public health management cadre
Attracting and Retaining Doctors in
Remote Areas:

32. Financing of health care
PURCHASING OF
SERVICES
HEALTH INSURANCE COLLABORATION
WITH THE NGO, PPP.

33. Other thrust Areas
Regulatory
Framework,
Application of IT,
HIMS Application of
Digital Health
Anti-microbial
resistance
Pricing- Drugs,
Medical Devices
and Equipment
Research
Collaboration

34. Health Care Delivery System in India

39. • Primary health care has been defined by the
World Health Organization as:
• essential health care made accessible to
individuals and families in the community, by
means acceptable to them, through their full
participation and at a cost that the community
and the country can afford.