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Health Policy
Dr Athar Khan
Associate Professor
Department of Community Medicine
Liaquat College of Medicine & Dentistry
matharm@yahoo.com
Talk to Students
10
4/23/2020 DR ATHAR KHAN - LCMD 3
4/23/2020 DR ATHAR KHAN - LCMD 4
Policy is a law, regulation, procedure, administrative
action, incentive, or voluntary practice of governments
and other institutions.
• Health policy refers to decisions, plans, and actions
that are undertaken to achieve specific health care
goals within a society.
• Health policy →defines a vision for the future →
establish targets and points of reference for the short
and medium term → expected roles of different
groups →builds consensus and informs people.
4/23/2020 DR ATHAR KHAN - LCMD 5
• Pakistan is a signatory to Universal Declaration of
Human Rights- health is a basic human right.
• Lower middle income country
• The share of health expenditure in total
expenditures/GDP is the most significant variable
affecting health status in a country.
4/23/2020 6DR ATHAR KHAN - LCMD
4/23/2020 7DR ATHAR KHAN - LCMD
• National health policies, strategies, and plans play an
essential role in defining a country's vision, priorities,
budgetary decisions and course of action for
improving and maintaining the health of its people.
4/23/2020 8DR ATHAR KHAN - LCMD
Categories of Health Policy
• Personal health care policy
• Pharmaceutical policy
• Policies associated with public health
– Vaccination policy
– Tobacco control policy
– Breast feeding promotion policy
4/23/2020 9DR ATHAR KHAN - LCMD
Spectrum of Areas Covered by Health Policy
• Financing
• Delivery of health care
• Access to care
• Quality of care
• Health equity
4/23/2020 10DR ATHAR KHAN - LCMD
Objectives of National Health Policy
• Achieve an acceptable standard of improve health
• Increase access to public health system
• Ensure equitable access to health care
• Create new health infrastructures in areas deficient
• Upgrade existing health infrastructures
• Promoting public private partnership
• Suggest ways to increase investment in health
• Promote stewardship in health for effective
monitoring and evaluation of current policies
4/23/2020 11DR ATHAR KHAN - LCMD
• How do we make policy?
– Reactionary, Luck/Accident, Visionary
– Pakistan – informal approach
4/23/2020 12DR ATHAR KHAN - LCMD
Health Policy Analysis
• A multidisciplinary approach to public policy that
aims to explain the interaction between institutions,
interests and ideas in the policy process. OR
• Policy analysis is “analysis OF the policy process:
how problems are defined, agendas set, policy
formulated, decisions made and policy evaluated and
implemented”
4/23/2020 13DR ATHAR KHAN - LCMD
Frameworks for Health Policy Analysis
Health Policy Triangle - Walt and Gilson (1994)
4/23/2020 14DR ATHAR KHAN - LCMD
Frameworks for Health Policy Analysis
Networks Frameworks
A tool for describing systems of interactions and
interconnectedness between groups of actors. (Thatcher
1998).
4/23/2020 15DR ATHAR KHAN - LCMD
The Health Policy Journey in Pakistan since its creation in 1947 to present
4/23/2020 16DR ATHAR KHAN - LCMD
Pakistan Health Policy Historical Perspective
4/23/2020 17DR ATHAR KHAN - LCMD
4/23/2020 18DR ATHAR KHAN - LCMD
Inadequate Achievement of Health Policy
• Lack of coordination between policy makers and
implementer’s
• Lack of stewardship
• Want for team effort
• Poor resource allocation and utilization
• Inadequate manpower
4/23/2020 19DR ATHAR KHAN - LCMD
Formulation of Effective Health Policies
• Situational analysis
• Increase funding
• Training and capacity development
• Community involvement
• Public private partnership
• Stabilizing population
• Monitoring and evaluation
• Transperency and accountability
4/23/2020 20DR ATHAR KHAN - LCMD
4/23/2020 21DR ATHAR KHAN - LCMD
4/23/2020 22DR ATHAR KHAN - LCMD
4/23/2020 23DR ATHAR KHAN - LCMD
4/23/2020 24DR ATHAR KHAN - LCMD
4/23/2020 DR ATHAR KHAN - LCMD 25
4/23/2020 DR ATHAR KHAN - LCMD 26
4/23/2020 DR ATHAR KHAN - LCMD 27
Millennium
Development
Goals (MDGs)
2000 - 2015
4/23/2020 DR ATHAR KHAN - LCMD 28
As percentage of GDP, health expenditure has improved
from 0.91 percent in 2016-17 to 0.97 percent in 2017-18
4/23/2020 DR ATHAR KHAN - LCMD 29
2015 - 2030
4/23/2020 DR ATHAR KHAN - LCMD 30
Muhammad Waseem Sajjad. National Health Policy 2009 PPT
4/23/2020 DR ATHAR KHAN - LCMD 31
Muhammad Waseem Sajjad. National Health Policy 2009 PPT
4/23/2020 DR ATHAR KHAN - LCMD 32
Muhammad Waseem Sajjad. National Health Policy 2009 PPT
4/23/2020 DR ATHAR KHAN - LCMD 33
National Health Vision 2025
The vision of National Health vision 2025 is to improve the
health of all Pakistanis, particularly women and children,
through universal access to quality essential health services and
ensuring financial protection, with a focus on vulnerable
groups, and delivered through resilient and responsive health
systems.
4/23/2020 DR ATHAR KHAN - LCMD 34
National Health Vision 2025
The National Health vision 2025 has been designed in line with
WHO health system framework using the 6 thematic pillars;
1. Health Financing
2. Health Service delivery
3. Human Resource for Health
4. Health Information Systems
5. Governance
6. Essential Medicines & Technology and an addition area of
Cross-sectoral linkages.
4/23/2020 DR ATHAR KHAN - LCMD 35
4/23/2020 DR ATHAR KHAN 36
DR ATHAR KHAN
MBBS, MCPS, DPH, DCPS-HCSM, DCPS-HPE, MBA, PGD-
STATISTICS, CCRP
ASSOCIATE PROFESSOR
DEPARTMENT OF COMMUNITY MEDICINE
LIAQUAT COLLEGE OF MEDICINE & DENTISTRY
KARACHI, PAKISTAN
0092-3232135932

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Health policy Pakistan

  • 1. Health Policy Dr Athar Khan Associate Professor Department of Community Medicine Liaquat College of Medicine & Dentistry matharm@yahoo.com
  • 3. 4/23/2020 DR ATHAR KHAN - LCMD 3
  • 4. 4/23/2020 DR ATHAR KHAN - LCMD 4 Policy is a law, regulation, procedure, administrative action, incentive, or voluntary practice of governments and other institutions.
  • 5. • Health policy refers to decisions, plans, and actions that are undertaken to achieve specific health care goals within a society. • Health policy →defines a vision for the future → establish targets and points of reference for the short and medium term → expected roles of different groups →builds consensus and informs people. 4/23/2020 DR ATHAR KHAN - LCMD 5
  • 6. • Pakistan is a signatory to Universal Declaration of Human Rights- health is a basic human right. • Lower middle income country • The share of health expenditure in total expenditures/GDP is the most significant variable affecting health status in a country. 4/23/2020 6DR ATHAR KHAN - LCMD
  • 7. 4/23/2020 7DR ATHAR KHAN - LCMD
  • 8. • National health policies, strategies, and plans play an essential role in defining a country's vision, priorities, budgetary decisions and course of action for improving and maintaining the health of its people. 4/23/2020 8DR ATHAR KHAN - LCMD
  • 9. Categories of Health Policy • Personal health care policy • Pharmaceutical policy • Policies associated with public health – Vaccination policy – Tobacco control policy – Breast feeding promotion policy 4/23/2020 9DR ATHAR KHAN - LCMD
  • 10. Spectrum of Areas Covered by Health Policy • Financing • Delivery of health care • Access to care • Quality of care • Health equity 4/23/2020 10DR ATHAR KHAN - LCMD
  • 11. Objectives of National Health Policy • Achieve an acceptable standard of improve health • Increase access to public health system • Ensure equitable access to health care • Create new health infrastructures in areas deficient • Upgrade existing health infrastructures • Promoting public private partnership • Suggest ways to increase investment in health • Promote stewardship in health for effective monitoring and evaluation of current policies 4/23/2020 11DR ATHAR KHAN - LCMD
  • 12. • How do we make policy? – Reactionary, Luck/Accident, Visionary – Pakistan – informal approach 4/23/2020 12DR ATHAR KHAN - LCMD
  • 13. Health Policy Analysis • A multidisciplinary approach to public policy that aims to explain the interaction between institutions, interests and ideas in the policy process. OR • Policy analysis is “analysis OF the policy process: how problems are defined, agendas set, policy formulated, decisions made and policy evaluated and implemented” 4/23/2020 13DR ATHAR KHAN - LCMD
  • 14. Frameworks for Health Policy Analysis Health Policy Triangle - Walt and Gilson (1994) 4/23/2020 14DR ATHAR KHAN - LCMD
  • 15. Frameworks for Health Policy Analysis Networks Frameworks A tool for describing systems of interactions and interconnectedness between groups of actors. (Thatcher 1998). 4/23/2020 15DR ATHAR KHAN - LCMD
  • 16. The Health Policy Journey in Pakistan since its creation in 1947 to present 4/23/2020 16DR ATHAR KHAN - LCMD Pakistan Health Policy Historical Perspective
  • 17. 4/23/2020 17DR ATHAR KHAN - LCMD
  • 18. 4/23/2020 18DR ATHAR KHAN - LCMD
  • 19. Inadequate Achievement of Health Policy • Lack of coordination between policy makers and implementer’s • Lack of stewardship • Want for team effort • Poor resource allocation and utilization • Inadequate manpower 4/23/2020 19DR ATHAR KHAN - LCMD
  • 20. Formulation of Effective Health Policies • Situational analysis • Increase funding • Training and capacity development • Community involvement • Public private partnership • Stabilizing population • Monitoring and evaluation • Transperency and accountability 4/23/2020 20DR ATHAR KHAN - LCMD
  • 21. 4/23/2020 21DR ATHAR KHAN - LCMD
  • 22. 4/23/2020 22DR ATHAR KHAN - LCMD
  • 23. 4/23/2020 23DR ATHAR KHAN - LCMD
  • 24. 4/23/2020 24DR ATHAR KHAN - LCMD
  • 25. 4/23/2020 DR ATHAR KHAN - LCMD 25
  • 26. 4/23/2020 DR ATHAR KHAN - LCMD 26
  • 27. 4/23/2020 DR ATHAR KHAN - LCMD 27 Millennium Development Goals (MDGs) 2000 - 2015
  • 28. 4/23/2020 DR ATHAR KHAN - LCMD 28 As percentage of GDP, health expenditure has improved from 0.91 percent in 2016-17 to 0.97 percent in 2017-18
  • 29. 4/23/2020 DR ATHAR KHAN - LCMD 29 2015 - 2030
  • 30. 4/23/2020 DR ATHAR KHAN - LCMD 30 Muhammad Waseem Sajjad. National Health Policy 2009 PPT
  • 31. 4/23/2020 DR ATHAR KHAN - LCMD 31 Muhammad Waseem Sajjad. National Health Policy 2009 PPT
  • 32. 4/23/2020 DR ATHAR KHAN - LCMD 32 Muhammad Waseem Sajjad. National Health Policy 2009 PPT
  • 33. 4/23/2020 DR ATHAR KHAN - LCMD 33 National Health Vision 2025 The vision of National Health vision 2025 is to improve the health of all Pakistanis, particularly women and children, through universal access to quality essential health services and ensuring financial protection, with a focus on vulnerable groups, and delivered through resilient and responsive health systems.
  • 34. 4/23/2020 DR ATHAR KHAN - LCMD 34 National Health Vision 2025 The National Health vision 2025 has been designed in line with WHO health system framework using the 6 thematic pillars; 1. Health Financing 2. Health Service delivery 3. Human Resource for Health 4. Health Information Systems 5. Governance 6. Essential Medicines & Technology and an addition area of Cross-sectoral linkages.
  • 35. 4/23/2020 DR ATHAR KHAN - LCMD 35
  • 36. 4/23/2020 DR ATHAR KHAN 36 DR ATHAR KHAN MBBS, MCPS, DPH, DCPS-HCSM, DCPS-HPE, MBA, PGD- STATISTICS, CCRP ASSOCIATE PROFESSOR DEPARTMENT OF COMMUNITY MEDICINE LIAQUAT COLLEGE OF MEDICINE & DENTISTRY KARACHI, PAKISTAN 0092-3232135932