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“National Health Policy 2017- an
overview
Presenter
Dr Sanket V. Nandekar
JR, Dept. of Community Medicine
IMS-BHU, VARANASI
History of health policy in India
Highlights of NHP 1983
Highlights of NHP 2002
Introduction to NHP 2017
Principles & objectives
Key features
Quantitative Goals and Objectives
Outlines of Presentation:
 Policy: Policy is a system, which provides the logical
framework and rationality of decision making in the
achievement of long term goals .
 Health Policy: Health policy of a nation is its strategy for
controlling and optimizing the social uses of its health
knowledge and health resources.
 WHO – UNICEF joint international conference in
1978 at Alma-Ata (USSR) declared that: “the existing
gross inequalities in the status of health of people
particularly between developed and developing countries
as well as within the countries is politically, socially and
economically unacceptable.”
 The Alma-Ata conference called for acceptance of the WHO goal of
‘Health for all’ by 2000 and ‘Primary Health Care’ as a way to achieve it.
 Health is a fundamental human right and that the attainment of the
highest possible level of health is a most important worldwide social goal.
 The people have the right and duty to participate individually and
collectively in the planning and implementation of their health care.
Alma-Ata Declaration:
 Government have a responsibility for the health of their
people which can be fulfilled only by the provision of adequate
health and social measures.
 Alma-Ata Declaration called on all the governments to
formulate National Health Policies according to their own
circumstances, to launch and sustain primary health care as a part
of national health system.
Alma-Ata Declaration:
The Alma-Ata conference defined:
A. “Primary health care as an essential health care based on
practical, scientifically sound and socially acceptable methods
and technology, made universally accessible to individual and
families in the community, through their full participation and
at a cost that the community and the country can afford”.
B. Principles of Primary Health Care:
1. Equitable distribution.
2. Community participation.
3. Inter-sectoral coordination.
4. Appropriate technology.
 The Ministry of Health and Family Welfare, Govt. of India, evolved
first National Health Policy in 1983 i.e. 36 years after independence.
 The policy stresses the need of establishing comprehensive primary
health care services to reach the population in the remote area of the
country.
 The policy lays stress on preventive, promotive, public health and
rehabilitation aspects of healthcare.
National Health Policy 1983:
 Policy emphasized a preventive, promotive and rehabilitative primary
health care approach.
 Recommended a decentralized system of health care, the key features
of which were low cost, de-professionalization (use of volunteers and
paramedics), & community participation.
 Expansion of the private curative sector which would help reduce the
government's burden.
Salient features of the 1983 Health policy:
But by the end of year 2000 it was clear that the goals of health
for all by the year 2000 would not be achieved.
Factors responsible for this failure were:
 Biased and poor socio-economic development in the region
where it was needed most.
 Lack of awareness & acceptance among the population thus
preventing access and utilization of health care services.
 A revised health policy for achieving better health care and unmet goals
has been brought out by government of India- National Health Policy 2002.
 According to this revised policy, government and health professionals are
obligated to render good health care to the society.
 Optimizing the use of health service to a large group rather than a small
group is a foreseen event by the NHP 2002.
 Inclusion of social policies adds to the credit of the revised NHP 2002
NATIONAL HEALTH POLICY-2002
 Primary Health Care Approach
 Decentralized public health system
 Convergence of all health program under single field umbrella
 Strengthening and extending public health services
 Enhanced contribution of private and NGO sector in health care
delivery.
 Increase in public spending for health care.
Objectives & Key Strategies of NHP 2002:
NATIONAL HEALTH POLICY, 2017:
14 years after the last health policy, the context has changed in four
major ways.
i. The changing health priorities.
ii. Emergence of a robust health care industry.
iii. Growing incidences of catastrophic expenditure due to health care costs.
iv. Rising economic growth enables enhanced fiscal capacity.
Therefore, a new health policy responsive to these contextual
changes was required.
 In response to this Government of India has come up with 3rd
National Health Policy i.e., National Health Policy -2017.
 NHP 2017 was build on the progress made since the last NHP
2002.
is to inform, clarify, strengthen and prioritize the role of the Government
in shaping health systems in all its dimensions- investments in health,
organization of healthcare services, prevention of diseases and
promotion of good health through cross sectoral actions, access to
technologies, developing human resources, encouraging medical
pluralism, building knowledge base, developing better financial
protection strategies, strengthening regulation and health assurance.
The primary aim of NHP, 2017:
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.
Goal of NHP, 2017:
Key Policy Principles:
 Professionalism, Integrity and Ethics: The health policy commits
itself to the highest professional standards, integrity and ethics to
be maintained in the entire system of health care delivery in the
country.
 Equity: Reducing inequity would mean affirmative action to reach
the poorest. It would imply greater investments and financial
protection for the poor who suffer the largest burden of disease.
Key Policy Principles:
 Affordability: As costs of care increases, affordability, as distinct
from equity, requires emphasis. Catastrophic household health care
expenditures defined as health expenditure exceeding 10% of its
total monthly consumption expenditure or 40% of its monthly non-
food consumption expenditure, are unacceptable.
 Universality: Prevention of exclusions on social, economic or on
grounds of current health status.
Key Policy Principles:
 Patient Centered & Quality of Care: Gender sensitive, effective,
safe, and convenient healthcare services to be provided with
dignity and confidentiality.
 Accountability: Financial and performance accountability,
transparency in decision making, and elimination of corruption in
health care systems, both in public and private.
Key Policy Principles:
 Inclusive Partnerships: A multistakeholder approach with
partnership & participation of all non health ministries and
communities.
 Pluralism: Patients who so choose and when appropriate, would
have access to AYUSH care providers based on documented and
validated local, home and community based practices.
Key Policy Principles:
 Decentralization: Decentralization of decision making to a level
as is consistent with practical considerations and institutional
capacity.
 Dynamism and Adaptiveness: constantly improving dynamic
organization of health care based on new knowledge and evidence
with learning from the communities and from national and
international knowledge partners is designed
“Is to 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.”
Objective of NHP, 2017:
Key features of NHP, 2017 can be studied under
3 broad headings:
1) Preventive and promotive Health-care.
2) Universal access to quality health care services.
3) Affordable cost.
Preventive and promotive Health-care:
 Patient centric & quality driven health care: e.g. Personalized patient
care, making patient profile for long term use like digital health card (ABHA
Card).
 Integration of all health schemes: Interlink health with hygiene to decrease
diseases, promote institutional deliveries to decrease MMR & IMR.
 Establishment of Health & Wellness Centers: To provide accessible
health care and to promote health by Yoga.
Preventive and promotive Health-care:
 Shift from selective care to comprehensive care: e.g., In
patient with hypertension, rule out possibilities of CVD by proper
Investigation whenever required.
 Pre-emptive care: Treat disease in initial stages eg., Cough
>15days investigate for TB
Universal access to quality health care services :
 National health right act Article-47 is partly implemented
here: At national level policy assures all citizens to provide good
health care facilities.
 Basic minimum package of health services to all (providing basic
health services free of cost to everyone).
Universal access to quality health care services :
 Different states with different health model: e.g. Jan
Aushadhi kendra by Rajasthan and Tamil Nadu government etc.
 Provision of services through private sector in the short run (at
least up to 2025)
Affordable cost :
Free drugs, free diagnostics and free emergency care services in
all public hospitals.
Raising public health expenditure to 2.5% of the GDP by year
2025. (2.1% Feb 2023)
Reduce out of pocket expenditure by citizens( zero catastrophic
expenditure).
Reinforce trust in public health care system.
Other key features of NHP, 2017 :
 Public private partnership (PPP) to provide comprehensive
health care.
Establishment of National health standard organization (NHSO)
to look after PPP model and maintain balance between service and
profit among the partners.
Yoga in school and workplace to promote health.
Align the growth of private health care sector with public health
goals.
Other key features of NHP, 2017 :
Pluralistic health care system: Include Ayurveda, Homeopathy
along with Allopathy in the government health sector.
Giving back to society initiative: Compulsory rural postings for
all medical graduates (UG, PG)
National digital health authority: To know the incidence of
diseases at particular place in a single click. By applying holistic
approach to the variety of data from patients attending different OPDs.
1. The Swachh Bharat Abhiyan
2. Balanced, healthy diets and regular exercises.
3. Addressing tobacco, alcohol and substance abuse.
4. Yatri Suraksha – preventing deaths due to rail and road traffic accidents
5. Nirbhaya Nari –action against gender violence
6. Reduced stress and improved safety in the work place
7. Reducing indoor and outdoor air pollution
The policy identifies coordinated action on 7 priority
areas for improving the environment for health:
The policy proposes seven key policy shifts in organizing health
care services
 In primary care – from selective care to assured comprehensive
care with linkages to referral hospitals.
 In secondary and tertiary care – from an input oriented to an
output based strategic purchasing.
 In public hospitals – from user fees & cost recovery to assured
free drugs, diagnostic and emergency services to all.
Organization of Public Health Care Delivery:
 In infrastructure and human resource development – from
normative approach to targeted approach to reach under-serviced
areas
 In urban health – from token interventions to on-scale assured
interventions, to organize Primary Health Care delivery and referral
support for urban poor. Collaboration with other sectors to address
wider determinants of urban health is advocated.
Organization of Public Health Care Delivery:
 In National Health Program – Integration with health systems for
program effectiveness and in turn contributing to strengthening of
health systems for efficiency.
 In AYUSH services – from stand-alone to a three dimensional
mainstreaming.
Organization of Public Health Care Delivery:
 The indicative, quantitative goals and objectives are outlined under
three broad components viz.
(a) Health status and program impact,
(b) Health systems performance.
(c) Health system strengthening.
Specific Quantitative Goals and Objectives of
NHP, 2017:
(a) Health status and program impact goals:
1. Life Expectancy and healthy life:
 Increase Life Expectancy at birth from 67.5 to 70 by 2025.
 Establish regular tracking of Disability Adjusted Life Years (DALY)
Index as a measure of burden of disease and its trends by major
categories by 2022.
 Reduction of TFR to 2.1 at national and sub-national level by 2025.
(a) Health status and program impact goals:
2. Mortality by Age and/ or cause:
 Reduce Under Five Mortality to 23 by 2025 and MMR
from current levels to 100 by 2020.
 Reduce infant mortality rate to 28 by 2019.
 Reduce neo-natal mortality to 16 and still birth rate to
“single digit” by 2025.
(a) Health status and program impact goals:
3. Reduction of disease prevalence/ incidence:
 Achieve global target of 2020 which is also termed as target of
90:90:90, for HIV/AIDS.
 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 premature mortality from cardiovascular diseases, cancer,
diabetes or chronic respiratory diseases by 25% by 2025.
(b) Health systems performance goals:
1. 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.
(b) Health systems performance goals:
2. 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 (Swachh Bharat Mission).
 Reduction of occupational injury by half from current levels of 334 per lakh
agricultural workers by 2020.
(c) Health system strengthening goals.
1. Health finance:
 Increase health expenditure by Government as a percentage of GDP
from the existing 1.15% 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.
(c) Health system strengthening goals.
2. 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.
 Increase community health volunteers to population ratio as per IPHS norm, in
high priority districts by 2025.
 Establish primary and secondary care facility as per norms in high priority
districts (population as well as time to reach norms) by 2025.
(c) Health system strengthening goals.
3. 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.
 Establish federated integrated health information architecture, Health
Information Exchanges and National Health Information Network by 2025
Thank you…

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National Health Policy 2017 and its historic perspective

  • 1. “National Health Policy 2017- an overview Presenter Dr Sanket V. Nandekar JR, Dept. of Community Medicine IMS-BHU, VARANASI
  • 2. History of health policy in India Highlights of NHP 1983 Highlights of NHP 2002 Introduction to NHP 2017 Principles & objectives Key features Quantitative Goals and Objectives Outlines of Presentation:
  • 3.  Policy: Policy is a system, which provides the logical framework and rationality of decision making in the achievement of long term goals .  Health Policy: Health policy of a nation is its strategy for controlling and optimizing the social uses of its health knowledge and health resources.
  • 4.  WHO – UNICEF joint international conference in 1978 at Alma-Ata (USSR) declared that: “the existing gross inequalities in the status of health of people particularly between developed and developing countries as well as within the countries is politically, socially and economically unacceptable.”
  • 5.  The Alma-Ata conference called for acceptance of the WHO goal of ‘Health for all’ by 2000 and ‘Primary Health Care’ as a way to achieve it.  Health is a fundamental human right and that the attainment of the highest possible level of health is a most important worldwide social goal.  The people have the right and duty to participate individually and collectively in the planning and implementation of their health care. Alma-Ata Declaration:
  • 6.  Government have a responsibility for the health of their people which can be fulfilled only by the provision of adequate health and social measures.  Alma-Ata Declaration called on all the governments to formulate National Health Policies according to their own circumstances, to launch and sustain primary health care as a part of national health system. Alma-Ata Declaration:
  • 7. The Alma-Ata conference defined: A. “Primary health care as an essential health care based on practical, scientifically sound and socially acceptable methods and technology, made universally accessible to individual and families in the community, through their full participation and at a cost that the community and the country can afford”.
  • 8. B. Principles of Primary Health Care: 1. Equitable distribution. 2. Community participation. 3. Inter-sectoral coordination. 4. Appropriate technology.
  • 9.  The Ministry of Health and Family Welfare, Govt. of India, evolved first National Health Policy in 1983 i.e. 36 years after independence.  The policy stresses the need of establishing comprehensive primary health care services to reach the population in the remote area of the country.  The policy lays stress on preventive, promotive, public health and rehabilitation aspects of healthcare. National Health Policy 1983:
  • 10.  Policy emphasized a preventive, promotive and rehabilitative primary health care approach.  Recommended a decentralized system of health care, the key features of which were low cost, de-professionalization (use of volunteers and paramedics), & community participation.  Expansion of the private curative sector which would help reduce the government's burden. Salient features of the 1983 Health policy:
  • 11. But by the end of year 2000 it was clear that the goals of health for all by the year 2000 would not be achieved. Factors responsible for this failure were:  Biased and poor socio-economic development in the region where it was needed most.  Lack of awareness & acceptance among the population thus preventing access and utilization of health care services.
  • 12.  A revised health policy for achieving better health care and unmet goals has been brought out by government of India- National Health Policy 2002.  According to this revised policy, government and health professionals are obligated to render good health care to the society.  Optimizing the use of health service to a large group rather than a small group is a foreseen event by the NHP 2002.  Inclusion of social policies adds to the credit of the revised NHP 2002 NATIONAL HEALTH POLICY-2002
  • 13.  Primary Health Care Approach  Decentralized public health system  Convergence of all health program under single field umbrella  Strengthening and extending public health services  Enhanced contribution of private and NGO sector in health care delivery.  Increase in public spending for health care. Objectives & Key Strategies of NHP 2002:
  • 14. NATIONAL HEALTH POLICY, 2017: 14 years after the last health policy, the context has changed in four major ways. i. The changing health priorities. ii. Emergence of a robust health care industry. iii. Growing incidences of catastrophic expenditure due to health care costs. iv. Rising economic growth enables enhanced fiscal capacity.
  • 15. Therefore, a new health policy responsive to these contextual changes was required.  In response to this Government of India has come up with 3rd National Health Policy i.e., National Health Policy -2017.  NHP 2017 was build on the progress made since the last NHP 2002.
  • 16. is to inform, clarify, strengthen and prioritize the role of the Government in shaping health systems in all its dimensions- investments in health, organization of healthcare services, prevention of diseases and promotion of good health through cross sectoral actions, access to technologies, developing human resources, encouraging medical pluralism, building knowledge base, developing better financial protection strategies, strengthening regulation and health assurance. The primary aim of NHP, 2017:
  • 17. 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. Goal of NHP, 2017:
  • 18. Key Policy Principles:  Professionalism, Integrity and Ethics: The health policy commits itself to the highest professional standards, integrity and ethics to be maintained in the entire system of health care delivery in the country.  Equity: Reducing inequity would mean affirmative action to reach the poorest. It would imply greater investments and financial protection for the poor who suffer the largest burden of disease.
  • 19. Key Policy Principles:  Affordability: As costs of care increases, affordability, as distinct from equity, requires emphasis. Catastrophic household health care expenditures defined as health expenditure exceeding 10% of its total monthly consumption expenditure or 40% of its monthly non- food consumption expenditure, are unacceptable.  Universality: Prevention of exclusions on social, economic or on grounds of current health status.
  • 20. Key Policy Principles:  Patient Centered & Quality of Care: Gender sensitive, effective, safe, and convenient healthcare services to be provided with dignity and confidentiality.  Accountability: Financial and performance accountability, transparency in decision making, and elimination of corruption in health care systems, both in public and private.
  • 21. Key Policy Principles:  Inclusive Partnerships: A multistakeholder approach with partnership & participation of all non health ministries and communities.  Pluralism: Patients who so choose and when appropriate, would have access to AYUSH care providers based on documented and validated local, home and community based practices.
  • 22. Key Policy Principles:  Decentralization: Decentralization of decision making to a level as is consistent with practical considerations and institutional capacity.  Dynamism and Adaptiveness: constantly improving dynamic organization of health care based on new knowledge and evidence with learning from the communities and from national and international knowledge partners is designed
  • 23. “Is to 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.” Objective of NHP, 2017:
  • 24. Key features of NHP, 2017 can be studied under 3 broad headings: 1) Preventive and promotive Health-care. 2) Universal access to quality health care services. 3) Affordable cost.
  • 25. Preventive and promotive Health-care:  Patient centric & quality driven health care: e.g. Personalized patient care, making patient profile for long term use like digital health card (ABHA Card).  Integration of all health schemes: Interlink health with hygiene to decrease diseases, promote institutional deliveries to decrease MMR & IMR.  Establishment of Health & Wellness Centers: To provide accessible health care and to promote health by Yoga.
  • 26. Preventive and promotive Health-care:  Shift from selective care to comprehensive care: e.g., In patient with hypertension, rule out possibilities of CVD by proper Investigation whenever required.  Pre-emptive care: Treat disease in initial stages eg., Cough >15days investigate for TB
  • 27. Universal access to quality health care services :  National health right act Article-47 is partly implemented here: At national level policy assures all citizens to provide good health care facilities.  Basic minimum package of health services to all (providing basic health services free of cost to everyone).
  • 28. Universal access to quality health care services :  Different states with different health model: e.g. Jan Aushadhi kendra by Rajasthan and Tamil Nadu government etc.  Provision of services through private sector in the short run (at least up to 2025)
  • 29. Affordable cost : Free drugs, free diagnostics and free emergency care services in all public hospitals. Raising public health expenditure to 2.5% of the GDP by year 2025. (2.1% Feb 2023) Reduce out of pocket expenditure by citizens( zero catastrophic expenditure). Reinforce trust in public health care system.
  • 30. Other key features of NHP, 2017 :  Public private partnership (PPP) to provide comprehensive health care. Establishment of National health standard organization (NHSO) to look after PPP model and maintain balance between service and profit among the partners. Yoga in school and workplace to promote health. Align the growth of private health care sector with public health goals.
  • 31. Other key features of NHP, 2017 : Pluralistic health care system: Include Ayurveda, Homeopathy along with Allopathy in the government health sector. Giving back to society initiative: Compulsory rural postings for all medical graduates (UG, PG) National digital health authority: To know the incidence of diseases at particular place in a single click. By applying holistic approach to the variety of data from patients attending different OPDs.
  • 32. 1. The Swachh Bharat Abhiyan 2. Balanced, healthy diets and regular exercises. 3. Addressing tobacco, alcohol and substance abuse. 4. Yatri Suraksha – preventing deaths due to rail and road traffic accidents 5. Nirbhaya Nari –action against gender violence 6. Reduced stress and improved safety in the work place 7. Reducing indoor and outdoor air pollution The policy identifies coordinated action on 7 priority areas for improving the environment for health:
  • 33. The policy proposes seven key policy shifts in organizing health care services  In primary care – from selective care to assured comprehensive care with linkages to referral hospitals.  In secondary and tertiary care – from an input oriented to an output based strategic purchasing.  In public hospitals – from user fees & cost recovery to assured free drugs, diagnostic and emergency services to all. Organization of Public Health Care Delivery:
  • 34.  In infrastructure and human resource development – from normative approach to targeted approach to reach under-serviced areas  In urban health – from token interventions to on-scale assured interventions, to organize Primary Health Care delivery and referral support for urban poor. Collaboration with other sectors to address wider determinants of urban health is advocated. Organization of Public Health Care Delivery:
  • 35.  In National Health Program – Integration with health systems for program effectiveness and in turn contributing to strengthening of health systems for efficiency.  In AYUSH services – from stand-alone to a three dimensional mainstreaming. Organization of Public Health Care Delivery:
  • 36.  The indicative, quantitative goals and objectives are outlined under three broad components viz. (a) Health status and program impact, (b) Health systems performance. (c) Health system strengthening. Specific Quantitative Goals and Objectives of NHP, 2017:
  • 37. (a) Health status and program impact goals: 1. Life Expectancy and healthy life:  Increase Life Expectancy at birth from 67.5 to 70 by 2025.  Establish regular tracking of Disability Adjusted Life Years (DALY) Index as a measure of burden of disease and its trends by major categories by 2022.  Reduction of TFR to 2.1 at national and sub-national level by 2025.
  • 38. (a) Health status and program impact goals: 2. Mortality by Age and/ or cause:  Reduce Under Five Mortality to 23 by 2025 and MMR from current levels to 100 by 2020.  Reduce infant mortality rate to 28 by 2019.  Reduce neo-natal mortality to 16 and still birth rate to “single digit” by 2025.
  • 39. (a) Health status and program impact goals: 3. Reduction of disease prevalence/ incidence:  Achieve global target of 2020 which is also termed as target of 90:90:90, for HIV/AIDS.  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 premature mortality from cardiovascular diseases, cancer, diabetes or chronic respiratory diseases by 25% by 2025.
  • 40. (b) Health systems performance goals: 1. 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.
  • 41. (b) Health systems performance goals: 2. 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 (Swachh Bharat Mission).  Reduction of occupational injury by half from current levels of 334 per lakh agricultural workers by 2020.
  • 42. (c) Health system strengthening goals. 1. Health finance:  Increase health expenditure by Government as a percentage of GDP from the existing 1.15% 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.
  • 43. (c) Health system strengthening goals. 2. 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.  Increase community health volunteers to population ratio as per IPHS norm, in high priority districts by 2025.  Establish primary and secondary care facility as per norms in high priority districts (population as well as time to reach norms) by 2025.
  • 44. (c) Health system strengthening goals. 3. 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.  Establish federated integrated health information architecture, Health Information Exchanges and National Health Information Network by 2025
  • 45.