This pot is about function of national health policy

1. NATIONAL HEALTH POLICY
SUBMITTED TO:-
SUBMITTED BY:-
MRS. AMNINDER ANSHIKA
SHARMA
ASSOCIATE PROFESSOR ROLL NO.
06
DMCH, CON, LUDHIANA BSC.(N)
4TH YEAR

2. NATIONAL HEALTH POLICY (1983)
• The ministry of Health and Family welfare, Govt. of India, evolved
a National Health Policy in 1983 till 2002.
• The policy lays stress on preventive, promotive, public health and
rehabilitation aspects of healthcare.
• The policy stresses the need of establishing comprehensive
primary health care services to reach the population in the remote
area of country.
• India has it’s first national health policy in 1983 i.e. 36 years after
independence.

3. OBJECTIVES OF NHP 1983
1.A phased, time-bound programme for setting up a well-dispersed network of
comprehensive primary health care services, linked with extension and health education,
designed in the context of ground reality that elementary health problems can be resolved
by the people themselves.
2.Intermediation through ‘Health volunteers’ having appropriate knowledge, simple skills
and requisite technologies;
3.Establishment of a well worked out referral system to ensure that patient load at the
higher levels of the hierarchy is not needlessly burdened by those who can be treated at
the decentralized level;
4.An integrated net-work of evenly spread speciality and super-speciality services;
encouragement of such facilities through private investments for patients who can pay, so
that the draw on the Government’s facilities is limited to those entitled to free use.

4. NATIONAL HEALTH POLICY (2002)
• 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

5. OBJECTIVES
1.To achieve an acceptance standard of good health amongst
the general population of the country.

6. APPROACH
1.To increase access to decentralised public health system. This can
be achieved by establishing-
• New infrastructure in deficient areas.
• By upgrading the infrastructure in existing institutions.
• To ensure equilable access to health services across the social and
geographical expance of the country.
• That primacy will be given to preventive & first time curative
initiatives at the primary health level.
• That emphasis will be laid on rational use of drugs within allopathic
system.

7. NHP-2002 POLICY PRESCRIPTION
1.Financial resources:- It is planned, under the policy to increase
health sector expenditure to 6% of GDP with 2% of GDP
contributed as public health investment. Rise in central Govt.
contribution in relation to public health investment from 15% to
25% by 2010.
2.Equity:- NHP 2002 has set an increased allocation of 55% total
health investment for primary health sector, 35% for secondary
sector and 10% for tertiary sector.

8. 3. Delivery of national public health programs:-
• NHP 2022 envisages the gradual convergence of all health programs under a
single field administration.
• It suggests for a scientific designing of public health projects suited to the local
situation.
• Therefore, the policy places reliance on strengthening of public health outcomes
on equitable basis.
• It recognises the need of user charge for secondary and tertiary public health
care fir those who can afford to pay.

9. 4.Health research: the policy envisages an increase in govt. funded
health resources to a level of 1% total health spending by 2005 and
upto 2% by 2010. new therapeutic drugs and vaccines for tropical
diseases are given priority.
5.Role of private sector: the policy welcomes the participation of the
private sector in all areas of health activities primary, secondary and
tertiary health care services. It has suggested a social health
insurance scheme for the health services to the needy. It
recommends tele-medicine in tertiary care services.

10. 6. The role of the civil society: the policy envisages that the
disease control programs should earnmark not less than 10% of
the budget in respect of identified program components, to be
exclusively through NGO’s, and other civil institution.
7. National disease surveillance network: This public health
surveillance network will also encompass information from
private health care institutions and practitioners.

11. 8. Health statistics:- the policy proposes that statistical methods be put
in place to enable the periodic updating of these baseline estimates through
representative sampling, under an appropriate statistical methodology
9. Women’s health:- policy envisages the identification of specific
programmes targeted at women’s health. The expansion of primary health
sector infrastructure will facilitate the increased access of women to basic
health care.
10. Medical ethics:- the policy recognizes that a vigilant watch will have to
be kept so that the existing guidelines and statuary provisions are
constantly reviewed and updated.

12. 11. Enforcement of quality standards for food and drugs:- policy envisages
that the food and drug administration will be progressively strengthened, in
terms of both laboratory facilities and technical expertise.
12.Regulation of standards in paramedical 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.
13. Environmental and occupational health:- This policy envisages that the
independentky stated policies and programmes of the environment related
sectors be smoothly interfaced with the policies and the programmes of the
health sector, in order to reduce the health risk to the citizens and the
consequential disease burden.

13. 14. Providing medical facilities to users from overseas:- Policy
strongly encourages the providing of health services on a payment
basis to service seekers from overseas. The providers of such
services to patients from overseas will be encouraged by extending
to their earnings in forein exchange in foreign exchange, all fiscal
incentives, including the status of “deemed exports”, which are
available to other exporters of goods and services.
15. Impact of globalisation on health sector:- The policy takes into
account the serious apprehension, expressed by several by several
health experts, of the possible threat to health security in the post-

14. 16. Nursing personnel:- NHP 2002 recognizes acute shortage of nurses
trained in super speciality discipline. It recommends increase of nursing
personnel in public health delivery centers and establishment of training
courses for superspecialities
:17. Use of generic drugs and vaccines:- Basing treatment regimens on a
limited no. of essential drugs of generic nature and prohibition of
production and sale of irrational combination of drugs
18. Mental health:- Decentralised mental health services for diagnosis
and treatment by general duty medical staff. It akso recommends securing
human rights of mentally sick

15. 19. Urban health: due to rise in migratory population in urban areas, NHP
has recommended an urban primary health care structure as under:-
• First tier:-
Primary centre cover 1 lakh population
It functions as opd facilities
It provides essential drugs
It will carry out national health programmes
• Second tier:-
At the level of govt. general hospital where reference is made from the
primary centre
The policy recommends a fully equipped hub-spoke trauma care network
to reduce accident mortality.

16. 20. Information, education and communication:- School children
are covered for promation of health seeking behaviour which is
expected to be the most cost effective intervention where health
awareness extends to family and further to future generation.

17. 21. Extending public health services:- the policy recognizes the need
for states to simplify the recruitment procedures and rules for contract
employment in order to provide trained medical manpower in under-
served areas.
22. Role of local self-government:- The policy urges all state govt. to
consider decentralizing the implementation of programmes to lsg by
2005.
23. Norms for health care personnel:- Minimal statuary norms with
consant reviewing for the deployment of doctors and nurses in medical
institutions need to be introduced urgently under the provision of the
Indian Medical Council Act and Indian Nursing Council Act,
respectively.

18. 24. Education of health care professional:- the need for inclusion
of contemporary medical research and geriatric concern and
creation of additional PG seats in deficient specialities are
specified.
It suggests for a need based, skill oriented syllabus with a more
significant component of practical training.
25. Need for specialities in public health medicine:- ‘Public
health’ ‘family medicine’, the Policy evisages the progressive
implementation of mandatory norms to raise the proportion of
postgraduate seats in these discipline.

19. NATIONAL HEALTH POLICY (2017)
• NHP-2017 identifies seven priority areas for improving the environment for
health. These priority areas needing coordinated action include:
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

21. HEALTH PROGRAMME
Reproductive, Maternal,Neonatal, Child and Adolescent health:-
• Janani Shishu Suraksha Karyakaram (JSSK):- Launched on 1st June, 2011, entitles all
pregnant women delivering in public health institutions to absolutely free and no
expense delivery, including caesarean section.
• Rashtriya Kishor Swasthya Karyakram(RKSK):- Launched on 7th jan, 2014, envisions
enabling all adolescents in India to relize their full potential by making informed and
responsible decisions related to health and well-being and by accessing the services
and support they need to do so.
• Rashtriya Bal Swasthya Karyakram (RBSK):- It aims at early identification and
intervention for children from birth to 18 years to cover defects at birth, deficiencies,
diseases, development delays including disability.
• Mission Indradhanush:- It aims at expanding immunization coverage to all children
across the India

22. • Janani Suraksha Yojana (JSY): It was launched on 12th April 2005, it is a
centrally sponsored scheme, which integrates cash assistance with delivery
and post-delivery care.
• Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA): The program aims to
provide comprehensive and quality antenatal care, free cost, universally to
all pregnant women on the 9th of every month.
• Navjaat Shishu Suraksha Karyakram (NSSK): It was launched in 2009 to build
capacity of the doctors and nurses to provide essential newborn care around
birth.
• National Programme for Family planning: Launched in 1952, tries ti
influence the rate and pattern of family planning.

23. National Nutritional Programmes:-
• National Iodine Deficiency Disorders Control Programme: in 1992, the national goitre control
programme was renamed as NIDDCP with a view of wide spectrum of iodine deciency disorders like
mental and physical retardation, deaf, mutism, cretnism, still births, abortions, etc
• MAA (Mothers’ Absolute Affection) Programme for Infant and Young Child Feeding: focus on
promotion of breastfeeding and provision of counselling services for supporting breastfeeding
through health systems.
• National Programme for Prevention and Control of Fluorosis (NPPCF): it was the new initiative during
11th Five Year Plan, initiated in 2008, to prevent and control of fluorosis among the population
affected and population of unaffected areas.
• National Vitamin A prophylaxis programe: Initiated in 1970, with specific aim of preventing nutritional
nutritional blindness.
• Integrated Child Development Services (ICDS): it provides nutritional meals, preschool education,
primary health care, immunization, health check up and referral services to children inder 6 years of
age and their mothers.
• Mid-Day Meal Programme: It aims to increase school attendance, improves socialization among
castes, address malnutrition, empower women through employment.

24. Communicable diseases & Non-communicable diseases:-
• Integrated Disease Surveillance Programme(IDSP): (May 2016) The Integrated Disease
Surveillance Programme (IDSP) is a nationwide disease surveillance system in
India incorporating both the state and central governments aimed at early detection
and long term monitoring of diseases for enabling efficient policy decisions. It was
started in 2004 with the assistance of the World Bank.
• Revised National Tuberculosis Control Programme(RNTCP): The Revised National
Tuberculosis Control Programme (RNTCP), based on the Directly Observed
Treatment, Short Course (DOTS) strategy, began as a pilot project in 1993 and was
launched as a national programme in 1997 but rapid RNTCP expansion began in late
1998. The nation-wide coverage was achieved in 2006.

25. • National Leprosy Eradication Programme(NLEP): The major concern of
the Programme is to detect cases of leprosy at an early stage and
provide complete treatment, free of cost, in order to prevent occurrence
of Grade II Disability (G2D) in affected persons.
• National Tobacco Control Programme(NTCP): Government of India
launched the National Tobacco Control Programme (NTCP) in the year
2007-08 during the 11th Five-Year-Plan, with the aim to (i) create
awareness about the harmful effects of tobacco consumption, (ii) reduce
the production and supply of tobacco products, (iii) ensure effective
implementation of the provisions under “The Cigarettes and Other
Tobacco Products (Prohibition of Advertisement and Regulation of Trade
and Commerce, Production, Supply and Distribution)

26. • National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular
Diseases & Stroke (NPCDCS): Considering the rising burden of NCDs and common
risk factors to major Chronic Non –Communicable Diseases, Government of India
initiated an integrated National Programme for Prevention and Control of Cancers,
Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) under the National Health
Mission.
• National Mental Health Programme: The Government of India has launched the
National Mental Health Programme (NMHP) in 1982, keeping in view the heavy
burden of mental illness in the community, and the absolute inadequacy of mental
health care infrastructure in the country to deal with it.
• NMHP has 3 components:
1.Treatment of Mentally ill
2.Rehabilitation
3.Prevention and promotion of positive mental health.

27. Health system strengthening programs:-
• Ayushman Bharat Yojana: Launched on 23rd December 2018, is a National health
protection scheme, which will cover over 10 crore of poor and vulnerable families
providing coverage upto 5 lakh rupees per family per year for secondary and tertiary
care hospitalization.
• Pradhan Mantri Swasthya Suraksha Yojana (PMSSY): PMSSY was announced in 2003
with objectives of correcting regional imbalances in the availability of affordable/
reliable tertiary healthcare services and also to augment facilities for quality medical
education in the country. The PMSSY is implemented by the Ministry of Health and
Family Welfare.

28. • LaQshya’ programme (Labour Room Quality Improvement Initiative):
LaQshya’ programme of the Ministry of Health and Family Welfare aims
at improving quality of care in labour room and maternity Operation
Theatre (OT). Reduce preventable maternal and newborn mortality,
morbidity and stillbirths associated with the care around delivery in
Labour room and Maternity OT and ensure respectful maternity care.
• National Health Mission: The National Health Mission (NHM)
encompasses its two Sub-Missions, the National Rural Health
Mission (NRHM) and the newly launched National Urban Health
Mission (NUHM). The main programmatic components
include Health System Strengthening in rural and urban areas-
Reproductive-Maternal- Neonatal-Child and
Adolescent Health (RMNCH+A)

29. RECAP
• Q1: Enlist any 4 policy prescriptions of NHP 2002.
• Q2: Name the programmes that come under NHP 2017.

30. THANK YOU