Introduction National Health Policy 1983 National Health Policy 2002 Salient features of the Policies Key components of the Policy National Health Policy 2017 Summary

1. National Health Policy
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2. Plan of Presentation
➢ Introduction
➢ National Health Policy 1983
➢ National Health Policy 2002
➢ Salient features of the Policies
➢ Key components of the Policy
➢ National Health Policy 2017
➢ Summary
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3. Introduction
❖ Health: A state of complete physical, mental and social well
being and not merely the absence of disease or infirmity and the
ability to lead a “socially and economically productive life”.
❖ Policy: Policy is a system, which provides the logical framework
and rationality of decision making for the achievements.
❖ Health Policy : Health policy of a nation is its strategy for
controlling and optimizing the social uses of its health knowledge
of intended objective
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4. Steps in Public Health Policy Development &
Implementation
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❖ Identify local health problem/need
❖ Quantify local health problem/need
❖ Synthesize evidence about effective Public Health
Policy options
❖ Assess current local policy
❖ Assess local stakeholders
❖ Select and describe policy
❖ Plan for adoption/enactment
❖ Communicate with stakeholders
❖ Implement policy
❖ Measure performance

5. National Health Policy 1983
➢ The Ministry of Health and Family welfare, Govt. of India,
evolved a National Health Policy in 1983 till 2002.
➢ Policy lays stress on preventive, promotive, public health and
rehabilitation aspects of healthcare.
➢ Policy stresses the need of establishing comprehensive primary
health care services to reach the population in remote area of the
country.
➢ India had its first National Health Policy in 1983.
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6. Objectives Of NHP 1983
➢ 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
the ground reality that elementary health problems can be
resolved by the people themselves.
➢ Intermediation through ‘Health volunteers’ having appropriate
knowledge, simple skills and requisite technologies
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7. Objectives Of NHP 1983
➢ 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
➢ An integrated network 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.
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8. Salient Features of NHP 1983
➢ Creating greater awareness of health problems in the community
and means to solve the problems of the community.
➢ Supply of safe drinking water and basic sanitation using
technologies that people can afford.
➢ Reduction of existing imbalance in health services by
concentrating more on the rural health infrastructure.
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9. Salient Features of NHP 1983
➢ Establishing dynamic health management information system to
support health planning and health program implementation
➢ Provision of legislative support to health protection and
promotion.
➢ Concerned actions to combat widespread malnutrition.
➢ Research in alternative method of health care delivery and low
cost health technologies.
➢ Greater coordination of different system of medicine.
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10. 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 10

11. Objectives & Key Strategies
➢ Primary Health Care Approach
➢ Decentralized public health system
➢ Convergence of all health programme 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
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12. Policy Key Components
➢ Financial Resources, Equity
➢ Delivery Of National Public Health Programs
➢ The state of public health infrastructure, Extending public health service
➢ Role of local self- Government Institutions , Norms of Health care
Professional
➢ Indian Medical council Act and Indian Nursing Council Act
➢ Education of Health care Professional
➢ Need for specialists in 'Public Health' and 'Family Medicine’
➢ Use of Generic drugs
➢ Urban health: Urban Community Health Centre
➢ Mental health
➢ Women's health
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13. National Health Policy 2017
➢ 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.
➢ Health priorities are changing as there is a growing burden on
account of non communicable diseases and some infectious
diseases , growing incidence of catastrophic expenditure due to
health care costs which is estimated to be one of the major
contributions to poverty: Therefore, a new health policy
responsive to these contextual changes was required 13

14. National Health Policy 2017
AIM: inform, clarify, strengthen and prioritize the role of the government in
shaping health systems in all its dimensions -
❏ Investment 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 14

15. National Health Policy 2017
Specific ,Quantitative Goals and Objectives:
❏ Health status and programme impact
❏ Health system Performance
❏ Health system strengthening
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16. National Health Policy 2017
Health Status and Programme Impact
1. Life expectancy and Healthy life
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Reduction of TFR to 2.1 at national
and sub-national level by 2025
2025
Increase in Life expectancy at
birth from 67.5 to 70 by 2025
2022
Establish regular tracking of
Disability Adjusted Life
Years(DALY) index as a
measure of burden of disease
and its major categories by 2022
2025

17. National Health Policy 2017
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 Neonatal Mortality to 16 and still birth rate to “single
digit” by 2025
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18. National Health Policy 2017
3. Reduction of Disease Prevalence/incidence
❖ Achieve global target of 2020 which is also termed as target of
90:90:90, for HIV/AIDS
90% of all people living with HIV know their HIV status
90% of all people diagnosed with HIV infection receive
sustained antiretroviral therapy
90 % of all people receiving antiretroviral therapy will have a
virus suppression
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19. National Health Policy 2017
❖ Achieve and maintain elimination status of leprosy by 2018, kala-
azar by 2017 and lymphatic filariasis in endemic pockets by 2017.
❖ To achieve & maintain 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 the prevalence of blindness to 0.25/1000 by 2025 and
disease burden by one third from current levels .
❖ To reduce premature mortality from cardiovascular diseases,
cancer, diabetes or chronic respiratory disease by 25 % by 2025.
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20. National Health Policy 2017
Health system performance
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Coverage of health services
● 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
● >90% of the newborn are fully
immunized by one year of age by
2025
● Meet need of FP above 90 % at
national & sub-national level.
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 5 children by 2025
● Access to safe drinking water &
sanitation to all by 2020( swachh
Bharat mission )
● Reduction of occupational injury by
half from current levels of 334/lkh
agricultural workers by 2020
● National/State level tracking of selected
health behaviour.

21. National Health Policy 2017
Health system strengthening
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
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22. National Health Policy 2017
2. Health infrastructure and human resources
❖ Ensure availability of paramedics and doctors as per Indian
public 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 & secondary care facility as per norms in high
priority districts ( population as well as time to reach norms) by
2025
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23. National Health Policy 2017
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
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24. National Health Policy 2017
Summary
The National Health Policy seeks to reach everyone in a comprehensive
integrated way to move towards wellness. It aims at achieving universal
health coverage and delivering quality health care services to all at
affordable cost.The policy envisages as its goal the attainment of the
highest possible level of health and well-being 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. 24

25. References
❖ Park K, Parks textbook of preventive & social medicine, 24th
edition, 2020.
❖ National Health Policy 2017 [Internet] [cited on 27.07.2022]
https://www.nhp.gov.in/nhpfiles/national_health_policy_2017.pdf
❖ National Health Policy 2002[Internet] [cited on 27.07.2022]
https://www.nhp.gov.in/nhpfiles/national_health_policy_2002.pdf
❖ National Health Policy 1983 [Internet] [cited on 27.07.2022]
https://www.nhp.gov.in/nhpfiles/national_health_policy_1983.pdf
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