National Health Policy

NATIONAL HEALTH POLICY

INTRODUCTION A National Health Policy was

formulated in 1983 Some of the policy initiatives

outlined in the NHP-1983 have yielded results while in several other areas the outcome has not been as expected

The NHP-1983 gave a general exposition of the policies which required recommendation in the circumstances then prevailing in the health sector

INITIATIVES- POLICY 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

Health volunteersrsquo having appropriate knowledge simple skills and requisite technologies

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 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 Governmentrsquos facilities is limited to those entitled to free use

The first National Health Policy in 1983 aimed to achieve the goal of `Health for All by 2000 AD through the provision of comprehensive primary healthcare services

It stressed the creation of an infrastructure for primary healthcare close co-ordination with health-related services and activities (like nutrition drinking water supply and sanitation)

the active involvement and participation of voluntary organisations the provision of essential drugs and vaccines qualitative improvement in health and family planning services

The provision of adequate training and medical research aimed at the common health problems of the people

OBJECTIVES Increase public expenditure from 09

percent to 2 percent by 2010 Increase allocation of public health

investment in the order of 55 percent for the

primary health sector 35 percent and 10 percent to secondary and tertiary sectors respectively

Gradual convergence of all health programmes except the ones (such as TB

Malaria HIVAIDS RCH) which need to be continued till moderate levels of prevalence are reached

bull Need to levy user charges for certain secondary and tertiary public health services for those who can afford to pay

bull Mandatory two year rural posting before awarding the graduate medical degree

bull Decentralising the implementation of health programmes to local self governingbodies by 2005

Setting up of Medical Grants Commission for funding new Government Medicaland Dental colleges

bull Promoting public health discipline

Establishing two-tier urban healthcare system - Primary Health Centre for a population of one lakh and Government General Hospital

Increase in Government funded health research to a level of 2 percent of the total health spending by 2010

bull Appreciation of the role of private sector in health and enactment of legislation by 2003 for regulating private clinical establishments

Formulation of procedures for accreditation of public and private health facilities

bull Co-operation of NGOs in national disease control programmes

bull Promotion of tele medicine in tertiary healthcare sector

bull Full operationalisation of National Disease Surveillance Network by 2005

bull Notification of contemporary code of medical ethics by Medical Council of India

bull Encouraging setting up of private insurance instruments to bring secondary and tertiary sectors into its purview

Promotion of medical services for overseas users

bull Encouragement and promotion of Indian System of Medicine

The budget 2004-05 has proposed three major initiatives in the health sector

They are (i) redesigning the Universal Health

Insurance scheme introduced in 2003 to make it

exclusive for below poverty level people with a reduced premium (ii) introduction of

Group Health Insurance scheme for members of Self Help Groups and Credit Link

Groups at a premium of Rs 120 per person for an insurance cover of Rs 10000 and (iii)

exemption of income tax for the hospitals working in rural areas

KARNATAKA STATE HEALTH POLICY Current Population of Karnataka

in 2011 is 61130704A National Health Policy-2002 has been announced and provides a framework within which the Health Policy of the State Would refashion the elements therein to meet the current needs of the State The State Health Policy would be based on the specific needs of the State and recognize regional disparities

SHP-BASED ON FOLLOWING PREMISES bull It will build on the existing institutional

capacities of the public voluntary and private health sectors

It will pay particular attention to filling up gaps and will move towards greater equity in health and health care within a reasonable time frame

It will use a public health approach focusing on determinants of health such as food and nutrition safe-water sanitation housing and education

It will expand beyond a focus on curative care and further strengthen the primary health care strategy

bull It will encourage the development of Indian and other systems of medicines

bull It views health as a reasonable expectation of every citizen and will work within a framework of social justice

KARNATAKA HEALTH POLICY PERSPECTIVE AND GOALS To provide integrated and

comprehensive primary health care 2 To establish a credible and

sustainable referral system 3 To establish equity in delivery of

quality health care 4 To encourage greater public private

partnership in provision of quality health care in order to better serve the underserved areas

5 To address emerging issues in public health

To strengthen health infrastructure 7 To develop health human resources 8 To improve the access to safe and

quality drugs at affordable prices 9 To increase access to systems of

alternative medicine

KARNATAKA VISION STATEMENT FOR BETTER HEALTH AND HEALTH CARE

Karnataka State recognizes the immeasurable value of enhancing the health and well being of its people

The statersquos developmental efforts in the social economic cultural and political spheres have as their overarching goals improved well being and standards of living better health reduced suffering and ill health and increased productivity of its citizens

It is recognized that health and education are central to development Health is an individual and collective responsibility

The constitutional mandate role and responsibility of the state in providing direction in creating a policy framework in health care provision and related endeavours including maintenance of standards of health care is of critical importance in meeting these social development objectives

It is concerned about the current inequalities and inequities in health status by region urbanrural location gender social and economic groupings

It recognizes the need to ensure that good quality health care services are evenly distributed and are always accessible to the citizens

It is aware of the escalating prices of diagnostics medical therapeutic technologies and pharmaceutical products that are occurring as a result of globalization and the need to mitigate their impact

It is also recognizes the health impact and consequences of broader policies that affect employment income purchasing capacity food security education and pollution

The state acknowledges that judicious investment in health brings major gains in terms of human well-being development and economic productivity

It acknowledges the growing recognition that access to comprehensive health care has a poverty alleviating effect

It also recognizes the urgent need to address poverty and inequality and the social forces that underpin them as poverty and ill-health linkages are strong

It is committed to pursuing social development policies and increasing inter-sectoral coordination to accelerate improvement of health of all sectors of society in an equitable manner

PUBLIC HEALTH AND PHC inter-sectoral coordination at all levels

especially at the districts and below 1048707 Community participation through

Panchayat Raj Institution and other mechanisms and for a for involvement in decision making concerning their own health care

1048707 Equitable distribution of good quality care and

1048707 Use of appropriate technology for health

NATIONAL POPULATION POLICY Population Projections for India

(million) March 1991 March 2001 March 2011

March 2016

8463 10124 11789 12635

Current Population of India in 2011 1210193422 (121 billion) Total Male Population in India 623700000 (6237 million) Total Female Population in India 586500000 (5865 million) Sex Ratio 940 females per 1000 males Age structure 0 to 25 years 50 of Indias current population Currently there are about 51 births in India in a minute Indias Population in 2001 102 billion Population of India in 1947 350 million

CURRENT POPULATION OF KARNATAKA According to 2011 Population Census

Population of Karnataka has Males 31057742 Females 30072962

Population Density of Karnataka 2756 km2 Comprises of 30 districts Males are (5089) Females are (4911) Sex Ratio in Karnataka 1000 males for every 964

females

Population of Karnataka consists ofHindu - 83 Muslim - 11Christian - 4Jains - 078 and Buddhist - 073

OBJECTIVES The immediate objective of the NPP 2000 is to address the unmet needs for contraception

health care infrastructure and health personnel and to provide integrated service delivery for

basic reproductive and child health care

The medium-term objective is to bring the TFR to replacement levels by 2010 through vigorous implementation of inter-sectoral operational strategies

The long-term objective is to achieve a stable population by 2045 at a levelconsistent with the requirements of sustainable economic growth social development and environmental protection In pursuance of these objectives the following National Socio-Demographic Goals to be achieved in each case by 2010

AYUSH Integration of AYUSH and local health

care traditions has an important role to play in developing an integrated system of health care to provide better and accessible health care services to all and especially to the rural population

The NRHM strategy of lsquoMainstreaming AYUSHamp Revitalizing Local Health Traditionsrsquohas largely come to be perceived as lsquoCo-locationrsquo of AYUSH doctors in the rural primary and secondary level facilities

OBJECTIVES To promote good health and expand the

outreach of health care to our people particularly those not provided health cover through preventive promotive mitigating and curative intervention through ISMampH

To improve the quality of teachers and clinicians by revising curricula to contemporary relevance and researchers by creating model institutions and Centres of Excellence and extending assistance for creating infrastructural facilities

To ensure affordable ISMampH services amp drugs which are safe and efficacious

Integrate ISMampH in health care delivery system and National Programmes and ensure optimal use of the vast infrastructure of hospitals dispensaries and physicians

Re-orient and prioritize research in ISMampH to gradually validate therapy and drugs to address in particular the chronic and new life style related emerging diseases

Create awareness about the strengths of these systems in India and abroad and sensitize other stakeholders and providers of health

To provide full opportunity for the growth and development of these systems and utilization of the potentiality strength and revival of their glory

OTHER ACTIVITIES FOR STRENGTHENING AYUSH SERVICES Sensitization activities for the general

public about AYUSH amp LHT Half the states mention special AYUSH

clinics or wards especially a Ksharasutra therapy wing for ano- rectal diseases and Panchkarma clinics for intensive and specialized treatment at the CHC or DH

AYUSH health programmes Outreach activities Establishment of AYUSH epidemic

cells Local health traditions

Management and Technical Strengthening

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