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POLICY-2002
Dr Anshuli Trivedi
Ist Year PG
Deptt.Community Medicine.
What is Health?
Health is a state of complete physical,
mental & social wellbeing & not merely
absence of disease or infirmity.
What is Policy?
Policy is a system, which provides logical
frame work & rationality of decision making
for achievement of intended objectives.
WHO definition of health pg-13 Text book of PSM-Park 18 th ed Textbook by J kishoreNational Health Programmers of India
Objectives
Ref-national health policy//H:\Current Reviews - National Health Policy India.htmTextbook oNational Health programmes of
India by J KishoreDate-11/9/07
OTHER OBJECTIVES…...
To increase access to decentralized public health system by
establishing new infrastructure in deficient areas & by
upgrading infrastructure in existing institutes .
To ensure a more equitable access to health services across
the social & geographical expanse of country.
To increase public health investment by increasing
contribution from central govt.
Increase access to tried & tested system of traditional
medicine.
Rationalize use of allopathic drugs.
Strengthening Public Health investment by increasing
contribution from Central Govt.
Increase contribution from pvt.Sector in providing
health services for those who can afford it.
TEXTBOOK OF NATIONAL HEALTH Programmer JKishore.pg 365
Goals to be achieved by 2000-2015
1)Eradicate Polio and Yaws by 2000-2015.
2)Eliminate Leprosy by 2005.
3)Eliminate Kalaazar 2010.
4)Eliminate Lymphatic Filariasis 2015.
5)Achieve zero level growth of HIV/AIDS by 2007.
6)Reduce mortality by 50%on an account of TB,
Malaria,Vector&Water borne disease by 2010.
7)Reduce Prevelance of blindness by 0.5%by 2010.
8)Reduce IMR to 30/1000and MMR to 100/lakh by 2010.
9)Increase utilization public health facilities from current level of
<20% to >75%.
10)Increase health expenditure from 0.9% to 2.0% by
2010.
11)Increase central health grants to at least 25% by
2010.
12)Increase health spending by state from 5.5%to 7%
by 2005.
Ref-C:\Documents and SettingsAdministrator\Desktop\Current Reviews - National Health Policy -India.htm/Textbook of NHP pg368
Delivery of National Public Health
Programmes
Executive should design programme such that it gives
enough flexibility to permit State Public Health
Administration to craft action as per their needs.
personnel.
• Inadequate equipment.
• overcrowding.
Ref-C:\Documents and Settings\ Administrator\Desktop\Current Reviews National Health Policy -India.htm/Textbook of NHP
Recommendations
Decentralized PUBLIC HEALTH SYSTEM will ensure
more effective supervision of public health services.
:\Documents and Settings\Administrator\Desktop\Current Reviews - National Health Policy -India.htm,/ Text book of NHP’S J Kishore
PG369C:\
Role of local self governed institutes
C:\Documents and Settings\Administrator\Desktop\Current Reviews - National Health Policy -India.htm,/ Text book of NHP’S J Kishore.
Recommendations
Advocates setting of aMedical Grants Commission to
fund new medical & dental colleges & to upgrade
infrastructure.
Ensure need based & skill oriented syllabus after
graduation.
Periodic skill updating by continuos medical education.
Introduction of new concepts of Geriatics , Genetics,
Molecular Biology, FM, radio diagnosis, anesthesia should
be highlighted.
C:\Documents and Settings\Administrator\Desktop\Current Reviews National Health Policy -India.htm/Textbook of NHP pg371
RECOMMENDATIONS
Recommends to increase seats of Pubic Health & Family
Medicine up to 1/4th for all available subjects.
Not only medical graduates but also student from other
disciplines. Ex-health engineering ,microbiologists, natural
scientists, must be trained in Public Health.
Greater exposure to field work in Public Health.
Establishing rural Medical Colleges.
Regulation of Standards of Paramedical
Disciplines-
New paramedical institute have mushroomed particularly in
pvt. sector-Ex-lab technicians ,radio diagnostics, physios. etc
Policy recommends- Standardization ,Regulation,
Registration & Inspection & Monitoring of such institutes.
Use of generic Drugs & Vaccines
Low cost Health care system of India is largely due to
indigenous manufacture of drugs & vaccines.
With Globalization there is likely increase in costs of
drug.
Hence the measures should be taken to keep costs
affordable to ensure health security of country.
Impact of Globalization on Health Sector
There is likely to be increase in costs of drugs &
vaccines. Hence NHP -02 recomm. National Patent
Regime to ensure affordable access to latest medical &
other therapeutic discoveries.
C:\Documents and Settings\Administrator\Desktop\Current Reviews – National HealthPolicy -India.htm /Textbook of NHP J Kisore PG 370
Measures
Emphasis should be laid on use of ESSENTIAL
DRUGS in both pvt. & public sector.
Production & sales of irrational drugs should be curbed.
No less than 50% vaccines & sera should be provided
by public sector.
Standardization
Enforcement of quality standards- NHP paid heed to
maintain reasonable, quality & standards for food &
drugs.
C:\Documents and Settings\Administrator\Desktop\Current Reviews National Health Policy -India.htm/Textbook of NHP pg371
Urban Health
Meagerly available.With no uniformity in
organizational structure.
Urban population is 30% and is likely to
increase to 33% by 2010 due to migration.
This will lead to development of slums, with
poor percolation of public health facilities.
:\Documents and SettingsAdministrator\Desktop\Current Reviews – National Health Policy -India.htmTextbook of NHPJ Kshore pg 370
Health Research & Development
Limited Health Research in India.In govt. sector
R&D is largely confined to ICMR.
R&D should be focused on therapeutic drugs &
vaccines for tropical disease.That are largely
neglected by pharma companies due to limited
profitability.
Research esp. on genetics, genome based drugs,
vaccines development, molecular biology is needed.
Ensure greater participation of Medical Colleges &
similar institutes for R&D.
Govt. aid for R &D should be increased to 1% of total
health by 2005 & upto 2% by 2010.
C:\Documents and Settings\Administrator\Desktop\Current Reviews National Health Policy -India.htm/Textbook of NHP pg371
MENTAL HEALTH
Mental health problems are more prevalent than actually noted.
Not mortal but seriously affect lives of patients, families.
WOMEN’S HEALTH
Receive inadequate public health facilities, due to some
socio-cultural-economic factors.
NHP-2002 recognizes role of empowered women in
Under National Health Programme “ is AYUSH”
included. Due to its diversity,modest cost, low level
technological input, growing popularity of plant based
products.Esp. Useful in remote & tribal areas.
Ex. Use of plant based drugs in allopathy ie.satavarex is used
in promoting lactation.
Population Growth & Health Standards