NATIONAL

HEALTH
POLICY
• National:
National is used to describe something that
belongs to or is typical of a particular country
or nation.
• Health:
Health is a state of complete physical, mental
and social well-being and not merely the
absence of disease or infirmity.
• POLICY: -
A course or principle of action adopted or
proposed by an organization or individual.
STEPS FOR IMPLEMENTATION OF A POLICY: -
• Policy evaluation.
• Policy implementation.
• Policy formulation.
• Identification and issue recognition.
NATIONAL HEALTH POLICY
• National health policy in India was not framed
and announced until 1983.
• The ministry of health and family welfare
evolved a National Health Policy in 1983,
keeping in view the national commitment to
attain the goal health for all by 2000 A.D.
• The policy lays stress on the preventive,
promotive, public health and rehabilitation
aspects of health care.
NATIONAL HEALTH POLICY (1983):-
• To attain the objectives “Health for all by
2000AD”, the Union Ministry of Health and
Welfare formulated National Health Policy
1983.
KEY ELEMENTS OF NATIONAL HEALTH POLICY
1983:-

• Creation of greater awareness of health problems

in the community and means to solve the
problems by 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.
• Establishing of 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 wide spread
malnutrition.
• Research in alternative method of health care
delivery and low cost health technologies.
• Greater co-ordination of different system of
medicine.
FACTORS INTERFERING WITH THE PROGRESS
TOWARDS HEALTH FOR ALL:-
• Insufficient political commitment to the
implementation on Health for All.
• Failure to achieve equity in access to all
primary health care elements.
• The continuing low status of women.
• Slow socio-economic development.
• Difficulty in achieving intersectoral action for health.
• Unbalanced distribution of and weak support for
human resources.
• Widespread inadequacy of health promotion
activities.
• Weak health information system and no baseline
data.
• Pollution, poor food, safety, and lack of water supply
and sanitation.
• Rapid demographic and epidemiological changes.
• Inappropriate use of and allocation of resources,
high-cost technology.
• Natural and man-made disasters.
 NATIONAL HEALTH POLICY
2001:-
Considering the kind and level of progress, the
barriers and the change in health problems and
the circumstances, the department of Health,
Ministry of Health and Family Welfare felt it
necessary to formulate a new health policy
frameworks as National Health Policy 2001 (NHP
2001)-The main objective of National Health
Policy 2001 is to achieve acceptable standard of
good health amongst the general population of
the country.
GOALS TO BE ACHIEVED BY 2000-2001
TO 2015:-
• Eradicate Polio and Yaws - 2005
• Eliminate Leprosy - 2005
• Eliminate Kala- Azar - 2010
• Eliminate Lymphatic Filariasis - 2015
• Achieve zero level growth of HIV/AIDS - 2007
• Reduce mortality by 50% On account of TB,
Malaria - 2010
• Other vector born and water born Prevalence
of blindness to 0.5% - 2010
• Reduce IMR to 30/1000 and MMR to 100/lakh
- 2010
• Improve nutrition and reduce LBW Babies
from 30% to 10% - 2010
• Increase the utilization of Public Health
Facilities from current >20 to <75% - 2010
• Establish an integrated system of surveillance -
2005
National Health Accounts and Health
statics:
• Increase health expenditure by government as
a % GDP from 0.9 to 2% - 2010
• Increase share of central grants to Constitute
at least 35% of total Health spending - 2005
• Increase State health spending From 5.5% to
7% of budget - 2010
 WHO’S CONTRIBUTION FOR HEALTH
FOR ALL IN 21ST CENTURY:-
• Serve as the world’s health advocate, by
providing leadership for Health for all to all its
member countries.
• Develop global, ethical and scientific norms
and standards.
• Develop international instruments that
promote global health.
• Engage in technical co-operative with all
countries.
• Strengthen countries capabilities of building
sustainable health system and improve the
performance of essential public health
functions.
• Protect the health of vulnerable and poor
communities and countries.
• Faster the use of the innovation in science and
technology for health.
• Provide leadership for eradication,
elimination, or control of selected diseases.
• Provide technical support to prevention of
public health emergencies and post-
emergency rehabilitation.
• Build partnership of health.
 NATIONAL HEALTH POLICY 2017
• 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.
 Goals To Be Achieved
• Increase Life Expectancy from 67.5 to 70 by
2025.
• Establish regular tracking of Disability
Adjusted Life Years (DALY) Index as a measure
of burden of disease by 2022.
• Reduction of TFR to 2.1 at national and sub-
national level by 2025.
• 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.
• Achieve and maintain elimination status of
Leprosy by 2018.
• Kala-Azar by 2017 and Lymphatic Filariasis in
endemic pockets by 2017.
• 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 the prevalence of blindness to 0.25/
1000 by 2025.
• To reduce premature mortality from
cardiovascular diseases, cancer, diabetes or
chronic respiratory diseases by 25% by 2025.
• 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.
• 80% of known hypertensive and diabetic
individuals at household level maintain
‘controlled disease status’ by 2025.
• Relative reduction in prevalence of current
tobacco use by 15% by 2020 and 30% by 2025.
• 40% Reduction in prevalence of stunting of
under-five children by 2025.
• 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.
• Increase health expenditure by Government from
the existing 1.15%(GDP) to 2.5 %(GDP) 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.
• Ensure availability of paramedics and doctors as
per IPHS norm in high priority districts by 2020.
• Establish primary and secondary care facility in
high priority districts by 2025.
• Ensure district-level electronic database of
information on health system components by
2020.
• Strengthen the health surveillance system by
2020.
• Establish federated integrated health information
architecture, Health Information Exchanges and
National Health Information Network by 2025.
 Policy Thrust
Ensuring Adequate Investment
• The policy proposes a potentially achievable
target of raising public health expenditure to
2.5% of the GDP in a time bound manner. It
envisages that the resource allocation to
States will be linked with State development
indicators, absorptive capacity and financial
indicators. General taxation will remain the
predominant means for financing care.
Preventive and Promotive Health
• The policy articulates to institutionalize inter-
sectoral coordination at national and sub-
national levels to optimize health outcomes,
through constitution of bodies that have
representation from relevant non-health
ministries.
 The Policy Identifies Coordinate Action On
Seven Priority Area For Improving The
Environment For Health
• The Swachh Bharat Abhiyan
• Balanced, healthy diets and regular exercises.
• Addressing tobacco, alcohol and substance abuse
• Yatri Suraksha – preventing deaths due to rail and
road traffic
• accidents
• Nirbhaya Nari –action against gender violence
• Reduced stress and improved safety in the work
place
• Reducing indoor and outdoor air pollution
 Conclusion
• While the public health initiatives over the years
have contributed significantly to the
improvement of the health indicators, it is to be
acknowledged that public health indicators/
disease burden statistics are the outcome of
several complementary initiatives under the
wider umbrella of the developmental sector,
covering rural development, agriculture, food
production, sanitation, drinking water supply,
education etc.
• Despite the impressive public health gains, the
morbidity and mortality levels in the country
are still unacceptably high as compared to the
developed countries.
• Further dedicated efforts are required to
achieve goal of ‘Health for All’ in 21st century’.
• NHP 2017 will provide an impetus for
achieving an acceptable standard of good
health of people of India.
THANK YOU