Health Objectives

Of The
11th 5 Year Plan
 Main Objectives
• Reduce IMR to 28 and MMR 1 per 1000 live
births
• Reduce Total fertility ratio to 2.1
• Provide clean drinking water for all by 2009
and ensure that are no slip backs
• Reduce malnutrion among children of age
group 0-3 half its present level
• Reduce anemia among women and girls by
50% by the end of the plan
• Achieve good health for the people especially
the poor and the underprivileged .
• To facilitate convergence and development of
public health systems that are responsive of
health needs
• Reducing disparities in health across regions
and communities by ensuring access to
affordable health care.
• Special attention to the health of the
marginalized groups like adolescent girls,
women of all ages and children below three
• Ensure a large share of allocation for health
programmes in areas such as HIV AIDS.
• Enhance private sector contribution in
providing primary, secondary and tertiary
services through partnership with the
government
• Strive to achieve health as a right for all the
citizens
 Total Fertility Rate
• Decadal growth of population druing 1991-
2001 has been 21.5 %
• Projected Decadal growth for 2001-11 is
15.9%
• The % of married women using contraception
increased from 10% in the 1970s to 56% in
2005-2006
 MMR And IMR
• The MMR has been 301 per 100000 live births
• There has been a substantial decline during the seven
year period of 1997-2003
• At the present rate of decline it seems to be hard to
reach the goal of 100 by 2010
• The IMR is 58 per 1000 live births
• It is higher in the rural areas and lower in the urban
areas
• Concentrated efforts will be required under Home
Based New Born Care to reduce the IMR and Neonatal
Mortality Rate
 Disparities And Divides
• Within the country major disparities in terms
of access to health care and as well as health
outcomes are prevelant
• Kerala’s life expectancy at birth is about 10
years more than that of Assam and MP
• The challenge is to provide these
underdeveloped areas with access to low cost
public health interventions such as universal
immunization services and timely treatment
• According to the 2001 census about 4.26 crore
lived in urban slums spread over 640 cities and
towns.
• These settlements have high incidences of
vector borne diseases,asthma,tubercolosis,
malaria, diabetes etc.
• Despite the concentration of health care
facilities in urban areas, the urban poor lack
access
 Disease Burden
• An estimated 2–3.1 million people in the
country are living with HIV AIDS, which is a
communicable disease
• The non communicable diseases that are
prevelant are cancer, blindness, mental illness
etc
 National Rural Health Mission
• Was launched to address the problems of
primary health care and to bring about an
improvement in the primary health care
system
• Amis to provide universal access to equitable,
affordable and quality health care
• Expected to achieve the goals of the National
Health Policy and the Millenium
Developmental Goals
 Strategies
• Promote access to to improved health care at
households
• Health plan for each village through the village
health committee Panchayat
• Regulation of the private sector to ensure quality
of service to citizens at a reasonable cost
• Prepare and implement an intersectoral District
• Health Plan prepared by the District Health
Mission, including drinking water, sanitation,
hygiene,and nutrition.
 Expected Outcomes
• IMR Reduced to 30/1000 live births by 2012
• Malaria Mortality Reduction- 50% up to 2010,
and an additional 10% by 2010
• Kala-azar Mortality Reduction—100% by 2010
and sustaining elimination until 2012.
• Filaria/Microfilaria Reduction—70% by 2010, 80%
by 2012, and elimination by 2015.
• Dengue Mortality Reduction—50% by 2010 and
sustaining at that level until 2012.
• Cataract operations—increasing to 46 lakh
until 2012.
• Leprosy Prevalence Rate.Reduce from 1.8 per
10000 in 2005 to less that 1 per 1000 thereafter
• Upgrading all health establishments in the
district to IPHS.
• The scheme has the dual objectives of
reducing maternal and infant mortality by
promoting institutional deliveries.
• It focuses on states having institutionally low
delivery rates

• The scheme is 100% centrally sponsored and

integrates cash assistance with maternal care.
• Under the NRHM, out of 184.25 lakh
institutional deliveries in the country (as on 1
April 2007), JSY beneficiaries were 28.74 lakh.
 National Urban Health Mission
• Strive to meet the health needs of the urban
poor, particulary slum dwellers by making
primary health care sercices available to them
• NUHM would cover cities with a population no
more of 1,00,000
• The exisitng Urban Health Posts and Urban
Family Welfare Centers would continue under
this
• These centers will be considered for upgradation
 Priorities Of The Plan
• Establishment of Hospital Development
Commitees in all government hospitals.
• Improvement of infrastructure and facilities in
district hospitals.
• Provision of high-quality secondary health care
services for every block in the country.
• Creation of state-of-the-art medical education,
research, and care institutions in all disciplines
of medicine.
• Creation of new institutions and up gradation
of existing tertiary care hospitals.
• Mainstreaming of AYUSH systems to actively
supplement the efforts of the allopathic
systems.
 Areas Of Emphasis Of The Plan
• Developing essential drug lists for all levels of
institutions
• Making available essential drugs of good
quality in adequate quantities in all
government health facilities.
• Increasing efficiency, economy, and
transparency in drug procurement,
warehousing, and distribution
• Including all essential drugs under a system of
price monitoring
• Implementing and reinforcing the concept of
Standard Treatment Guidelines in the in-
service and pre-service training programmes
of the doctors and health workers.
• Disseminating information on essential drugs
to medical professionals, pharmacists, and to
the people
 Actions Taken During The Plan
• Creating Food Safety Authority for speedy
enforcement of safety standards.
• Ensuring implementation of Capacity Building
Project with the objective to enhance
capacities in laboratories, awareness of food
safety, and hygiene.
• Strengthening State labs, capacity building,
food portal, comprehensive and
informative/analytical database.
• Rationalizing protocol for establishment of
labs for food safety.
• Implementing the Food Safety and Standards
Act, 2006.
 Strategies Of the Plan
• Convergence of health care, hygiene, sanitation,
and drinking water at the village level through
VHSCs under NRHM.
• Renewed efforts under NUHM to cover primary
health care, safe drinking water, and sanitation in
urban areas.
• Participation of stake holders at all levels, from
planning, design, and location to implementation
and management of the projects.
• Institutionalization of water quality
monitoring and surveillance systems by
involving PRIs, community, NGOs, and other
CSO.
• Increased attention to Behavioural Change
Communication.
• Linking treatment of sewage and industrial
effluents to development planning.
 Pilot Projects
• A lot of pilot projects will be taken up and
most put under the NHRM/NHUM.
• These include:
– Sports Medicine
– Deafness
– Oral Health
– Fluorosis
– Disability and Medical Rehabilitation
– Organ Transplant
 Thrust Areas Of The Plan
• Improving Health Equity
• Adopting system-centric approach rather than
a disease centric approach
• Increasing Survival
• Decentralizing governance
• Establishing e-Health
• Providing focus to health systems and Bio
Medical research