TNPSC Thervupettagam

National Health Policy 2017

January 24 , 2019 2149 days 13623 0
National Health Policy
  • The 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.
  • The health priorities are changing. Although maternal and child mortality have rapidly declined, there is growing burden on non-communicable diseases and some infectious diseases.
  • The important change is the emergence of a robust health care industry estimated to be growing at double digit.
  • Another change is the growing incidences of catastrophic expenditure, which are presently estimated to be one of the major contributors to poverty.
  • A rising economic growth enables enhanced fiscal capacity on Health.
New Policy in 2017
  • The Union Cabinet chaired by the Prime Minister in its meeting on 15.3.2017, has approved the National Health Policy, 2017 (NHP, 2017).
  • It aims at achieving universal health coverage and delivering quality health care services to all at affordable cost.
Goals
  • The policy is aimed at ensuring healthcare reaches all, particularly to the under-served and underprivileged.

  • This would be achieved through increasing access, improving quality and lowering the cost of healthcare delivery.
Objectives
  • Improve health status through concerted policy action in all sectors and expand preventive, curative, palliative and rehabilitative services provided through the public health sector.
Specific Goals and Objectives
  • Health Status and Programme Impact
Life Expectancy and healthy life
  • Increase Life Expectancy at birth from 67.5 to 70 by 2025.
  • Establish regular tracking of Disability Adjusted Life Years (DALY) Index as a measure of burden of disease and its major categories by 2022.
  • Reduction of TFR to 2.1 at national and sub-national level by 2025.
Mortality by Age  
  • 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 by 2025.
Reduction of disease prevalence/ incidence
  • Achieve global target of 2020 which is also termed as target of 90:90:90, for HIV/AIDS.

  • Maintain elimination status of Leprosy by 2018, Kala-Azar by 2017 and Lymphatic Filariasis by 2017.
  • To reduce the prevalence of blindness to 0.25/ 1000 by 2025 and disease burden by one third from current levels.
  • To reduce mortality from cardiovascular diseases, cancer, diabetes or chronic respiratory diseases by 25% by 2025.

Health Systems Performance

Health Services
  • 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 new born 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 hypertensive and diabetic individuals at household level maintain "controlled disease status" by 2025.
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-five children by 2025.
  • Access to 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.
  • National/ State level tracking of selected health status.

Health Systems strengthening

Health finance
  • Increase health expenditure by Government as a percentage of GDP from the existing 1.1 5 % to 2.5 % by 2025.
  • Increase State sector health spending to > 8% of their budget by 2020.
  • Decrease households facing catastrophic health expenditure by 2025 from the current levels by 25%.
Health Infrastructure and Human Resource
  • Ensure availability of paramedics and doctors as per Indian Public Health 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 and secondary care facility as per IPHS norms in high priority districts by 2025.
Health Management
  • Ensure district - level electronic database of information on health system by 2020.
  • Strengthen the health surveillance system and establish registries for diseases of public health importance by 2020.

  • Establish 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.
  • Preventive and Promotive Health - The policy identifies coordinated action on seven priority areas 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
  • Organization of Public Health Care Delivery - The policy proposes seven key policy shifts in organizing health care services.

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