Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

NATIONAL HEALTH POLICY

1,048 views

Published on

NATIONAL HEALTH POLICY PUBLIC HEALTH DENTISTRY

Published in: Healthcare
  • Login to see the comments

NATIONAL HEALTH POLICY

  1. 1. NATIONAL HEALTH POLICY PRESENTED BY: BAZILA ILLAHI INTERN GDC DEPT. OF PUBLIC HEALTH DENTISTRY.
  2. 2. CONTENTS 1. INTRODUCTION 2. BASIC CONSIDERATIONS 3. HISTORY 4. NATIONAL HEALTH POLICY – 1983 5. NATIONAL HEALTH POLICY – 2002 6. NATIONAL HEALTH POLICY _ 2017 7. ORAL HEALTH POLICY IN INDIA 8. CONCLUSION 9. REFERNCES 2
  3. 3. Kulkarni A.P, Baride J.P, Doke P.P, Mulay P.Y. Text book of Community Medicine. Ch-15 Health Care in India- Part A. 4th ed. Mumbai: Vora Medical Publications; 2013. India is drawing the world’s attention, not only because of its population explosion but also because of its health profile andprevailing as well as emerging profound political, economic and social transformations. Despite several growth orientated policies adopted by the government, the widening economic, regional and gender disparities are posing challenges for the health sector. 3
  4. 4. National health programs are launched by the government of India for control/ eradication of communicable disease, environmental sanitation, nutrition, population control and rural health. Kulkarni A.P, Baride J.P, Doke P.P, Mulay P.Y. Text book of Community Medicine. Ch-15 Health Care in India- Part A. 4th ed. Mumbai: Vora Medical Publications; 2013. The National Health Policy reviews the improvement in demographic trends, control of infectious diseases and growth of infrastructure. NHP 2002 envisages that by 2010 the public investment in health would reach 2% of the GDP. NHP 2017 envisages that by 2025 the public investment in health would reach 2.5% of the GDP. 5
  5. 5. BASIC CONSIDERATIONS Health is a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity(as given by WHO- 7 April 1948). 17 Peter S. Essentials of preventive and community dentistry. Ch-10 Health Care Delivery. 5th ed. New Delhi: Arya(Medi) Publishing House; 2013.
  6. 6. ORAL HEALTH Peter S. Essentials of preventive and community dentistry. Ch-10 Health Care Delivery. 5th ed. New Delhi: Arya(Medi) Publishing House; 2013. The World Health Organization defines oral health as a “state of being free from chronic mouth and facial pain, oral and throat cancer, oral sores, birth defects such as disease, cleft lip and palate, periodontal (gum) tooth decay and tooth loss, and other diseases and disorders that affect the oral cavity”. 18
  7. 7. POLICY  Course or principle of action adopted by the Government. HEALTH POLICY  Is an statement of an authority adopted by the Government or public in order to improve the health services. NATIONAL HEALTH POLICY  It is an expression of goals for improving the health, the priorities among these goals, and the main directions for attaining them for a nation. 19
  8. 8. HISTORY Health planning in India can be seen as pre and post independence. Health planning in India - Pre independence Health planning in India - Post independence 7 Roy R, Saha I. Mahajan and Gupta Textbook of Preventive and Social Medicine. Part-IV Health Care and Services. 4th ed. New Delhi, Jaypee Brothers; 2013.
  9. 9. Health planning in India – Pre independence 1825- Quarantine Act (1st Public healthAct) 1880- VaccinationAct 1864- Public health community 1873- The Birth and Death registrationAct 8 . . 1886 – Plague Commission Act Roy R, Saha I. Mahajan and Gupta Textbook of Preventive and Social Medicine. Part-IV Health Care and Services. 4th ed. New Delhi, Jaypee Brothers; 2013.
  10. 10. Health planning in India -Post independence National health committees Planning Commission Five year plans National Health Policy 11 Roy R, Saha I. Mahajan and Gupta Textbook of Preventive and Social Medicine. Part-IV Health Care and Services. 4th ed. New Delhi, Jaypee Brothers; 2013.
  11. 11. NATIONAL HEALTH POLICY – 1983 36
  12. 12. NHP-1983 37 The NHP-1983  gave a general exposition of the policies which required recommendation in the circumstances prevailing in the health sector. NHP-1983, in a spirit of optimistic empathy for the health needs of the people, particularly the poor and underprivileged, had hoped to provide ‘Health for All by the year 2000 AD’, through the universal provision of comprehensive primary health care services. Babu V.V.R.S. Review in Community Medicine. Ch-14 Public Health Administration and National Programmes. 2nd ed. Hyderabad: Paras Medical Books. 1996
  13. 13. NHP-1983 38 The noteworthy initiatives under that policy were:- A phased, time-based bound program for setting up a well dispersed network of 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. Roy R, Saha I. Mahajan and Gupta Textbook of Preventive and Social Medicine. Part-IV Health Care and Services. 4th ed. New Delhi, Jaypee Brothers; 2013.
  14. 14. Small pox and guinea worm disease have been eradicated from india Polio is on the verge of being eradicated Leprosy, kala azar and filariasis are expected to b eliminated in future.
  15. 15. DRAWBACKS: It does not speak about social injustice- an essential prerequisite for Health for All. No definite program – to promote community participation in health. No mention - health budget Does not emphasis on –  accident prevention,  geriatric care  Non- communicable disease like obesity, coronary heart disease  Disease related to use of tobacco, alcohol, drugs, etc. NHP-1983 42 Babu V.V.R.S. Review in Community Medicine. Ch-14 Public Health Administration and National Programmes. 2nd ed. Hyderabad: Paras Medical Books. 1996
  16. 16. NATIONAL HEALTH POLICY – 2002 44
  17. 17. NHP-1983 served the purpose for some time but over the years the health scene of the country changed. New challenges could not be addressed within the framework of that policy- it necessitated a revision. The government of India initiated the process by holding wide ranging deliberations involving central and state governments, voluntary organizations and the central council of health and family welfare. Dhaar GM. Robbani I. Foundations of Community Medicine. Ch 55- HEALTH CARE IN THE INDIAN CONTEXT. 1st ed. Elsevier; 2006. 46 INTRODUCTION – NHP 2002
  18. 18. NHP 2002 Dhaar GM. Robbani I. Foundations of Community Medicine. Ch 55- HEALTH CARE IN THE INDIAN CONTEXT. 1st ed. Elsevier; 2006. A draft of national health policy was formulated and circulated for eliciting comments from responsible sources. A final shape was given to the policy and was eventually approved by the cabinet and launched as NATIONAL HEALTH POLICY – 2001. 47
  19. 19. The policy aims to achieve an acceptable standard of good health among the general population of the country and has set goals to be achieved by the year 2015. However, from a global perspective India’s public spending on health is extremely low. Dhaar GM. Robbani I. Foundations of Community Medicine. Ch 55- HEALTH CARE IN THE INDIAN CONTEXT. 1st ed. Elsevier; 2006. NHP-2002 48 NHP 2002
  20. 20.  NHP, 1983 is perceived as an idealistic document mainly addressed to achieve health for all by the year 2000  NHP, 2002 is realistic document based on a conceptional and operational framework that is consistent with the socio-economic realties prevailing in India. Roy R, Saha I. Mahajan and Gupta Textbook of Preventive and Social Medicine. Part-IV Health Care and Services. 4th ed. New Delhi, Jaypee Brothers; 2013. NHP-2002 RELEVANCE OF NATIONAL HEALTH POLICY:
  21. 21. OBJECTIVES OF THE POLICY To achieve decentralization of health services. To strengthen and upgrade the health care infrastructure. To emphasize primary level of health care. To promote rational use of drugs. To ensure equitable access to health services. To increase primary health investment. To enhance private sector participation. It also specifies a time frame for the achievement of various goals NHP-2002 56
  22. 22. DRAWBACKS: Kumar A, Gupta S. Health Infrastructure in India: Critical Analysis of Policy Gaps in the Indian Healthcare Delivery. Vivekananda International Foundation . 2012 Not much attention is paid to child, adolescent, Geriatrics health, gender (women), domestic violence. Ignored areas-  Lack of govt.expenditure,Resource generation & allocation,  Management of work force,  Substance abuse management . 116
  23. 23. Methodology of strengthening healthcare & functioning of health workers is not specified, creating “Paramedical Doctors”. Promoting QUACKERY. Literacy & its investment is not specified. Problem of population is not answered properly. School education has not yielded desired results. 117 Kumar A, Gupta S. Health Infrastructure in India: Critical Analysis of Policy Gaps in the Indian Healthcare Delivery. Vivekananda International Foundation . 2012
  24. 24. National Health Policy - 2017 120
  25. 25. Need for National Health Policy 2017 122 • Burden of non-coomunicable diseases. •Emergence of robust health care industry •Increased health care cost •Increases financial capacity
  26. 26. KEY FEATURES OF NEW HEALTH POLICY ,2017 PREVENTIVE AND PROMOTIVE HEALTH CARE UNIVERSAL ACCESS TO QUALITY HEALTH SERVICES AFFORDABLE COST
  27. 27. POLICY THRUST:  Increased health expenditure by govt. from existing 1.15% to 2.5% GDP by 2025.  Increased state sector health spending to more than 8% of their budget by 2020.  Decrease in proportion of households facing catastrophic health expenditure from current levels by 25% by 2025.
  28. 28. Policy Principles: – Equity – Universality – Patient Centered & Quality of Care – Inclusive Partnerships – Pluralism(AYUSH) – Subsidiarity – Accountability – Professionalism, Integrity and Ethics – Learning and Adaptive System – Affordability 129
  29. 29. Policy Directions  Ensuring Adequate Investment  Preventive and Promotive Health  Organization of Public Health Care Delivery  Primary Care Services & Continuity of Care  Secondary Care Services  Reorienting Public Hospitals  Closing Gaps in Infrastructure and Human Resource/Skill  Urban Health Care  National Health Programs: RCH, Communicable Diseases, Non- Communicable Diseases, Mental Health, Emergency Care and Disaster preparedness 131
  30. 30. The policy identifies coordinated action on seven prioirity areas for improving the environment for health :  Swachh Bharat Abhiyan (2nd Oct.2014 ) 132
  31. 31.  Balanced and Healthy diets(through Anganwadi centres and schools) and regular exercises.  Adressing tobacco ,alcohol and substance abuse.
  32. 32.  Reducing stress and improved safety in the work place.  Reducing indoor and outdoor air pollution.  Yatri Suraksha –preventing deaths due to rail and road traffic  accidents  Nirbhaya Nari – action against gender voilence
  33. 33.  Swasth Nagrik Abhiyan(social movement for health)  Greater emphasis on school health and SCHOOL NOON MEAL PROGRAMME 133
  34. 34.  More support to ASHA workers(in palliative care, Community Mental Health, and in Village Health Sanitation and Nutrition Committees)  Yoga promotion at work place, schools and in the community
  35. 35. The National Oral Health Policy has been formulated by the “Dental Council of India” through the inputs of two national workshops organized in 1991 and 1994 at Delhi and Mysore. NATIONAL ORAL HEALTH POLICY143 Peter S. Essentials of preventive and community dentistry. Ch-10 Health Care Delivery. 5th ed. New Delhi: Arya(Medi) Publishing House; 2013
  36. 36. CONCLUSION Public health has effectively remained a low priority for the Indian state in terms of financing and political attention. 172 Contributed to the slow and inadequate improvement of health of the population. Replacing the current unhealthy and inequitable socio- economic system, by one that is far more just, humane and healthy, in the world of tomorrow is essential.
  37. 37. REFERENCES
  38. 38. REFERENCES 1.Peter S. Essentials of preventive and community dentistry. Ch-10 Health Care Delivery. 5th ed. New Delhi: Arya(Medi) Publishing House; 2013. 2.Scheutz AM. India’s Healthcare System – Overview and Quality Improvements. Direct response. 2013:04. 3.Chandra S, Chandra S. Textbook of Community Dentistry. Ch-9 Oral Health Policy of Government of India. 1st ed. New Delhi: Jaypee Brothers Medical Publishers; 2000. 176
  39. 39. 4.Dhaar GM. Robbani I. Foundations of Community Medicine. Chapter 55- HEALTH CARE IN THE INDIAN CONTEXT. 1st ed. Elsevier; 2006. 5.Gangolli LV, Duggal R, Shukla A. Review of Healthcare In India. SECTION 2- PUBLIC HEALTH POLICIES AND PROGRAMMES. Mumbai: Centre for Enquiry into Health and Allied Themes; 2005. 6.SATHE P.V., SATHE A.P., Epidemiology and Management for Health Care for All. Ch-2 Health for All by 2000 A.D. 2nd ed. Mumbai: Popular Prakshan PVT Limited; 1997. REFERENCES 177
  40. 40. REFERENCES 7.Banerjee SR. Community and Social Pediatrics. Ch-6 Cild Health Care- The challenges for the Next Decade. Ist ed. New Delhi: Jaypee Brothers Medical Publishers; 1995. 8.Suryakantha AH. Community Medicine with Recent Advances. Ch- 39 National Health Policy. 3rd ed. New Delhi: Jaypee Brothers Medical Publishers; 2014. 9.Babu V.V.R.S. Review in Community Medicine. Ch-14 Public Health Administration and National Programmes. 2nd ed. Hyderabad: Paras Medical Books. 1996 178
  41. 41. REFERENCES 10.Kulkarni A.P, Baride J.P, Doke P.P,Mulay P.Y.Text book of Community Medicine. Ch-15 Health Care in India- Part A. 4th ed. Mumbai: Vora Medical Publications; 2013. 11.Roy R, Saha I. Mahajan and Gupta Textbook of Preventive and Social Medicine. Part-IV Health Care and Services. 4th ed. New Delhi, Jaypee Brothers; 2013. 12.Kumar A, Gupta S. Health Infrastructure in India: Critical Analysis of Policy Gaps in the Indian Healthcare Delivery. Vivekananda International Foundation; 2012.
  42. 42. 13.http://www.mohp.gov.np/english/files/new_publi cations/9-2-National-Oral-Health-Policy.pdf.Last acessed 11/06/2014. 14.http://cphe.files.wordpress.com/2009/10/karnat aka-state-integrated-health-policy-2001.pdf.last acessed on 11/7/014 . REFERNCES
  43. 43. 181

×