National Health Planning In India
An Overview of India’s Health Planning Framework
Presented by:
Mr. Shivank Maheshwari
NPCC
National Health Planning
– 5 Year Plans and
National Health Policy
An Overview of India’s Health Planning Framework
Introduction to National Health
Planning
• National health planning in India aims to ensure health
equity, quality care, and the effective use of resources across
diverse populations. It evolves over the decades in response
to changing health needs.
Historical Background
• The foundation for health planning was laid during the early
years of independence (1947). Health was primarily focused
on infectious diseases, maternal-child health, and expanding
access to health services.
First Five-Year Plan (1951-1956)
• The first five-year plan focused on improving basic health
infrastructure. The establishment of rural health centers and
a focus on controlling communicable diseases were key
priorities.
Second Five-Year Plan (1956-1961)
• This plan gave more attention to public health systems,
aiming for improved sanitation, family planning, and
preventive healthcare.
Third Five Year Plan (1961-1966)
• The third plan placed emphasis on rural healthcare services
and the development of medical education. It also started
addressing the imbalance between urban and rural health
facilities.
Fourth Five Year Plan (1969-1974)
• The fourth plan recognized the growing burden of non-
communicable diseases like heart disease and diabetes and
stressed the need for preventive care.
Fifth Five Year Plan (1974-1979)
• This period saw the introduction of family planning initiatives
and expanded immunization programs to reduce the
incidence of preventable diseases.
Sixth Five Year Plan (1980-1985)
• Focus shifted towards providing health care to disadvantaged
and marginalized communities, as well as addressing urban
health challenges.
Seventh Five Year Plan (1985-1990)
• Health objectives included strengthening healthcare
infrastructure, increasing public health expenditure, and
addressing malnutrition.
Eighth Five Year Plan (1992-1997)
• The eighth plan focused on implementing a decentralized
approach to health planning, prioritizing primary healthcare
and maternal-child health.
Ninth Five Year Plan (1997-2002)
• This period emphasized improving the quality of healthcare
services, expanding insurance coverage, and addressing the
needs of urban poor populations.
Tenth Five Year Plan (2002-2007)
• The plan aimed to increase health sector funding and address
diseases such as malaria, tuberculosis, and HIV/AIDS. It also
highlighted the need for health insurance for all citizens.
Eleventh Five Year Plan (2007-2012)
• The focus was on reducing maternal and child mortality,
expanding access to healthcare, and improving the quality of
medical education.
Twelfth Five Year Plan (2012-2017)
• The twelfth plan prioritized universal health coverage,
increased public health financing, and tackling non-
communicable diseases.
National Health Policy (1983)
• The first National Health Policy focused on providing
accessible, affordable healthcare to all citizens. It aimed for a
strong primary healthcare infrastructure.
National Health Policy (2002)
• The 2002 policy emphasized the expansion of public health
services, and the integration of traditional medicine into the
healthcare system.
National Health Policy (2017)
• The 2017 policy emphasized universal health coverage,
improving access to health services, and addressing social
determinants of health.
Achievements of Health Plans
• India's health plans have led to significant progress in
reducing infectious diseases, expanding access to healthcare,
and improving maternal and child health.
Challenges in Implementation
• Key challenges include inadequate healthcare infrastructure,
rural-urban disparities, and insufficient funding for health
programs.
Role of Public-Private Partnerships
• Public-private partnerships have played a significant role in
improving healthcare delivery and increasing access to
medical services across India.
The Future of National Health Planning
• Future planning focuses on digital health, expanding health
insurance, and addressing emerging health challenges like
pandemics and non-communicable diseases.
Conclusion
• National Health Planning in India has evolved to address
diverse health needs, but challenges remain in achieving
universal access to quality health services.
References
• 1. A. R. Desai, 'Planning for Health', 2001
• 2. R. K. Sharma, 'Public Health in India', 2005
• 3. National Health Policy Documents, Ministry of Health &
Family Welfare, Government of India
Thank You
• Any Questions?