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![19.ENVIRONMENT & OCCUPATIONAL HEALTH:
PERIODIC SCREENING FOR HEALTH CONDITIONS
OF WORKERS,PARTICULARLY FOR HIGH RISK
DISORDERS ASSOCIATED WITH OCCUPATION
20.PROVIDING MEDICAL FACILITIES TO USERS
FROM OVERSEAS[HEALTH TOURISM]
ENCOURAGE PROVIDING HEALTH SERVICES TO
ON PAYMENT BASIS TO OVERSEE SEEKERS
THIS IS USED TO DEVELOP ECONOMY AND
BETTER HEALTH SERVICES](https://image.slidesharecdn.com/c24p04nationalhealthpolicy2oo2-240727202758-e272b6a0/75/C24-P04-NATIONAL-HEALTH-POLICY-2OO2-ppt-22-2048.jpg)
![21.IMPACT OF GLOBALIZATION ON THE
HEALTH SERVICES
AFFORDABLE ACCESS TO LATEST MEDICAL &
OTHER THERAPEUTIC DISCOVERIES
TO TAKE ACTIVE PARTICIPATION IN
INTERNATIONAL FORA –UN,WHO.WTO ETC
RECENT DEVELOPMENT
THE PUBLIC HEALTH FOUNDATION OF INDIA
[PHFI] HAS PLANS TO ESTABLISH 5-7 WORLD
CLASS AND RELEVANT INDIAN INSTITUTIONS
OF PUBLIC HEALTH,WITH FIRST 2 OPENING BY
2008,FUNDING IS NEARLY 500-700 CRORES](https://image.slidesharecdn.com/c24p04nationalhealthpolicy2oo2-240727202758-e272b6a0/75/C24-P04-NATIONAL-HEALTH-POLICY-2OO2-ppt-23-2048.jpg)
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C24 P04 NATIONAL HEALTH POLICY 2OO2.ppt
- 1.
- 2. WHAT IS APOLICY ? IT IS A SYSTEM WHICH PROVIDES THE LOGICAL FRAMEWORK AND RATIONALITY OF DECISION MAKING FOR THE ACHIEVEMENT OF INTENDED OBJECTIVES IT SETS PRIORITIES AND GUIDES RESOURCE ALLOCATION IT IMPROVES THE LIVING CONDITIONS OF THE PEOPLE
- 3. SCENARIO BEFORE NHP-2002 THE% OF GDP USED FOR PUBLIC HEALTH DECLINED FROM 1.3% IN 1990 TO 0.9% IN 1999 THE ANNUAL PER CAPITA PUBLIC HEALTH EXPENDITURE IS NO MORE THAN Rs 200 WIDE GAP IN ACHIEVEMENTS OF VARIOUS HEALTH INDICES BY URBAN & RURAL AREAS SHORTAGE OF PROFESSIONAL MANPOWER & OTHER RESOURCES AT ALL LEVELS
- 4. LACK OF QUALITYHEALTH EDUCATION AND LITTLE SCOPE FOR CAREER DEVELOPMENT IN SUPER-SPECIALITIES MAJOR CONCERNS – POPULATION EXPLOSION, DECREASINGSEX RATIO,VOLENCE AGAINST WOMEN,INC MENTAL DISORDERS,ESCALATING COST OF HEALTH CARE MAJOR CHALLENGES –INC BUDGET ALLOCATION INVOLVE PRIVATE SECTOR IN HEALTH CARE, ENFORCEMENT OF QUALITY FOOD & DRUGS, QUALITY PARAMEDICAL DISCIPLES
- 5.
- 6. OBJECTIVES ACHIEVE ACCEPTABLE STANDARDOF GOOD HEALTH INCREASE ACCESS TO DECENTRALIZED PUBLIC HEALTH SYSTEM –ESTABLISH NEW INFRASTRUCTURE IN DEFICIENT AREAS & UPGRADE IT IN EXISTING AREAS ENSURE EQUITABLE ACCESS TO HEALTH SERVICES ACROSS THE COUNTRY INCREASE THE AGGREGATE PUBLIC HEALTH INVESTMENT BY INCREASING THE CENTRAL GOVT CONTRIBUTION STRENGTHEN CAPACITY OF PH ADMINISTRATION AT STATE LEVEL FOR BETTER SERVICE DELIVERY
- 7. ENHANCE CONTRIBUTION OFPRIVATE SECTOR IN HEALTH SERVICES RATIONALIZE USE OF DRUGS INCREASE ACCESS TO TRIED AND TESTED TRADITIONAL SYSTEM OF MEDICINE
- 8. GOALS TO BEACHIEVED BY 2000-2015 YEAR GOALS TO BE ACHIEVED 2003 •ENACTMENT OF LEGISLATION FOR REGULATING STANDARDS IN CLINICAL & MEDICAL INSTITUTES
- 9. YEAR GOALS TOBE ACHIEVED 2005 • ERADICATE POLIOMYELITIS YAWS • ELIMINATE LEPROSY POLIO DROPS ANTI LEPROMATOUS DRUGS
- 10. YEAR GOALS TOBE ACHEIVED 2005 •ESTABLISH INTEGRATED SYSTEM OF SURVEILLANCE,HEALTH ACCOUNTS & STATISTICS •INCREASE STATE HEALTH SPENDING FROM 5.5% TO 7% OF THE BUDGET •1% OF TOTAL HEALTH BUDJET FOR MEDICAL RESEARCH 2007 •ACHIEVE ZERO LEVEL GROWTH OF HIV AIDS
- 11. YEAR GOALS TOBE ACHIEVED 2010 •ELIMINATE KALA AZAR •REDUCE MORTALITY BY 50% ON ACCOUNT OF TB,MALARIA & OTHER DISEASES •REDUCE PREVALANCE OF BLINDNESS TO 0.5% •REDUCE IMR TO 301000 & MMR TO 100LAK
- 12. ANTI MALARIAL ANTITUBERCULOUS CATARACT SURGERY NBEP
- 13. YEAR GOALS TOBE ACHIEVED 2010 •INCREASE UTILIZATION OF HEALTH FACILITIES FROM <20% TO >75% •INCREASE HEALTH EXPENDITURE BY GOVT FROM 0.9% TO 2% OF GDP •2% OF TOTAL HEALTH BUDGET FOR MEDICAL RESEARCH •INCREASE SHARE OF CENTRAL GRANT TO AT LEAST 25%OF TOTAL HEALTH SPENDING •INCREASE STATE SECTOR HEALTH SPENDING TO 8%
- 14. YEAR GOALS TOBE ACHIEVED 2015 •ELIMINATE LYMPHATIC FILARIASIS
- 15. POLICY PRESCRIPTIONS 1.FINANCIAL RESOURCES: INCREASE HEALTH SECTOR EXPENDITURE TO 6% OF GDP,2% FORPUBLIC HEALTH INVESTMENT BY 2010 RISE CENTRAL GOVT CONTRIBUTION FROM 15% TO 25% BY 2010 2.EQUITY : OUT OF THE TOTAL HELALTH INVESTMENT 55%-PRIMARY HEALTH SECTOR 35%-SECONDARY HEALTH SECTOR 10%-TERTIARY HEALTH SECTOR
- 16. 3.DELIVERY OF NATIONALPUBLIC HEALTH PROGRAMS : ENSURE PROVISION OF FINANCIAL RESOURCE, TECHNICAL SUPPORT,MONITORING AND EVALUATION OF NATIONAL HEALTH PROGRAMS 4.ROLE OF LOCAL SELF GOVERNING INST : GIVING POWER TO SUCH INST TO IMPLEMENT HEALTH PROG. 5.NORMS FOR HEALTH CARE PROFESSIONAL: MINIMAL STATUTORY NORMS WITH CONSTANT REVIEWING FOR DEPLOYMENT OF DOCTORS AND NURSES IN MEDICAL INST.
- 17. 6.EDUCATION OF HEALTHPROFESSIONALS: SETTING UP GRANTS COMMISSION FOR FUNDING NEW GOVT. MEDICAL COLLEGES AND UPGRADING THE EXISTING ONES 7.NEED FOR SPECIALISTS: NORMS TO RAISE NUMBER OF POSTGRADUATE SEATS 8.NURSING PERSONNEL: IMPROVING THE RATIO OF NURSES TO DOCTOR SUBSIDIZING THE SETTING UP & RUNNING OF TRAINING FACILITIES FOR NURSES TRAINING COURSES FOR SUPER-SPECIALITY FOR NURSES
- 18. 9.USE OF GENERICDRUGS & VACCINES: A LIST OF LIMITED NUMBER OF ESSENTIAL DRUGS ARE MADE WHICH ARE TO BE USED BOTH PRIVATE AND PUBLIC DOMIANS PRODUCTION & SALE OF IRRATIONAL COMBINATIONS OF DRUGS IS PROHIBITED 10.URBAN HEALTH: A TWO TIRED SYSTEM PRACTICED 1ST TIER-PRIMARY HEALTH CENTERS 2ND TIER-GOVERNEMENT HOSPITALS 11.MENTAL HEALTH: PROVIDING MEDICINES AT PHC’S UPGRADING INSTITUTIONS PROVIDING MENTAL HEALTH
- 19. 12.INFORMATION,EDUCATION & COMMUNICATION USING MASSMEDIA FOR HEALTH AWARNESS START SCHOOL HEALTH PROG. WHICH AIM AT PREVENTIVE-HEALTH EDUCATION,PROVIDE HEALTH CHECKUPS,PROMOTE HEALTH SEEKING BEHAVIOR AMONG CHILDREN 13.HEALTH RESEARCH: INCREASE GOVT HEALTH FUND TO LEVEL OF 1% OF TOTAL HEALTH SPENDING BY 2005 & UP TO 2% BY 2010 FOCUS ON NEW DRUGS AND VACCINES FOR TROPICAL DISEASE-TB & MALARIA
- 20. 14.NATIONAL DISEASE SURVEILLANCE NETWORK: FULLOPERATIONALIZATION OF INTEGRATED DISEASE CONTROL NETWORK BY 2005 15.HEALTH STATISTICS: ENVISAGES THE COMPLETION OF BASELINE ESTIMATES FOR THE INCIDENCE OF-TB, MALARIA &BLINDNESS BY 2005 AND ALSO FOR COMMUNICABLE & NON COMMUNICABLE DISEASES 16.WOMEN’S HEALTH: HIGH PRIORITY FOR FUNDING PROGRAMS RELATING TO WOMEN’S HEALTH
- 21. 17.ENFORCEMENT OF QUALITYSTANDARDS FOR FOOD & DRUGS: FOOD STANDARDS SIMILAR TO CODEX SPECIFICATIONS DRUG STANDARD WITH PAR WITH MOST REGOROUS ONES ADAPTED ELSEWHERE 18.REGULATION OF STANDARD IN PARA- MEDICAL DISCIPLES: ESTABLISH STATUTORY PROFESSIONAL COUNCILS & TO REGISTER PRACTIONERS, MAINTAIN STANDARDS OF TRAINING AND MONITOR PERFORMANCE
- 22. 19.ENVIRONMENT & OCCUPATIONALHEALTH: PERIODIC SCREENING FOR HEALTH CONDITIONS OF WORKERS,PARTICULARLY FOR HIGH RISK DISORDERS ASSOCIATED WITH OCCUPATION 20.PROVIDING MEDICAL FACILITIES TO USERS FROM OVERSEAS[HEALTH TOURISM] ENCOURAGE PROVIDING HEALTH SERVICES TO ON PAYMENT BASIS TO OVERSEE SEEKERS THIS IS USED TO DEVELOP ECONOMY AND BETTER HEALTH SERVICES
- 23. 21.IMPACT OF GLOBALIZATIONON THE HEALTH SERVICES AFFORDABLE ACCESS TO LATEST MEDICAL & OTHER THERAPEUTIC DISCOVERIES TO TAKE ACTIVE PARTICIPATION IN INTERNATIONAL FORA –UN,WHO.WTO ETC RECENT DEVELOPMENT THE PUBLIC HEALTH FOUNDATION OF INDIA [PHFI] HAS PLANS TO ESTABLISH 5-7 WORLD CLASS AND RELEVANT INDIAN INSTITUTIONS OF PUBLIC HEALTH,WITH FIRST 2 OPENING BY 2008,FUNDING IS NEARLY 500-700 CRORES
- 24. SWOT ANALYSIS •STRENGTH IT IDENTIFIESMANY GROSS DEFECTS IN HEALTH -CARE & PROPOSES SUBSTANTIAL CHANGES COMMITMENT TO ENHANCE BUDGET ON HEALTH FROM 5.2% TO 6% OF GDP WITH GOVT GIVING 0.9% TO 2% BY 2010 AVAILABILITY PF ADVANCE TECHNOLOGY & PROVEN PUBLIC HEALTH STRATERGIES
- 25. •WEAKNESS LACK OF MONITORINGOF EVALATION LACK OF GOVT EXPENDITURE ON PUBLIC HEALTH GAP IN SITUATION ANALYSIS & POLICY PRESCRIPTION •OPPURTUNITY BASED ON PAST POLICIES & THEIR IMPLIM- -ENTATION INDIA GETS AN OPPURCHUNITY TO MOVE AHEAD IN HEALTH BY THIS POLICY SUPPORTIVE ENVIRONMENT & ABSENCE OF OBVIOUS THREAT OF WAR,UNREST ETC PROVIDES A NEW IMPETUS TO THE “DEVELOP -MENT OF THE HEALTH SECTOR”
- 26. •THREATS HEALTH TOURISM WILLENCOURAGE “PRIVATIZATION” & LACK OF REGULATION OF PRIVATE SECTOR COULD BE DANGEROUS FOR THE PUBLIC,POLICY DOES NOT TELL WHEN & HOW IT IS GOIN TO REGULATE OCCURRENCE OF UNEXPECTED NATURAL CALAMITY & CATASTROPHES -VE INVOLVEMENT OF RELIGIOUS FUNDAMENTALISTS EX- POLIO STERLITY MYTH IMPENDING PULSE POLIO PROGRAM CREATION OF A CADRE OF “HALF BAKED PARAMEDI- CAL DOCTORS” FINANCIAL AUTONOMY – DISTRICT- CORRUPTION & NEED FOR STRICT OUTER REGULATION & ACCOU NTABILITY