1.National: National is used to describe something that belongs to or is typical of a particular country or nation.
- Health: Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.
- POLICY: – A course or principle of action adopted or proposed by an organization or individual.
- STEPS FOR IMPLEMENTATION OF A POLICY: – Policy evaluation. Policy implementation. Policy formulation. Identification and issue recognition.
5 NATIONAL HEALTH POLICY National health policy in India was not framed and announced until 1983. The ministry of health and family welfare evolved a National Health Policy in 1983, keeping in view the national commitment to attain the goal health for all by 2000 A.D. The policy lays stress on the preventive, promotive, public health and rehabilitation aspects of health care.
6.NATIONAL HEALTH POLICY (1983):- To attain the objectives “Health for all by 2000 AD”, the Union Ministry of Health and Welfare formulated National Health Policy 1983.
7.KEY ELEMENTS OF NATIONAL HEALTH POLICY 1983:- Creation of greater aareness of health problems in the community and means to solve the problems by the community. Supply of safe drinking water and basic sanitation using technologies that people can afford. Reduction of existing imbalance in health services by concentrating more on the rural health infrastructure.
- Establishing of dynamic health management information system to support health planning and health program implementation. Provision of legislative support to health protection and promotion. Concerned actions to combat wide spread malnutrition.
- Research in alternative method of health care delivery and low cost health technologies. Greater co-ordination of different system of medicine.
- FACTORS INTERFERING WITH THE PROGRESS TOWARDS HEALTH FOR ALL:-
- Insufficient political commitment to the implementation on Health for All. Failure to achieve equity in access to all primary health care elements. The continuing low status of women. Slow socio-economic development.
10. Difficulty in achieving intersectoral action for health. Unbalanced distribution of and weak support for human resources. Widespread inadequacy of health promotion activities. Weak health information system and no baseline data. Pollution, poor food, safety, and lack of water supply and sanitation.
11.. Rapid demographic and epidemiological changes. Inappropriate use of and allocation of resources, high-cost technology. Natural and man-made disasters.
- NATIONAL HEALTH POLICY 2001:- Considering the kind and level of progress, the barriers and the change in health problems and the circumstances, the department of Health, Ministry of Health and Family Welfare felt it necessary to formulate a new health policy frameworks as National Health Policy 2001 (NHP 2001)-The main objective of National Health Policy 2001 is to achieve acceptable standard of good health amongst the general population of the country.
13.GOALS TO BE ACHIEVED BY 2000-2001 TO 2015:- Eradicate Polio and Yaws – 2005 Eliminate Leprosy – 2005 Eliminate Kala- Azar – 2010 Eliminate Lymphatic Filariasis – 2015 Achieve zero level growth of HIV/AIDS – 2007 Reduce mortality by 50% On account of TB,Malaria – 2010
- Other vector born and water born Prevalence of blindness to 0.5% – 2010 Reduce IMR to 30/1000 and MMR to 100/lakh – 2010 Improve nutrition and reduce LBW Babies from 30% to 10% – 2010 Increase the utilization of Public Health Facilities from current >20 to <75% – 2010 Establish an integrated system of surveillance – 2005
- National Health Accounts and Health statics: Increase health expenditure by government as a % GDP from 0.9 to 2% – 2010 Increase share of central grants to Constitute at least 35% of total Health spending – 2005 Increase State health spending From 5.5% to 7% of budget – 2010
- CURRENTS STAT’S PROBLEM Polio Leprosy HIV/Aids Tuberculosis Malaria IMR MMR STAT’S Eradicated .72/10,000 0.36% 1.8/100,000 28.8/100,000 42/1000 178/100,000
- WHO’S CONTRIBUTION FOR HEALTH FOR ALL IN 21ST CENTURY:- Serve as the world’s health advocate, by providing leadership for Health for all to all its member countries. Develop global, ethical and scientific norms and standards. Develop international instruments that promote global health.
- Engage in technical co-operative with all countries. Strengthen countries capabilities of building sustainable health system and improve the performance of essential public health functions. Protect the health of vulnerable and poor communities and countries. Faster the use of the innovation in science and technology for health.
- Provide leadership for eradication, elimination, or control of selected diseases. Provide technical support to prevention of public health emergencies and post-emergency rehabilitation. Build partnership of health.