Nationa L Health Policy 2017: Ms - Neethu Vincent Asst Professor KVM College of Nursing

NATIONA
L
HEALTH POLICY
2017
MS.NEETHU VINCENT
ASST PROFESSOR
KVM COLLEGE OF NURSING
INTRODUCTION
Health Policy provides a broad framework of decisions for

guiding health actions that are useful to its community in
improving their health, reducing the gap between the health
status.
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. Now 14 years after the last
health policy, a new is introduced,the context has changed in
four ways.
First change :change in heath priority
Second change : emergence of robust health care industry
estimated to be growing at double digit
Third change: growing incidences of catastrophic
expenditure due to health care cost which are – poverty
Fourth change : rising economic growth enables enhanced
fiscal capacity
Aims
The primary aim of the National Health Policy, 2017,
is to inform, clarify, strengthen and prioritize the
role of the Government in shaping health systems in
all its dimensions
OBJECTIVES
Improve health status through concerted policy action in all

sectors and expand preventive, promotive, curative,
palliative and rehabilitative services provided through the
public health sector with focus on quality.
Principles Of The Policy
Professionalism, Integrity And Ethics
The health policy commits itself to the highest
professional standards, integrity and ethics to be maintained in the
entire system
of health care delivery in the country, supported by a
credible, transparent and responsible regulatory environment.

Equity
 Reducing inequity would mean affirmative action to reach the
poorest.
 It would mean minimizing disparity on account of gender,
poverty, caste, disability, other forms of social exclusion and
geographical barriers.
 It would imply greater investments and financial protection for
the poor who suffer the largest burden of disease.
Affordability
As costs of care increases, affordability, as distinct from equity,
requires emphasis.
Universality
Prevention of exclusions on social, economic or on
grounds of current health status. In this backdrop,
systems and services are envisaged to be designed to
cater to the entire population- including special groups
Patient Centered & Quality Of Care
Gender sensitive, effective, safe, and convenient healthcare services
to be provided with dignity and confidentiality.
Accountability
Financial and performance accountability, transparency in decision
making, and elimination of corruption in health care systems, both in
public and private.
Dynamism And Adaptiveness
Constantly improving dynamic organization of health care based on
new knowledge and evidence with learning from the communities
and from national and international knowledge partners is designed.
Goals
a) Health status and programme impact
b) Health systems performance
c) Health system strengthening

A. Health status and programme impact
1.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 index as a
measure of burden of disease and its trends by major categories by
2022
 Reduction of TFR to 2.1 at national and sub-national level by 2025.
2. Mortality by age and /or cause
 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 and still birth rate to

‘single digit’ by 2025.
3. Reduction of disease prevalence /incidence
 Achieve global target of 2020 which is also termed as target of
90:90:90,for HIV-AIDs ie,90 % of all people living with HIV know their
HIV status,90 % of all people diagnosed with HIV infection receive
sustained ART and 90% of all people receiving ART will have viral
suppression
 To achieve and maintain a cure rate of >85% in new sputum
positive patients for TB and reduce incidence of new cases, to
reach elimination status by 2025.
Achieve and maintain elimination status of
Leprosy by 2018.
Kala-Azar by 2017 and Lymphatic Filariasis in
endemic pockets by 2017.
To reduce the prevalence of blindness to 0.25/
1000 by 2025.
To reduce premature mortality from
cardiovascular diseases, cancer, diabetes or
chronic respiratory diseases by 25% by 2025.
B.Health systems performance
1. Coverage of 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 newborn 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 known hypertensive and diabetic individuals at
household level maintain ‘controlled disease status’ by 2025.
2. Cross sectoral roles related to health
 Relative reduction in prevalence of current tobacco use by 15%
by 2020 and 30% by 2025.
 40% Reduction in prevalence of stunting of under-five children
by 2025.
 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 behaviour
c. Health systems strengthening
1. Health finance
 Increase health expenditure by government as a persentage of
GDP from the existing 1.15 % to 2.5 % by 2025
 Increase state sector health spending to greater than 8 % of their
budget by 2020
 Decrease in proportion of house holds facing catastrophic health
expenditure from the current levels by 25 % by 2025
2. Health infrastructure and human resource
Ensure availability of paramedics and doctors as per
Indian public health standard 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
norms in high priority districs by 2025
3. Health Management information
Ensure district level electronic data base of information on
health system components by 2020
Strengthen the health surveillance system and establish
registries for disaeseof public health importance by 2020
Establish federated integrated health information
architecture,health information exchnages anfd national health
information network by 2025

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

National Health Programmes
1 • RMNCH+A services
2 • Child and Adolescent Health
3
• Universal Immunization
4 • Communicable Diseases
5 • Mental Health
6 • Non-Communicable Diseases
7 • Population Stabilization
RMNCH+A services
 This policy aspires to elicit developmental action of all sectors to

support Maternal and Child survival. The policy strongly
recommends strengthening of general health systems to prevent
and manage maternal complications, to ensure continuity of care
and emergency services for maternal health
Child and Adolescent Health
 The policy endorses the consensus on accelerated
national achievement of targets and 'single

digit'
neonatal rates through
stillbirth mortality
improved home based and facility based
management of sick newborns .
 School health programmes as a major focus area, health
and hygiene being made a part of the school curriculum.
Interventions to Address Malnutrition and Micronutrient
Deficiencies
 The present efforts of Iron Folic Acid, calcium, supplementation
during pregnancy, iodized salt, Zinc and ORS, Vitamin A
supplementation, needs to be intensified and increased .
 Focus would be on reducing micronutrient malnourishment and
augmenting initiatives like micro nutrient supplementation, food
fortification, screening for anemia and public awareness.
Universal Immunization
 Priority would be to improve immunization coverage with

quality and safety, improve vaccine security as per National
Vaccine Policy 2011 and introduction of newer vaccines based
on epidemiological considerations. The focus will be to build
upon the success of Mission Indradhanush and strengthen it.
Communicable Diseases
 The policy recognizes the interrelationship between communicable
disease control programmes and public health system strengthening
.
 It advocates the need for districts to respond to the communicable
disease priorities of their locality .
 The policy acknowledges HIV and TB co infection and increased
incidence of drug resistant tuberculosis as key challenges in control
of Tuberculosis.
Non-Communicable Diseases
 An integrated approach for screening the most prevalent NCDs
with secondary prevention would make a significant impact on
reduction of morbidity and preventable mortality. with
incorporation into the comprehensive primary health care network
with linkages to specialist consultations and follow up at the
primary level.
 Screening for oral, breast and cervical cancer and Chronic
Obstructive Pulmonary Disease will be focused in addition to
hypertension and diabetes .
Mental Health
This policy will take action on the following fronts :
 Increase creation of specialists through public financing and
develop special rules to give preference to those willing to work in
public systems.
 Create network of community members to provide psycho-social
support to strengthen mental health services at primary level
facilities.
Population Stabilization
 Policy imperative is to move away from camp based services to

a situation where these services are available on any day of the
week.
 And to increase the proportion of male sterilization from less
than 5% to at least 30% and if possible much higher.
Women’s Health & Gender
Mainstreaming
 There will be enhanced provisions reproductive

for
beyond
morbidities and health needs of the
reproductive
women age group (40+).
Gender based violence
 Women’s access to healthcare needs to be strengthened by

making public hospitals more women friendly and ensuring
that the staff have orientation to gender –sensitivity issues.
 health care to the survivors/ victims need to be provided free
and with dignity in the public and private sector.
Mainstreaming the Potential of AYUSH
 This policy ensures access to AYUSH remedies through co-
location in public facilities.
 Yoga would be introduced widely in school and work places as
part of promotion of good health.

Human Resources for Health
This policy recommends that Medical and Para-medical education
be integrated with the service delivery system.
Medical Education:
 Strengthening existing medical colleges
 Increase the number of post graduate seats.
 A common entrance exam as NEET for UG entrance at
all India level.
 Attracting and Retaining Doctors in Remote Areas.
 Creation of specialist cadre and Performance linked payments
THANK
YOU
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NATIONA

Health Policy provides a broad framework of decisions for

Second change : emergence of robust health care industry

estimated to be growing at double digit

Third change: growing incidences of catastrophic

expenditure due to health care cost which are – poverty

Fourth change : rising economic growth enables enhanced

Improve health status through concerted policy action in all

professional standards, integrity and ethics to be maintained in the

of health care delivery in the country, supported by a

credible, transparent and responsible regulatory environment.

a) Health status and programme impact

b) Health systems performance

c) Health system strengthening

 Reduce neo-natal mortality to 16 and still birth rate to

Ensure district level electronic data base of information on

health system components by 2020

Strengthen the health surveillance system and establish

registries for disaeseof public health importance by 2020

Establish federated integrated health information

architecture,health information exchnages anfd national health

information network by 2025

 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

 Reduced stress and improved safety in the work place

 Reducing indoor and outdoor air pollution

2 • Child and Adolescent Health

 This policy aspires to elicit developmental action of all sectors to

 The policy endorses the consensus on accelerated

national achievement of targets and 'single

 Priority would be to improve immunization coverage with

 Policy imperative is to move away from camp based services to

 There will be enhanced provisions reproductive

 Women’s access to healthcare needs to be strengthened by

 This policy ensures access to AYUSH remedies through co-

location in public facilities.

 Yoga would be introduced widely in school and work places as

part of promotion of good health.

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