IED project2

8/7/2019 IED project2

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Health Objectives

Of The11 th 5 Year Plan


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M ain Objectives

Reduce I M R to 28 and MM R 1 per 1000 livebirthsReduce Total fertility ratio to 2.1Provide clean drinking water for all by 2009and ensure that are no slip backsReduce malnutrion among children of age

group 0-3 half its present levelReduce anemia among women and girls by50% by the end of the plan


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A chieve good health for the people especiallythe poor and the underprivileged .To facilitate convergence and development of public health systems that are responsive of health needs

Reducing disparities in health across regionsand communities by ensuring access toaffordable health care.

Special attention to the health of themarginalized groups like adolescent girls,women of all ages and children below three


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Total Fertility Rate

Decadal growth of population druing 1991-2001 has been 21.5 %

Projected Decadal growth for 2001-11 is15.9%The % of married women using contraceptionincreased from 10% in the 1970s to 56% in2005-2006


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MM R A nd I M R

The MM R has been 301 per 100000 live birthsThere has been a substantial decline during the sevenyear period of 1997-2003A

t the present rate of decline it seems to be hard toreach the goal of 100 by 2010The IM R is 58 per 1000 live birthsIt is higher in the rural areas and lower in the urbanareas

Concentrated efforts will be required under HomeBased New Born Care to reduce the I M R and NeonatalM ortality Rate


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A ccording to the 2001 census about 4.26 crorelived in urban slums spread over 640 cities and

towns.These settlements have high incidences of vector borne diseases,asthma,tubercolosis,

malaria, diabetes etc.Despite the concentration of health carefacilities in urban areas, the urban poor lackaccess


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Disease Burden

A n estimated 2 3.1 million people in thecountry are living with HIV A IDS, which is acommunicable diseaseThe non communicable diseases that areprevelant are cancer, blindness, mental illnessetc


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National Rural Health M ission

Was launched to address the problems of primary health care and to bring about animprovement in the primary health caresystemA mis to provide universal access to equitable,affordable and quality health care

Expected to achieve the goals of the NationalHealth Policy and the M illeniumDevelopmental Goals


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Strategies

Promote access to to improved health care athouseholdsHealth plan for each village through the village

health committee PanchayatRegulation of the private sector to ensure qualityof service to citizens at a reasonable costPrepare and implement an intersectoral District

Health Plan prepared by the District HealthM ission, including drinking water, sanitation,hygiene,and nutrition.


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Expected Outcomes

IM R Reduced to 30/1000 live births by 2012M alaria M ortality Reduction- 50% up to 2010,and an additional 10% by 2010Kala-azar M ortality Reduction 100% by 2010and sustaining elimination until 2012.Filaria/ M icrofilaria Reduction 70% by 2010, 80%by 2012, and elimination by 2015.Dengue M ortality Reduction 50% by 2010 andsustaining at that level until 2012.


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Cataract operations increasing to 46 lakhuntil 2012.

Leprosy Prevalence Rate.Reduce from 1.8 per10000 in 2005 to less that 1 per 1000 thereafter

Upgrading all health establishments in the

district to IPHS.


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The scheme has the dual objectives of

reducing maternal and infant mortality bypromoting institutional deliveries.It focuses on states having institutionally lowdelivery rates

The scheme is 100% centrally sponsored andintegrates cash assistance with maternal care.

Under the NRH M , out of 184.25 lakhinstitutional deliveries in the country (as on 1A pril 2007), JSY beneficiaries were 28.74 lakh.


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National Urban Health M ission

Strive to meet the health needs of the urbanpoor, particulary slum dwellers by makingprimary health care sercices available to themNUHM would cover cities with a population nomore of 1,00,000The exisitng Urban Health Posts and Urban Family

Welfare Centers would continue under thisThese centers will be considered for upgradation


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Priorities Of The Plan

Establishment of Hospital DevelopmentCommitees in all government hospitals.

Improvement of infrastructure and facilities indistrict hospitals.Provision of high-quality secondary health careservices for every block in the country.Creation of state-of-the-art medical education,research, and care institutions in all disciplinesof medicine.


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A reas Of E mphasis Of The PlanDeveloping essential drug lists for all levels of institutionsM aking available essential drugs of good

quality in adequate quantities in allgovernment health facilities.Increasing efficiency, economy, andtransparency in drug procurement,warehousing, and distributionIncluding all essential drugs under a system of price monitoring


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Implementing and reinforcing the concept of Standard Treatment Guidelines in the in-service and pre-service training programmesof the doctors and health workers.Disseminating information on essential drugsto medical professionals, pharmacists, and tothe people


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A ctions Taken During The Plan

Creating Food Safety A uthority for speedyenforcement of safety standards.Ensuring implementation of Capacity BuildingProject with the objective to enhancecapacities in laboratories, awareness of foodsafety, and hygiene.

Strengthening State labs, capacity building,food portal, comprehensive andinformative/analytical database.


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Rationalizing protocol for establishment of labs for food safety.Implementing the Food Safety and StandardsA ct, 2006.


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Strategies Of the Plan

Convergence of health care, hygiene, sanitation,and drinking water at the village level throughVHSCs under NRH M .Renewed efforts under NUH M to cover primaryhealth care, safe drinking water, and sanitation inurban areas.

Participation of stake holders at all levels, fromplanning, design, and location to implementationand management of the projects.


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Institutionalization of water qualitymonitoring and surveillance systems byinvolving PRIs, community, NGOs, and otherCSO.Increased attention to Behavioural ChangeCommunication.Linking treatment of sewage and industrialeffluents to development planning.


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Pilot Projects

A lot of pilot projects will be taken up andmost put under the NHR M /NHU M .These include:

Sports M edicine Deafness Oral Health

Fluorosis Disability and M edical Rehabilitation Organ Transplant


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Thrust A reas Of The Plan

Improving Health EquityA dopting system-centric approach rather than

a disease centric approachIncreasing SurvivalDecentralizing governance

Establishing e-HealthProviding focus to health systems and BioM edical research

IED project2

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