Presentation on theme: "Health planning in India and National Rural Health Mission"— Presentation transcript:
1Health planning in India and National Rural Health Mission 2005-2012 DR.REKHA DUTT
2HEALTH PLANNING IN INDIA Health planning in India is an integral part of national socioeconomic planning .the guidelines for national health planning were provided by various committees appointed by Government of India .1. Bhore committee ,1946Integration of preventive and curative services at all administrative level.Development of primary health centers in rural area.Major change in medical education- 3 months training in PSM to make social physicians
3Mudaliar committee also called as Health Survey and Planning Committee, 1962 Strengthening of PHC (for 40,000 population) , sub divisional and district hospitals .To improve the quality of health services.Constitution of All India Health Service on the pattern of Indian administrative services.Chadah committee ,1963: to study the arrangements for maintenance phase of National Malaria Eradication Programme.Vigilance operations in National Malaria Eradication Programme should be the responsibility of PHC.Basic health workers OR Multipurpose health workers for population has to carry out monthly home visits.The family planning health assistants were to supervise 3 or 4 basic health workers .
4MUKERJI COMMITTEE,1965Separate staff for family planning programmeTo delink the malaria activities from family planningMUKERJI COMMITTEE,1966Worked out details of Basic health services at the block levelJUNGALWALLA COMMITTEE,1967Integrated health servicesUnified cadre ,common seniority ,recognition of extra qualification ,equal pay for equal work, no private practice .KARTAR SINGH COMMITTEE,1973Multipurpose health workers for all the programmes.One PHC to cover 50,000 population.Each sub centre for population and staffed by one male and female health workerHealth supervisors to supervise 3-4 health workers.
5SHRIVASTAV COMMITTEE,1975Creation of bands of paraprofessional and semiprofessional health workers (Community participation)referral servicesRURAL HEALTH SCHEME,1977Involving medical colleges for ROME SCHEMEThe National Health Plan ,1983One PHC for 30,000 population in rural plains and for 20,000 population in hilly ,tribal and backward areas
6National Rural Health Mission 2005-2012 The vision :To provide effective health care to rural population throughout country with special focus on states with weak infrastructure.To raise public spending on health from 0.9% of GDP to 2-3% of GDP.Provision of Accredited Social Female Health Activist (ASHA) in each village.To undertake architectural correction of health system.Decentralization of programmes.To improve access to rural people .To revitalize local health traditions (AYUSH)
7Goals Reduction of IMR to 30 per 1000 live births. Reduction of MMR to 100 per 100,000 live births by 2012.Reduction of total fertility to 2.1.Universal access to public health services.Prevention and control of communicable and non communicable diseases.Access to integrated comprehensive PHC.Population stabilization ,gender and demographic balance.Revitalize local health traditions.Promotion of healthy life style.
8PLAN OF ACTION Component (A) : ASHA Every village will have ASHA chosen by and accountable to village panchayat to act as the interface between the community and the public health system.She will be trained honorary volunteer receiving performance based compensation.She will be given training for 23 days, on the job training would continue for 1 year.She will prepare and implement village health plan along with AWW,ANM and other functionaries under the leadership of village panchayat.She is given drug kit for common ailments.
9Component (B) :strengthening of subcentre Each subcentre will have fund Rs per annum. This is deposited in joint bank account of ANM and sarpanch.Supply of essential drugs.Posting additional health workers and upgrading existing subcentres.Component (C) :strengthening of PHCsProvision of 24 hour servicesAdequate supply of essential quality drugs and equipments like auto disable syringes.Provision of second doctor in case of additional outlays.
10Component (D): strengthening of CHCs beds in It and making it 24 hours first referral unit with posting of anesthetist.To upgrade quality of services.Component (E) :District Health PlanComponent (F) :Total Sanitation CampaignComponent (G) :Strengthening disease control programmesStrengthening of disease surveillance systemProvision of mobile medical unit at district level.Component (H) : Public –private partnership for public health goals
11Component (I) : New health finance mechanism Component (J) : Reorienting medical education to support rural health issues