National Health Policy 2017
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. The current context has however changed in four major ways. First, the health priorities are changing. Although maternal and child mortality have rapidly declined, there is growing burden on account of non-communicable diseases and some infectious diseases. The second important change is the emergence of a robust health care industry estimated to be growing at double digit. The third change is the growing incidences of catastrophic expenditure due to health care costs, which are presently estimated to be one of the major contributors to poverty. Fourth, a rising economic growth enables enhanced fiscal capacity. Therefore, a new health policy responsive to these contextual changes is required. so the government came up with National Health Policy 2017, which brings some changes to the earlier policies.
The policy envisages as its goal the attainment of the highest possible level of health and well-being for all at all ages, through a preventive and promotive health care orientation in all developmental policies, and universal access to good quality health care services without anyone having to face financial hardship as a consequence. This would be achieved through increasing access, improving quality and lowering the cost of healthcare delivery.
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.
1.Increase Life Expectancy at birth from 67.5 to 70 by 2025. 2.Reduction of TFR to 2.1 at national and sub-national level by 2025. 3.Reduce under Five Mortality to 23 by 2025 and MMR from current levels to 100 by 2020. 4.Reduce infant mortality rate to 28 by 2019. 5.Reduce neo-natal mortality to 16 and still birth rate to “single digit” by 2025. 6.Achieve global target of 2020 which is also termed as target of 90:90:90, for HIV/AIDS i. e,- 90% of all people living with HIV know their HIV status, – 90% of all people diagnosed with HIV infection receive sustained antiretroviral therapy and 90% of all people receiving antiretroviral therapy will have viral suppression. 7.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. 8.To reduce premature mortality from cardiovascular diseases, cancer, diabetes or chronic respiratory diseases by 25% by 2025. 9.More than 90% of the newborn are fully immunized by one year of age by 2025. 10.Reduction of 40% in prevalence of stunting of under-five children by 2025. 11.Increase health expenditure by Government as a percentage of GDP from the existing 1.15% to 2.5 % by 2025. 12.Ensure availability of paramedics and doctors as per Indian Public Health Standard (IPHS) norm in high priority districts by 2020. 13.Increase community health volunteers to population ratio as per IPHS norm, in high priority districts by 2025. 14.Establish primary and secondary care facility as per norms in high priority districts (population as well as time to reach norms) by 2025. 15.Ensure district-level electronic database of information on health system components by 2020. 16.Strengthen the health surveillance system and establish registries for diseases of public health importance by 2020.