CHN-NATIONAL HEALTH POLICY-SYP-9-PHC

๐Ÿฅ๐Ÿ‡ฎ๐Ÿ‡ณ NATIONAL HEALTH POLICY โ€“ 1983

๐Ÿง  Important for Nursing Competitive Exams โ€“ NORCET, AIIMS, NHM, RRB, ESIC, NCLEX


๐Ÿ”ฐ Introduction

The National Health Policy (NHP) 1983 was Indiaโ€™s first official health policy, aimed at providing universal, comprehensive, and equitable health care for all citizens.

๐Ÿ“… Launched in: 1983
๐Ÿ“˜ First policy to define a national health vision


๐ŸŽฏ Main Aim

To provide universal access to primary healthcare services for the entire population, especially rural and underserved communities, through an integrated and decentralized system.


๐Ÿ“š Key Objectives

โœ”๏ธ Achieve Health for All by the year 2000 (as per WHO declaration)
โœ”๏ธ Establish a network of primary health care services
โœ”๏ธ Emphasize preventive, promotive, and rehabilitative services
โœ”๏ธ Promote equity and community participation
โœ”๏ธ Encourage the use of local and indigenous systems of medicine (AYUSH)


๐Ÿ—๏ธ Major Policy Commitments

๐Ÿ› ๏ธ Area๐Ÿงพ Details
๐Ÿฅ Primary Healthcare FocusEstablish SCs, PHCs, CHCs to cover rural population
๐ŸŽ“ Health Manpower DevelopmentIncrease number of doctors, nurses, and MPHWs
๐Ÿ‘จโ€๐Ÿ‘ฉโ€๐Ÿ‘งโ€๐Ÿ‘ฆ Community InvolvementTraining of local dais, village health guides
๐Ÿงช Disease ControlFocus on malaria, TB, leprosy, blindness, diarrhoea
๐Ÿงฌ Integration of SystemsPromotion of AYUSH with allopathic system
๐Ÿ›๏ธ Decentralized PlanningHealth planning at block and district level

๐Ÿ“ˆ Key Targets (by 2000)

๐ŸŽฏ Indicator๐Ÿ“Œ Target
IMR (Infant Mortality Rate)< 60/1000 live births
MMR (Maternal Mortality Ratio)< 200/100,000 live births
TFR (Total Fertility Rate)2.1
Life Expectancyโ‰ฅ 64 years
Eradicate smallpox (โœ… achieved)
Eliminate major communicable diseasese.g., polio, leprosy, TB

๐Ÿ‘ฉโ€โš•๏ธ Role of Nurses & Health Workers

โœ”๏ธ Provide primary care at SC/PHC level
โœ”๏ธ Lead immunization and family planning programs
โœ”๏ธ Train village health guides and dais
โœ”๏ธ Encourage health education and sanitation
โœ”๏ธ Participate in maternal & child health services


๐Ÿง  Golden MCQs for Practice

โœ… Q1. In which year was the first National Health Policy launched?
๐Ÿ…ฐ๏ธ 1983

โœ… Q2. What was the goal year for Health for All under NHP 1983?
๐Ÿ…ฐ๏ธ 2000

โœ… Q3. What system of medicine was promoted along with allopathy?
๐Ÿ…ฐ๏ธ AYUSH

โœ… Q4. What was the target IMR by the year 2000?
๐Ÿ…ฐ๏ธ < 60 per 1000 live births

โœ… Q5. Who were trained under the community-based approach?
๐Ÿ…ฐ๏ธ Dais and village health guides

๐ŸฅNATIONAL HEALTH POLICY โ€“ 2002

๐Ÿง  Important for NORCET, AIIMS, NHM, RRB, ESIC, NCLEX


๐Ÿ”ฐ Introduction

The National Health Policy (NHP) 2002 was introduced to enhance the healthcare delivery system in India and achieve an acceptable standard of good health for the population.

๐Ÿ“… Year of Launch: 2002
๐Ÿงญ Preceded by: NHP โ€“ 1983
๐Ÿ“˜ Succeeded by: NHP โ€“ 2017


๐ŸŽฏ Objectives of NHP 2002

โœ”๏ธ Achieve an acceptable level of health for all
โœ”๏ธ Increase access to primary healthcare
โœ”๏ธ Improve health status of vulnerable groups (women, children, tribal & rural population)
โœ”๏ธ Promote decentralized and participatory health management
โœ”๏ธ Encourage public-private partnerships (PPP)


๐Ÿ—๏ธ Key Goals & Targets of NHP-2002

๐ŸŽฏ Indicator๐Ÿ“… Target Year๐Ÿ“Œ Goal
IMR (Infant Mortality Rate)2010< 30 per 1000 live births
MMR (Maternal Mortality Ratio)2010< 100 per 100,000 live births
TFR (Total Fertility Rate)2010Replacement level (2.1)
Life Expectancy2015> 65 years
Eradicate Polio & Yaws2005โœ… Achieved
Eliminate Leprosy2005โœ… Achieved
Eliminate Kala-azar2010โš ๏ธ In progress
Eliminate Lymphatic Filariasis2015โš ๏ธ In progress
TB control (reduce prevalence by 50%)2010Through RNTCP

๐Ÿ“Š Key Policy Provisions

1๏ธโƒฃ Health Infrastructure

๐Ÿ”น Improve availability of primary, secondary & tertiary services
๐Ÿ”น Strengthen rural health system
๐Ÿ”น Promote health insurance schemes for the poor

2๏ธโƒฃ Manpower Development

๐Ÿ”น Enhance training of paramedical and nursing staff
๐Ÿ”น Fill vacancies in rural areas
๐Ÿ”น Promote Ayurveda, Yoga, Unani, Siddha, and Homeopathy (AYUSH)

3๏ธโƒฃ Public-Private Partnership (PPP)

๐Ÿ”น Encourage private sector investment
๐Ÿ”น Involve NGOs in health delivery
๐Ÿ”น Set quality standards for private providers

4๏ธโƒฃ Decentralization

๐Ÿ”น Empower Panchayati Raj Institutions
๐Ÿ”น Community participation in health planning


๐Ÿ’ฐ Funding Goals

๐Ÿ’ธ Parameter๐ŸŽฏ Target
Govt. expenditure on healthโฌ†๏ธ to 2% of GDP by 2010
State-level budget allocationMinimum 7% of total budget for health

๐Ÿ‘ฉโ€โš•๏ธ Nursing & Health Worker Role

โœ”๏ธ Deliver essential services at grassroots
โœ”๏ธ Support in maternal-child health, immunization, and health education
โœ”๏ธ Participate in disease control programs
โœ”๏ธ Promote sanitation, nutrition, and hygiene
โœ”๏ธ Assist in training and community mobilization


๐Ÿง  MCQs for Quick Revision

โœ… Q1. In which year was NHP 2002 launched?
๐Ÿ…ฐ๏ธ 2002

โœ… Q2. What was the IMR target in NHP 2002?
๐Ÿ…ฐ๏ธ < 30/1000 live births by 2010

โœ… Q3. What was the target life expectancy by 2015?
๐Ÿ…ฐ๏ธ More than 65 years

โœ… Q4. Which traditional systems of medicine were promoted under NHP 2002?
๐Ÿ…ฐ๏ธ AYUSH

โœ… Q5. What was the proposed government health expenditure goal?
๐Ÿ…ฐ๏ธ 2% of GDP by 2010

๐ŸฅNATIONAL HEALTH POLICY (NHP) โ€“ 2017

๐Ÿง  Essential for Nursing Competitive Exams โ€“ NORCET, AIIMS, NHM, RRB, ESIC, NCLEX


๐Ÿ”ฐ Introduction

๐Ÿ”น The National Health Policy 2017 is India’s official policy document that outlines the vision, goals, and strategies for achieving universal health coverage and improving the health status of all citizens.

๐Ÿ“† Released by: Ministry of Health & Family Welfare
๐Ÿ“Œ Launched on: 16 March 2017
๐Ÿงญ Replaces: National Health Policy of 2002


๐ŸŽฏ Vision Statement

“Attainment of the highest possible level of health and well-being for all at all ages through a preventive and promotive healthcare orientation.”


โœ… Key Goals of NHP-2017

๐ŸŽฏ Goal๐Ÿ“… Target Year
โฌ‡๏ธ Reduce IMR (Infant Mortality Rate) to 23By 2025
โฌ‡๏ธ Reduce MMR (Maternal Mortality Ratio) to 100By 2020
โฌ‡๏ธ Reduce TFR (Total Fertility Rate) to 2.1By 2025
โฌ‡๏ธ Under-5 Mortality Rate to 23By 2025
โฌ‡๏ธ Neonatal Mortality Rate to 16By 2025
โฌ‡๏ธ Prevalence of blindness to 0.25/1000By 2025
๐Ÿงช Eliminate Kala-azar, Filariasis, LeprosyBy 2017โ€“2020

๐Ÿ—๏ธ Major Policy Commitments

โœ”๏ธ Health as a right
โœ”๏ธ Shift focus from sick care to wellness
โœ”๏ธ Strengthen primary healthcare
โœ”๏ธ Increase government health expenditure to 2.5% of GDP by 2025
โœ”๏ธ Promote AYUSH integration
โœ”๏ธ Digital health records and IT-based health systems
โœ”๏ธ Free drugs, diagnostics, and emergency care
โœ”๏ธ Encourage Public-Private Partnership (PPP)


๐Ÿ› ๏ธ Key Strategies

1๏ธโƒฃ Comprehensive Primary Health Care via Health & Wellness Centres (HWCs)
2๏ธโƒฃ Strengthening health infrastructure at rural & urban levels
3๏ธโƒฃ Promoting health insurance coverage โ€“ like Ayushman Bharat
4๏ธโƒฃ Focus on non-communicable diseases (NCDs)
5๏ธโƒฃ Improve health workforce training and HR policies
6๏ธโƒฃ Establishing National Health Accounts
7๏ธโƒฃ Strong emphasis on gender-sensitive, equity-based healthcare


๐Ÿ’ฐ Financial Goals

๐Ÿ“Š Parameter๐Ÿ“… Target
Health expenditure = 2.5% of GDPBy 2025
Out-of-pocket expenditure โฌ‡๏ธ to < 30%Of total health expenditure

๐Ÿ‘จโ€โš•๏ธ Role of Nurses & Health Workers

โœ”๏ธ Act as frontline providers in HWCs
โœ”๏ธ Deliver preventive & promotive care
โœ”๏ธ Help in health education & behavior change
โœ”๏ธ Assist in maternal, child & elderly health
โœ”๏ธ Maintain digital health records
โœ”๏ธ Engage in community-based screening (BP, diabetes, cancer)


๐Ÿง  Top MCQs for Practice

โœ… Q1. When was the National Health Policy 2017 launched?
๐Ÿ…ฐ๏ธ 16 March 2017

โœ… Q2. What is the target GDP expenditure on health by 2025?
๐Ÿ…ฐ๏ธ 2.5% of GDP

โœ… Q3. What is the target Infant Mortality Rate (IMR) by 2025?
๐Ÿ…ฐ๏ธ 23 per 1000 live births

โœ… Q4. What is the focus shift in NHP 2017?
๐Ÿ…ฐ๏ธ From sick care to wellness

โœ… Q5. What is the role of Health & Wellness Centres under NHP?
๐Ÿ…ฐ๏ธ Delivering comprehensive primary health care

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Categorized as CHN-SYNOPSIS-PHC, Uncategorised