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IED Project2

The document outlines the health objectives and strategies of India's 11th Five Year Plan. The main objectives are to reduce infant and maternal mortality rates, provide clean drinking water for all, reduce malnutrition and anemia, and ensure healthcare access. Key strategies include expanding healthcare access through rural and urban health missions, increasing private sector participation, and addressing regional health disparities. The plan aims to achieve its goals through various programs and initiatives focused on maternal and child health, disease prevention and control, and improving health systems.

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Arushi Hegde
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40 views

IED Project2

The document outlines the health objectives and strategies of India's 11th Five Year Plan. The main objectives are to reduce infant and maternal mortality rates, provide clean drinking water for all, reduce malnutrition and anemia, and ensure healthcare access. Key strategies include expanding healthcare access through rural and urban health missions, increasing private sector participation, and addressing regional health disparities. The plan aims to achieve its goals through various programs and initiatives focused on maternal and child health, disease prevention and control, and improving health systems.

Uploaded by

Arushi Hegde
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
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Health Objectives

Of The
11th 5 Year Plan
Main Objectives
• Reduce IMR to 28 and MMR 1 per 1000 live
births
• Reduce Total fertility ratio to 2.1
• Provide clean drinking water for all by 2009
and ensure that are no slip backs
• Reduce malnutrion among children of age
group 0-3 half its present level
• Reduce anemia among women and girls by
50% by the end of the plan
• Achieve good health for the people especially
the poor and the underprivileged .
• To facilitate convergence and development of
public health systems that are responsive of
health needs
• Reducing disparities in health across regions
and communities by ensuring access to
affordable health care.
• Special attention to the health of the
marginalized groups like adolescent girls,
women of all ages and children below three
• Ensure a large share of allocation for health
programmes in areas such as HIV AIDS.
• Enhance private sector contribution in
providing primary, secondary and tertiary
services through partnership with the
government
• Strive to achieve health as a right for all the
citizens
Total Fertility Rate
• Decadal growth of population druing 1991-
2001 has been 21.5 %
• Projected Decadal growth for 2001-11 is
15.9%
• The % of married women using contraception
increased from 10% in the 1970s to 56% in
2005-2006
MMR And IMR
• The MMR has been 301 per 100000 live births
• There has been a substantial decline during the seven
year period of 1997-2003
• At the present rate of decline it seems to be hard to
reach the goal of 100 by 2010
• The IMR is 58 per 1000 live births
• It is higher in the rural areas and lower in the urban
areas
• Concentrated efforts will be required under Home
Based New Born Care to reduce the IMR and Neonatal
Mortality Rate
Disparities And Divides
• Within the country major disparities in terms
of access to health care and as well as health
outcomes are prevelant
• Kerala’s life expectancy at birth is about 10
years more than that of Assam and MP
• The challenge is to provide these
underdeveloped areas with access to low cost
public health interventions such as universal
immunization services and timely treatment
• According to the 2001 census about 4.26 crore
lived 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 care
facilities in urban areas, the urban poor lack
access
Disease Burden
• An estimated 2–3.1 million people in the
country are living with HIV AIDS, which is a
communicable disease
• The non communicable diseases that are
prevelant are cancer, blindness, mental illness
etc
National Rural Health Mission
• Was launched to address the problems of
primary health care and to bring about an
improvement in the primary health care
system
• Amis to provide universal access to equitable,
affordable and quality health care
• Expected to achieve the goals of the National
Health Policy and the Millenium
Developmental Goals
Strategies
• Promote access to to improved health care at
households
• Health plan for each village through the village
health committee Panchayat
• Regulation of the private sector to ensure quality
of service to citizens at a reasonable cost
• Prepare and implement an intersectoral District
• Health Plan prepared by the District Health
Mission, including drinking water, sanitation,
hygiene,and nutrition.
Expected Outcomes
• IMR Reduced to 30/1000 live births by 2012
• Malaria Mortality Reduction- 50% up to 2010,
and an additional 10% by 2010
• Kala-azar Mortality Reduction—100% by 2010
and sustaining elimination until 2012.
• Filaria/Microfilaria Reduction—70% by 2010, 80%
by 2012, and elimination by 2015.
• Dengue Mortality Reduction—50% by 2010 and
sustaining at that level until 2012.
• Cataract operations—increasing to 46 lakh
until 2012.
• Leprosy Prevalence Rate.Reduce from 1.8 per
10000 in 2005 to less that 1 per 1000 thereafter
• Upgrading all health establishments in the
district to IPHS.
• The scheme has the dual objectives of
reducing maternal and infant mortality by
promoting institutional deliveries.
• It focuses on states having institutionally low
delivery rates

• The scheme is 100% centrally sponsored and


integrates cash assistance with maternal care.
• Under the NRHM, out of 184.25 lakh
institutional deliveries in the country (as on 1
April 2007), JSY beneficiaries were 28.74 lakh.
National Urban Health Mission
• Strive to meet the health needs of the urban
poor, particulary slum dwellers by making
primary health care sercices available to them
• NUHM would cover cities with a population no
more of 1,00,000
• The exisitng Urban Health Posts and Urban
Family Welfare Centers would continue under
this
• These centers will be considered for upgradation
Priorities Of The Plan
• Establishment of Hospital Development
Commitees in all government hospitals.
• Improvement of infrastructure and facilities in
district hospitals.
• Provision of high-quality secondary health care
services for every block in the country.
• Creation of state-of-the-art medical education,
research, and care institutions in all disciplines
of medicine.
• Creation of new institutions and up gradation
of existing tertiary care hospitals.
• Mainstreaming of AYUSH systems to actively
supplement the efforts of the allopathic
systems.
Areas Of Emphasis Of The Plan
• Developing essential drug lists for all levels of
institutions
• Making available essential drugs of good
quality in adequate quantities in all
government health facilities.
• Increasing efficiency, economy, and
transparency in drug procurement,
warehousing, and distribution
• Including all essential drugs under a system of
price monitoring
• Implementing and reinforcing the concept of
Standard Treatment Guidelines in the in-
service and pre-service training programmes
of the doctors and health workers.
• Disseminating information on essential drugs
to medical professionals, pharmacists, and to
the people
Actions Taken During The Plan
• Creating Food Safety Authority for speedy
enforcement of safety standards.
• Ensuring implementation of Capacity Building
Project with the objective to enhance
capacities in laboratories, awareness of food
safety, and hygiene.
• Strengthening State labs, capacity building,
food portal, comprehensive and
informative/analytical database.
• Rationalizing protocol for establishment of
labs for food safety.
• Implementing the Food Safety and Standards
Act, 2006.
Strategies Of the Plan
• Convergence of health care, hygiene, sanitation,
and drinking water at the village level through
VHSCs under NRHM.
• Renewed efforts under NUHM to cover primary
health care, safe drinking water, and sanitation in
urban areas.
• Participation of stake holders at all levels, from
planning, design, and location to implementation
and management of the projects.
• Institutionalization of water quality
monitoring and surveillance systems by
involving PRIs, community, NGOs, and other
CSO.
• Increased attention to Behavioural Change
Communication.
• Linking treatment of sewage and industrial
effluents to development planning.
Pilot Projects
• A lot of pilot projects will be taken up and
most put under the NHRM/NHUM.
• These include:
– Sports Medicine
– Deafness
– Oral Health
– Fluorosis
– Disability and Medical Rehabilitation
– Organ Transplant
Thrust Areas Of The Plan
• Improving Health Equity
• Adopting system-centric approach rather than
a disease centric approach
• Increasing Survival
• Decentralizing governance
• Establishing e-Health
• Providing focus to health systems and Bio
Medical research

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