|
Urban Development
Health
- Optimising coverage
and quality of care.
- identifying and
rectifying the critical gaps in infrastructure, manpower, equipment,
essential diagnostic reagents and drugs at all levels of health care.
- improving functional
efficiency of the health care.
- building up effective
referral linkages between existing primary, secondary and tertiary care
institutions.
- developing human
resources for health, adequate in quantity, appropriate in quality with
proper programme and people orientation.
- effectively implementing
all the disease control programmes.
- enhancing and strengthening
basic, clinical and health systems research.
- Attempts are being
made for utilization of funds from external funding agencies, Basic
Minimum Services (BMS)/ Prime Minister’s Gramodaya Yojana (PMGY)
and Centrally Sponsored Schemes (CSS) to fill critical gaps in infrastructure
and manpower to improve functioning of primary health care institutions
and minimize interstate and inter-district differences.
- Efforts for strengthening
appropriately restructuring and reorganization of infrastructure and
redeployment of staff so that they take care of health problems of the
population in a defined geographic area (including referral services)
are being vigorously pursued.
- The performance
of disease control programmes is being improved by rectifying defects
in design and delivery, filling critical gaps in infrastructure and
manpower, promoting skill upgradation, supplies and efficient referral
arrangements.
- Vacancies of doctors/
specialists are being filled through district walk in interviews and
part time placements.
- Disease Surveillance
Programme with focus on rapid recognition prompt reporting and response
at district level has been initiated.
- Steps have been
initiated for improving infection control and waste management in all
health care setting from primary to Tertiary care hospitals.
- An integrated Non-communicable
Disease Control Programme with appropriate linkages with the existing
health care system and emphasis on prevention early diagnosis, management
and building up of referral system is being advocated.
- User charges have
been introduced for cost recovery in secondary, tertiary and super-speciality
institutions in many states for the people above poverty line. However,
essential primary health care, emergency life saving services, services
under National Disease Control Programmes and National Family Welfare
Programme are being provided free of cost to all irrespective of their
ability to pay.
- Greater attention
and priority is being laid on research studies relevant to major health
problems and for improving service delivery.
Family Welfare Programmes
Ninth
Plan envisages reduction in the population growth rate by
- meeting all the
felt needs for contraception; and
- reducing the infant
and maternal morbidity and mortality so that there is a reduction in
the desired level of fertility.
In
view of the large Interstate and interdistrict variations the strategy
during the Ninth Plan will be :
- To assess the needs
for reproductive and child health at PHC level and undertake are-specific
micro planning; and
- To provide need-based,
high quality, integrated reproductive and child health care.
- National Population
Policy 2000 (NPP 2000) has been formulated which envisages achieving
replacement level of fertility by the year 2010.
- Efforts will be
concentrated on more effective implementation of Family Welfare/ Reproductive
and Child Health (RCH) Programme specially in the poorly performing
states of Uttar Pradesh, Madhya Pradesh, Rajasthan, Bihar and Orissa.
Attempts are being made to identify indicators for selection of districts
which require special attention with regard to population stabilization.
- Greater emphasis
is being laid on men’s participation in the Planned Parenthood
movement.
- National Commission
on Population has been constituted under the Chairmanship of the Prime
Minister of India and Deputy Chairman Planning Commission as Vice Chairman
on 11th May 2000 to review, monitor and give direction for
implementation of the National Population Policy with a view to achieve
the goals set in the Population Policy.
- The first meeting
of National Commission on Population was held on 22nd July
2000. Wide ranging discussions in the first meeting of National Commission
on Population has given useful suggestions for pursuing the goal of
population stabilization. A Strategic Support Group consisting of secretaries
of concerned sectoral ministries has been constituted as standing advisory
group to the Commission. Nine Working Groups are being constituted to
look into specific aspects of implementation of the programmes aimed
at achieving the targets set in NPP 2000.
- To facilitate
the attainment of the goals set under NPP 2000 by the National Commission
on Population an Empowered Action Group attached to the Ministry of
Health and Family Welfare and a National Population Stabilisation
Fund are being set up. A seed contribution of Rs.100 crore has been
provided to National Population Stabilisation Fund; corporate, industry,
trade organizations and individuals may also contribute to the fund.
- To improve maternal
health and prenatal survival, antenatal care is being provided; early
registration of all pregnant women, screening at least thrice during
pregnancy and referral of 'at risk persons' to appropriate health care
institutions are envisaged.
- Efforts are being
made to ensure 100% immunization of all infants against 6 vaccine preventable
diseases before they reach 1 year. Pulse Polio Immunisation Programme
(PPIP) is being vigorously pursued to achieve zero incidence of poliomyelitis.
- Child Health Programmes
envisage identification of ‘at rise’ children, early detection,
prompt and effective management of health and nutritional problems.
- Under various Externally
Aided Projects uninterrupted supply of essential drugs, devices, vaccines
and contraceptives adequate in quantity and appropriate in quality is
being ensured.
- Increased intersectoral
co-ordination, involvement of Panchayti Raj Institutions, Non-Governmental
Organisations in the service delivery and community participation are
being attempted under all health and family welfare programmes.
- Improved monitoring
and evaluation mechanisms to initiate mid term corrections for effective
implementation of Family Welfare/RCH Programme already constitutes part
of various health and family welfare programmes.
- Efforts are being
made to improve Civil Registration of births and deaths so as to achieve
100% coverage for generating more accurate vital health statistics.
Nutrition
Objectives
during the Ninth Plan are to achieve
- freedom from hunger
through increased food production, effective distribution and improved
purchasing power.
- reduction in under
nutrition and its health consequence through appropriate interventions.
- Prevention, early
detection and effective management of micro nutrient deficiencies.
- In view of the
adequate availability of food grains, there is urgent need to ensure
access to it by poorer sections of the population through appropriate
programmes aimed at improving their purchasing power.
- Emphasis is on
detection, prevention and management of Chronic Energy Deficiency in
the programmes related to nutrition. This includes identification of
pregnant women, 6-24 months children and other individuals at risk.
In the ICDS programme targeted intervention on Grade-III and Grade-IV
malnutrition needs to be prioritized.
- Measures to tackle
micro-nutrient deficiencies such as anaemia due to iron and folate
deficiency (particularly among children and pregnant women) as well
as vitamin-A deficiency (among children) and iodine deficiency disorders
are being intensified under the RCH programme.
- The need to focus
on emerging nutritional problems related to adolescent and geriatric
nutrition is being emphasised.
- The existing system
of monitoring of ICDS should generate data on those severely malnourished
to facilitate corrective interventions in time.
- The goals in the
National Plan of Action for Nutrition are being revised consistent of
concerned Department’s revised Ninth Plan goals.
|
