National Health Policy: Old prescription, new date -Governance Now

National Health Policy: Old prescription, new date

National Health Policy 2017 is nothing but a revision of the unmet targets of 2002 policy

GN Bureau | March 28, 2017

#AIIMS #AYUSH #public health system #mohalla clinics #healthcar #medical education #ministry of health and family welfare #national health policy

After much discussion and pondering over for more than two years, the cabinet has approved a new National Health Policy, scrapping the old one which was formulated in 2002. The government aims to increase the public health expenditure to 2.5% of the GDP by 2025. The policy formulated in 2002 aimed for reaching 2% of the GDP level by 2010. However, we hardly met our targets and the public funding on health remained around 1 to 1.15% since 2002. Described as the “huge milestone in the history of public health in the country” in an official press release, and “comprehensive and transformative,” by PM Narendra Modi, a comparative study with 2002 policy reveals that it has little new to offer.

Barring the changes in the health statistics and target years for achieving the goals, there isn’t much in it that could transform the way public health performs in our country.

Strengthening primary healthcare. But what’s new?

The policy advocates allocating major proportion (up to two-thirds or more) of resources to primary care followed by secondary and tertiary. Most of the secondary healthcare services will be available for people at district level, which currently are available at big medical colleges. The government aims to bring health services to the people at their doorstep. However, a step ahead of the central government, the Aam Aadmi Party has already adopted such a model with mohalla clinics in Delhi.

Affordability

NHP 2017 proposes free drugs, free diagnostics and free emergency care services in all public hospitals and envisages strategic purchase of secondary and tertiary care services as a short-term measure to supplement and fill critical gaps in the public health system.

Mainstreaming AYUSH

The policy proposes better access to AYUSH remedies through co-location in public facilities. Yoga would be introduced much more widely in school and work places as part of promotion of good health as adopted in the National AYUSH Mission (NAM). It recognises the need to standardise and validate ayurvedic medicines, building research and public health skills. Linking AYUSH systems with ASHAs and VHSNCs would be an important aspect in this policy. It also talks about a mandatory bridge course that gives 15 competencies to mid-level care provider with respect to allopathic remedies.

Medical education and staff crunch

The policy recommends strengthening existing medical colleges and converting district hospitals into new medical colleges to an increase number of doctors and specialists, in states where there is shortage of doctors and paramedical staff. It also talks about the need to increase the number of post-graduate seats to meet the need of specialist doctors. The policy supports expanding the number of AIIMS like centres. National Knowledge Network shall be used for tele-education, tele-CME, tele-consultations and access to digital library. It also proposes measures for retaining doctors in rural areas.

(Appears in the April 1-15, 2017 issue of Governance Now)

Comments

Other News

Beyond toilets: Why open defecation persists in rural India

Despite the awareness campaigns on sanitation across India, open defecation (OD) is practised openly and widely in both rural and urban areas. Research shows that rural respondents are well aware of the negative impacts of OD, yet this awareness does not lead to toilet construction or use. In rural North I

What unpaid nation builders want from policymakers

The Supreme Court recently described homemakers as “nation builders” and fixed a notional monthly income of Rs 30,000 for them in motor accident compensation cases. The judgment was not about wages. It was about compensation. Yet it inadvertently raised a larger economic question: If a homemake

What the US–Iran peace deal means for India

After months of rising tensions, the United States and Iran have reached a memorandum of understanding called the "Islamabad Agreement." This agreement allows for the immediate reopening of the Strait of Hormuz without tolls and provides Iran with relief from sanctions, depending on its complianc

V. M. Tarkunde: A legal luminary par excellence

14 Lawyers: Portraits from The Bar By Raju Ramachandran Juggernaut, 248 pages, Rs. 799

The Cost of Obesity

The latest episode of Checks and Balances focuses on the ticking time bomb of obesity in India, and Geetanjali Minhas of Governance Now spoke with a panel of experts. You can watch the episode here: https://youtu.be/mH

US-Iran deal: Path to peace or prelude to deeper regional quagmire?

In the midst of deep mistrust, the US and Iran are reported to have reached a framework deal for ending the West Asian conflict. But whether it will result in any meaningful breakthrough or pave the way for any lasting peace in the region, is in the realm of speculation. During