Anda di halaman 1dari 35




A National Health Policy was

formulated in 1983,
Some of the policy initiatives
outlined in the NHP-1983 have
yielded results, while, in several
other areas, the outcome has not
been as expected.
The NHP-1983 gave a general
exposition of the policies which
required recommendation in the
circumstances then prevailing in the

Comprehensive primary health
care services, linked with
extension and health education,
designed in the context of the
ground reality that elementary
health problems can be resolved
by the people themselves.
Health volunteers having
appropriate knowledge, simple
skills and requisite technologies;

To ensure that patient load at the

higher levels of the hierarchy is not
needlessly burdened by those who can
be treated at the decentralized level;
An integrated net-work of evenly
spread speciality and super speciality
services; encouragement of such
facilities through private investments
for patients who can pay, so that the
draw on the Governments facilities is
limited to those entitled to free use.

The first National Health Policy in 1983

aimed to achieve the goal of `Health for
All' by 2000 AD, through the provision of
comprehensive primary healthcare
It stressed the creation of an
infrastructure for primary healthcare;
close co-ordination with health-related
services and activities (like nutrition,
drinking water supply and sanitation);
the active involvement and participation
of voluntary organisations; the provision
of essential drugs and vaccines;
qualitative improvement in health and
family planning services;

The provision of adequate

training; and medical research
aimed at the common health
problems of the people.

Increase public expenditure from 0.9 percent
to 2 percent by 2010.
Increase allocation of public health
investment in the order of 55 percent for the
primary health sector; 35 percent and 10
percent to secondary and tertiary sectors
Gradual convergence of all health
programmes, except the ones (such as TB,
Malaria, HIV/AIDS, RCH), which need to be
continued till moderate levels of prevalence
are reached.

Need to levy user charges for certain

secondary and tertiary public health
services, for those who can afford to pay
Mandatory two year rural posting before
awarding the graduate medical degree.
Decentralising the implementation of
health programmes to local self governing
bodies by 2005.
Setting up of Medical Grants Commission
for funding new Government Medical
and Dental colleges.
Promoting public health discipline.

Establishing two-tier urban healthcare system

- Primary Health Centre for a population of
one lakh and Government General Hospital.
Increase in Government funded health
research to a level of 2 percent of the total
health spending by 2010.
Appreciation of the role of private sector in
health, and enactment of legislation by 2003
for regulating private clinical establishments.
Formulation of procedures for accreditation
of public and private health facilities.
Co-operation of NGOs in national disease
control programmes.
Promotion of tele medicine in tertiary
healthcare sector.

Full operationalisation of National

Disease Surveillance Network by 2005.

Notification of contemporary code of
medical ethics by Medical Council of
Encouraging setting up of private
insurance instruments to bring secondary
and tertiary sectors into its purview.
Promotion of medical services for
overseas users.
Encouragement and promotion of Indian
System of Medicine

The budget 2004-05 has proposed three major

initiatives in the health sector.
They are:
(i) redesigning the Universal Health Insurance
scheme introduced in 2003 to make it
exclusive for below poverty level people with a
reduced premium (ii) introduction of
Group Health Insurance scheme for members of
Self Help Groups and Credit Link
Groups at a premium of Rs 120 per person for an
insurance cover of Rs 10000, and (iii)
exemption of income tax for the hospitals
working in rural areas.


Current Population of Karnataka in

2011 is 6,11,30,704.
A National Health Policy-2002 has
been announced and provides a
framework within which the Health
Policy of the State Would refashion
the elements therein to meet the
current needs of the State. The
State Health Policy would be based
on the specific needs of the State
and recognize regional disparities.


It will build on the existing institutional

capacities of the public, voluntary and
private health sectors.
It will pay particular attention to filling up
gaps and will move towards greater equity in
health and health care, within a reasonable
time frame.
It will use a public health approach, focusing
on determinants of health such as food and
nutrition, safe-water, sanitation, housing and

It will expand beyond a focus on curative

care and further strengthen the primary
health care strategy
It will encourage the development of
Indian and other systems of medicines.
It views health as a reasonable expectation
of every citizen and will work within a
framework of social justice.



. To provide integrated and comprehensive

primary health care.
2. To establish a credible and sustainable
referral system.
3. To establish equity in delivery of quality
health care.
4. To encourage greater public private
partnership in provision of quality health
care in order to better serve the underserved
5. To address emerging issues in public

. To strengthen health infrastructure.

7. To develop health human resources.
8. To improve the access to safe and quality
drugs at affordable prices.
9. To increase access to systems of
alternative medicine.


Karnataka State recognizes the

immeasurable value of enhancing the
health and well being of its people.
The states developmental efforts in the
social, economic, cultural and political
spheres have, as their overarching goals,
improved well being and standards of
living, better health, reduced suffering
and ill health, and increased productivity
of its citizens.

It is recognized that health and

education are central to development.
Health is an individual and collective
The constitutional mandate, role and
responsibility of the state in providing
direction in creating a policy
framework, in health care provision and
related endeavours, including
maintenance of standards of health
care, is of critical importance in
meeting these social development

It is concerned about the current inequalities

and inequities in health status by region,
urban/rural location, gender, social and
economic groupings.
It recognizes the need to ensure that good
quality health care services are evenly
distributed and are always accessible to the
It is aware of the escalating prices of
diagnostics, medical therapeutic
technologies and pharmaceutical products
that are occurring as a result of globalization
and the need to mitigate their impact.

It is also recognizes the health impact and

consequences of broader policies that affect
employment, income, purchasing capacity, food
security, education and pollution
The state acknowledges that judicious
investment in health brings major gains in
terms of human well-being, development and
economic productivity.
It acknowledges the growing recognition, that
access to comprehensive health care has a
poverty alleviating effect.
It also recognizes the urgent need to address
poverty and inequality, and the social forces
that underpin them, as poverty and ill-health
linkages are strong

It is committed to pursuing social

development policies and increasing intersectoral coordination to accelerate
improvement of health of all sectors of
society in an equitable manner.


inter-sectoral coordination at all levels,

especially at the districts and below;
Community participation through
Panchayat Raj Institution and other
mechanisms and for a for involvement in
decision making concerning their own health
Equitable distribution of good quality care;
Use of appropriate technology for health.


Population Projections for India (million)

March 1991 March 2001 March 2011 March
1012.4 1178.9 1263.5


Population of India in 2011

1,210,193,422 (1.21 billion)
Total Male Population in India
623,700,000 (623.7 million)
Total Female Population in India
586,500,000 (586.5 million)
Sex Ratio
940 females per 1,000 males
Age structure
0 to 25 years
50% of India's current population
Currently, there are about 51 births in India in a
India's Population in 2001
1.02 billion
Population of India in 1947
350 million

According to 2011 Population
Population of Karnataka has

Population Density of Karnataka

275.6 /km2
Comprises of
30 districts
Males are
Females are
Sex Ratio in Karnataka
1000 males for every 964 females

Population of Karnataka consists

Hindu - 83%,
Muslim - 11%,
Christian - 4%,
Jains - 0.78% and Buddhist 0.73%

The immediate objective of the
NPP 2000 is to address the
unmet needs for contraception,
health care infrastructure, and
health personnel, and to provide
integrated service delivery for
basic reproductive and child
health care

The medium-term objective is to bring the

TFR to replacement levels by 2010, through
vigorous implementation of inter-sectoral
operational strategies.
The long-term objective is to achieve a
stable population by 2045, at a level
consistent with the requirements of
sustainable economic growth, social
development, and environmental protection.
In pursuance of these objectives, the
following National Socio-Demographic Goals
to be achieved in each case by 2010


Integration of AYUSH and local health

care traditions has an important role to
play in developing an integrated system
of health care to provide better and
accessible health care services to all,
and especially to the rural population.
The NRHM strategy of Mainstreaming
AYUSH& Revitalizing Local Health
Traditionshas largely come to be
perceived as Co-location of AYUSH
doctors in the rural primary and
secondary level facilities


To promote good health and expand the

outreach of health care to our people,
particularly those not provided health cover,
through preventive, promotive, mitigating
and curative intervention through ISM&H.
To improve the quality of teachers and
clinicians by revising curricula to
contemporary relevance and researchers by
creating model institutions and Centres of
Excellence and extending assistance for
creating infrastructural facilities.

To ensure affordable ISM&H services & drugs which

are safe and efficacious.
Integrate ISM&H in health care delivery system and
National Programmes and ensure optimal use of
the vast infrastructure of hospitals, dispensaries
and physicians.
Re-orient and prioritize research in ISM&H to
gradually validate therapy and drugs to address in
particular the chronic and new life style related
emerging diseases.
Create awareness about the strengths of these
systems in India and abroad and sensitize other
stakeholders and providers of health.
To provide full opportunity for the growth and
development of these systems and utilization of
the potentiality, strength and revival of their glory.



Sensitization activities for the general public

about AYUSH & LHT.
Half the states mention special AYUSH clinics
or wards, especially a Ksharasutra therapy
wing for ano- rectal diseases and Panchkarma
clinics for intensive and specialized
treatment at the CHC or DH.
AYUSH health programmes
Outreach activities
Establishment of AYUSH epidemic cells
Local health traditions

Management and Technical Strengthening