With respect to National Health Policy 2017, which of the following is true-
Correct Answer: Shift focus from maternal and child health to non-communicable diseases
Description: Ans- Shift focus from maternal and child health to non-communicable diseases National Health Policy 2017 The Union Cabinet on 15.3.2017, has approved the National Health Policy, 2017 (NHP, 2017). Objective: The Policy seeks to reach everyone in a comprehensive integrated way to move towards wellness. It aims at achieving universal health coverage and delivering quality health care services to all at an affordable cost. Goal: The policy envisages as its goal the attainment of the highest possible level of health and well- being for all at all ages, through a preventive and promotive health care orientation in all developmental policies, and universal access to good quality healthcare services without anyone having to face financial hardship as a consequence. Shift focus from maternal and child health to non communicable diseases. Targets: The Policy has assigned specific quantitative targets aimed at reduction of disease prevalence/incidence under 3 broad components viz. (a) health status and programme impact, (b) health system performance and (c) health systems strengthening, aligned to the policy objectives. Key Features: 1. The policy recognizes the pivotal role of SDGs. 2. It commits highest professionalism, ethics and integrity in the entire health care delivery system. 3. It is patient-centric, dynamic, adaptive, decentralized and promises to deliver equitable, universal, affordable, accountable, quality health care. 4. It supports medical pluralism and recognizes AYUSH in the health care delivery system. 5. A multistakeholder approach with partnership & participation of all non- health ministries and communities. 6. The NHP, 2017 advocates a positive and proactive engagement with the private sector for critical gap filling towards achieving national goals. 7. The policy proposes raising public health expenditure to 2.5% of the GDP in a time bound manner. 8. This policy denotes important change from very selective to comprehensive primary health care package which includes geriatric health care, palliative care and rehabilitative care services. The facilities which start providing the larger package of comprehensive primary health care will be called "Health and Wellness Centers" Primary care must be assured. To provide comprehensive care, the policy recommends a matching human resources development strategy, effective logistics support system and referral backup. 2/3rd resources to primary health care. 9. The policy aspires to provide at the district level most of the secondary care which is currently provided at a medical college hospital. 10. Aims to have at least two beds per thousand population distributed in such a way that it is accessible within golden hour rule. 11. Purchasing care after due diligence from non-Government hospitals as a short-term strategy till public systems are strengthened. 12. It seeks to ensure improved access and affordability of quality secondary and tertiary care services through a combination of public hospitals and strategic purchasing in healthcare deficit areas from accredited non-governmental healthcare providers, achieve significant reduction in out of pocket expenditure due to healthcare costs, reinforce trust in public healthcare system and influence operation and growth of private healthcare industry as well as medical technologies in alignment with public health goals. 13. Policy recognizes the need for an information system with comprehensive data on availability and utilization of services not only in public hospitals but also in nongovernment sector hospitals. 14. The policy advocates extensive deployment of digital tools for improving the efficiency and outcome of the healthcare system and proposes establishment of National Digital Health Authority (NDHA) to regulate, develop and deploy digital health across the continuum of care. To help in developing family health cards (to provide digital access to patient data) 15. To strengthen the Human resources, the policy advocates review of Medical Syllabus in light of new emerging diseases, National level entry examination for medical education, establishing more AIIMS like institute to keep a continuous flow of faculty to medical college's and biomedical research, capacity building, and Skill development programme. 16. Policy has recommended incentive for doctors serving in remote area, also development of Public health cadre to manage the health programme. 17. Identified seven areas for inter sectoral action & people's campaign under "Swasth Nagrik Abhiyan" has been identified so that people stay healthy & rely less on hospital care. 18. The policy advocates for Clinical Establishment ACT 2010 to be implemented with provision for special medical tribunal committee for speedy resolution of complaints. There is the provision of regulatory rule in the field of availability and pricing of the medical technologies and drugs, clinical research, clinical trial, food safety, vaccine safety. 19. The policy advocates a progressively incremental assurance based approach. 20. National Health Care Standard Organization: formulate guidelines & protocols for health care.
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