National health policy 2015 : draft /

Table of Contents
1 Introduction 3
2 Situation Analysis 4
2.1 Achievement of Millennium Development Goals 4
2.2 Achievements in Population Stabilization 4
2.3 Inequities in Health Outcomes 4
2.4 Concerns on Quality of Care 5
2.5 Performance in Disease Control Programmes 5
2.6 Developments under the National Rural Health Mission 6
2.7 Burden of Disease 7
2.8 NRHM as an instrument for strengthening state health systems 7
2.9 Urban Health 7
2.10 Cost of Care and Efforts at Financial Protection 8
2.11 Publicly Financed Health Insurance 8
2.12 Healthcare Industry 9
2.13 Private Sector in Health 10
2.14 Realizing the Potential of AYUSH services 10
2.15 Human Resource Development 11
2.16 Research and Challenges 11
2.17 Regulatory Role of Government 11
2.18 Investment in Health Care 12
3 Goal, Principles and Objectives 13
3.1 Goal 13
3.2 Key Policy Principles 13
3.3 Objectives 14
4 Policy Directions 15
4.1 Ensuring Adequate Investment 15
4.2 Preventive and Promotive Health 16
4.3 Organisation of Public Health Care Delivery 20
4.3.1 Primary Care Services & Continuity of Care 22
4.3.2
Secondary Care Services
24
4.3.3
Reorienting Public Hospitals
25
4.3.4
Closing Infrastructure and Human Resource/Skill Gaps
25
4.3.5
Urban Health Care
26
4.3.6
RCH Services
27
4.3.7
Communicable Diseases under National Disease Control Programmes
30
4.3.8
Mental Health
33
4.3.9
Emergency Care and Disaster Preparedness
33
4.3.10
Realising the potential of AYUSH
34
4.3.11
Tertiary Care Services
35
5
Human Resources for Health
36
6
Financing of Health Care & Engaging the Private Sector
41
7
Regulatory Framework
43
8
Medical Technologies
45
9
ICT for Health & Health Information Needs
48
10
Knowledge for Health
50
2
11
Governance
53
11.1
Federal Structure- Role of State and Role of Centre
53
11.2
The Institutional Framework
54
11.3
State owned, guided and financed institutions
54
11.4
Role of Panchayati Raj Institutions
54
11.5
Addressing Fiduciary Risks
55
11.6
Improving Accountability
55
11.7
Involving Communities
55
11.8
Professionalizing Management, Incentivising performance
55
12
Legal Framework for Health Care and the Right to Health 56
13
Concluding Note- Implementation Framework and Way forward 57