The Government has approved the National Health Policy 2017. The Policy aims for attainment of the highest possible level of health and well-being for all at all ages, through a preventive and promotive health care orientation. The Policy seeks to move away from Sick- care to Wellness, with thrust on prevention and Health promotion.
The Policy, inter alia, seeks to
reduce premature mortality from cardiovascular diseases, cancer, diabetes or chronic respiratory diseases by 25% by 2025,
achieve global target of 2020 for HIV/AIDS i.e. - 90% of all people living with HIV know their HIV status, - 90% of all people diagnosed with HIV infection receive sustained antiretroviral therapy and 90% of all people receiving antiretroviral therapy will have viral suppression,
achieve and maintain a cure rate of >85% in new sputum positive patients for TB and to reduce incidence of new cases to reach elimination status by 2025,
reduce prevalence of blindness to 0.25/1000 by 2025 and disease burden by one third from current levels and
achieve and maintain elimination status of Leprosy by 2018, Kala-Azar by 2017 and Lymphatic Filariasis in endemic pockets by 2017.
Further, the NCD Global Monitoring Framework and Action Plan aims to achieve relative reduction in the overall mortality from cardiovascular disease, cancer, diabetes, or chronic respiratory disease upto 10% by 2020 and upto 25% by 2025.
Details of Major Highlights of National Health Policy, 2017
1. Assurance Based Approach- Policy advocates progressively incremental Assurance based Approach with focus on preventive and promotive healthcare
2. Health Card linked to health facilities- Policy recommends linking the health card to primary care facility for a defined package of services anywhere in the country.
Patient Centric Approach- Policy recommends the setting up of a separate, empowered medical tribunal for speedy resolution to address disputes /complaints regarding standards of care, prices of services, negligence and unfair practices. Standard Regulatory framework for laboratories and imaging centers, specialized emerging services, etc
3. Micronutrient Deficiency- Focus on reducing micronutrient malnourishment and systematic approach to address heterogeneity in micronutrient adequacy across regions.
4. Quality of Care- Public hospitals and facilities would undergo periodic measurements and certification of level of quality. Focus on Standard Regulatory Framework to eliminate risks of inappropriate care by maintaining adequate standards of diagnosis and treatment.
5. Make in India Initiative- Policy advocates the need to incentivize local manufacturing to provide customized indigenous products for Indian population in the long run.
6. Application of Digital Health- Policy advocates extensive deployment of digital tools for improving the efficiency and outcome of the healthcare system and aims at an integrated health information system which serves the needs of all stake-holders and improves efficiency, transparency, and citizen experience.
7.Private Sector engagement for strategic purchase for critical gap filling and for achievement of health goals.
At present, there is no proposal under consideration of the Government to make health as a fundamental right. However, National Health Policy, 2017 advocates progressively incremental Assurance based Approach with focus on preventive and promotive healthcare.
The National Health Policy 2017 recognises that improved access, education and empowerment would be the basis of successful population stabilization. The policy imperative is to move away from camp based services with all its attendant problems of quality, safety and dignity of women, to a situation where these services are available on any day of the week or at least on a fixed day.
The process of formulation of the new National Health Policy entailed wide consultation with multiple stakeholders, Regional consultations, approval of Central Council of Health and Family Welfare and Group of Ministers. The Cabinet in its meeting held on 15th March, 2017 approved the National Health Policy, 2017.