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12th Plan Communication Plan

                            Health Division, Planning Commission




Health Division, Planning Commission ()   12th Plan Communication Plan   1 / 9
Objectives of Health System




           Lower mortality. raise life expectancy
           Lower morbidity, raise quality of healthy life lived
           Financial protection
           Choice to consumer




Health Division, Planning Commission ()   12th Plan Communication Plan   2 / 9
Constitutional Provisions



           Welfare State: Directive Principles of State Policy
           Health is a State subject: Public health and sanitation; hospitals
           and dispensaries.
           Items in concurrent list are: Vital Statistics, medical education,
           medical profession, Food and drugs, population control, spread
           of infectious diseases across States.




Health Division, Planning Commission ()   12th Plan Communication Plan     3 / 9
Health Systems




Health Division, Planning Commission ()   12th Plan Communication Plan   4 / 9
Issues in health systems in India



           Poor quality
           Low availability
           Cost leading to Out-of-pocket expenses and impoverishment
           Dual burden of disease
           Weak governance of health systems
           Ineective regulation
           Insucient health information and its use




Health Division, Planning Commission ()   12th Plan Communication Plan   5 / 9
Income and Life Expectancy
   Relation Between Income and Life Expectancy exists, but with
   Dispersion based on eciency of Health Systems
                                                                                                                                                                                                                                                                                                                                                                                              Monaco

                                                                                                                                                                                                                                                                                                                                                       Japan
                                              GAPMINDER WORLD 2012                                                                                                                                                                                                                                                            Israel
                                                                                                                                                                                                                                                                                                                                       Italy
                                                                                                                                                                                                                                                                                                                                               France
                                                                                                                                                                                                                                                                                                                                                       San Marino
                                                                                                                                                                                                                                                                                                                                                                  Iceland
                                                                                                                                                                                                                                                                                                                                                        Andorra Switzerland Kong
                                                                                                                                                                                                                                                                                                                                                              Australia
                                                                                                                                                                                                                                                                                                                                                                          Hong

                                              Mapping the Wealth and Health of Nations                                                                                                                                                                                                                                  Spain
                                                                                                                                                                                                                                                                                                                  South Korea
                                                                                                                                                                                                                                                                                                                                                                  Sweden
                                                                                                                                                                                                                                                                                                                                                                 Canada
                                                                                                                                                                                                                                                                                                                                                                               Norway
                                                                                                                                                                                                                                                                                                                                                                                  Singapore
                                                                                                                                                                                                                                                                                                                                                                                              Liechtenstein
                                                                                                                                                                                                                                                                                                                                                    Ireland    Netherlands
                                                                                                                                                                                                                                                                                                                New Zealand
                               80                                                                                                                                                                                                         Cuba Costa Rica                                   Chile Portugal
                                                                                                                                                                                                                                                                                                                     Greece         Cyprus     UK           Austria
                                                                                                                                                                                                                                                                                                                                                          Germany                             Luxembourg
                                                              Healthy                                                                                                                                                                                                                                                     Malta
                                                                                                                                                                                                                                                                                                                                  Slovenia
                                                                                                                                                                                                                                                                                                                                             Finland Belgium


                                                                                                                                                                                                                                                           Mexico
                                                                                                                                                                                                                                                                                                        Puerto Rico
                                                                                                                                                                                                                                                                                                                                             Taiwan Denmark                    USA             Qatar
                                                                                                                                                                                                                                                                                                                                                                            Brunei
                                                                                                                                                                                                         Maldives    Albania                           Uruguay Barbados                   Czech Rep.
                                                                                                                                                                                                                                Bosnia and H.                               Poland
                                                                                                                                                                                      Syria                              Belize     Grenada Serbia     DominicaCroatia                                                                                  United Arab Emirates
                                                                                                                                                         Vietnam
                               75             Poor                                         Rich                                                                            Cape
                                                                                                                                                                                                            Ecuador
                                                                                                                                                                                                   Sri Lanka Thailand           Macedonia
                                                                                                                                                                                                                                                   Panama
                                                                                                                                                                                                                                          Montenegro
                                                                                                                                                                                                                                            St.Lucia
                                                                                                                                                                                                                                                             ArgentinaAntigua
                                                                                                                                                                                                                                                                  St. Kitts
                                                                                                                                                                                                                                                                                   Slovak Rep.
                                                                                                                                                                                                                                                                            Barbuda    Bahamas
                                                                                                                                                                                                                                                                                                Bahrain
                                                                                                                                             Palestine                                 Libya                                                  Venezuela                         Estonia
                                                                                                                                                                           Verde                            Tunisia                                                Nevis                                                                                                  Kuwait
                                                                                                                                               Nicaragua                             Armenia
                                                                                                                                                                                                  Egypt                         Peru                        Malaysia Hungary
                                                                                                                                                                                                                                              Romania Mauritius                            Seychelles
                                                                                                                                                                                                                    Dom.R.




                                                                                                                                                                                                                                                                                                                                                                                               map layout by Paolo Fausone
                                                                                                                                                                                    Georgia
                                                                                                                                                            Honduras
                                                                                                                                                                                           Jordan                          Colombia Turkey                     Latvia                 Saudi
                                                                                                                                                                                    Paraguay Samoa                    Jamaica                        Iran                            Arabia       Oman

                                                                                                                                                                        Morocco
                                                                                                                                                                                                              Algeria
                                                                                                                                                                                                                    Palau                     Brazil                             Bulgaria
                                                                                                                                                                                                                                                                                            Lebanon
                                                                                                                                                                                                                                                                                                         Lithuania
                                                                    Sick
                                                                                                                                                                                                                                                China
                                                                                                                         Micronesia                                                        Tonga El Salvador St.Vincent
    life expectancy in years




                                                                                                                                                                                                               and G.
                                                                                                                                                                        Vanuatu
                                                                                                                                                                                           Guatemala                           Suriname
                               70               Life Expectancy of the World                                    Bangladesh                                                 Guyana
                                                                                                                                                                         Iraq
                                                                                                                                                                                                            Kosovo                        Azerbaijan                                        Belarus          Trinidad and Tobago
                                                                                                  North Korea
                                                                                                                                                         Moldova
                                                                                                                                                                                         Indonesia
                                                                                               Nepal                          Solomon
                                                                                                                               Islands
                                                                                                                                                  Uzbekistan                     Fiji
                                                                                                                                                                                Mongolia                               Ukraine                                                                        Russia                                            Colour by region
                                                                                                                                                 Laos         Philippines
                                                                                                                Tajikistan       Kyrgyzstan                                                                  Bhutan                                                               Kazakhstan
                                                                    Madagascar                                                  Pakistan                                             Bolivia
                                                                                                                                                                                        Nauru
                                                                                                                        Yemen
                               65                                                                    Myanmar                                                 Tuvalu
                                                                                                                                                                                                                               Turkmenistan

                                                                                                                                                                            India
                                                                                                                                Sao Tome
                                                                                                         Ghana                and Principe

                                                                                                                Cambodia                                                                      Kiribati                                                                                                                                                 Size by population
                                                                                                                                             Papua New Guinea         Timor-Leste                                                                                                            Gabon
                                                                                                                                                                                                          Namibia
                                                                                           Haiti
                                                Eritrea                                                                                                                Sudan                                                                                                                                                                                                    1000




                                                                                                                                                                                                                                                Income per Person of the World
                                                                                 Comoros                                                                                                                                                                                                                                                                          100
                                                                                                                                                                                                                                                                                                                                                      3 or 10                  millions
                               60                                          Ethiopia
                                                                                                                                                                      South Sudan
                                                                                                                                                                                                                                                                                                                                                      less
                                                                                                                             Senegal
                                                                                                     Tanzania
                                                                Gambia                                                         Mauritania                                                                                                                                                                                                           2011 data for all 193 UN Members and for
                                                                                                                                             Djibouti                                                                                                                                                                                               Hong Kong, Kosovo, Palestine, Puerto
                                                                                                                                                                                      Congo, Rep.                                                                                                                                                   Rico and Taiwan.
                                    Liberia
                                                                             Togo                                Kenya
                                                                                                   Burkina  Benin                                                                                                                                                                                                                                              Documentation and
                                                                                   Rwanda          Faso    Cote d'Ivoire                                                                                                                                                                                                                                      pdf version for print at:
                               55                     Niger                                                                                                                                                                                                                                                                                         gapminder.org/downloads/world-pdf
                                                                    Malawi            Guinea            Uganda
                                                                                                                                                                                                                                                                                                                                                     Free to copy, share and
                                                                                                                                                                                                                                                                                            Botswana                                                 remix, but attribute to
                                                                                                                                                                                                                                                 South Africa
                                                                                           Mali                                                                                                                                                                                                                                                     Gapminder Foundation.
                                       Zimbabwe
                                                                                 Somalia                        Cameroon                                Nigeria
                                                                                                                                                                                                              Angola                                                                                  Equatorial Guinea
                                                                                                                                                                                                                                                                                                                                                      If you want to see more data visit:
                                     Burundi
                               50                                   Mozambique
                                                                                                                                                                                                                                                                                                                                                    www.gapminder.org
                                                                                                         Zambia              Chad
                                                          Central African Rep.                                                                                                                  Swaziland
                                    Dem. Rep. Congo                                                                             Lesotho
                                                                                                                                                                                                                                                                                                                                                              Version 11 September 2012
                                                    Guinea-Bissau                              Afghanistan
                                                                           Sierra Leone




                                              500                                   1 000                                    2 000                                                         5 000                                          10 000                                                            20 000                                                         50 000
Health Division, Planning Commission ()                                                                                                      12th Plan Communication Plan                                                                                                                                                                                                                                                    6 / 9
12th Plan Strategy

           Strengthening of public sector health care
           Substantially increase in health care expenditure
           Ecient Financial and managerial systems
           Coordinated delivery of services
           Cooperation between the public and private sector
           Expansion of skilled human resource
           Prescription drugs reforms
           Eective regulation through a Public Health Cadre
           Inclusive agenda
           Pilots on Universal Health Care


Health Division, Planning Commission ()   12th Plan Communication Plan   7 / 9
Priorities in 12th Plan Document

           Financing: Funding as an instrument of incentive and reform
           National Health Mission with universal coverage and greater
           exibility to States
           Public Health Cadre for decentralized planning, program
           management, Behaviour Change Communication, community
           participation, quality control, HIS, regulation, convergence of
           social determinants of health.
           Access to Essential Medicines in All Public Facilities:
           Operationalize CPA
           Human Resource strengthening
           Building eective Health Information Systems
           Health Systems Strengthening

Health Division, Planning Commission ()   12th Plan Communication Plan       8 / 9
12th Plan goals



           Reduce Maternal Mortality from 212 to 100
           Reduce IMR from 44 to 25
           Reduce underweight children below 3 years from 40% to 23%
           Increase child sex ratio from 914 to 950
           Reduce levels of anaemia among women from 55% to 28%
           Reduce Total Fertility Rate from 2.5 to 2.1
           Reduce poor households' out-of-pocket expenditure on health




Health Division, Planning Commission ()   12th Plan Communication Plan   9 / 9

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Health Sector in the 12th Plan (2012-2017)

  • 1. 12th Plan Communication Plan Health Division, Planning Commission Health Division, Planning Commission () 12th Plan Communication Plan 1 / 9
  • 2. Objectives of Health System Lower mortality. raise life expectancy Lower morbidity, raise quality of healthy life lived Financial protection Choice to consumer Health Division, Planning Commission () 12th Plan Communication Plan 2 / 9
  • 3. Constitutional Provisions Welfare State: Directive Principles of State Policy Health is a State subject: Public health and sanitation; hospitals and dispensaries. Items in concurrent list are: Vital Statistics, medical education, medical profession, Food and drugs, population control, spread of infectious diseases across States. Health Division, Planning Commission () 12th Plan Communication Plan 3 / 9
  • 4. Health Systems Health Division, Planning Commission () 12th Plan Communication Plan 4 / 9
  • 5. Issues in health systems in India Poor quality Low availability Cost leading to Out-of-pocket expenses and impoverishment Dual burden of disease Weak governance of health systems Ineective regulation Insucient health information and its use Health Division, Planning Commission () 12th Plan Communication Plan 5 / 9
  • 6. Income and Life Expectancy Relation Between Income and Life Expectancy exists, but with Dispersion based on eciency of Health Systems Monaco Japan GAPMINDER WORLD 2012 Israel Italy France San Marino Iceland Andorra Switzerland Kong Australia Hong Mapping the Wealth and Health of Nations Spain South Korea Sweden Canada Norway Singapore Liechtenstein Ireland Netherlands New Zealand 80 Cuba Costa Rica Chile Portugal Greece Cyprus UK Austria Germany Luxembourg Healthy Malta Slovenia Finland Belgium Mexico Puerto Rico Taiwan Denmark USA Qatar Brunei Maldives Albania Uruguay Barbados Czech Rep. Bosnia and H. Poland Syria Belize Grenada Serbia DominicaCroatia United Arab Emirates Vietnam 75 Poor Rich Cape Ecuador Sri Lanka Thailand Macedonia Panama Montenegro St.Lucia ArgentinaAntigua St. Kitts Slovak Rep. Barbuda Bahamas Bahrain Palestine Libya Venezuela Estonia Verde Tunisia Nevis Kuwait Nicaragua Armenia Egypt Peru Malaysia Hungary Romania Mauritius Seychelles Dom.R. map layout by Paolo Fausone Georgia Honduras Jordan Colombia Turkey Latvia Saudi Paraguay Samoa Jamaica Iran Arabia Oman Morocco Algeria Palau Brazil Bulgaria Lebanon Lithuania Sick China Micronesia Tonga El Salvador St.Vincent life expectancy in years and G. Vanuatu Guatemala Suriname 70 Life Expectancy of the World Bangladesh Guyana Iraq Kosovo Azerbaijan Belarus Trinidad and Tobago North Korea Moldova Indonesia Nepal Solomon Islands Uzbekistan Fiji Mongolia Ukraine Russia Colour by region Laos Philippines Tajikistan Kyrgyzstan Bhutan Kazakhstan Madagascar Pakistan Bolivia Nauru Yemen 65 Myanmar Tuvalu Turkmenistan India Sao Tome Ghana and Principe Cambodia Kiribati Size by population Papua New Guinea Timor-Leste Gabon Namibia Haiti Eritrea Sudan 1000 Income per Person of the World Comoros 100 3 or 10 millions 60 Ethiopia South Sudan less Senegal Tanzania Gambia Mauritania 2011 data for all 193 UN Members and for Djibouti Hong Kong, Kosovo, Palestine, Puerto Congo, Rep. Rico and Taiwan. Liberia Togo Kenya Burkina Benin Documentation and Rwanda Faso Cote d'Ivoire pdf version for print at: 55 Niger gapminder.org/downloads/world-pdf Malawi Guinea Uganda Free to copy, share and Botswana remix, but attribute to South Africa Mali Gapminder Foundation. Zimbabwe Somalia Cameroon Nigeria Angola Equatorial Guinea If you want to see more data visit: Burundi 50 Mozambique www.gapminder.org Zambia Chad Central African Rep. Swaziland Dem. Rep. Congo Lesotho Version 11 September 2012 Guinea-Bissau Afghanistan Sierra Leone 500 1 000 2 000 5 000 10 000 20 000 50 000 Health Division, Planning Commission () 12th Plan Communication Plan 6 / 9
  • 7. 12th Plan Strategy Strengthening of public sector health care Substantially increase in health care expenditure Ecient Financial and managerial systems Coordinated delivery of services Cooperation between the public and private sector Expansion of skilled human resource Prescription drugs reforms Eective regulation through a Public Health Cadre Inclusive agenda Pilots on Universal Health Care Health Division, Planning Commission () 12th Plan Communication Plan 7 / 9
  • 8. Priorities in 12th Plan Document Financing: Funding as an instrument of incentive and reform National Health Mission with universal coverage and greater exibility to States Public Health Cadre for decentralized planning, program management, Behaviour Change Communication, community participation, quality control, HIS, regulation, convergence of social determinants of health. Access to Essential Medicines in All Public Facilities: Operationalize CPA Human Resource strengthening Building eective Health Information Systems Health Systems Strengthening Health Division, Planning Commission () 12th Plan Communication Plan 8 / 9
  • 9. 12th Plan goals Reduce Maternal Mortality from 212 to 100 Reduce IMR from 44 to 25 Reduce underweight children below 3 years from 40% to 23% Increase child sex ratio from 914 to 950 Reduce levels of anaemia among women from 55% to 28% Reduce Total Fertility Rate from 2.5 to 2.1 Reduce poor households' out-of-pocket expenditure on health Health Division, Planning Commission () 12th Plan Communication Plan 9 / 9