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Healthcare reforms in india

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healthcare reforms in india

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Healthcare reforms in india

  1. 1. Healthcare Reforms in India and Its Implementations SUBMITTED TO PRESENTED BY Dr Ranu Sharma Oshin Raj HOD (MBA Department) MBA (HM) 1st year Poornima University Poornima University
  2. 2. Introduction  Health system means “The combination of resources, organization finances and management culminates in the delivery of the heath service to the population.”  The key institutional component of the health system are:- • State government • Healthcare provider • Resource institutes • Insurance companies • Consumers or population
  3. 3. Health Sector Reforms  According to WHO, HSR is a sustain process of fundamental change in policy and institutional arrangement guide by government and designed to improve the functioning and performance of health system and ultimately the health status of the population.  HSR component are:- • Equity • Effectiveness • Efficiency • Quality • Sustainability • Defining priority • Refining policies
  4. 4. Types of Reform 1. Changes of financing matter 2. Changes in health system organization and management 3. Public sector reform
  5. 5. Challenges to Reform 1. Unclear power of reform responsibility 2. Health insurers want more control and less spending 3. Doctor wants more freedom 4. Minister wants quick changes 5. Health specialist focus on health promotion
  6. 6. Health Reform Cycle Problem Identification Identify the cause Develop option Decide What to Do? Policy Decision Evaluation Ethics Politics
  7. 7. Health Sector Reforms in India  Health sector reforms have come centre stage since 1980s essentially from the public system. By 1990s the process had taken concrete shape.  In India HSR, broadly covers the following area: 1. Reorganization and restructuring existing healthcare system 2. Involving Community in Health System Delivery 3. Health Management Information System 4. Quality of Care
  8. 8. Eighth Five Year Plan (1992-1997)  Concept of free medical care was revoked.  Ensured commitment for free subsidised care for needy BPL category population.  Promote social welfare measure like improved healthcare sanitation.  Check the population growth by creating mass awareness program.  Private sector promotion.
  9. 9. Ninth Five Year Plan (1997-2002)  Convergence and involvement of public private health care provider.  Establishment of Panchayat Raj Institution in planning and monitoring healthcare program.  Emphasis on basic infrastructural facilities like safe drinking water, PHC.  Inter sectoral coordination and utilisation of local and community resources.
  10. 10. Tenth Five Year Plan (2002-2007)  Focused on primary, secondary and tertiary health care level.  Emphasis on equity and financial healthcare.  Social health insurance for BPL population under universal insurance scheme.  Human resources development.  Focuses on public private partnership.  Quality Assurance
  11. 11. Policy Shift in Five Year Plans 9th plan • Free medical care revoked • Encouraged initiatives with private sector 10th plan • Profit/ non- profit NGOs in healthcare sector • Inter-sectoral coordination of health programmes • Panchayat Raj Institution in planning and controlling. 11th plan • Address issues of equity
  12. 12. National Rural Health Mission  Health care is now one of the thrust area for the Government of India.  Government of India focus on increasing the expenditure in health sector, with main focus on primary healthcare for current level of 0.9% of GDP to 2-3% of GDP.  NRHM is the main vehicle for giving the effect from April 2005.
  13. 13. National Urban Health Mission  NUHM (2005-2007) launched by the Government of India in 2005 has a sub-mission on basic services for the urban poor covering 60 cities in India.  Focuses on need of the urban poor people population has constituted a task force on urban health to recommend strategies for improving health.  NGO involvement  Integration of AYUSH
  14. 14. Eleventh Five Year Plan (2007-2012)  To achieve good health for the poor and under privilege group.  Reducing MMR to 100/ lakh life birth.  Reducing IMR to 28/1000 live birth.  Reducing malnutrition among children aged group 0-3 years to half.  HSR areas:- • Decentralization • Human resources • Health Management Informatics System • Public Private Partnership • Communication • Quality Assurance
  15. 15. Twelfth Five Year Plan (2012-2017)  Universal Health Coverage (UHC)  Expansion and Strenthing Public Private Sector  Mandatory practices of clinical treatment system  Grievance Rederessal System  Health Financing  Health Regulation extended and clinical establishment act 2012
  16. 16. Effective Health Sector Reform Effective HSR Taxation Regulation of private sector Risk pooling Strengthing of HMIS social audits Increase public spending on Health Incentive system to states