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A state of complete physical, mental and social well being and not merely the absence of disease or infirmity (can include component like nutritional,

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Presentation on theme: "A state of complete physical, mental and social well being and not merely the absence of disease or infirmity (can include component like nutritional,"— Presentation transcript:

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2 A state of complete physical, mental and social well being and not merely the absence of disease or infirmity (can include component like nutritional, spiritual and intellectual also)

3  Health for all is a programming goal of the world health organisation, which envision securing the health and well being of people around the world that has been popularized since the 1970s.  It is the basis for the world health organisation.

4  HFA implies the removal of obstacles to health that is to say, the elimination of malnutrition, ignorance, contaminated drinking water and unhygiene housing quite as much as it does the solution of lack of doctors, hospital beds, drugs and vaccine  HFA means that health should be regarded as an objective of economic development and not merely as one of the means of attaining it.

5  HFA depends on continued progress in medical care and public health. The health service must be accessible to all through primary health care in which basic medical help is available in every village, backed up by referral service to more specialized care.  The adoption of health for all by government, implies a commitment to promote the advancement of all citizens on a broad front of development and a resolution to encourage the individual citizen to achieve a higher quality of life.

6  The world health assembly believes that, given a high degree of determination health for all could be attained by the year 2000.That target date is challenge to all WHO’s member states. The basis of health for all strategy is primary health care.

7 By the end of the 20th century, it was clear that the goals of health for all by the year 2000AD would not be achieved...

8 Biased and poor socioeconomic development in the regions were it was needed most. Discriminatory policies due to age, gender and ethnicity thus preventing access to health care surveillance

9  To realize the goals of HFA in the 21 st century, WHO has come to forward with an outline of visions,goals and targets to be achieved in life expectancy and in the very near future.

10 1. Increase in life expectancy and equality of life. 2. Improved equality in health between and within countries. 3. Access for all to sustainable health system and services

11  Improve health equality.  Increase survival  Reverse global trends for five major pandemics  Eradicate and eliminate certain disease  Improve access to water, sanitation, food and shelter.  Promote health enhancing life styles  Develop, implement and monitor national HFA policies.  Improve access to comprehensive essential quality health care.  Enhance health information and surveillance system.  Support research for health.

12  As a signatory to the ALMA-ATA declaration in 1978, the government of India was committed to taking steps to provide HFA to it’s citizens.

13 1. Report of the study group on ‘’health for all – on alternative strategy ‘’sponsored by India council of social science research (ICMR). 2. Report of the working group on ‘’sponsored by the ministry of health and family welfare, Govt. Of India. This reports form the basis of the National Health and family welfare Govt of India in 1983

14 1. Reduction of infant mortality from the level of 125 (1978) to below 60. 2. To raise the expectation of life at birth from the level of 52 year to 64. 3. To reduce the crude death rate from the level of 4 per 1000 population to a per 1000. 4. To reduced the crude birth rate from the level of 33 per 1000 population. 5. To achieve a net reproduction rate of one. 6. To provide potable water to the entire rural population.

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16 o MDGs were set by all Goverment leader at the millennium summit, september 2000. o All UN organisations decided to be guided by MGDs in their future action: unity of purpose, conherent action, synergies and strategic approches by the UN system as a whole. o Leader pledged to strive, individually and collectively, towards these goals through international regional action concerted by the UN.

17  United nations development group (UNDG)-with UNESCO as a member.  Chief executives Board (CEB ; formerly ACC)-with UNESCO as a member.  UN country Teams.

18 Millennium Goals....  Emanate from UN summits and conferences of the 1990s.... .... Proposed in the UN secretary general’s millennium Reports. ‘’We, the people the role of the united Nations in the united Nations in the 21 st century’’ ....and endorsed in the united Nations millennium Declaration(8 september 2000)

19  Pace, security and disarmament. Development goal  Development and poverty eradication. and  Protecting our common environment. target  Human rights, democracy and good governance.  Protecting the special need of Africa.  Strengthening the united Nation.

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21  One or several Targets, one or several Indications However, several key areas identified have not been captured adequately or at all.

22  Reduce by half the proportion of people living on less than a dollar a day.  Reduce by half the proportion of people who from hunger. Target : Halve between 1990 and 2015 the proportion of people whose income is less than one dollar a day.

23  Ensure that all boys and girls complete a full course of primary school.  Target : Ensure that by 2015, children every where boys girls alike, will be able to complete a full course of primary schooling.

24  Eliminate gender disparity in primary and secondary education preferably by 2005, and at all levels by 2015 Targets : to get gender equality in primary and secondary education on later than 2015.

25  Reduce by two third (2/3) the mortality rate among children under five Target : proportion of one year –old children immune against measels.

26  Reduced by three quarters the maternal mortality ratio. Target : Reduce by three – quarters, between 1990 and 2015 the maternal mortality rate.

27  Half and begin to reverse the spread of HIV/AIDS.  Half and begin to reverse the incidence of Malaria and other major diseases. Target : Have halted by 2015 and begin to reverse the spread of HIV/AIDS, Malaria and other disease.

28  Integrate the principle of sustainable development into country policies and programmes; to reverse loss of environmental resources.  Reduce by half the proportion of people without sustainable access to safe drinking water.  Achieve significant improvement in live of at least 1000 million slum dweller, by 2020. Target : To provide safe drinking water and improvement for the slum dwellers by 2020.

29  Addresses the least developed countries special needs  Develop further an open trading and financial system at is rule-based, predictable and non discriminatory, includes a commitment to good governance, development and poverty reduction- nationally and internationally. Target : to deal with the dept problem of the developing countries through international measures.

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31 P lanning is defined as formulation and execution of a series of systemic and interrelated measures of clearly specified goals to be achieved within a special period of time

32 Its to be achieve rapid, balanced economic and development of the country as a whole

33 it’s a part of national development plan, which is a combination of sectoral plans viz food and agriculture, health and family welfare, communication, transport, education, social welfare, power and irrigation

34 a) Health need and demand b) Policy making c) Resource d) Goal e) Objectives f) Targets g) program

35 Directional planning : It’s a framework of intent and philosophy within which the program proceed Administrative (managerial) planning: It’s the overall implementation of polices, mobilization and co-ordinary of resources in terms of men, material, money in a scheduled time frame Operation planning: It’s the actual delivery of services of programs to the people, based on local condition, needs and attitudes

36 Evolution of health planning in independent India... 1. phase one (1947-1972): a rapid expansion of primary health care infrastructure was the highlight of this period It consist of: First five year plan (1951-1956) Second five year plan ( 1956-1961) Third five year plan (1961-1966) Fourth five year plan (1969-1974)

37 2. Phase two (1972-1977): Launch of MTP act (April,1972), minimum need programme, india declared small pox free (April 1977), were some of the major achievement in this phase. 3. It consist of : 4. Fifth five year phase (1974- 1979)

38 3. Phase three (1977-1991): rural health scheme programme was launched It consist of Six five year plan (1980-1985) Seven five year plan (1985-19900 Eighth five year plan (1992-1997)

39 4. Phase four (1991 onwards ):  Ninth five year plan (1997-2002)  Tenth five year plan (2002-2007)  ELEVENTH FIVE YEAR PLAN (2007-2012) The eleventh plan has the following objectives : Income poverty, Education, Health, Environment.

40 India has been pioneer in planning it’s requirement both in pre-independent and post-independent data. The planning started in India in 1938, when national congress Committee of India National congress was set up. In 1993 the Bhore committee. After that a number of committees were set up by the Gov. Of India time like. Mudalior committee 1962. Chadah committe 1963. Kartar singer committee 1973. Shivastav committee 1975.

41  The health survey and planning committee in 1943.  Sir Joceph Bhore the chairman.  To survey the then existing position. Regarding the health condition and health organization in the country.  To make recommendations for the future development.  The committee submitted it’s report in 1946 it’s famous report which had for volumes.

42  The health status of the country as indicated by various indicators was poor.  The mortality rates were very high (CDR 22.4/1000 live births; MMR 20/1000 live births).  Life expectancy at birth was about 27 years.

43  Integration of preventive and curative services at all administrative level.  The committee visualized the development of primary health centres in two stage:  Short term plan.  A long term plan (3 million plan)  Major changes in medical education which includes 3 month training in preventive and social medicine to prepare ‘’social physicians’’


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