30th December, 2002
Ministry of Health & Family Welfare  


GREATER GOVERNMENT COMMITMENT TO PRIMARY HEALTHCARE

MINISTRY OF HEALTH & FAMILY WELFARE


Year-End Review - 2002

National Health Policy

National Health Policy has been approved by the Government. The objective is to increase access to the decentralized public health system by establishing new infrastructure in deficient areas, and upgrade the infrastructure in the existing institutions. Overriding importance has been given to ensure a more equitable access to health services across the social and geographical expanse of the country. Emphasis has been given to increase the aggregate public health investment through a substantially increased contribution by the Central Government. Under the policy, it is planned to increase health sector expenditure to 6 percent of GDP, with 2 percent of GDP being contributed as public health investment, by the year 2010. The State Government would also need to increase the commitment to the health sector. In the first phase, by 2005, they are expected to increase the commitment of their resources to 7 percent of the budget and in the second phase, by 2010, to increase it to 8 percent of the budget. The policy also sets out an increased allocation of 55 percent of the total public health investment for the primary health sector; the secondary and tertiary health sector being targeted for 35 percent and 10 percent respectively.

National AIDS Policy

In order to contain the infection levels of HIV, the Government has announced National AIDS Policy. The Policy envisages to achieve zero level of new infections in the general population by 2007. It intends to bring in horizontal integration at the implementation level with other National Programmes like Reproductive and Child Health, TB Control, Integrated Child Development Scheme and with the primary health care system. It emphasizes the commitment of Government to control HIV infections and provide supportive care to the victims. Prevention of Mother to child transmission of HIV programme has been launched using Nevirapine. In the first phase, all medical colleges, district hospitals, interested NGO hospitals of six high prevalence states are likely to be covered.

National Blood Policy

National Blood Policy has been finalised. It stresses the need to promote safe and adequate quality of blood, blood components, blood products and emphasises on voluntary blood donation and blood bank network. 10 state-of-art blood banks are being set up in the states of Uttaranchal, Bihar, UP, MP, Rajasthan, Jharkhand, J&K, Assam, Chattisgarh.

Code of Ethics for Doctors

Regulations of Professional Conduct, Ethics, and Etiquette for Allopathic Doctors has been approved after a gap of 30 years. It makes working in Primary Health Centre compulsory for doctors. It prescribes deregistration of doctors found guilty of female foeticide.

Meeting of EAG States on Population Stabilization

The Empowered Action Group (EAG) of the Department of Family Welfare met under the Chairmanship of Union Health & Family Welfare Minister to outline the priorities for close monitoring of family welfare and reproductive child health programmes. The basic objective of this group is to provide focus to the family welfare programmes and achieve population stabilization by 2010. The EAG agreed in principle to support the various action plans presented by the States amounting to approximately Rs 400 crore indicating 100 percent increase to the amounts that was released to them during the last financial year.

Hepatitis B Pilot Vaccination Project

Prime Minister launched a major national initiative in the healthcare with the introduction of Hepatitis-B pilot vaccination project. The Government has decided to include Hepatitis-B vaccine in the National Immunization Programme on a pilot basis in slum areas of 15 cities and in 32 districts.

Legislations Passed

The Parliament has passed the Pre-Natal Diagnostic Techniques (Regulation & Prevention of misuse) Amendment Bill, 2002 to further amend PNDT Act, 1994. The amendments mainly relate to bring the techniques of pre-conception sex selection within the ambit of this Act so as to pre-empt the use of such technologies which significantly contribute to the declining sex ratio. It also intends to bring the use of ultrasound machines within the purview of this Act more explicitly so as to curb their misuse for detection and disclosure of sex of the foetus. Medical Termination of Pregnancy (Amendment) Bill, 2002 passed to strengthen punitive measures for illegal unauthorised abortions.

Guidelines on Assisted Reproductive Technology Clinics In India

The Guidelines on Assisted Reproductive Technology (ART) Clinics to addresses, the issues of infertility, surrogacy, rights of the child born through various ART technologies etc. released for public debate.

Policy on ISM&H

A separate policy on Indian Systems of Medicine & Homeopathy (ISM&H) has been formulated. The basic objectives of this Policy are – to promote good health and expand the outreach of health care to our people, particularly those not provided health cover, through preventive, promotive, mitigating and curative intervention through ISM&H. It also intends to improve the quality of teachers and clinicians by revising curricula to contemporary relevance and researches by creating model institutions and Centres of Excellence and extending assistance for creating infrastructural facilities.

A joint collaborative project of CSIR and Department of ISM&H for preparing Traditional Knowledge Digital Library (TKDL) to prevent patent claims on Medicinal uses of plant described singly or in combination with other ingredients described in Ayurvedic texts has been initiated. It is a novel approach and has been supported by the World Intellectual Property Organisation. It involves using the skills and knowledge of 30 Ayurvedic experts, 5 Information Technology professionals and 5 Patent examiners. Side by side, work has started on Unani Medicine and Siddha Medicine. Based on the availability of the Indian Systems of Traditional Medicine which have their roots in codified texts. TKDL for 35,000 Ayurveda formulations is under preparation. It is in 5 U.N. languages in patent compatible formats.

A new scheme for upgrading State Drug Testing Laboratories and Pharmacies was introduced and implemented during 2000-01 and 2001-02 to improve the capacity of the States and to monitor the quality of ISM products. 16 States Drug Testing Laboratories and 27 pharmacies were assisted and the funds to the tune of Rs. 31.46 crore were released, under this scheme. The scheme will continue in the 10th plan also.

Essential Drug Lists for Ayurvedic, Unani and Homeopathic medicine were issued after consultation with the most renowned experts to all State Government suggesting them to make available these drugs in their hospitals and dispensaries. This has been done for the first time.

Indian Medicines Central Council (Amendment) Bill 2002 & Homeo Central Council (Amendment) Bill 2002 passed to check the mushrooming growth of sub-standard institutions.