planning in india & health policy by prof. vibhuti patel

8/7/2019 Planning in India & Health Policy by Prof. Vibhuti Patel

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Planning in India &

Health Policy

Dr. Vibhuti Patel,Director, PGSR

Professor & Head, Post Graduate Department of Economics,SNDT Womens University, Churchgate, Mumbai-400020.E-mail- [email protected]

Phone-91-022-26770227, 22052970 (O)Mobile-9321040048


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W elfare State

Mixed Economic Model adopted in 1950Role of governmentDrug PolicyBulk Drug production by Public Sector Public Health concerns

Legal Framework Accent on allopathyMedical Education-Priority Area


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Health Policy, 1984 & 2 00 2Health for all by 2 000 A.D.Community Health ApproachInfluence of Chinas health care system

Killer diseases- water born, mosquito riddenVaccination-small poxPolio & leprosyContagious diseasesT.B.STDsNational Health Policy


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India was the first developing nation toadopt family planning policy in 1950.

I FYP (1951-56) Men targeted

II FYP- barrier methodsIII & IV FYPs & interim plans(1961-74)-IUD & male sterilisation, MCH

V FYP (1974-78)- Women targeted

VI FYP(1980-85)- EP drugs, camp approach VII FYP(1986-1991)- Depo Provera, Net-o-En VIII FYP(1992-97)- Norplant, A.P.VaccineIX FYP (1997-2002)- Cafeteria approach


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X Five Year Plan ( 2 00 2 -2 009)

Each state to decide its own population policyMaharashtra - 2 child norm- Amendment in LocalSelf government Act- disqualification provisionfor an elected representative- having a third childPanchayat members axedTamilnadu- Public Sector Employees penalisedRajasthan- use of hormone-based contraceptivesErosion of public health facilitiesCharging of user feesPrivatisation of insurance & health services


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National Conferences of Womens Liberation

Movement in India & Health Concerns1980-Mumbai Perspective/ critique1985- Mumbai SD & SP Tests

1988- PatnaW

DP of Rajasthan Target1990-Calicut W omen and Health199 3 - Tirupati RCH, Coersion199 6 - Ranchi Reproductive Rights

Influence of Cairo Declaration (1994)SAHEL I- Delhi, Masum- Pune, FWH- Mumbai

PSM,MFC, IME, JSA


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O ccupational Health & SafetyBhopal Gas Carnage, 1984Shramshakti Report & NPP W 1988W omen in FTZ, FTZ & SEZ

DPAP, Food for W

ork programmeEnergy Expenditure- collection of fuel, fodder, water Labour processes & labour relationsPRIA, CSE, MFC, ICHRL, VKU, NBACorporate ResponsibilityTobacco W orkers- SE W AForest women-Tendu, lac, frogs, snakes, rats


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Mental Health Issues

Bhargavi Davar-Bapu Trust for Research on Mind anddiscourseCritique of bio-medical ApproachCulture specific counsellingPatriarchal biases in psychiatry-victim blamingSexual violence, Domestic violenceMental health of adolescent girlsSubstance abuseMediaDemand for Half way homesCommunity based approachSignature campaign against ECT


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Environment & Health

Chipko-Fuel, fodder, water Appiko-Karnataka

JunagarhEnvironment- Medha Patkar & Vandana ShivaThree Dimensions

1. Displacement2 . W orkers Rights3 . Environmental Damage


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11 th Five Year Plan

Right to health to be ensured

Life cycle approach to beimplemented

Millennium Development Goals-IV, V, VIIncrease government spending from0.9% to 3 % GDP with matching fundsfrom the State


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Peoples Health Assembly

Ensure People friendly free, comprehensivePrimary Health Care that is accessible (tomarginalized populations- migrants, sexworkers, hijras etc. and disable friendly),affordable with full preventive and curative careat the PHC level.


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Upgradation of SCs and PHCs

Upgrade at least 50-60% SCs and PHCs as 24x7 roundthe clock and make the phase wise information of the

Plan available to all women in the community .

Engender medical education with a holistic perspective onwomens health (moving beyond reproductivehealth) and mainstream womens health concerns in theeducation system-primary to higher- in the formal,informal and non-formal sector.


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HIV/AIDS

Empower men and women to ensure their sexual health

Improve provision of home based care servicesIncrease knowledge and awareness levelsIncrease livelihood opportunities for men and women affected by HIV/AIDS Gender sensitive services are necessary in STIclinics especially for treatment, counseling andcare.


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Public Private Partnership

Concessions to private sector in Health careHighest FDI in Health sector Hike in Drug PricesPermission to pharmaceutical industry for humantrials

Commercialisation of vaccinesW eakening of public health concernsCasualisation of services, contract labour in healthand sanitation


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Hospital as Firm

Neo-liberal ModelProfit MaximisationPrivatisation of InsuranceIntroduction of User FeeCost effectiveness

O ver madicalisationMedical Technologies- O ver use and Misuse


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Thank You

planning in india & health policy by prof. vibhuti patel

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