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Health Sector in the 12th Five Year Plan (2012-2017)
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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
Ine�ective regulation
Insu�cient 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 e�ciency of Health Systems
Incom
e per
Perso
n of t
he W
orld
Life Expectancy of the World
Liechtenstein
Antigua&Barbuda
Dominica
Palau
NauruTuvalu
Seychelles
St. Kitts& Nevis
AndorraSan Marino
Monaco
Andorra
St.LuciaPanama
Sao Tomeand Principe
Tonga
Samoa
Grenada
Brunei
Comoros
Djibouti
Equatorial Guinea
Gabon
Luxembourg
Namibia
Swaziland
Timor-Leste
Micronesia
Trinidad and Tobago
Albania
Bhutan
Kiribati
Kosovo
Cyprus
Maldives
Slovenia
Suriname
Belize
Mauritius
Bahamas
Malta
Vanuatu
Montenegro
Estonia
Gambia
Guinea-BissauLesotho
Botswana
Mongolia
Oman
Qatar
Iceland
Barbados
BahrainCapeVerde
Latvia
SolomonIslands
Macedonia
Fiji
Guyana
Jamaica
St.Vincentand G.
Armenia
Lithuania
Uruguay
Mauritania
Moldova
Kuwait
Congo, Rep.Liberia
Bosnia and H. Croatia
Lebanon
Israel
Costa Rica
Puerto Rico
New Zealand
Georgia
Central African Rep.
SwedenSingapore
Norway
Ireland
Finland
Austria
Turkmenistan
Slovak Rep.
Kyrgyzstan
Eritrea
DenmarkTaiwan
Papua New Guinea
Hong Kong
United Arab Emirates
South Sudan
Switzerland
Hungary
BelarusAzerbaijan
Dom.R.
Bulgaria
Serbia
Burundi
LibyaNicaragua
Palestine
Sierra Leone
Laos
Benin
Guinea
Somalia
Tajikistan
Togo
El Salvador
Honduras ParaguayJordan
Poland
Bolivia
Haiti
Czech Rep.
Portugal
Tunisia
Rwanda
GreeceBelgiumCuba
Chad
Senegal
Zimbabwe
Zambia
Cambodia
Ecuador
Guatemala
BurkinaFaso
MalawiNiger
Mali
Kazakhstan
Netherlands
Chile
Romania
Cameroon
Sri Lanka
Cote d'Ivoire
Angola
Madagascar
Syria
Australia
Mozambique
Yemen
North Korea
Afghanistan
Ghana
Nepal
Sudan
SaudiArabia
PeruVenezuela
Malaysia
Morocco
Uzbekistan
Italy
Spain
UK Germany
Canada
France
South Korea
Philippines
Vietnam
Ethiopia
Egypt
IranTurkey
Dem. Rep. Congo
Thailand
South Africa
Myanmar
Colombia
Ukraine
Tanzania
Kenya
Argentina
Algeria
Iraq
Uganda
ChinaBangladesh
Indonesia
Pakistan
USA
Russia
Brazil
Nigeria
Japan
Mexico
India
2011 data for all 193 UN Members and for Hong Kong, Kosovo, Palestine, Puerto Rico and Taiwan.
Documentation and!"# version for print at:
3 orless
10100 1000
millions
Colour by region
Size by population
If you want to see more data visit:
www.gapminder.org
Free to copy, share and remix, but attribute to
Gapminder Foundation.
Version 11 September 2012
map l
ayou
t by P
aolo
Faus
one
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GAPMINDER WORLD 2012Mapping the Wealth and Health of Nations
Healthy
Poor Rich
Sick
50
500 1 000 2 000 20 0005 000 10 000 50 000
60
70
80
55
65
75
%&/*$( #() #()-*& in US Dollars (GDP/capita, PPP$ in!ation adjusted, log scale)
,%.(
(0#(
/1"&
/2in
year
s
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
E�cient Financial and managerial systems
Coordinated delivery of services
Cooperation between the public and private sector
Expansion of skilled human resource
Prescription drugs reforms
E�ective 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 e�ective 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