Prime Minister Dr. Manmohan Singh
has emphasised the need for increased outlay on health sector during
12th plan so that adequate funds are made available for the sector.
He said, "though funds for the Health sector will not
be a constraint, there is a need to create adequate capacity at the
Centre and the states to meaningfully absorb the increased outlay."
In a meeting in PMO it was decided
that government must work towards increasing the total govt health
expenditure to 2.5 per cent of GDP by the end of the 12th Plan, from the
current 1.4 per cent.
A high-level meeting chaired by Prime Minister
Manmohan Singh also decided that the Planning Commission be requested to
allocate adequate resources for the health sector to achieve the
target, for which it could seek cooperation of the states.
During the meeting, convened on the direction of the
Prime Minister and held at PMO, it was suggested that Planning
Commission may motivate and incentivise states to allocate more funds
for the health sector, for which it would work out an appropriate
mechanism in consultation with the Health Ministry.
With the Health Ministry working towards its goal of
Universal Health Care, it was also decided that the Ministry may set up a
Central Procurement Agency early for providing 'free medicine for all
through public health facilities' under the National Rural Health
Mission (NRHM) and prepare Standard Treatment Protocols early.
The Cabinet has already approved the setting up of the procurement agency.
The meeting specifically focused on implementation of
recommendations of the National Commission for Macroeconomics &
Health (NCMH) and the High Level Expert Group (HLEG) on Health set up by
Planning Commission and listed various measures, including bringing
important bills and legislations, to be implemented soon.
The Health Ministry has also been asked to prepare a
clear roadmap to merge all the NRHM schemes to bring them under one
umbrella.
"The merger may begin with the coming financial year and the process may be completed by 2013-14," the meeting decided.
Among the various measures decided at the meeting
which the Health Ministry has been asked to specifically focus on is
strengthening of primary health centres, community health centres and
district hospitals to help provide cashless, hassle free out-patient,
in-patient and diagnostic care and supply of essential medicines.
Ambulance services will be strengthened to provide access to health services to far off and inaccessible areas, it was decided.
It was also decided that work on establishment of
National Centre for Disease Control may be completed in two years time
and the Integrated Disease Surveillance Project may be strengthened with
setting up of public health laboratories in districts and states.
The Ministry has also been asked to strengthen
enforcement mechanism for drug control, for which it may examine the
Drugs and Cosmetics (Amendment) Bill, so that it is introduced in
Parliament soon.
To focus on prevention of disease and promotion of
good health, the Ministry has also been asked to work closely with
agencies dealing with social determinants of health like nutrition, safe
drinking water, hygiene and sanitation and education.
The Ministry will also work towards strengthening of
public health through creation of necessary human resources capacities
at all levels and prepare an approach paper for induction of health
managers and create a Public Health Cadre for inclusion in the 12th
Plan.
It has also been suggested to build human resources
for health by producing adequate number of doctors, nurses, ANMs and
other paramedics, for which the Ministry has been asked to work towards
getting the National Commission on Human Resources in Health (NCHRH)
Bill passed by the Parliament early.
The ministry has also been asked to bring into effect
and operationalise the provisions of the Clinical Establishments
(Registration and Regulation) Act, 2010, which has been passed by
Parliament.
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