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  • Title: Planning health for all by 2000 AD.
    Author: Sinha NK.
    Journal: Yojana; 1983 Apr; 27(6):1-15. PubMed ID: 12265787.
    Abstract:
    In India health status has improved considerably during the last 30 years, but a wide gap continues to exist between the health service facilities available in the country and those available in urban areas. Despite the deficiency in health facilities, India aims at attaining the historic goal set during the 30th World Assembly in 1977 of "health for all" by the year 2000. Primary health care (PHC) is the main instrument through which it will be possible to realize health for all by 2000. PHC includes at least the following 8 elements: promotion of food supply and proper nutrition, an adequate supply of safe drinking water and basic nutrition, education concerning prevailing health problems and the methods of preventing and controlling them, maternal and child care including family planning, immunization against major infectious diseases, prevention and control of locally endemic diseases, appropriate treatment of common diseases and injuries, and provision of essential drugs. In addition to the goal of health for all, the objective of population stabilization by reducing the birthrate, death rate, and infant mortality rate to 21, 9, and below 60, respectively, will have to be achieved by the end of the century. In regard to health care, emphasis should be shifted from the city to the rural areas and the health care system should be based on a combination of preventive, promotive, and curative health services starting from the village as a base. Primary health centers and subcenters which are presently serving a population of approximately 0.1 million and 8000, respectively, will be increased so that each PHC serves a population of 30,000 and each subcenter a population of 5000. The village, or a population of 1000, would form the base unit where there will be a trained community health volunteer. Facilities for treatment in basic specialities will be provided at the community health center at the block level for a population of about 0.1 million. Community participation in the heatlh programs would be encouraged by forming a village health committee. Most important of all the other sectors is water supply and sanitation. The government is planning to provide drinking water for the total population of urban and rural areas and to provide satisfactory sanitary conditions for 80% of the urban and 25% of the rural population by 1990. Other areas of needs addressed in the 6th 5-year plan include: housing, education, food production, and social welfare and nutrition.
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