B.

Sc DEGREE COURSE IN NURSING(BASIC)

COMMUNITY HELATH NURSING –II

IV YEAR

UNIT II :
HEALTH PLANNING, POLICIES AND
PROGRAMMES

TOPIC :

NATIONAL HEALTH POLICY

-Dr . CHRISTY MEKALA
 LEARNING OBJECTIVES
At the end of the session the students will be able to...

• Recall historical background of National Health policy

• Define Health and health policy
• Need of health policies
• Enumerate different health policies from 1983-
2017(NHP-I,II,III) and
• NHP objectives, programmes and outcomes.
• MDG....to.....SDG

2
•CONTENTS :
SLIDE NUMBER

 HISTORICAL BACKGROUND 4&5

 INTRODUCTION TO NATIONAL
HEALTH POLICY 6

 NATIONAL HEALTH POLICY – I 9 -18

 NATIONAL HEALTH POLICY – II 19-32

 NATIONAL HEALTH POLICY – III 33 - 61

 MDG& SDG 62

3
 HISTORICAL BACKGROUND
 The 30th World Health Assembly in May 1977
resolved the main social target should be the
attainment by all citizens of the world by the year
2000 AD of a level of health that will permit them to
lead a socially and economically productive life.’’
HEALTH FOR ALL BY 2000 AD
 ALMA- ATA DECLARATION The Joint WHO –
UNICEF international conference in 1978 at Alma-
Ata (USSR) declared that: 4
 “the existing gross inequalities in the
status of health of people particularly between
developed and developing countries as well as within
the countries is politically, socially and economically
unacceptable.”

 The Alma-Ata conference called for acceptance of the

WHO goal of HEALTH FOR ALL by 2000 AD and ‘Primary
Health Care’ as a way to achieve Health For All
5
 INTRODUCTION
 Reports of working group on “HEALTH FOR
ALL by 2000 A.D. ’’ sponsored by Ministry of
health and family welfare, Govt. Of India.
Launched ..

1. National Health Policy-I(1983) targeted

goals for 2000AD
2. National Health Policy-II(2002) targeted
goals for 2015AD
3. National Health Policy-III(2017) targeted
goals for 2030 AD
6
 NATIONAL HEALTH POLICY
Policy

Policy is a system, which provides the logical framework and

rationality of decision making for the achievement of intended

objectives. It is statements that guides and provide discretion within

limited boundaries. Policy sets priorities and guide resources.

Health policy

Health policy of a nation is its strategy for controlling and optimizing

the social uses of its health knowledge and health resources

7
 A health policy generally describes fundamental
principles regarding which health providers are expected to
make value decisions." Health Policy provides a broad
framework of decisions for guiding health actions that are useful
to its community in improving their health, reducing the gap
between the health status of haves and have- not and ultimately
contributes to the quality of life

8
National Health Policy-I
1983

Targeted goals for 2000AD

9
 OBJECTIVES

1. To achieve an acceptable standard of good health amongst

the general population of the country
2. To increase access to the decentralized public health system
by establishing new infrastructure in deficient areas , and by
upgrading the infrastructure in the existing institution
3. To ensuring a more equitable access to health services
across the social and geographical expanse of the country

10
4. To increase the aggregate public health
investment through a substantially increased
contribution by the central Govt
5. To strengthen the capacity of the public health
administration of the state level to render
effective services delivery
6. To enhance the contribution of the private sector
in providing health services for the population
group which can afford to pay for services
11
7. To rationalize use of drugs within the
allopathic systems and
8. To increase access to tried and tested
systems of traditional medicine

12
 It suggested Planned time bound attention to the following:-

1. Nutrition, prevention of food adulteration.

2. Maintain of quality of drug
3. Water supply and sanitation
4. Environmental protection
5. Immunisation Programme
6. Maternal and Child Health Services
7. School Health Programme
8. Occupational Health
13
 NATIONAL HEALTH POLICY 1983 GOALS
SUGGESTED/ ACHIEVED
S.No INDICATOR GOAL BY ACHIEVED BY Status
2000 2000
1. 1 INFANT MORTALITY RATE 60 70 Not achieved
(IMR)
1. 2 PERI NATAL MORTALITY 33 46 Not achieved
RATE (PNMR)
1. 3 CRUDE DEALTH RATE (CDR) 9 8.7 Achieved
1. 4 MATERNAL MORTALITY RATE 2 4 Not achieved
(MMR)
1. 5 UNDER FIVE MORTALITY 10 9.4 Achieved
RATE (UFMR)
1. 6 LIFE EXPENTANCY BIRTH- Not achieved
MALE(yrs) 64 62.4
FEMALE(yrs) 64 63.4

14
 NATIONAL HEALTH POLICY 1983 GOALS
SUGGESTED/ ACHIEVED
S.No INDICATOR GOAL ACHIEVED BY 2000 Status
BY 2000

1. 7 LOW BIRTH WEIGHT 10% 20% Not achieved

1. 8 CRUDE BIRTH RATE 21 26.1 Not achieved

1. 9 COUPLE PROTECTION 60% 46.2% Not achieved
RATE
1. 10 NET REPRODUCTION RATE 1 1.45 Not achieved

1. 11 GROWTH RATE 1.2 1.93 Not achieved

1. 12 FAMILY SIZE 2.3 3.1 Not achieved

1. 13 ANTE NATAL CARE (ANC) 100% 67.2% Not achieved

15
 NATIONAL HEALTH POLICY 1983 GOALS
SUGGESTED/ ACHIEVED
S.No INDICATOR GOAL BY ACHIEVED BY Status
2000 2000

1. 14 TT PREGNANT 100 83 Not achieved

1. 15 DPT 85 87 Achieved
1. 16 OPV 85 92 Achieved

1. 17 . BCG 85 82 Not achieved

Future Goals
• Leprosy elimination by 2005
• Tuberculosis mortality 50%; reduction by 2010
• Blindness prevalence to 0.5% by 2010
16
 OUT COME NHP-I

• But by the end of 2000 century it was clear that the

goals of health for all by the year 2000 AD would not
be achieved ......

• The observed progress suggested that we may need

some new and additional strategy or new sizable
intervention in achievement of an unacceptable health
of the country. 17
Factors responsible for this failure were:

• Biased and poor socio- economic development in

the region where it was needed most.

• Discriminatory policies due to age, gender and

ethnicity thus preventing access to health care
surveillance.

18
National Health Policy-II
2002

Targeted goals for 2015 AD

19
 NATIONAL HEALTH POLICY-2002

A revised health policy for achieving better health care

and unmet goals has been brought out by government of India-

National Health Policy 2002.

 According to this revised policy, government and health professionals

are obligated to render good health care to the society.

 Optimizing the use of health service to a large group rather than a

small group is a foreseen event by the NHP 2002.

20
 Inclusion of social policies adds to the credit of
the revised NHP 2002.

 NHP2002 has set out a new policy framework

for the acceleration of Public Health goals in
the socioeconomic circumstances currently
prevailing in the country.

21
 National Health Policy 2002
OBJECTIVES
1. Achieving an acceptable standard of good health of

Indian Population.

2. Decentralizing public health system by upgrading

infrastructure in existing institutions.

3. Ensuring a more equitable access to health service

across the social and geographical expanse of India.

22
OBJECTIVES.............

4. Enhancing the contribution of private sector in

providing health service for people who can

afford to pay.

5. Emphasizing rational use of drugs.

6. Increasing access to tried systems of Traditional

Medicine
23
 Goals to be Achieved in 2000-2015
2003 –
 Enactment of legislation for regulating minimum standard in
clinical Establishment / Medical institution

2005 –
 Eradication of Polio & Yaws
 Elimination of Leprosy
 Increase State Sector health spending from 5.5% to 7% to of
the budget.
 Establishment of an integrated system of surveillance, National
Health Accounts and Health Statistics
 1% of the total budget for Medical Research 24
  Decentralization of implementation of public health program

2007-
 Achieve Zero level growth of HIV/AIDS 2010-
 Elimination of Kala- Azar • Reduction of mortality by 50% on
account of Tuberculosis, Malaria, Other vector & water borne
Diseases
 Reduce prevalence of Blindness to 0.5%
 Reduction of IMR to 30/1000 live births & MMR to100/ Lakh live
births
 Increase utilization of public health facilities from current level of
<20% to > 75%
 Increase health expenditure by government from the existing 0.9%
to 2.0% of GDP 25
 Increase share of Central grants to constitute at least 25% of
total health spending
 Further increase of State sector Health spending from 7% to
8%
 2% of the total health budget for medical Research

2015-
 Elimination of lymphatic Filariasis

26
 NHP-II- ACHIEVEMENTS:
2003:

• Enactment of legislation for regulatory minimum standard in

clinical establishment/ medical institution

2005:

• Eradication poliomyelitis is missed, zero reporting of Yaws

since 2004

27
• IDSP has been launched but establishment of national health accounts

and health statistics is still lagging behind. IDSP is also going at a slow

pace. Spending of state sector health has not much increased as

planned from 5.5% to 7% of the budget

• Leprosy has been declared eliminated according to the criteria fixed by

WHO. However, more efforts are required.

• Budget for medical research is not much increased as 1% of the total

health budget for medical research has been targeted

• Decentralization of implementation of public health programs ; national

rural health mission has been launched in this direction

28
• 2007:

• Achieve zero level growth of HIV/ AIDS

has not been achieved and may required

some more years

29
 OUT COME NHP-II
Strength:
• Policy identify many gross deficiencies of the existing health
care scenario, proposes a substantial changes. Justification
provided for the new policy are convincing and attempt to
accelerated achievement for the set public health goals
• Commitment to enhance the budget on health expenditure
from 5.2% to 6% of GDP with the Govt contribution
increasing from 0.9% to 2% by 2010
• Availability of advance technology and proven health
strategies.
30
Weakness:
• Lack of monitoring and evaluation
• Lack of Govt expenditure on public health
• Gap in situation analysis and policy prescription.

31
Opportunity:

• Based on past experiences of NHP 1983 and long history of

implementation of various programs, India get this opportunity
to move ahead in health through health policy 2002
• Supportive environment and absence of obvious threat of war,
unrest etc.,
• Policy initiatives will provide a new impetus to the development
of the health sector
• Health tourism will drain the trained manpower to private se tor
and will encourage privatization. In absence of regulation on
private sector the encouragement could be dangerous for the
public health. 32
National Health Policy-III
2017

Targeted goals for 2030 AD

33
AIM OF THE NATIONAL HEALTH POLICY,
2017

• The primary aim of the National Health Policy, 2017, is to

inform, clarify, strengthen and prioritize the role of the
Government in shaping health systems in all its
dimensions. The National Health Policy of 1983 and the
National Health Policy of 2002 have served well in
guiding the approach for the health sector in the Five-
Year Plans.

34
 NEED OF A NEW HEALTH POLICY
Health priorities are changing , there is growing burden on account

of non- communicable diseases and some infectious diseases The

emergence of a robust health care industry estimated to be growing at

double digit Growing incidences of catastrophic expenditure due to

health care costs, which are presently estimated to be one of the major

contributors to poverty. A rising economic growth enables enhanced

fiscal capacity. Therefore, a new health policy responsive to these

35
contextual changes is required
NEED OF A NEW HEALTH POLICY 2017

36
 OBJECTIVES

Improve health status through concerted policy action in all sectors

and expand preventive, promotive, curative, palliative and

rehabilitative services provided through the public health sector

with focus on quality.

• Progressively achieve Universal Health Coverage

• Reinforcing trust in Public Health Care System

• Align the growth of private health care sector with public health

goals 37
 Key Policy Principles (10)
I. Professionalism, Integrity and Ethics:

The health policy commits itself to the highest

professional standards, integrity and ethics to be
maintained in the entire system of health care
delivery in the country, supported by a credible,
transparent and responsible regulatory environment.

38
II. Equity:
Reducing inequity would mean affirmative action to
reach the poorest. It would mean minimizing
disparity on account of gender, poverty, caste,
disability, other forms of social exclusion and
geographical barriers. It would imply greater
investments and financial protection for the poor
who suffer the largest burden of disease.
39
III. Affordability:
As costs of care increases, affordability, as
distinct from equity, requires emphasis.
Catastrophic household health care
expenditures defined as health expenditure
exceeding 10% of its total monthly consumption
expenditure or 40% of its monthly non-food
consumption expenditure, are unacceptable.

40
IV. Universality:

Prevention of exclusions on social, economic

or on grounds of current health status. In this

backdrop, systems and services are envisaged

to be designed to cater to the entire

population- including special groups.

41
• V. Patient Centered & Quality of Care:
• Gender sensitive, effective, safe, and

convenient healthcare services to be provided

with dignity and confidentiality. There is need to

evolve and disseminate standards and guidelines

for all levels of facilities and a system to ensure

that the quality of healthcare is not compromised.

42
• VI. Accountability:

• Financial and performance accountability,

transparency in decision making, and

elimination of corruption in health care

systems, both in public and private.

43
VII. Inclusive Partnerships:

A multi stakeholder approach with

partnership & participation of all non health
ministries and communities. This approach
would include partnerships with academic
institutions, not for profit agencies, and
health care industry as well.

44
VIII. Pluralism:
Patients who so choose and when appropriate,
would have access to AYUSH care providers based
on documented and validated local, home and
community based practices. These systems, inter
alia, would also have Government support in
research and supervision to develop and enrich their
contribution to meeting the national health goals and
objectives through integrative practices.
45
IX. Decentralization:

Decentralisation of decision making to a level as is

consistent with practical considerations and institutional

capacity. Community participation in health planning

processes, to be promoted side by side

X. Dynamism and Adaptiveness:

constantly improving dynamic organization of health care

based on new knowledge and evidence with learning from

the communities and from national and international

knowledge partners is designed. 46

Specific Quantitative Goals and Objectives:
1. Health Status and Programme Impact

Life Expectancy and healthy life

Mortality by Age and/ or cause

Reduction of disease prevalence/ incidence

2. Health Systems Performance

Coverage of Health Services

Cross Sectoral goals related to health

3. Health Systems strengthening

Health finance

Health Infrastructure and Human Resource

47
 Health Status and Programme
Impact
 Life Expectancy and healthy life
a. Increase Life Expectancy at birth from 67.5 to 70 by
2025.
b. Establish regular tracking of Disability Adjusted Life
Years (DALY) Index as a measure of burden of
disease and its trends by major categories by 2022.
c. Reduction of TFR to 2.1 at national and sub-national
level by 2025

48
Mortality by Age and/ or cause

a. Reduce Under Five Mortality to 23 by 2025 and MMR

from current levels to 100 by 2020.

b. Reduce infant mortality rate to 28 by 2019.

c. Reduce neo-natal mortality to 16 and still birth rate to

“single digit” by 2025.

49
 Reduction of disease prevalence/ incidence

1. Achieve global target of 2020 which is also termed as target of

90:90:90, for HIV/AIDS

 90% of all people living with HIV know their HIV

status,

 90% of all people diagnosed with HIV infection

receive sustained antiretroviral therapy and

 90% of all people receiving antiretroviral therapy will

have viral suppression.

2. Achieve and maintain elimination status of Leprosy by 2018, Kala-

Azar by 2017 and Lymphatic Filariasis in endemic pockets by 2017.

50
3. To achieve and maintain a cure rate of >85% in new sputum

positive patients for TB and reduce incidence of new cases, to

reach elimination status by 2025.

4. To reduce the prevalence of blindness to 0.25/ 1000 by 2025 and

disease burden by one third from current levels.

5. To reduce premature mortality from cardiovascular diseases,

cancer, diabetes or chronic respiratory diseases by 25% by 2025

51
 Health Systems Performance

 Coverage of Health Services

• Increase utilization of public health facilities by 50% from
current levels by 2025.
• Antenatal care coverage to be sustained above 90% and
skilled attendance at birth above 90% by 2025.
• More than 90% of the newborn are fully immunized by one
year of age by 2025.
• Meet need of family planning above 90% at national and
sub national level by 2025.
• 80% of known hypertensive and diabetic individuals at
household level maintain „controlled disease status‟ by
2025

52
 Cross Sectoral goals related to health

a. Relative reduction in prevalence of current tobacco use

by 15% by 2020 and 30% by 2025.

b. Reduction of 40% in prevalence of stunting of under-five

children by 2025.

c. Access to safe water and sanitation to all by 2020

(Swachh Bharat Mission).

d. Reduction of occupational injury by half from current

levels of 334 per lakh agricultural workers by 2020.

e. National/ State level tracking of selected health

53
behaviour.
 Health Systems strengthening
 Health finance

a. Increase health expenditure by Government as a

percentage of GDP from the existing 1.15% to 2.5 % by

2025.

b. Increase State sector health spending to > 8% of their

budget by 2020.

c. Decrease in proportion of households facing catastrophic

health expenditure from the current levels by 25%, by 2025 .

54
Health Infrastructure and Human Resource
a. Ensure availability of paramedics and doctors as per

Indian Public Health Standard (IPHS) norm in high

priority districts by 2020.

b. Increase community health volunteers to population

ratio as per IPHS norm, in high priority districts by

2025.

c. Establish primary and secondary care facility as per

norms in high priority districts (population as well as

time to reach norms) by 2025.

55
 Health Management Information

a. Ensure district-level electronic database of

information on health system components by 2020.

b. Strengthen the health surveillance system and

establish registries for diseases of public health

importance by 2020.

c. Establish federated integrated health information

architecture, Health Information Exchanges and

National Health Information Network by 2025. 56

 POLICY THRUST
1. Ensuring Adequate Investment
2. Preventive and Promotive Health
 The Swachh Bharat Abhiyan
 Balanced, healthy diets and regular exercises
 Addressing tobacco, alcohol and substance
abuse
 Yatri Suraksha – preventing deaths due to rail
and road traffic accidents
 Nirbhaya Nari –action against gender violence
57
  Reduced stress and improved safety in the
work place
 Reducing indoor and outdoor air pollution
1. Organisation of Public Health Care Delivery
2. Primary Care Services Services
3. Reorienting Public Hospitals
4. Closing Infrastructure and Human Resource/Skill
Gaps
5. Urban Health Care

58
 National Health Programmes
 RMNCH+A services  Health Technology

 Child and Adolescent Health Assessment

 Interventions to address  Digital Health Technology Eco

malnutrition and micronutrient - System

 Health Surveys
deficiencies
 Health Research
 Universal Immunisation
 Communicable Diseases - Control  Governance
of Tuberculosis: 2 Control of  Legal Framework for Health
HIV/AIDS: Leprosy Elimination:
Care and Health Pathway
Vector Borne Disease Control
 Implementation Framework
 Non-Communicable Diseases
and Way forward
 Mental Health 59
 Women’s Health and Gender  Vaccine Safety
Mainstreaming
 Medical Technologies
 Gender Based Violence
 Public Procurement
 Supportive supervision
 Availability of Drugs and Medical
 Emergency Care and Disaster Devices
Preparedness
 Aligning other policies for medical
 Mainstreaming the potential of AYUSH devices and equipment with public
health goals ‘
 Tertiary Care Services
 Improving Public Sector Capacity for
 Human Resources for Health
manufacturing essential drugs and
 Financing of Health Care vaccines
 Collaboration with Non-Government  Anti-microbial Resistance
Sector/Engagement with private
sector
 Population Stabilisation

 Regulatory Framework 60
 CONCLUSION

Restoring an effective public health system cannot be achieved by

public health professionals alone. The specific actions appropriate to

strengthen public health will vary from area to area and must blend

professional knowledge with community values. The committee

intends not to prescribe one best way of rescuing public health, but

to urge that readers get involved in their own communities in order to

address present dangers, now and for the sake of future generations.

61
 Millennium Development Goals
United Nations Development Programme

2000 TO 2015

62
 The United Nations Development Plans
S PLAN SIGNED TO NO OF NO OF NO OF
NO YEAR ACHIE GOALS TARGETS INDICAT
VE BY ORS
THE
YEAR
1 Millennium September 2015 8 21 60
Development 2000
Goals (MDGs)

2 The Sustainable September 2030 17 169 232

Development 2015
Goals (SDGs)

63
The Millennium Development Goals (MDGs)

• The Millennium Development Goals (MDGs) are eight

goals to be achieved by 2015 that respond to the
world's main development challenges.
• The MDGs are drawn from the actions and targets
contained in the Millennium Declaration that was
adopted by 189 nations-and signed by 147 heads of
state and governments during the UN Millennium
Summit in September 2000.
64
Millennium Development Goals(8)

65
 HEALTH RELATED MDG

• Goal 1: Eradicate extreme poverty and hunger

 Target 1.C. Halve, between 1990 and 2015,
the proportion of people who suffer from
hunger
• Goal 4: Reduce Child Mortality
 Target 4.A. Reduce by two-thirds, between
1990 and 2015, the under-five mortality rate
66
 HEALTH RELATED MDG

• Goal 5: Improve Maternal Health

 Target 5.A. Reduce by three quarters, between
1990 and 2015, the maternal mortality ratio
 Target 5.B. Achieve, by 2015, universal
access to reproductive health

67
 HEALTH RELATED MDG
• Goal 6: Combat HIV/AIDS, malaria and other diseases

 Target 6A. Have halted by 2015 and begun to reverse

the spread of HIV/AIDS

 Target 6B. Achieve, by 2010, universal access to

treatment for HIV/AIDS for all those who need it.

 Target 6C. Have halted by 2015 and begun to reverse

the incidence of malaria and other major diseases

68
 HEALTH RELATED MDG

• Goal 7: Ensure Environmental Sustainability

 Target 7C: By 2015, halve the proportion of
people without sustainable access to safe
drinking water and basic sanitation

69
 HEALTH RELATED MDG

• Goal 8: Develop A Global Partnership For

Development
 Target 8E. In cooperation with
pharmaceutical companies, provide access
to affordable essential medicines in
developing countries

70
 Key facts..............MDG

• Globally, the number of deaths of children under 5 years of age fell from 12.7 million in

1990 to 6.3 million in 2013.

• In developing countries, the percentage of underweight children under 5 years old

dropped from 28% in 1990 to 17% in 2013.

• Globally, new HIV infections declined by 38% between 2001 and 2013.

• Existing cases of tuberculosis are declining, along with deaths among HIV-negative

tuberculosis cases.

• In 2010, the world met the United Nations Millennium Development Goals target on

access to safe drinking-water, as measured by the proxy indicator of access to

improved drinking-water sources, but more needs to be done to achieve the sanitation

target.

71
72
 THE SUSTAINABLE
DEVELOPMENT GOALS

2015----2030

73
THE SUSTAINABLE DEVELOPMENT
GOALS

74
THE SUSTAINABLE DEVELOPMENT
GOALS
On 25 September 2015, the 193
countries of the UN General Assembly
adopted the 2030 Development Agenda titled
"Transforming our world: the 2030 Agenda for
Sustainable Development". This agenda has 17
Sustainable Development Goals and the
associated 169 targets and 232 indicators.

75
 BACKGROUND ON THE SDG GOALS

• The Sustainable Development Goals (SDGs) were born

at the United Nations Conference on Sustainable

Development in Rio de Janeiro in 2012. The objective

was to produce a set of universal goals that meet the

urgent environmental, political and economic challenges

facing our world.

76
Cont...
• The SDGs replace the Millennium Development
Goals (MDGs), which started a global effort in 2000
to tackle the indignity of poverty. The MDGs
established measurable, universally-agreed
objectives for tackling extreme poverty and hunger,
preventing deadly diseases, and expanding primary
education to all children, among other development
priorities. 77
 GOAL 1: NO POVERTY

"End poverty in all its forms everywhere.“

Extreme Poverty has been cut by more than half

since 1990. Still, around 1 in 10 people live on
less than the target figure of international
$ 1.25 per day

78
 GOAL 2: ZERO HUNGER

"End Hunger Achieve Food Security

And Improved Nutrition, And Promote
Sustainable Agriculture."

79
Goal 3: Good health and well-being for people

"Ensure healthy lives and promote

well-being for all at all ages.

HEALTH RELATED TARGETS

3.1-3.8,
3.9 a-d
(12 targets)
80
 HEALTH RELATED TARGETS

• 3.1 By 2030, reduce the global maternal mortality

ratio to less than 70 per 100 000 live births.

• 3.2 By 2030, end preventable deaths of newborns

and children under 5 years of age, with all
countries aiming to reduce neonatal mortality to at
least as low as 12 per 1000 live births and under-5
mortality to at least as low as 25 per 1000 live
births. 81
 HEALTH RELATED TARGETS

• 3.3 By 2030, end the epidemics of AIDS, tuberculosis, malaria

and neglected tropical diseases and combat hepatitis, water-

borne diseases and other communicable diseases.

• 3.4 By 2030, reduce by one third premature mortality from

non-communicable diseases through prevention and treatment

and promote mental health and well-being.

82
 HEALTH RELATED TARGETS

• 3.5 Strengthen the prevention and treatment of

substance abuse, including narcotic drug abuse
and harmful use of alcohol.

• 3.6 By 2020, halve the number of global deaths

and injuries from road traffic accidents.

83
 HEALTH RELATED TARGETS

• 3.7 By 2030, ensure universal access to sexual and reproductive

health-care services, including for family planning, information and
education, and the integration of reproductive health into national
strategies and programmes.

• 3.8 Achieve universal health coverage, including financial risk

protection, access to quality essential health-care services and
access to safe, effective, quality and affordable essential
medicines and vaccines for all.
84
 HEALTH RELATED TARGETS

• 3.9 By 2030, substantially reduce the number of deaths

and illnesses from hazardous chemicals and air, water
and soil pollution and contamination.
 3.a Strengthen the implementation of the WHO

Framework Convention on Tobacco Control in all

countries, as appropriate.
 3.b Support the research and development of

vaccines and medicines for the communicable and

non-communicable diseases. 85
 HEALTH RELATED TARGETS

 3.c Substantially increase health financing and the

recruitment, development, training and retention of the
health workforce in developing countries, especially in least
developed countries and small island developing States.

 3.d Strengthen the capacity of all countries, in particular

developing countries, for early warning, risk reduction and

management of national and global health risks.

86
 SDG GOALS

• Goal 4.

Ensure inclusive and equitable quality education and

promote lifelong learning opportunities for all

• Goal 5.

Achieve gender equality and empower all women and

girls
87
 SDG GOALS
• Goal 6.

Ensure availability and sustainable

management of water and sanitation for all

• Goal 7.

Ensure access to affordable, reliable,

sustainable and modern energy for all
88
 SDG GOALS
• Goal 8.

Promote sustained, inclusive and sustainable

economic growth, full and productive employment
and decent work for all

• Goal 9.

Build resilient infrastructure, promote inclusive and

sustainable industrialization and foster innovation

89
 SDG GOALS

• Goal 10.

Reduce inequality within and among

countries
• Goal 11.

Make cities and human settlements

inclusive, safe, resilient and sustainable
90
 SDG GOALS

• Goal 12.

Ensure sustainable consumption and

production patterns
• Goal 13.

Take urgent action to combat climate

change and its impacts*
91
 SDG GOALS
• Goal 14.

Conserve and sustainably use the oceans, seas

and marine resources for sustainable development
• Goal 15.

Protect, restore and promote sustainable use of

terrestrial ecosystems, sustainably manage forests,
combat desertification, and halt and reverse land
degradation and halt biodiversity loss
92
 SDG GOALS
• Goal 16.

Promote peaceful and inclusive societies for

sustainable development, provide access to justice
for all and build effective, accountable and inclusive
institutions at all levels
• Goal 17.

Strengthen the means of implementation and

revitalize the Global Partnership for Sustainable
Development
93
THANK YOU

94