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Nhp National Health Programs

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National Health Programs | Assessment of problems to achieve the goals | Submitted by- Amanpreet Caur Chopra PRN- 10040141041 |

Time and again the National Health Programs have shown failure in achievement of the set goals. Essentially three broad factors can be blamed * poor governance and the dysfunctional role of the state * unrealistic goal-setting and lack of a strategic vision * weak management

1. Poor governance and dysfunctional role of the State
The distribution of subjects between the center and states has no rational basis and has in no small measure affected accountability, necessitating a review. For example, in the drug regulation is under the Ministry of Health, nutrition is partly under the Department of Women and Child Welfare, Health Insurance under Ministry of Finance, etc. Similarly, there is a division of responsibilities between center and states within the health sector itself: while health is a state subject, the center has jurisdiction on infectious diseases, medical education and research, population control etc.
Another major impediment in the effective governance of health is the structural mismatch in the institutional arrangement of Central and State Ministries: into departments of Health, Family Welfare and Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homeopathy (AYUSH). Such fragmentation that took place in the 1990s had negative effects, making inter-programme integration problematic, diluting the technical capacity to think holistically and duplicating resource use. For example, the Reproductive and Child Health (RCH) Programme rarely addresses HIV/AIDS, Malaria or Tuberculosis (TB) programmes. Likewise, the Malaria Control Programme has no indicator focusing on pregnant women, or nutritional deficiencies in the child health programmes.

Restructuring of the administrative

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