Eleventh Five Year Plan

104 Eleventh Five Year PlanBLOOD AND BLOOD PRODUCTS3.1.185 A well-organized Blood Transfusion Serviceis a vital component of any health care delivery system.An integrated strategy for Blood Safety is requiredfor elimination of transfusion transmitted infectionsand for provision of safe and adequate blood transfusionservices to the people.3.1.186 During the Eleventh Five Year Plan, theprogramme for Blood and Blood Products to be initiated,will have following objectives:• To reiterate firmly the government commitment toprovide safe and adequate quantity of blood, bloodcomponents, and blood products.• To make available adequate resources to develop andreorganize the blood transfusion services in theentire country.• To make latest technology available for operatingthe blood transfusion services and ensure its functioningin an updated manner.• To launch extensive awareness programmes fordonor information, education, motivation, recruitment,and retention in order to ensure adequateavailability of safe blood.• To encourage appropriate clinical use of bloodand blood products.• To encourage R&D in the field of Transfusion Medicineand related technology.• To take adequate regulatory and legislative steps forME of blood transfusion services and to take stepsto eliminate profiteering in blood banks.Pilot Projects3.1.187 During the Eleventh Five Year Plan, a few pilotprojects would be taken up that will be eventually,depending on the success and experience gained,upscaled and most put under NRHM/NUHM. Theserelate to:• Sports Medicine• Deafness• Leptospirosis Control• Control of Human Rabies• Organ Transplant• Oral Health• Fluorosis• Disability and Medical RehabilitationNational Centre for Disease Control (NCDC)3.1.188 It has been planned to strengthen the NationalInstitute of Communicable Diseases (NICD) as theNCDC to fulfil its role as an apex institute in the country.The NCDC will have two main divisions underits head. One division will look after communicablediseases while the other will look after coordinationof non-communicable disease activities. Budgetaryprovisions have been made for this.Health FinancingFINANCING HEALTH SERVICES3.1.189 The existing level of government expenditureon health in India is about 1%, which is unacceptablylow. Effort will be made to increase the totalexpenditure at the Centre and the States to at least2% of GDP by the end of the Eleventh Five YearPlan. This will be accompanied by innovative healthfinancing mechanisms (Box 3.1.21). The providersin public health system are not given any incentive,which affect the quality, efficiency, and drives themto greener pastures in the private sector. Therefore,incentives that link payment to performance will beintroduced in the public health system.3.1.190 The Eleventh Five Year Plan will experimentwith different systems of PPPs, of which examplesalready exist. The State Governments may have anentitlement system for pregnant women to haveprofessionally supervised deliveries. If properly implemented,it will empower them to exercise choice,as well as create competition in the health servicesector. Contracting out well-specified and delimitedprojects such as immunization may also help increaseaccountability.3.1.191 The problems of indebtedness due to sicknesswill be handled by sensitively devised and carefullyadministered health insurance. CBHI is a promisingidea. Existing experiences in different States showthat well-managed prepayment systems with riskpooling could be effective in protecting people from