Eleventh Five Year Plan

108 Eleventh Five Year Planthe schemes that will be operational during theEleventh Five Year Plan. The scheme-wise outlays ofDepartment of Health and Family Welfare duringthe Eleventh Five Year Plan are given in Appendix ofVolume III.Eleventh Five Year Plan Agenda3.1.205 Thrust areas to be pursued during theEleventh Five Year Plan are summarized below:• Improving Health Equity– NRHM– NUHM• Adopting a system-centric approach rather than adisease-centric approach– Strengthening Health System through upgradationof infrastructure and PPP– Converging all programmes and not allowingvertical structures below district level underdifferent programmes• Increasing Survival– Reducing Maternal mortality and improvingChild Sex ratio through Gender ResponsiveHealth care– Reducing Infant and Child mortality throughHBNC and IMNCI• Taking full advantage of local enterprise for solvinglocal health problems– Integrating AYUSH in Health System– Increasing the role of RMPs– Training the TBAs to make them SBAs– Propagating low cost and indigenous technology• Preventing indebtedness due to expenditure onhealth/protecting the poor from health expenditures– Creating mechanisms for Health Insurance– Health Insurance for the unorganized sector• Decentralizing Governance– Increasing the role of PRIs, NGOs, and civilsociety– Creating and empowering health committeesat various levels• Establishing e-Health– Adapting IT for governance– Establishing e-enabled HMIS– Increasing role of telemedicine• Improving access to and utilization of essential andquality health care– Implementing flexible norms for health carefacilities (based on population, distance, andterrain)– Reducing travel time to two hours for EmOC– Implementing IPHS for health care institutionsat all levels– Accrediting private health care facilities andproviders– Redeveloping hospitals/institutions– Mirroring of centres of excellence like AIIMS• Increasing focus on Health Human Resources– Improving Medical, Paramedical, Nursing, andDental education, and availability– Reorienting AYUSH education and utilization– Reintroducing licentiate course in medicine– Making India a hub for health care and relatedtourism• Focusing on excluded/neglected areas– Taking care of the Older persons– Reducing Disability and integrating disabled– Providing humane Mental Health services– Providing Oral health services• Enhancing efforts at disease reduction– Reversing trend of major diseases– Launching new initiatives (Rabies, Fluorosis,Leptospirosis)• Providing focus to Health System and Bio-Medical research– Focusing on conditions specific to our country– Making research accountable– Translating research into application for improvinghealth– Understanding social determinants of healthbehaviour, risk taking behaviour, and healthcare seeking behaviour.3.2 AYURVEDA, YOGA AND NATUROPATHY,UNANI, SIDDHA, AND HOMEOPATHY(AYUSH)INTRODUCTION3.2.1 There is a resurgence of interest in holisticsystems of health care, especially, in the preventionand management of chronic lifestyle related noncommunicablediseases and systemic diseases. Health