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Third Conference of Central Council of Health and Family Welfare

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Third Conference of Central Council of Health and Family Welfare THIRD CONFERENCE OF CENTRAL COUNCIL OF HEALTH AND FAMILY WELFARE (RESOLUTIONS) JULY 14-16, 1993 New Delhi MINISTRY OF HEALTH AND FAMILY WELFARE (BUREAU OF PLANNING) GOVERNMENT OF INDIA CENTRAL COUNCIL OF HEALTH AND FAMILY WELFARE THIRD CONFERENCE OF CENTRAL COUNCIL OF HEALTH AND FAMILY WELFARE (RESOLUTIONS) JULY 14-16, 1993 NEW DELHI MINISTRY OF HEALTH AND FAMILY WELFARE (BUREAU OF PLANNING) GOVERNMENT OF INDIA CENTRAL COUNCIL OF HEALTH AND FAMILY WELFARE AGENDA S. No Part l INAUGURAL SESSION Page No. Inaugural Address By Shri B.Shankaranand, Union Minister Of I Health And Family Welfare. 3-4 Address Of Professor J.S.Bajaj, Member, Planning II Commission. 4 - 8 Inaugural Address By Shri B.Shankaranand, Union Minister Of III Health And Family Welfare. 9-13 Vote Of Thanks Of Dr.A.K.Mukherjee.Director General Of IV Health Services 14 - 15 Introduction Of The Resolutions Relating To The Part-II Departments Of Family Welfare And Health. 17-22 Part III Resolutions Results Of 1991 Census, Selected Indicators And State Performance, National Health Policy-Goals And I Achievements. 23 New Initiatives For Strengthening I.E.C. For Securing Mass II A Support For Family Planning. 24 Involvements Of Non-Governmental Organizations And Voluntary Organizations For Promotion Of Family Planning II-B And Family Welfare. 25 - 26 Implementation Of Social Safety Net Programme in 90 Poor III 27 Performing Districts. IV 28 - 29 Child Survival And Safe Motherhood Programme V 30-31 Health Financing Issues And Medical Education Policy VI 32 – 33 National Aids Control Programme. VII 34 – 35 Indian Systems Of Medicine And Homoeopathy. VIII 36 National Malaria Eradication Programme. IX 37 National T.B.Control Programme. X 38 – 39 National Leprosy Eradication Programme. XI 40 -41 National Programme For Control Of Blindness. XII 42 – 43 National Cancer Control Programme. XIII 44 – 45 National Iodine Deficiency Disorders Control Programme. XIV 46 Prevention Of Food Adulteration Programme. ADDRESS OF SHRI PABAN SINGH GHATOWAR, DEPUTY MINISTER OF HEALTH AND FAMILY WELFARE Hon'ble Ministers of Health, Members of the Central Council, Secretaries of the Department of Health and Family Welfare, Secretaries from the States, Director General of Health Services, Other distinguished participants and friends. I am indeed happy to welcome you all to this meeting of the Central Council of Health & Family Welfare which is taking place after a gap of over four years. In the intervening period, the health sector has seen several changes. We have been able to make significant progress in many areas but the emergence of diseases like AIDS have changed the focus of attention also. There has been significant fertility decline and the total fertility rate having come down from 5.97 per woman in 1961 to 3.8 in 1990. While the Infant Mortality Rates are showing a marked decline, the increasing population in our Country continues to be a matter of serious concern. During the last decade the annual exponential growth rate has come down very marginally from 2.22 to 2.14. This requires us to launch a concerted and a frontal attack on the population problem with the total involvement of the people so that the goal of NRR is not allowed to recede further beyond 2016. It is encouraging to note that in some States we are making a break through. Kerala, Tamil Nadu and Goa have achieved outstanding success in bringing down the important demographic indicators like the Crude Birth Rate. This success should encourage us to tackle the problem of containing the population growth in States where the demographic indicators are unacceptably high. 90 districts in the Country have been identified where the demographic indicators are unacceptably high. 83 of these 90 fall in the four states of Uttar Pradesh, Bihar, and Rajasthan & Madhya Pradesh. Schemes under the Social Safety Net Scheme with the intention of strengthening the rural health infrastructure in these districts have been formulated. It is imperative that the States where these districts are located make special efforts to implement these schemes which have been designed to bring down the maternal and infant mortality rates, alongside the crude birth rate. Under the Family Welfare Programme another significant policy initiated during the last year has been the launching of the Child Survival & Safe Motherhood Programme in the Country. This programme takes off from the Universal Immunization Programme which has been in operation for the last 5-6 years. Recent reforms have shown that UIP programme has been a marked success and the IMR has come down considerably during the last few years. The national goal of reaching IMR as 60 per thousand by the turn of the century is very achievable and with your cooperation there is no reason why we cannot achieve the target much before the turn of the century. The programme would be actively taking steps to bring down maternal mortality under the safe motherhood component. This is very important initiative of the Government. I call on all of you to ensure that these schemes that strongly influence demographic change are effectively implemented. Sustained efforts on promoting spacing methods among younger couples have to be intensified. Spacing is not only a tool to help limit family size, but more importantly, an effective health measure to ensure the well being of the mother and child. Therefore, a very special focus needs to be given to propagating spacing. In this direction special efforts for ensuring regular supply of contraceptives have beer, initialed and intensification of IEC activities to spread the message of spacing has also been taken up. The necessity of having a reasonably high level quality of the delivery system is a pre-requisite if the demand generated by the Programme in the rural areas has to be met fully. Various schemes and proposals are under implementation which would involve strengthening of the Rural Health Infrastructure, providing essential equipment and supplies and also ensuring that medical and Para medical personnel are trained adequately. It is important that we realize that Government alone cannot achieve the goal of population stabilization, as fertility behaviors is not a function of supplies. Social factors such as Woman's social status, literacy level etc. is found to have a strong bearing on the adoption of the small family norm. It must, therefore, be our Endeavour to secure greater participation of the community, voluntary and non-government organizations to share the responsibility of facing this challenge. Likewise it is most important that Members of Parliament and Legislative Assemblies take keen interest in this programme and actively associate themselves so as to ensure achieving the family welfare programme goals within the given time frame. For making the Family Welfare and population stabilization programme a people's movement, we have now a rare opportunity in the 73rd amendment of the Constitution. The Panchayat Raj Bill provides for electoral bodies of people's representatives at the District and village level, 30% of the panchayat members will be women. We need to ensure their involvement to see (hat the programmes designed for the benefit of the people are made full use of. It would be appropriate if we could come up with a set of comprehensive recommendation to further the programme without diluting its focus and emphasis. Delegation of responsibility to implement and monitor will also need to be carefully deliberated upon. These issues will soon become important in the coming days. While considerable efforts are being channelized to improve all round health care, we are conscious that sometimes there is a gap between what we plan and the situation as it emerges on the ground. The fact that so many posts of doctors are vacant in the Primary Health Centres is a cause of worry. So also the fact that our health education messages do not appear to reach the population.Numerous illness episodes could be averted if we could raise the awareness among the people. The school Health system is perhaps a channel which could be used highly effectively not only to promote the health of the school children but also to make them messengers of health education ideas, particularly in rural and slum areas. In the health sector, I think it is time we modernize the assimilation of data and improve the efficiency of disseminating it. With the help of the World Health Organization, we are trying to introduce a simple but efficient Health Management Information System in 10 States and Union territories. The second phase will depend on the successful off-take of the first phase. I hope the Health Ministers will take interest in this important area. I feel we ought to also consider the need for augmenting the paramedical manpower. There is a dearth of qualified optometrists, dental hygienists, radiographers, laboratory technicians. Without this back-up, it is questionable how the infrastructure we have built up can function. I expect the Council will consider this and the State Health Minister will see that at least through the vocational stream, we build up a cadre of qualified technicians and Para-medicals. We are now meeting for the next three days to discuss various aspects of the Health & Family Welfare Department. The intention is to discuss together and seek your counsel and active cooperation in achieving the tasks that we have set forth for ourselves. I am sure that the deliberations will be fruitful and valuable suggestions will emerge. I once again, welcome you all. ADDRESS BY PROF. J.S. BAJAJ, MEMBER (HEALTH) PLANNING COMMISSION Hon'ble Minister of Health and Family Welfare, Government of India, Hon'ble Chief Ministers and state Health Ministers, Dy. Minister, Health and Family Welfare, Union Secretaries for Health and Family Welfare, non-official members of the Central Council, Director General of Health Services, and distinguished colleagues; Let me, at the outset; thank the Chairman of the Council, Shri Shankaranandji for asking me to make a few observations at this inaugural session.
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