Examine the partnership among local authorities and special purpose agencies in the health sector.

The large investments in health will be needed even to maintain the current health status, because the technology required for tackling resistance infections and non-communicable diseases are expansive and this will inevitably lead to escalating health care costs.

Current Problems

•Persistent gaps in manpower and infrastructure in government sector, especially at the primary health care level, in remote rural, tribal and urban slum areas where health care needs are greatest,

•Sub-optimal functioning of the infrastructure; poor referral services,

•Plethora of hospitals in government, voluntary and private sector not having appropriate manpower, diagnostic and therapeutic services and drugs,

•Technological advances which widen the spectrum of possible interventions

•Increasing awareness and expectations of the population regarding health care services, and

•Escalating costs of health care, ever widening gaps between what is possible and what the individual or the country can afford. Faced with the problems of sub-optimally functioning health care system and providing adequate investment for improving health, the Ninth Plan emphasised the need for:

•Reviewing the changing the health scenario and assessing the response of the public, voluntary and private sector health care providers as well as the population themselves to the changing situation,

•Reorganising health systems so that they become efficient and effective,

•Introducing health system reforms which ensure access to public health programmes free of cost to all and enable the population to obtain essential health care at affordable cost.

National Health Policy 2002

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