“The mission of this website to improve

the health status and the corelations including all the relation between the doctors and the general publics for their individual daily needs in terms of helth development and keep each other within the disease or sick less world  for the longer time as much as possiable through each ones iron determination to fight against the desese caused the severe suffering by the total human beings and by which the general death will day to day are appearing than their actual time. 
Department of Health and Family Welfare, Government of West Bengal

Document 1: The Health Sector Strategy.

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3. Policy Statement

In line with The Government of India’s tenth Five Year Plan, National Health

Policy and National Population Policy, DHFW has chosen to develop its strategic

plan in such a way as to optimise the likelihood of achieving the Millennium

Development Goals.

DHFW will:

· Ensure that the whole population has access to a range of evidencebased

and affordable health promotion and prevention services.2

· Promote appropriate health seeking behaviour by all citizens.2

· Ensure universal equity of access to simple curative and emergency

services.2

· Ensure that quality Primary Health Care remains pre-eminent as the

central strategic health priority for the State, and that this is reflected in the

budgets over the next ten years.3

· Ensure that the health systems necessary to provide such services, which

are accountable to clients and are cost effective, are developed and

strengthened in line with international best practice.2

· Actively engage in partnerships with Panchayati Raj Institutions, civil

society groups, NGOs, donor agencies, the private sector and other

development partners to assist in realising its Mission Statement.4

· Adopt a ten-year strategic planning horizon, with rolling shorter- term

implementation plans that will drive the Department’s budgeting process.3

· Ensure that all significant external funding is in line with the priorities and

direction of the Strategic Planning Framework.3

2 The Honourable Minister’s Budget Speech 2003.

3 DHFW Strategic Planning and Sector Reform Cell.

4 The Honourable Minister’s paper “On integration of functioning of PRIs with Health Systems and other

recent initiatives of The Government of West Bengal in the Health Sector”, 2003.

Department of Health and Family Welfare, Government of West Bengal

Document 1: The Health Sector Strategy.

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4. Current Health and Demographic Situation

Selected Health and Demographic indicators for India and West Bengal:

Indicator West Bengal All India

Life expectancy at birth (years) 62.8 61.1

Total Fertility Rate 2.4 3.2

Maternal Mortality Ratio (per 100,000 LB) 266 400

Current use of contraception 66.6% 48.2%

Female literacy rate (7+) 60.2% 54.2%

Neonatal Mortality Rate (per 1000 LB) 31.9 43.4

Infant Mortality Rate (per 1000 LB) 48.7 67.6

Child Mortality Rate (per 1000 1-5 yrs) 19.9 29.3

Weight for age – 2SD 48.7% 47.0%

Height for age – 2SD 41.5% 45.5%

Child Vaccinations: complete 43.8% 42.0%

Child Vaccinations: none 13.6% 14.4%

Percentage population SC&ST 29.19% 24.34%

Source: Census 2001, SRS and NFHS 2 1998-1999, Health on the March (West Bengal HMIS

data 2001-02)

Several of these State indicators (notably MMR, NMR, IMR, TFR and CPR) are

better than their national equivalents. DHFW has taken this into account in

setting itself more ambitious Health Outcome Goals than those included in the

Government of India National Health and Population Plans and the tenth Five

Year Plan in these areas. These are outlined below.

DHFW recognises that with a population of approximately 80 million people,

there is likely to be a wide variation in many health indicators across the State.

This is self-evident in the case of malaria, but recently has also been amply

demonstrated in neonatal mortality, which shows a striking variation from 32.6 to

69.9 per 1000 live births between Districts. DHFW is determined to strengthen

de-concentration and decentralisation in health planning and management as a

key development in ensuring improved targeting of services to the most needy

and so ensure improved equity of access.

DHFW also notes that West Bengal has one of the highest proportions of citizens

designated as belonging to Scheduled Castes, Scheduled Tribes and

contextually disadvantaged groups. Taken together these groups comprise

nearly half of the State’s population. It is important to note that identifying ways to

improve the health outcomes of such difficult to reach groups is both;

· a clear political priority for GoWB, and,

· a sound strategy for improving overall health outcome indicators.

Department of Health and Family Welfare, Government of West Bengal

Document 1: The Health Sector Strategy.

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DHFW accepts projections that suggest there will be an important shift in the

pattern of Burden of Disease in the coming ten to fifteen years away from

communicable diseases and causes of mother/child mortality towards noncommunicable

diseases. However, there is clearly a considerable burden of

communicable disease and mother/child mortality within the State which are

disproportionately highly prevalent within the poorest and most vulnerable

groups. For this reason DHFW will tackle the “unfinished business” of

communicable disease and mother/child mortality as its main strategic priority in

the short term. The development of the Strategic Planning Process itself will give

scope for discussion and consideration of future trends and predictions about

changing patterns of disease and how they should be best planned for.

5. Health Outcomes

DHFW’s Strategy is intrinsically linked to Health Outcome Goals. It is by these

Health Outcomes that the ultimate success of the Strategy will be measured.

Health Outcome Goals

Heath

Outcome

Indicators

Tenth Plan

2002-07

RCH II

2004-9

National

Population

Policy 2010

West Bengal

2010

Neonatal

mortality

26/1000 20/1000 15/1000*

Infant

Mortality

Rate

45/1000 35/1000 30/1000 21/1000*

Maternal

Mortality

Ratio

200/100,000 150/100,000 100/100,000 70/100,000*

Deliveries by

skilled

attendant

(not TBA)

100% 100%

Institutional

deliveries

80% 80%

HIV/AIDS** “achieve zero level

growth in HIV/AIDS”

“Contain the

spread of

HIV/AIDS”

“achieve zero

level growth

HIV/AIDS”

Total Fertility

Rate

2.3 2.2 2.1 2.1

Couple

Protection

rate

65% 65% Meet 100%

needs

90%*

% children

fully

immunised

100% 100%

* Where West Bengal’s performance is significantly better than the national average for these

indicators, they have been proportionately adjusted.

** The State’s HIV/AIDS Prevention and Control Action Plan is annex XX of the Health Strategy

Department of Health and Family Welfare, Government of West Bengal

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The process of realising the Health Outcome Goals will itself be monitored by the

identification of a linked set of key Process Outcome Goals. These have been

chosen to serve as milestones that set the pace of progress.

The process of realising the Health Outcome Goals will itself be monitored by the

identification of a linked set of key Policy Milestsines. These have been chosen

to serve as milestones that set the pace of progress.

West Bengal Policy Milestones

(INDICATIVE – POSSIBLE EXAMPLES FOR DISCUSSION ONLY)

Year

A strengthened and broadened Strategic Planning Process that will be the basis for

DHFW budget planning.

2004

DHFW produces operational and spending plans based on the Strategy 2004

DHFW develops a new budget system linked to the Strategy 2005

DHFW establishes and develops a functional Strategic Planning Framework website 2005

All significant external funding is utilised in line with Strategic Planning Framework

priorities.

2005

Human Resource Development restructuring undertaken at State Level. 2005

Asset and logistics management system designed and functioning 2005

A financial shift within the DHFW budget towards Primary Health Care. 2008

Human Resource Development restructuring undertaken throughout DHFW 2008

All significant external funding is pooled as Sector Wide funding 2012

6. Purpose of the Strategic Planning Framework

7. The Strategic Planning Process

Since 2000, DHFW has embarked on a process of improving the health systems

and services within the State. Key elements of the context in which DHFW took

this decision included:

The Purpose of the Strategic Planning Process is for DHFW to

develop its own plan to realise its Mission Statement by

prioritising and improving the effectiveness of its systems. The

approach to this process involves a wide range of stakeholders

(other Departments, Development partners, civil societies and

the population) so as to ensure that the plan will be acceptable,

practical and successfully implemented.

Department of Health and Family Welfare, Government of West Bengal

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