The state of Andhra Pradesh has committed itself to achieve the status of one of 3 best states in the country by 2022 and the best state by 2029, and a leading global investment destination by 2050. This means that emerging as a globally competitive state by sustaining human development and inclusive growth through better governance and building a knowledge economy. In order to realize its vision, the State has come out with strategy papers for 13 sectors. The paper on ‘Health and Nutrition’ details the health plan for the state till 2029 and outlines the strategies to achieve it. The State envisions building a healthy society by developing a sustainable ecosystem to universalize quality health and nutritional services that is accountable, effective, efficient, equitable and technologically appropriate.
In order to comprehensively monitor the progress and benchmark it against other countries the state has chosen two summary measures the Human Development Index (HDI) and the Healthy Adjusted Life Expectancy (HALE). The state is committed to achieve an HDI score of 0.9 and HALE of 64yrs by 2029.
Over the years the state’s performance in health sector has remained patchy. Where on one side the rate of institutional deliveries has crossed 90% but still the neonatal mortality rate remains high. The MMR of the state has fallen down from 134 in 2007-09 to 92 in 2011-13 but still 60% of the women are anaemic. Close to 32% of the children less than 5 years are underweight and suffers from stunting. The state has to solve many more such riddles to achieve the objectives of the vision 2029 for health. Other than that, AP is witnessing stagnation in its population, thereby seeing a changed demographic profile of growing number of adult and old age population in an urbanized environment. This potentially has triggered the emergence of non-communicable and life diseases.
Cognizant of the demand, the state has planned to focus holistically on adoption and provision of healthy productive life style that is people centric, irrespective of the ownership/ management mechanism for delivery of such services. The key strategies to realize the Vision 2029 for health and nutrition sector are to concentrate on Institutional strengthening of health and nutrition services, Sustainable development and policy reforms, Communitization of health and nutrition services, Human resources reform and career development, Quality assurance and M&E, and Creating an enabling environment for co-creation of clinical excellence through better partnerships.
The intervention areas identified by the state to materialize the vision strategies are 1) Food safety and nutritional security program to address nutritional insufficiency to improve maternal, infant and adolescent anemia to promote development of healthier genes 2) Ensuring availability of full complement of service providers at the existing hospitals and health centers in the public healthcare system 3) Public health reform and restructuring/refurbishing of the existing infrastructure to assure health and patient safety, linking itself to the commitment of National Health Assurance 4) Develop comprehensive Accident and Emergency care management program and infrastructure to cater to the potential disaster and manage emergency/ trauma care 5) Complete face lift of medical colleges and paramedical training institutes to integrate training and capacity building across state 6) Build Integrated Surveillance and Decision Support System (IHSDSS) that is plugged to the State Enterprise Architecture, to promote real time evidence based analysis on issues impacting health & thus promote building Knowledge Economy 7) Integrate health and wellness through home based care and point of care diagnostics to increase access and support timely referral.
The chapters in the sector paper will describe further as to how the state has arrived at the aforementioned strategies, what is the road map and monitoring matrix to evaluate progress on the growth and development strategy.