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The Ministry of Health and Population has developed a 20-year Second Long-Term Health Plan 9SLTHP) for FY 2054-2073 (1997-2017). The aim of the SLTHP is to guide health sector development for the overall improvement of the health of the population; particularly those health needs are often not met.

The SLTHP addresses disparities in healthcare, taking into account gender sensitivity and equitable community access to quality health care services. The aims of the SLTHP are to provide a guiding framework to develop successive periodic and annual health plans that improve the health status of the population; to develop appropriate strategies, programmes, and action plans that reflect national health priorities that are affordable and consistent with available resources; and to ensure coordination among public, private and NGO sectors and development partners.

The SLTHP envisions a healthcare system with consideration of equity and access and quality services in both rural and urban areas. The system would encompass the principles of sustainability, and efficient management and public-private partnerships.


  • To improve the health status of the population of the most vulnerable groups, particularly those whose health needs often are not met – women and children, the rural population the poor, the underprivileged and the marginalized population;
  • To extend to all districts cost-effective public responsible health measures and essential curative services for the appropriate treatment of common diseases and injuries;
  • To provide technically competent and socially responsible health personnel in appropriate numbers for quality for quality healthcare throughout the country, particularly in under-several areas;
  • To improve the management and organization of the public health sector and to increase the efficiency and effectiveness of the healthcare system;
  • To develop appropriate roles for NGOs, and the public and private sectors in providing health services; and
  • To improve inter-and intra-sectoral co-ordination and to provide the necessary support for effective decentralization of health care services with full community participation.


  • To reduce the infant mortality rate to 34.4 per thousand live births;
  • To reduce the under-five mortality rate to 62.5. per thousand live births;
  • To reduce the total fertility rate to 3.05;
  • To increase life expectancy to 68.7 years
  • To reduce the crude birth rate to 26.6 per thousand population;
  • To reduce the crude death rate to 6 per thousand population;
  • To reduce the maternal mortality ratio to 250 per hundred thousand live births;
  • To increase the contraceptive prevalence rate to 58.2 percent;
  • To increase the percentage of deliveries attended by trained personnel to 95%;
  • To increase the percentage of pregnant women attending a minimum of four antenatal visits 80%;
  • To reduce the percentage of iron-deficiency anaemia among pregnant women to 15%;
  • To increase the percentage of women of child-bearing age (15-44) who receive tetanus toxoid (TT2) to 90%;
  • To decrease the percentage of newborns weighing less than 2500 grams to 12%;
  • To have essential healthcare services (EHCS) available to 90% of the population living within 30 minutes travel time to health facility;
  • To have essential drugs available round the year at 100% of facilities;
  • To equip 100% of facilities with full staff to deliver essential health care services; and
  • To increase total health expenditures to 10% of total government expenditures.

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