National Rural Health Mission was launched by our Hon’ble Prime Minister
launched in 12 th April, 2005 with an objective to provide effective health
care to the rural population, the disadvantaged groups including women
and children by
enabling community ownership
strengthening public health systems for efficient service delivery
Enhancing equity and accountability
Strengthening Public Health Systems
The NRHM covers the entire country, with special focus on 18 states where
the challenge of strengthening poor public health systems and thereby
improve key health indicators is the greatest.
These are Uttar Pradesh, Uttaranchal, Madhya Pradesh, Chhattisgarh,
Bihar, Jharkhand, Orissa, Rajasthan, Himachal Pradesh, Jammu and Kashmir,
Assam, Arunachal Pradesh, Manipur, Meghalaya, Nagaland, Mizoram, Sikkim
Expected Outcomes: 2005 – 2012
Universal Health care, well functioning health care delivery system.
IMR to be reduced to 30/1000 live births by 2012
MMR to be reduced to 100/100,000 live births by 2012
TFR to be reduced to 2.1 by 2012
Malaria Mortality Reduction Rate – 60% upto 2012
Kala Azar to be eliminated by 2010, Filaria reduced by 80 % by 2010
Dengue Mortality reduced by 50% by 2012
RNTCP-2 – maintain 85% cure rate
Responsive & Functional Health System
Innovation in Human Resource Management
Promote access to improved healthcare at household level through the
Accredited Social Health Activist (ASHA).
ASHA would act as a bridge between the ANM and the village and be
accountable to the Panchayat.
ASHA would facilitate in the implementation of the Village Health Plan along with
Anganwadi worker, ANM, functionaries of other Departments, and Self Help Group
members, under the leadership of the Village Health Committee of the Panchayat.
Strengthening Public Health Delivery in India
New concept of Indian Public Health Standards introduced
Indian Public Health Standards (IPHS) are set of standards envisaged to improve
the quality of health care delivery in the country under the National Rural Health
Each sub-centre will have an Untied Fund for local action @ Rs. 10,000 per annum.
Maintaining Logistics: Supply of essential drugs, both allopathic and AYUSH, to the
Postings of Additional ANMs wherever needed
Infrastructure Strengthening as per IPHS guidelines
Adequate and regular supply of essential quality drugs and equipment (including
Supply of Auto Disabled Syringes for immunization) to PHCs
Provision of 24 hour service in 50% PHCs by addressing shortage of doctors,
especially in high focus States, through mainstreaming AYUSH manpower.
Infrastructure strengthening by implementation of IPHS standards
Promotion of Stakeholder Committees (Rogi Kalyan Samitis) for hospital management.
Developing standards of services and costs in hospital care.
“District Health Mission” at the District level and the “State Health Mission” at the
District Health Plan would be a reflection of synergy between Village Health Plans,
State and National priorities for Health, Water Supply, Sanitation and Nutrition.
Involvement of PRIs in planning process
NRHM and PRI
The NRHM envisages a major shift in the governance of public health by giving a leadership role to the Panchayati Raj Institutions in all matters relating to
health at the district and sub-district levels
Program Management Support Systems
Program management systems should be an integral part of administrative
Programme Management Units (PMU) for improved monitoring and support have been
incorporated in NRHM
Strengthening Disease Control Mechanisms
National Disease Control Programmes have been redefined and updated
New Initiatives launched for control of Non Communicable Diseases.
Disease surveillance system have been decentralized with the launch of IDSP