• 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
  • improving access,
  • enabling community ownership
  • strengthening public health systems for efficient service delivery
  • Enhancing equity and accountability
  • Promoting decentralization
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 and Tripura.
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 Mission.
Strengthening Sub-centres
  • 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 Sub-centres.
  • Postings of Additional ANMs wherever needed
Strengthening PHCs
  • 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.
Strengthen CHCs
  • 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.
Decentralized Planning
  • “District Health Mission” at the District level and the “State Health Mission” at the state level
  • 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
  • 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 structure
  • 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