NATIONAL RURAL HEALTH MISSION INDIA
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The National Rural Health Mission (NRHM) was launched in India in 2005 to improve healthcare in rural areas. It aims to provide accessible, affordable, and reliable primary healthcare through programs like creating Accredited Social Health Activists (ASHAs) at the village level. The NRHM seeks to strengthen infrastructure by upgrading primary health centers, community health centers, and improving staffing and resources at sub-centers. It also aims to reduce mortality rates and achieve other health goals by integrating vertical health programs at the district level. The mission is monitored through community involvement and quality assurance committees.
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NATIONAL RURAL HEALTH MISSION INDIA
- 2. LESSON OBJECTIVE • At the end of the class the learner should be able to: 1. Explain in detail the National Rural Health Mission 2. Explain It’s focus and implementation strategies
- 3. NATIONAL RURAL HEALTH MISSION (NRHM) 2OO5 • The (NRHM) is an initiative undertaken by the government of India to address the health needs of underserved rural areas. Founded in April 2005 by Indian Prime Minister Manmohan Singh. ( For a period of 7 yrs – 2005-2012).
- 4. • The NRHM was initially tasked with addressing the health needs of 18 states that had been identified • The thrust of the mission is on establishing a fully functional, community owned, decentralized health delivery system with inter-sectoral convergence at all levels,
- 5. • to ensure simultaneous action on a wide range of determinants of health such as water, sanitation, education, nutrition, social and gender equality • May 2013, has approved the launch of National Urban Health Mission (NUHM) as a sub-mission of an overarching National Health Mission (NHM), with National Rural Health Mission (NRHM) being the other sub- mission of the National Health Mission.
- 6. MISSION • Seeks to improve rural health care delivery system with a special focus on 18 states.(EMPOWERED ACTION GROUP STATES) • To integrate multiple vertical programmes along with their funds at district level.
- 7. EMPOWERED ACTION GROUP STATES BIHAR JHARKHAND JAMMU & KASHMIR MP CHATTISGARH HP UTTARANCHAL ODISHA SIKKIM RAJASTHAN ASSAM MIZORAM ARUNACHAL PRADESH MEGHALAYA MANIPUR MEGHALAYA NAGALAND TRIPURA
- 8. AIM • PROVIDE: 1.Accessibl, affordable, accountable, effective & reliable primary health care & bridging the gap in rural health care through creation of a cadre of ACCREDITED SOCIAL HEALTH ACTIVIST (ASHA)
- 9. PLAN OF ACTION STRENGHTHEN INFRASTRUCTURE 1.Creation of a cadre of ASHA. 2.Strengthening of SC. 3.Strengthening of PHC. 4.Strengthening of CHC.
- 11. MISSION OF NHRM Is to integrate multiple vertical programmes along with their fund at district level The programmes include : RCH, Vector BorneDisease Control Prog and its components, TB, Blindness and Iodine Deficiency Disorder Control Programmes
- 12. PLAN OF ACTION TO STRNGTHEN INFRASTUCTURE • Creation of ASHA • Strengthening of Sub Center • Strengthening of PHC • Strengthening of CHC
- 13. CREATION OF ASHA • Aims at creating a separate cadre of Accredited Social Health Activist (ASHA)
- 14. STRNGTHENING OF SC : by • Supply of essential drugs • Provision of MPHW/ANMs • Strengthening of SC with untied funds of. Rs.10,000 per annum in 18 states
- 15. STRENGTHENING OF PHC by : • Qualitizing preventive, promotive, curative, supervisory and out reach services • Adequate and regular supply of essential drugs, equipments • Provision of 24 hrs service including AYUSH practitioner • Following standard treatment guidelines • Upgradation of PHC for 24 hrs & referral services and second doctor at PHC
- 16. STRENGTHENING OF CHC by: • Operating for 24 hrs as referal units • Codification of new Indian Public Health Standards • Serve as a nodal center for implementing all vertical health programmes (District Heealth Mission) • Provision of Mobile Medical Unit
- 17. GOALS TO BE ACHIEVED • Reduce IMR to 30/1000 LB • Reduce MMR to100/10,000 • Reduce TFR to 2.1 • Malaria Mortality Rate reduction by 50% by 2010
- 18. • Cont… • Kala Azar mortality Rate Reduction - 100% by 2010 • Japanese B Encep mortality rate reduction 50% by 2010 • Increase Cataract Operation to 46 lakhs/year • Reduce Leprosy prevalence rate from 1.8/10,000 (2005) to less than 1/10,000 thereafter
- 19. • TB DOTS service : maintain 85 % cure rate • Upgrading Community Health Center to Indian Public Health Standards • Increase utilization of FRU from 25% to 75% • Engaga 2,50,000 ASHA s in 10 states
- 20. GOALS TO BE ACHIEVED AT COMMUNITY LEVEL • Availability of trained community level health worker at village level with a drug kit for minor ailments • Fixing a health day at Anganwaadi for provision of Immunization and Ante natal and Post natal services
- 21. • Availability of generic drugs foe common ailments at HSc & Hospital level • Good hospital care through the availability of doctors, drugs and quality services • Improved access to immunization services by provision of auto disabled syringes,alternate vaccine delivery and improved mobilization of services
- 22. • Improved facilities for institutionalized delivery through provision of, referal, transport, escort and improved hospital care subsidized under Janani Suraksha Yojana for BPL families • Availability of assured health care at reduced financial risk through pilots of community health insurance under the mission
- 23. MONITORING & EVALUATION NHRM • Aims at developing a base line survey to monitor decentralized monitorable goals • There would be community monitoring by Panchayat Raj Institutions, Rogi Kalyan Samiti, and Quality Assurance Committee at dist and state level and by district health missions
- 24. REFERENCES • 1.Park’s Textbook of Preventive & Social Medicine, Banarsidas Bhanot publishers,22 Ed • 2. Basawanthappa B.T, Community Health Nursing, Jayapee publications • 3. Neelam Kumari, Text book of Community Health Nursing, S. Vikas Publisher, First Edn • 4. Rao.B sridhar, Book of Community Health Nursing,AITBS publisher, New Delhi
- 25. THANK YOU