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National Rural Health Mission (NRHM)

The topic covers about National Rural Health Mission (NRHM) implementation and Progress.

About NRHM

The National Rural Health Mission (NRHM) was launched on 12th April 2005, to provide accessible, affordable and quality health care to the rural population, especially the vulnerable groups.

NRHM seeks to provide equitable, affordable and quality health care to the rural population, especially the vulnerable groups. Under the NRHM, the Empowered Action Group (EAG) States as well as North Eastern States, Jammu and Kashmir and Himachal Pradesh have been given special focus. The thrust of the mission is on establishing a fully functional, community owned, decentralized health delivery system with inter-sectoral convergence at all levels, to ensure simultaneous action on a wide range of determinants of health such as water, sanitation, education, nutrition, social and gender equality.

NRHM focuses on Reproductive, Maternal, Newborn, Child Health and Adolescent (RMNCH+A) Services. The emphasis here is on strategies for improving maternal and child health through a continuum of care and the life cycle approach. It recognises the inextricable linkages between adolescent health, family planning, maternal health and child survival. Moreover, the linking of community and facility-based care and strengthening referrals between various levels of health care system to create a continuous care pathway is also to be focussed.

Implementation Framework

The key features in order to achieve the goals of the Mission include making the public health delivery system fully functional and accountable to the community, human resources management, community involvement, decentralization, rigorous monitoring & evaluation against standards, convergence of health and related programmes form village level upwards, innovations and flexible financing and also interventions for improving the health indicators.

Institutional Setup

At the National level, the NHM has a Mission Steering Group (MSG) headed by the Union Minister for Health & Family Welfare and an Empowered Programme Committee (EPC) headed by the Union Secretary for Health & FW. The EPC will implement the Mission under the overall guidance of the MSG.

At the State level, the Mission would function under the overall guidance of the State Health Mission headed by the Chief Minister of the State. The functions under the Mission would be carried out through the State Health & Family Welfare Society.

Strategies

Core Strategies

  • Train and enhance capacity of Panchayat Raj Institutions (PRIs) to own, control and manage public health services.
  • Promote access to improved healthcare at household level through the female health activist (ASHA).
  • Health Plan for each village through Village Health Committee of the Panchayat.
  • Strengthening sub - centre through an untied fund to enable local planning and action and more Multi-Purpose Workers (MPWs).
  • Strengthening existing PHCs and CHCs, and provision of 30- 50 bedded
  • CHC per lakh population for improved curative care to a normative standard (Indian Public Health Standards defining personnel, equipment and management standards).
  • Preparation and Implementation of an inter - sectoral District Health Plan prepared by the District Health Mission, including drinking water, sanitation & hygiene and nutrition.
  • Integrating vertical Health and Family Welfare programmes at National, State, Block, and District levels.
  • Technical Support to National, State and District Health Missions, for Public Health Management.
  • Strengthening capacities for data collection, assessment and review for evidence based planning, monitoring and supervision.
  • Formulation of transparent policies for deployment and career development of Human Resources for health.
  • Developing capacities for preventive health care at all levels for promoting healthy life styles, reduction in consumption of tobacco and alcohol etc.
  • Promoting non-profit sector particularly in under-served areas.

Supplementary Strategies

  • Regulation of Private Sector including the informal rural practitioners to ensure availability of quality service to citizens at reasonable cost.
  • Promotion of Public Private Partnerships for achieving public health goals.
  • Mainstreaming AYUSH – revitalizing local health traditions.
  • Reorienting medical education to support rural health issues including regulation of Medical care and Medical Ethics.
  • Effective and viable risk pooling and social health insurance to provide health security to the poor by ensuring accessible, affordable, accountable and good quality hospital care.

Institutional Mechanisms

  • Village Health & Sanitation Samiti (at village level consisting of Panchayat Representative/s, ANM/MPW, Anganwadi worker, teacher, ASHA, community health volunteers
  • Rogi Kalyan Samiti (or equivalent) for community management of public hospitals
  • District Health Mission, under the leadership of Zila Parishad with District Health Head as Convener and all relevant departments, NGOs, private professionals etc represented on it
  • State Health Mission, Chaired by Chief Minister and co - chaired by Health Minister and with the State Health Secretary as Convener- representation of related departments, NGOs, private professionals etc
  • Integration of Departments of Health and Family Welfare, at National and State level
  • National Mission Steering Group chaired by Union Minister for Health & Family Welfare with Deputy Chairman Planning Commission, Ministers of Panchayat Raj, Rural Development and Human Resource Development and public health professionals as members, to provide policy support and guidance to the Mission
  • Empowered Programme Committee chaired by Secretary HFW, to be the Executive Body of the Mission
  • Standing Mentoring Group shall guide and oversee the implementation of ASHA initiative
  • Task Groups for Selected Tasks (time- bound)

Source : National Health Mission portal

Related resources

3.02973977695
Malini Nagar Aug 08, 2019 09:03 AM

Why don't we have Physiotherapist programs? It is very important to have a rehab centre that can help to not only treat but also prevent plenty of health issues?

Thanks in advance

Kind regards,
Malini
*******@gmail.com

पूनम Apr 05, 2019 04:45 PM

A pregnant woman can have labour pain at any time. She getting help from ASHA workers during the wee hours by calling them on phone is also not a viable option. There are chances of misuse of this option (calling ASHA on mobile for assistance) as wrong people may exploit this for wrong reasons. Hence a strategy is to be worked out for this.

Nandlal Bhojraj Feb 15, 2019 02:50 PM

LIke to add oral health for infants through the ASHA. Let me know if the scheme will like mjy contribution

Dr. M.S.Shelke Feb 12, 2019 12:59 PM

Respected Sir,

Interested to do research study at rural area on recent trend (MCTS) Would like to get information regarding research projects , can we send research proposal and the format for proposal submission.

Thanks

Thilakpancha Jan 09, 2019 08:26 AM

Dear Sir,

A Pleasant Day, I am Thilakpancha from Pattukkottai, tamilnadu, India. I have visited Government Urban Primary Healthcare, Pattukkottai, Patient welfare society, register number : 4/2011 belongs to national rural health mission. Really their treatment is good and nowadays huge crowd coming for treatment. For your kind information in Tuesday only they are giving special treatment for the pregnant women, due to huge pregnant women crowd and sick patients crowd it is bit difficult to regularise the crowd and giving treatment. I want to bring following things to your notice

1. From pregnant women house one member coming and occupy the seats and allowing pregnant ladies to sit nearly more than one and half hours many pregnant women are standing.

2. Chicken kuniya, viral fever & heavy fever people standing along with pregnant women and coughing, splitting and doing some unwanted things which may infect pregnant women.

What is the solutions we can make,

1. Instead of treating pregnant women in one day they can give special treatment for pregnant two days or more depending on the crowd. During special treatment Day alone two set of doctors & nurses can come and provide treatment. If the crowd goes beyond limit they can issue cards & treatment for pregnant women daily in evening last two working hours. Please give a correct solution for this Sir.

2. Give seperate token for pregnant women and allow only pregnant women to sit in the seats provided and tell the relatives to stand away from pregnant women. Allow seperate que for other treatment patients in order to avoid the spreding of cross infection. Some people bringing their kids and making the place as a toilet we have to avoid that also please take a necessary action for this as well sir.

Thank you very much for your valuable time and underatanding have a fantastic day ahead.

Sincerely,
Thilakpancha
*******@gmail.com

JOYLIN Feb 28, 2017 06:28 PM

Would like to know more about NRHM and NHM in these days

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