National Rural Health Mission
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Transcript of National Rural Health Mission
STATE OF PUBLIC HEALTH IN INDIA BEFORE NRHM
Health gap at rural level
Multiple health crisis ( malnutrition, maternal and infant deaths, inadequate water supply etc..
Improve rural health delivery system
-accessible -affordable -accountable -equitable
Launched in 5th April 2oo5 for 7 years by GoI
Special focus on 18 states 8 NORTH EASTERN STATES (ASSAM, AP,
MANIPUR, MEGHALAYA, MIZORAM, NAGALAND, SIKKIM, TRIPURA)
8 EMPOWERED ACTION GROUP STATES ( BIHAR, JHARKHAND, MP,
CHATTISGARH,UP, UTTARANCHAL, ORISSA, RAJASTAN)
HP & JK
Child & maternal mortality rate Universal access to public health
services for food ,nutrition, sanitation and public health services addressing maternal and child health.
Prevention and control of CD’s and NCD’s
Access to primary health care Mainstreaming of AYUSH Promotion of healthy life style
Decentralisation of village and district level health planning and management
Appointing ASHA for facilitating the access to health services
Strengthen public health delivery services at primary and secondary level
Mainstreaming AYUSH Improve management capacity to
organise health systems and services Improve intersectorial coordination
Private partnership to meet national public health goals-’public pvt. Partnership’ (ppp)
Social insurance to raise the health security of poor
AT NATIONAL LEVEL IMR : Reduce to 30/1000 MMR : Reduce to 100/100,000 TFR : Reduce to 2.1 MALARIA MORTALITY RATE REDUCTION: 50% by 2010 , addtl 10% by 2012 FILARIA RATE REDUCTION : 70%(2010), 80%(2012), elimn by 2015 DENGUE MORTALITY RATE REDUCTION: 50%(2010) KALA AZAR MORTALITY RATE REDUCTION: 100%(2010) JE MORTALITY RATE REDUCTION: 50%(2010) CATARACT OPERATION: increase to 46 lakhs/year 2012
LEPROSY PREVALENCE RATE : reduce from 1.8/10,000 in 2005 to less than 1/10,000
TB DOTS SERVICES : 85% Cure rate Upgrading CHC to Indian Public
Health Standards Increase utilisation of FIRST REFERRAL
UNITS from <20% to 75% Engaging 250,000 female ASHA in 10
states
PHC/CHC should provide good hospital care. Generic drugs at subcentre level Access to UIP Facilities for institutional deliveries Trained community level worker at village
level Health day at ANGANWADI -immunisation - antenatal/postnatal check ups Provision of house hold toilets Improved outreach services through MOBILE
MEDICAL UNIT at district level Community health insurance
1)CREATION OF ASHA (ACCREDITED SOCIAL HEALTH ACTIVIST)
-health activist in the community -1ASHA= 1000 population -not a paid employee -create awareness about health & its
determinants -mobilise community to health care services - counsel women and escort them to
PHC/CHC & providing medical care for minor ailments
2) STRENGTHENING OF SUB CENTRES Supply of essential medicines Provision of MPW / additional ANM Provision of funds3) STRENGTHENING OF PHC 24 hr service in at least 50% of PHC incl.
AYUSH practitioner Upgradation for 24hr referral service Adequate and regular supply of essential
drug Strengthening CD control programme
4) STRENGTHENING OF CHC’S
3222 CHCs should function as first referral unit
Maintain ‘INDIAN PUBLIC HEALTH STANDARDS‘
Promotion of ‘ROGI KALYAN SAMITIS’
AT NATIONAL LEVEL: MISSION STEERING GROUP ,
-chairman is union minister of health and family welfare
AT STATE LEVEL : STATE HEALTH MISSION - led by CM
AT DISTRICT LEVEL : DISTRICT HEALTH MISSION
- Led by chairman of ZILA PARISHAD
Core unit in planning, budgeting and implementation of the programme.
FUNCTIONS Selection and training of ASHA Organising health camps at
ANGANWADI Mainstreaming AYUSH Upgrading CHCs to IPHS Outreach services through mobile
medical units
Baseline survey at district level & household level
Community monitoring at village level Eventual monitoring of the outcomes is
done by planning commission of India