Health

• • The National Rural Health Mission (2005-12) seeks to provide effective healthcare to rural population throughout the country with special focus on 18 states, which have weak public health indicators and/or weak infrastructure. These 18 States are Arunachal Pradesh, Assam, Bihar, Chhattisgarh, Himachal Pradesh, Jharkhand, Jammu & Kashmir, Manipur, Mizoram, Meghalaya, Madhya Pradesh, Nagaland, Orissa, Rajasthan, Sikkim, Tripura, Uttaranchal and Uttar Pradesh.
  • As per specific proposal of a district, duly recommended by the State. Urban areas, within a district or metropolitan cities may be treated as a separate unit for planning as required.
  • It aims to undertake architectural correction of the health system to enable it to effectively handle increased allocations as promised under the National Common Minimum Programme and promote policies that strengthen public health management and service delivery in the country.
  • It has as its key components provision of a female health activist in each village; a village health plan prepared through a local team headed by the Health & Sanitation Committee of the Panchayat; strengthening of the rural hospital for effective curative care and made measurable and accountable to the community through Indian Public Health Standards (IPHS); and integration of vertical Health & Family Welfare Programmes and Funds for optimal utilization of funds and infrastructure and strengthening delivery of primary healthcare.
  • It seeks to revitalize local health traditions and mainstream AYUSH into the public health system.
  • It aims at effective integration of health concerns with determinants of health like sanitation & hygiene, nutrition, and safe drinking water through a District Plan for Health.
  • It seeks decentralization of programmes for district management of health.
  • It seeks to address the inter-State and inter-district disparities, especially among the 18 high focus States, including unmet needs for public health infrastructure.
  • It shall define time-bound goals and report publicly on their progress.
  • It seeks to improve access of rural people, especially poor women and children, to equitable, affordable, accountable and effective primary healthcare.

GOALS OF NRHM

• • Reduction in Infant Mortality Rate (IMR) and Maternal Mortality Ratio (MMR)
  • Universal access to public health services such as Women�s health, child health, water, sanitation & hygiene, immunization, and Nutrition.
  • Prevention and control of communicable and non-communicable diseases, including locally endemic diseases
  • Access to integrated comprehensive primary healthcare
  • Population stabilization, gender and demographic balance.
  • Revitalize local health traditions and mainstream AYUSH
  • Promotion of healthy life styles

COMPONENTS

• • Accredited Social Health Activists
  • Strengthening Sub-centres
  • Strengthening Primary Health Centres
  • Strengthening CHCs for First Referral Care
  • District Health Plan
  • Convergence of Sanitation and Hygiene under NRHM
  • Strengthening Disease Control Program
  • Public Private Partnership for Public Health Goals, Regulation of Private Sector
  • New Health Financing Mechanism
  • Reorienting Health/Medical Education to Support Rural Health Issues

Major Service providers/ Stakeholders

• • ASHA
  • ANM
  • PRIs and NGOs
  • District Administration
  • State Government

Other schemes under NRHM

• Mukhya Mantri Janani Suraksha Yojana
• Mukhya Mantri Janani Shishu Suraksha Yojana
• Family Planning
• Immunization Programme

National Tobacco Control Program Cigratte and other Tobacco Product act 2003