2005-2012

Recognizing the importance of health in the proces of economic and social development and improving the quality of life of our citizens, the Government of India has launched the National Rural Health Mission to carry out necessary architectural correction in the basic health care delivery system. The program was launched on April 12, 2005 by the Prime Minister Dr. Mammohan Singh.

NRHM seeks to provide effective health care to rural poulation throughout the country wiyh special focus on 18 states, which have weak public health indicators or weak infrastructure. These 18 states of federal republic of india are following the suit by creating state level nissions underperson of respectve Chief Minister of the States.Geographically, Northern and Eastern States have more challenges on Human Development front.

DIRECTOR

Sri Chandra Mathur ,State Institute of Health and Family Welfare,Rajasthan

He is a public health specialist working for developing human resources for health .His current assignment involves him consistently in organizing in-service trainings for health professionals.

PREAMBLE

• Provision of a Health activist in each village –ASHA(Accredited Social Health Activist)

• Village Health plan prepared through panchayat implentation.

• Stregthening of Rural Hospital on IPHS.

• Integrating of Vertical Health and Family welfare.

GOALS

• Reduction of Infant Mortality Rate (IMR) and Maternal Mortality Rate (MMR) BY 50% from existing levels in next 7 years.

• Universal access to public health services such as women’s health, child’s health, water, sanitation and 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.

GUIDING PRINCIPLES

• Promote Equity

• Enhance People orientation and community based approaches

• Ensure Public Health focus

• Recognize value of traditional knowledge base of commumication

• Decentralize and involve local bodies

STRATEGIES

I CORE STRATEGIES

• Promote acess to improved healthcare at household level through the female health activists (ASHA)

• Train and enhance capacity of Panchayati Raj Institutions (PRIs) to own, control and manage public health services.

• Health Plan for each village through Village Health Committee of the panchayat .

• Stregthening sub-center through an united fund to enable local planning and action and more Multipurpose Workers(MPWs).

• Preparation and Implementation of an inter-sectoral District Health Plan prepared by the District Health Mission, including drinking water, sanitation & hygiene and nutrition.

• Stregthening existing PHCs and CHCs, and provision of 30-50 bedded CHC per lakh population for improved curative care to a normative standard.

• Integrating vertical Health and Family Welfare programs at National, State, Block, and District levels.

• Technical Support to National, State and District Health Missions, for Public Health Management.

• Stregthening capacities for data collection, assessment and review for evidence based planning, monitoring and supervision.

• Formulation of transparent policies for deployment and carer development of Human Resources for health.

• Developing capacities for preventive healthcare at all levels for promoting healthy lifestyles, reduction in consumption of tobacco and alcohol, etc

• Promoting non-profit sector particularly in under-reserved areas.

II SUPPLEMNTARY STRATEGIES

• Regulation of Private Sector including the informal rural practitioners to ensure availability of quality srvice to citizenz 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 Medial 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.

Category: PSM Notes