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National Rural Health Mission (NRHM)

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NRHM Official logo
NRHM Official logo

NRHM was inaugurated on April 12, 2005.

Aim of NRHM

  • To provide accessible, affordable, accountable, effective and reliable primary health care and bridging the gap in rural health care through creation of ASHA (ACCREDITED SOCIAL HEALTH ACTIVIST).

Scope of NRHM

  • They are: Arunachal Pradesh, Assam, Bihar, Chhattisgarh, Himachal Pradesh, Jharkhand, J&K, Manipur, Mizoram, Meghalaya, MP, Nagaland, Orissa, Rajasthan, Sikkim, Tripura, Uttaranchal, UP.

Goals of NRHM

  • Raising public spending on health from 0.9% of GDP to 2-3% of GDP.
  • Reduction in Infant Mortality Rate (IMR) and Maternal Mortality Ratio (MMR).
  • Female health activist (ASHA) in each village, chosen by and accountable to Panchayat will have 23 days of training (on the job) spread over 12 month.
  • Revitalize local health traditions and mainstream AYUSH (Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homoeopathy).
  • ASHA will be given a drug kit containing generic AYUSH and allopathic formulations for common ailments.
  • ASHA will be an honorary volunteer, receiving performance based compensation for promoting universal immunization, referral and escort services, construction of house-hold toilets.
  • 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.
  • Promotion of healthy life styles.

Action points under NRHM

  • Provision of health activist in each village, ASHA.
  • Village health plan prepared through panchayat involvement
  • Strengthening of rural hospitals.
  • Integration of vertical health programs (leprosy, TB, malarial programs, etc.) and traditional medicine.
  • Integration of plans at different levels.
  • New health financing mechanisms .

Core Strategies to be implemented for NRHM

  • Train and enhance capacity of Panchayati Raj institutions to own, control and manage public health services.
  • Promote access to improved health care at household level through the female health activist.
  • Health plan for each village through village health committee of the panchayat.
  • Strengthening sub center through an united fund to enable local planning and action and more MPW’s.
  • Strengthening existing PHC’s and CHC’c.
  • Preparation and implementation of an intersect district health plan prepared by the district health mission.
  • Strengthening capacities for data collection, assessment and review for evidence based planning, monitoring and supervision.
  • Developing capacities for preventive health care at all levels by promoting healthy life styles, reduction in tobacco consumption, alcohol etc.

Outcomes of NRHM

  • Infant Mortality Rate (IMR) reduced to 30/1000.
  • Maternal Mortality Ratio (MMR) reduced to 100/100000.
  • Malaria Mortality reduction rate reduced by 50% upto 2010.
  • Kala-Azar mortality reduction rate 100% by 2010.
  • Cataract operation: will increase to 46 lacs per year by 2012.
  • Tuberculosis DOTS Services: Maintains 85% cure rate.
  • 8.5 lacs ASHA workers, one for each 2000 population.
  • Total Fertility Rate reduced to 2.1.
  • Improved facilities for institutional delivery through provision of transport, escort etc. under Janani Suraksha Yojna (JSY) for BPL families.
  • Provision of household toilets.

Quick Review of NRHM

  • NRHM was inaugurated on April 12, 2005.
  • Increase spending on health from 0.9% of GDP to 2-3% of GDP
  • Correct the deficiencies of the health system.
  • Focus on 18 states, northern and eastern states.
  • Goal is good decentralized healthcare, with the help of ASHA, chosen by and accountable to panchayat.


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