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
- SPECIAL FOCUS ON 18 STATES.
- 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.