National Rural Health Mission
INTRODUCTION:
- To provide accessible, affordable and quality health care to the rural population, especially the vulnerable groups.
GOALS:
- Reduction in IMR and MMR by 50% from existing levels in 7 years
- Universal access to public health services such as women’s health, child 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 health care.
- Population stabilization, gender and demographic balance.
- Revitalize local health traditions and mainstream AYUSH.
- Promotion of healthy life styles
CORE STRATAGIES:
- Train and enhance capacity of Panchayati Raj Institutions (PRIs) to own, control and manage public health services.
- Janani Suraksha Yojana (JSY) is a safe motherhood intervention under the National Rural Health Mission (NRHM) being implemented with the objective of reducing maternal and neo-natal mortality by promoting institutional delivery among the poor pregnant women.
- Promote access to improved healthcare at household level through the .female health activist (ASHA).
- Health Plan for each village through Village Health Committee of the Panchayat.
- Strengthening sub-centre through an untied fund to enable local planning and action and more Multi Purpose Workers (MPWs).
- Strengthening existing PHCs and CHCs, and provision of 30-50 bedded CHC per lakh population
- Preparation and Implementation of an inter-sectoral District Health Plan prepared by the District Health Mission, including drinking water, sanitation & hygiene and nutrition.
- Integrating vertical Health and Family Welfare programmes at National, State, Block, and District levels.
- Technical Support to National, State and District Health Missions, for Public Health Management.
- Strengthening capacities for data collection, assessment and review for evidence based planning, monitoring and supervision.
- Formulation of transparent policies.
- Developing capacities for preventive health care at all levels for promoting healthy life styles, reduction in consumption of tobacco and alcohol etc.
- Promoting non-profit sector particularly in under served areas.
PLAN OF ACTION:
- Accredited Social Health Activists (ASHA)-Recruitment & training
- Formulation of state and district health programme
- Promotion of Rogi Kalyan Samiti
- Strengthening Sub Centers
- Strengthening Primary Health Centers
- Strengthening CHCs for First Referral Care
- Mainstreaming AYUSH – revitalizing local health traditions.
- District Health Plan
- Converging Sanitation and Hygiene under NRHM
- Strengthening Disease Control Programs
- PPP for public health goals
- New Health Financing Mechanisms
- Reorienting Health/Medical Education to support Rural Health Issues
- Strengthening of JSY (Janani Suraksha Yojna)
STRUCTURE:
National Rural Health Mission
↓
State Health Mission
↓
District Health Mission → Rogi Kalyan Samitis
↓
Panchayat Village Health Committees
Mainstreaming the Indian system of medicine
- NRHM aims at mainstreaming the Indian systems of medicine to facilitate health care
- Supply of generic drugs (both AYUSH & Allopathic) for common ailments at village. SC, PHC/CHC level.
- A key strategy of the Mission is: Operationalizing 4276 existing Community Health Centres (30-50 beds) as 24 Hour First Referral Units
- Including posting of anaesthetists.
- ‘Initial & periodic training of paramedics in the treatment of minor ailments at PHC
The revised PHS staff pattern at CHC :
- Staff nurse& Public health nurse (19+1) (Previously Nurse-midwife: 7+2).
- More specialist including Anesthetist, eye surgeon, dental surgeon, AYUSH specialist etc.
Integrated Management of Neonatal and Childhood Illness (IMNCI)
- Includes Diarrhea, Malaria „Valnutrition, ARI (Pneumonia, Otitis media), Measles.
Exam Important
- NRHM includes Strengthening of JSY , State & district health mission & Recruitment & training of ASHA
- National rural health mission is started by prime minister in 2005
- Janani Suraksha Yojana, under the National Rural Health Mission (NRHM) includes Institutional deliveries
- Reproductive and Child Health (RCH) Programme in India include Medical Termination of Pregnancy, Control of reproductive tract infections (RTI) and sexually transmitted diseases (STD) & Provide the basic maternity services to all pregnant women.
- Promotion of Rogi Kalyan Samiti, Recruitment of ASHA & & Formulation of state and district health programme are plans to strengthen the infrastructure of National Rural Health Mission (NRHM)
- IMNCI includes → Diarrhea, Malaria malnutrition, ARI (Pneumonia, Otitis media), Measles.
Don’t Forget to Solve all the previous Year Question asked on National Rural Health Mission And IMNCI
