- NATIONAL RURAL HEALTH MISSION –
THE VISION
• 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.
• The Mission is an articulation of the commitment of the Government to raise public spending on Health from 0.9% of GDP to 2-3% of GDP - GOALS
· Reduction in Infant Mortality Rate (IMR) and Maternal MortalityRatio (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 - STRATEGIES
(a) Core Strategies:
• Train and enhance capacity of Panchayati Raj Institutions (PRIs) to own,control and manage public health services.
• 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 for improved curative care to a normative standard (Indian Public Health Standards defining personnel, equipment and management standards).
• 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 for deployment and career development of Human Resources for health.
• 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
Superintendent, ICH.