The National Rural Health Mission (NRHM) is a National effort at
ensuring effective healthcare through a range of interventions at
individual, household, community, and most critically at the health
system levels. Despite considerable gains in health status over the
past few decades in terms of increased life expectancy, reductions in
mortality and morbidity serious challenges still remain. These
challenges vary significantly from state to state and even within
states.
There has been a progressive decline in budgetary allocation for
public health in the country from 1.3% of GDP in 1990 to 0.9% in
1999. Rising inequities are another area of concern. Studies
demonstrate that curative services favour the rich over the poor. Only
one tenth of the population is covered by any form of health insurance
thereby exposing the large majority to the risk of indebtedness in the
event of a major illness in the family. Operational integration in
policy and programme between various vertical programmes within the
health sector, and between health and other related sectors such as
drinking water, sanitation, and nutrition has been limited, resulting
in a lack of holistic approaches to health. A number of States
particularly in North, East and North Eastern parts of the country
have stagnant health indicators and continue to grapple with
significant morbidity and mortality. The causes for this basically
lie in socio-economic factors, under performing health systems and
weak institutional framework.
The National Common Minimum Programmer spells out the commitment of
the Government to enhance Budgetary Outlays for Public Health and to
improve the capacity of the health system to absorb the increased
outlay so as to bring all round improvement in public health services.
This Mission seeks to provide effective health care to the rural
population, especially the disadvantaged groups including women and
children, by improving access, enabling community ownership and demand
for services, strengthening public health systems for efficient
service delivery, enhancing equity and accountability and promoting
decentralization.
Filaria/Microfilaria reduction rate: 70% by 2010, 80% by 2012 and
elimination by 2015
Dengue mortality reduction rate: 50% by 2010 and sustaining at that
level until 2012
Japanese Encephalitis mortality reduction rate: 50% by 2010 and
sustaining at that level until 2012
Cataract Operation: increasing to 46 lakhs per year until 2012.
Leprosy prevalence rate: to be brought to less than 1/10,000.
Tuberculosis DOTS services: from the current rate of 1.8/10,00, 85%
cure rate to be maintained through the entire Mission period.
2000 Community Health Centers to be upgraded to Indian Public Health
Standards
Utilization of First Referral Units to be increased from less than
20% to 75%
250,000 women to be engaged in 18 states as Accredited Social Health
Activists (ASHA).
2.
Community Level
Availability of trained community level worker at village
level, with a drug kit for generic ailments
Health Day at Anganwadi level on a fixed day/month for provision of
immunization, ante/post natal checkups and services related to
mother & child healthcare, including nutrition
Availability of generic drugs for common ailments at Sub-centre
and hospital level
Good hospital care through assured availability of doctors,
drugs and quality services at PHC/CHC level
Improved access to Universal Immunization through induction of
Auto Disabled Syringes, alternate vaccine delivery and improved
mobilization services under the programme
Improved facilities for institutional delivery through
provision of referral, transport, escort and improved hospital care
subsidized under the Janani Suraksha Yojana (JSY) for the Below
Poverty Line families
Availability of assured healthcare at reduced financial risk
through pilots of Community Health Insurance under the Mission
Provision of household toilets
Improved Outreach services through mobile medical unit at
district-level
Contents Provided & Maintained by
Department of Heath & Family Welfare, Govt. of Arunachal Pradesh.
Site Hoisted By
National Informatics Centre, Arunachal Pradesh State Unit
Site Designed & Developed by
Bimal Borah
Last Updated :24.09.2007
