NATIONAL HEALTH MISSION

NATIONAL RURAL HEALTH MISSION

PRESENTATION BY
PARVAIZ ALAM
AAQIB FAROOQ
AHTISHAM IQBAL
UMMER ALI
CONTENTS
➢INTRODUCTION
➢NRHM
➢STATES FOCUSSED
➢OBJECTIVES
➢STRATEGIES
➢COMPONENTS
➢ASHA
➢CONCLUSION
 INTRODUCTION
➢ The National Health Mission is a flagship program initiated by the
Government of India, aimed at providing accessible, affordable and
quality healthcare to all citizens.
➢ It was launched in 2013 with a particular focus on rural and undeserved
areas.
➢ NHM encompasses two major components:
1. National Rural Health Mission (NRHM)
2. National Urban Health Mission (NUHM)
 NATIONAL RURAL HEALTH MISSION
(NRHM)
➢ The National Rural Health Mission is a key initiative launched by the
Government of India in 2005, aimed at providing accessible, affordable and
quality healthcare to the rural population, especially vulnerable groups.
➢ It was to introduced to address the significant health challenges faced by
rural communities in India.
➢ Recognizing that rural areas often experience inadequate healthcare
infrastructure, high rates of maternal and child mortality, and a lack of access
to essential health services, the NRHM was established with a vision to
strengthen the healthcare delivery system.
STATES FOCUSSED INITIALLY UNDER NRHM

Initially, the National Rural Health Mission focused on 18 states considered to

have weaker public health systems. The focus was on improving key health
indicators and strengthening public health services in these areas.

Arunachal Pradesh Assam Bihar

Chhattisgarh Himachal Pradesh Jharkhand
Jammu and Kashmir Manipur Mizoram
Meghalaya Madhya Pradesh Nagaland
Orissa Rajasthan Sikkim
Tripura Uttaranchal Uttar Pradesh
OBJECTIVES
1. Enhance Healthcare Access: NRHM aims to enhance
access to quality healthcare services for the rural
population, particularly for marginalized and
disadvantaged groups
2. Strengthen Health Infrastructure: The mission
focuses on strengthening the healthcare infrastructures at
various levels, including primary health centres (PHCs),
community health centres (CHCs) and district hospitals.
3. Improve Maternal and Child Health: Focus on
reducing maternal and infant mortality rates by
promoting safe motherhood, antenatal care, postnatal
care, and child health services,
4. Control Communicable Diseases: Implement
strategies to control and prevent communicable diseases
such as tuberculosis, malaria, HIV/AIDS, and other
infectious diseases.
5. Promote Health Awareness: Increase awareness
about health issues among the rural population through
community participation and health education programs.
6. Strengthen Human Resources: Enhance the
availability and capacity of healthcare professionals in
rural areas through training and recruitment initiatives.
7. Community Participation: Encourage active
participation of the community in planning, implementing,
and monitoring healthcare programs.
8. Integrate Health Services: Promote the integration of
various health services including family planning, maternal
and child health, immunization, and nutrition services.
9. Focus on Vulnerable Groups: Address the healthcare
needs of marginalized and vulnerable groups, including
women, children, the elderly, and economically
disadvantaged populations.
10. Enhance Quality of Care: Improve the quality of
healthcare services provided at all levels through better
management practices and adherence to clinical guidelines.
STRATEGIES
➢ Train and enhance capacity of Panchayat 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 centre through an united fund to enable local
planning and action.
➢ Strengthening existing PHCs and CHCs
➢ 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.
COMPONENTS OF NRHM
➢ ASHA
➢ Strengthening of Sub-Centres
➢ Strengthening of PHCs
➢ Strengthening of CHCs for First Referral
➢ District Health Plan
➢ Converging Sanitation and Hygiene under NRHM
➢ Strengthening Disease Control Program
➢ Public-private partnership for public Health goals, including
regulation of private sector
➢ New health financing mechanisms
➢ Reorienting health/medical education to support rural health issues
ASHA
➢ Resident of the village, a woman (M/W/D) between 25-45
years, with formal education up to 8th class, having communication
skills and leadership qualities.
➢ One ASHA per 1000 population.
➢ Trained for period of 22 days(induction) over one year and
periodic re-training
➢ Chosen by the panchayat to act as the interface between the
community and the public health system.
➢ Bridge between ANM and the village.
➢ Honorary volunteer, receiving performance based compensation.
RESPONSIBILITY OF ASHA
➢ To create awareness among the community regarding nutrtion, basic
sanitation, hygienic practices, healthy living.
➢ Counsel women on birth preparedness, importance of safe delivery,
breast feeding, complementary feeding, immunization, contraception,
STDs
➢ Encourage the community to get involved in health related services.
➢ Escort/ accompany pregnant women, children requiring treatment
and admissions to the nearest PHCs
➢ Primary medical care for minor ailment such as dioarrhea, fevers, etc
➢ Provider of DOTS
 CONCLUSION
1. Transforming Rural Healthcare: NRHM has played a
pivotal role in enhancing the accessibility and quality of
healthcare services in rural India, addressing the unique
challenges faced by these communities
2. Significant Achievements:
▪ Improved maternal and child health outcomes.
▪ Strengthened healthcare infrastructure.
▪ Increased community engagement and awareness.
3. Future Focus:
▪ Continued investment in human resources and training.
▪ Innovative strategies for sustainable health practices.
▪ Enhanced data management for better decision making
4. Call to Action:
▪ Collaboration among stakeholders is essential to sustain
and expand the successes of the NRHM
▪ Together, we can ensure that every rural citizen has
access to quality healthcare
THANK YOU