National Rural lealth

Mission
-out NlRM
Inaugurated on 5ril 12, 2005
Increase s5ending on health rom 0.9 o GDP to
2-3 o GDP
Correct the deiciencies o the health system
locus on 18 states - northern and eastern
Goal is good /0.0397,0/ healthcare
Missionary a55roach -y goernment
Intended or 2005 - 2012
Goals
Reduction in Inant Mortality Rate ,IMR, and Maternal Mortality
Ratio ,MMR,
Uniersal access to 5u-lic health serices such as \omen`s
health, child health, water, sanitation & hygiene, immunization,
and Nutrition.
Preention and control o communica-le and non-
communica-le diseases, including locally endemic diseases
ccess to integrated com5rehensie 5rimary healthcare
Po5ulation sta-ilization, gender and demogra5hic -alance.
Reitalize local health traditions and mainstream USl
Promotion o healthy lie styles
ction Points
Proision o health actiist in each illage
Village health 5lan 5re5ared through 5anchayat
inolement
Strengthening o rural hos5itals
Integration o ertical health 5rograms ,le5rosy, 1B,
malarial 5rograms, etc., and traditional medicine
Integration o 5lans at dierent leels
New health inancing mechanisms
Major Stakeholders
ccredited Social lealth ctiist ,Sl,
uxiliary Nurse Midwie and nganwadi worker
Panchayati Raj Institutions and NGOs
District dministration
State Goernments
Village leel
Sl
accredited social health actiist
lemale actiist gien accreditation ater 4 5hase training
Ownershi5 o health 5rogram gien to illagers
Village lealth Committee 5re5ares illage health
Plan
District Leel
District health 5lan generated -y com-ining illage
health 5lans
Llements are drinking water, sanitation, hygiene and
nutrition
Strengthen PlC ,Primary lealth Centers, and
ClC ,Community lealth Centers,
ligher leels
Integrate ertical health and amily welare at district, -lock,
state and national leels
Integration o ertical health 5rograms ,le5rosy, 1B,
malarial 5rograms, etc.,
ll health acilities and inrastructure -uilt -ased on Indian
Pu-lic lealth Standards ,IPlS, standards
Rectiy man5ower shortage, equi5ment and other
urnishings in health acilities
Strengthen ca5acities or data collection, 5rocessing,
ealuation and su5erision
Lx5loit synergies at dierent leels
NGOs and Sls work together
USl ,yuredic, ogic, Unani, Siddha and
lomoeo5athy, - Local health traditions made mainstream
Pass regulations requiring 5riate 5ractitioners to gie
serice at reasona-le cost
Pu-lic-5riate 5artnershi5s
Re-orient medical education ,MBBS 6
th
yr in rural serice,
Social health insurance ,how ia-le,
lealth Inormation System
Milestones
lealth 5roider in each illage
U5grading o rural hos5itals
Build new hos5itals
District Planning O5erational
Village lealth Plans
Merger o multi5le societies into
District,State Mission
O5erational PMUs
1echnical Su55ort
2005-08
2005-0
2005-08
2005-0
2006
5ril 05
2005-06
2005-0
Progress o Program
htt5,,mohw.nic.in,NRlM,Lxe_sum_a5r0.htm
Lx5ected im5roement` statistics missing or many
measures
O-serations and Questions
ttem5t at trans5arency
Data actually aaila-le, though not com5rehensie
\orking on cures is an inherent deect in Indian
health system - locus seems to -e changing
towards 5reention
Proiding standard` health care in 5eri5heral areas
- economically ia-le
Is this a missionary a55roach, or is it sustaina-le