1 / 13

National Rural Health Mission

National Rural Health Mission. MIT India Reading Group Meeting 4 Oct 07 Lavanya Marla. About NHRM. Inaugurated on April 12, 2005 Increase spending on health from 0.9% of GDP to 2-3% of GDP Correct the deficiencies of the health system Focus on 18 states – northern and eastern

Download Presentation

National Rural Health Mission

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. National Rural Health Mission MIT India Reading Group Meeting 4 Oct 07 Lavanya Marla

  2. About NHRM • Inaugurated on April 12, 2005 • Increase spending on health from 0.9% of GDP to 2-3% of GDP • Correct the deficiencies of the health system • Focus on 18 states – northern and eastern • Goal is good decentralized healthcare • Missionary approach by government? • Intended for 2005 - 2012

  3. Goals • Reduction in Infant Mortality Rate (IMR) and Maternal Mortality Ratio (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

  4. Action Points • Provision of health activist in each village • Village health plan prepared through panchayat involvement • Strengthening of rural hospitals • Integration of vertical health programs (leprosy, TB, malarial programs, etc.) and traditional medicine • Integration of plans at different levels • New health financing mechanisms

  5. Major Stakeholders • Accredited Social Health Activist (ASHA) • Auxiliary Nurse Midwife and Anganwadi worker • Panchayati Raj Institutions and NGOs • District Administration • State Governments

  6. Village level • ASHA • accredited social health activist • Female activist given accreditation after 4 phase training • Ownership of health program given to villagers • Village Health Committee prepares village health Plan

  7. District Level • District health plan generated by combining village health plans • Elements are drinking water, sanitation, hygiene and nutrition • Strengthen PHC (Primary Health Centers) and CHC (Community Health Centers)

  8. Higher levels • Integrate vertical health and family welfare at district, block, state and national levels • Integration of vertical health programs (leprosy, TB, malarial programs, etc.) • All health facilities and infrastructure built based on Indian Public Health Standards (IPHS) standards • Rectify manpower shortage, equipment and other furnishings in health facilities • Strengthen capacities for data collection, processing, evaluation and supervision

  9. Exploit synergies at different levels • NGOs and ASHAs work together • AYUSH (Ayurvedic, Yogic, Unani, Siddha and Homoeopathy) - Local health traditions made mainstream • Pass regulations requiring private practitioners to give service at reasonable cost • Public-private partnerships • Re-orient medical education (MBBS 6th yr in rural service?) • Social health insurance (how viable?) • Health Information System

  10. Health provider in each village Upgrading of rural hospitals Build new hospitals District Planning Operational Village Health Plans Merger of multiple societies into District/State Mission Operational PMUs Technical Support 2005-08 2005-07 2005-08 2005-07 2006 April 05 2005-06 2005-07 Milestones

  11. Progress of Program • http://mohfw.nic.in/NRHM/Exe_sum_apr07.htm • ‘Expected improvement’ statistics missing for many measures

  12. Observations and Questions • Attempt at transparency • Data actually available, though not comprehensive • Working on cures is an inherent defect in Indian health system – Focus seems to be changing towards prevention • Providing ‘standard’ health care in peripheral areas – economically viable? • Is this a missionary approach, or is it sustainable?

More Related