NRHM

NATIONAL RURAL HEALTH MISSION 

1. Goals of NRHM

Facilitate increased access and utilization of quality health services by all

Forge a partnership between the Central, State and the local governments.

Set up a platform for involving the Panchayati Raj Institutions and community in the management of primary health care programs and infrastructure.

Establish a mechanism to provide flexibility to the States and the community to promote local initiatives.

Develop a framework for promoting inter-sectoral convergence for promotive and preventive health care.

2. Objectives of the Mission

Reduction of Infant Mortality Rate, Maternal Mortality Rate, and Total Fertility Rate.

Access to integrated comprehensive primary health care.

Prevention and control of communicable and non-communicable diseases, including locally endemic diseases.

Achieve population stabilization, gender and demographic balance.

Revitalize local health traditions and mainstreaming AYUSH

Promotion of healthy life styles.

3. Expected outcomes from the Mission

Indicator 

NRHM by 2012 

Present status 

AP 

target

India 

AP

IMR (per 1000 live births) 

30 

57* 

53* 

30

MMR (per 1,00,000 live births) 

100 

466** 

341** 

100

TFR (children per women) 

2.1 

2.7* 

1.8* 

1.5

* NFHS-III (2005-06) ** IIHFW Annual report (2002-03)

Tuberculosis DOTS services – 85% cure rate by 2012

To reduce Leprosy prevalence rate – 0.43 per 10,000 by 2012

Cataract operations – increasing to 6 lakhs per annum by 2012 (AP).

To reduce Malaria mortality rate – 60% by 2012

To reduce Filaria / Microfilaria rate – 80% by 2012.

Important Interventions under NRHM 

1. Maternal Health Care Service :

Maternal Health Care Services are being provided to the pregnant woman by implementing the following schemes / interventions :

i) Women Health Volunteers (Accredited Social Health Activitist (ASHA):

This scheme is started during the year 2005-06 with an objective of providing the services of the health resource person very nearer to the community in rural areas. It is implemented in 21,916 villages (67561 habitations).

55,400 “Women Health Volunteers” have been identified in all habitations across the state through the Gram Panchayat Health Committees, to act as ‘health-resource persons of first resort. 51,900 WHVs are trained and positioned as on 31.3.2007. They provide services to the pregnant woman, infants and eligible couples.

ii) FRUs strengthened with CEMONC services (Comprehensive Emergency Obstetric & Neonatal Care):

This scheme is started during the year 2005-06 with an objective of providing the services of life-saving emergency care to mothers and children (caesarian, neonatal care, etc.);

Every CEMONC centre is designed to have 4 obstetricians, 1 pediatrician, 1 anesthetist, blood bank or blood storage center; and additional budget for drugs & consumables per each case of delivery.

148 CEMONC Centers have been set up till now. About 59 obstetricians and 59 MBBS lady medical officers are positioned.

iii) Blood Bank & Blood Storage Centres :

This scheme was started during the year 2005-06 with an objective to provide the blood to the caesarian surgery cases.

16 new blood banks and 89 blood storage centers are to be set up in Comprehensive Emergency Obstetric and Neonatal Care (CEMONC) centres. 40 new blood storage centres are sanctioned during 2006-07.

The Indian Red Cross Society is appointed as the State Level Nodal Agency to set up Blood Banks and Blood Storages Centers. 16 new blood banks and 89 blood storage centers are to be operationalised shortly.

iv) 24-hours MCH centre:

This scheme was started during the year 1997-98 with an objective of providing round the clock services for conducting normal deliveries, to identify the high risk pregnancy cases and to refer them to FRUs. 520 PHCs are functioning as 24 MCH Centres. 280 PHCs were converted as 24-hrs MCH centres during 2007-08. The no.of deliveries conducted during 2006-07 are 70,012.