Successfully reported this slideshow.

National rural health mission

150

Share

Loading in …3
×
1 of 17
1 of 17

More Related Content

Related Books

Free with a 14 day trial from Scribd

See all

Related Audiobooks

Free with a 14 day trial from Scribd

See all

National rural health mission

  1. 1. STATE OF PUBLIC HEALTH IN INDIA BEFORE NRHM  Health gap at rural level Multiple health crisis ( malnutrition, maternal and infant deaths, inadequate water supply etc..
  2. 2.  Improve rural health delivery system -accessible -affordable -accountable -equitable
  3. 3.  Launched in 5th April 2oo5 for 7 years by GoI  Special focus on 18 states  8 NORTH EASTERN STATES (ASSAM, AP, MANIPUR, MEGHALAYA, MIZORAM, NAGALAND, SIKKIM, TRIPURA)  8 EMPOWERED ACTION GROUP STATES ( BIHAR, JHARKHAND, MP, CHATTISGARH,UP, UTTARANCHAL, ORISSA, RAJASTAN)  HP & JK
  4. 4.  Child & maternal mortality rate  Universal access to public health services for food ,nutrition, sanitation and public health services addressing maternal and child health.  Prevention and control of CD’s and NCD’s  Access to primary health care  Mainstreaming of AYUSH  Promotion of healthy life style
  5. 5.  Decentralisation of village and district level health planning and management  Appointing ASHA for facilitating the access to health services  Strengthen public health delivery services at primary and secondary level  Mainstreaming AYUSH  Improve management capacity to organise health systems and services  Improve intersectorial coordination
  6. 6.  Private partnership to meet national public health goals-’public pvt. Partnership’ (ppp)  Social insurance to raise the health security of poor
  7. 7. AT NATIONAL LEVEL  IMR : Reduce to 30/1000  MMR : Reduce to 100/100,000  TFR : Reduce to 2.1  MALARIA MORTALITY RATE REDUCTION: 50% by 2010 , addtl 10% by 2012  FILARIA RATE REDUCTION : 70%(2010), 80%(2012), elimn by 2015  DENGUE MORTALITY RATE REDUCTION: 50%(2010)  KALA AZAR MORTALITY RATE REDUCTION: 100%(2010)  JE MORTALITY RATE REDUCTION: 50%(2010)  CATARACT OPERATION: increase to 46 lakhs/year 2012
  8. 8.  LEPROSY PREVALENCE RATE : reduce from 1.8/10,000 in 2005 to less than 1/10,000  TB DOTS SERVICES : 85% Cure rate  Upgrading CHC to Indian Public Health Standards  Increase utilisation of FIRST REFERRAL UNITS from <20% to 75%  Engaging 250,000 female ASHA in 10 states
  9. 9.  PHC/CHC should provide good hospital care.  Generic drugs at subcentre level  Access to UIP  Facilities for institutional deliveries  Trained community level worker at village level  Health day at ANGANWADI -immunisation - antenatal/postnatal check ups  Provision of house hold toilets  Improved outreach services through MOBILE MEDICAL UNIT at district level  Community health insurance
  10. 10. 1)CREATION OF ASHA (ACCREDITED SOCIAL HEALTH ACTIVIST) -health activist in the community -1ASHA= 1000 population -not a paid employee -create awareness about health & its determinants -mobilise community to health care services - counsel women and escort them to PHC/CHC & providing medical care for minor ailments
  11. 11. 2) STRENGTHENING OF SUB CENTRES  Supply of essential medicines  Provision of MPW / additional ANM  Provision of funds 3) STRENGTHENING OF PHC  24 hr service in at least 50% of PHC incl. AYUSH practitioner  Upgradation for 24hr referral service  Adequate and regular supply of essential drug  Strengthening CD control programme
  12. 12. 4) STRENGTHENING OF CHC’S  3222 CHCs should function as first referral unit  Maintain ‘INDIAN PUBLIC HEALTH STANDARDS‘  Promotion of ‘ROGI KALYAN SAMITIS’
  13. 13.  AT NATIONAL LEVEL: MISSION STEERING GROUP , -chairman is union minister of health and family welfare  AT STATE LEVEL : STATE HEALTH MISSION - led by CM  AT DISTRICT LEVEL : DISTRICT HEALTH MISSION - Led by chairman of ZILA PARISHAD
  14. 14.  Core unit in planning, budgeting and implementation of the programme. FUNCTIONS  Selection and training of ASHA  Organising health camps at ANGANWADI  Mainstreaming AYUSH  Upgrading CHCs to IPHS  Outreach services through mobile medical units
  15. 15.  Baseline survey at district level & household level  Community monitoring at village level  Eventual monitoring of the outcomes is done by planning commission of India

×