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National rural health mission

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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 funds3) 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

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