This file gives a basic idea about the National Rural Health Mission

1. Introduction to National
Rural Health Mission
Chetan Sharma
Master of Social Work

2. Introduction :-
• The national rural health mission was launched
on 12 April 2005, to provide accessible ,
affordable and quality health care to rural
population, especially the vulnerable groups.
• Under the NRHM , the empowered action groups
states as well as north eastern states, Jammu and
Kashmir and Himachal Pradesh have been given
special focus.

3. • The thrust of the mission is on establishing a
fully functional ,community owned ,
decentralized health delivery system with inter
– sectoral convergence at all levels , to ensure
simultaneous action on a wide range of
determinants of health such as; water
,sanitation , education, nutrition , social and
gender equality.

4. Goals of NRHM :-
Reduction in infant mortality rate and maternal
mortality ratio.
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 disease, including locally endemic
disease .
Access to integrated comprehensive primary
healthcare .

5. Continued……
 Population stabilization , gender and demographic
balance.
 Revitalize local health traditions and mainstream
AYUSH.
 Promotion of healthy life styles.

6. Objectives of NRHM :-
ASHA ( Accredited social health activist ) : Provision
of trained and supported village health activists.
Health action plan : To involve community in
preparing health action plans by Panchayat.
IPHS : Strengthening SC/PHC/CHC by developing
IPHS ( Indian public health standards ).
Increase utilization of first referral units from less
than 20 % to 75% .
Strengthening district level management of health.

7. Some strategies to implement NRHM
Train and enhance capacity of Panchayat Raj
institution to own , control and manage public
health services.
To promote access to improved healthcare at
household level through the female health activist.
Health plan for each village through village health
committee of the panchayat.
Strengthening sub- centers through an untied fund
to enable local planning and action and more multi
– purpose workers.

8. Continued…….
Strengthening existing PHCs and CHCs and
provision of 30 – 50 bedded centers.
Integrating vertical health and family welfare
program at national level , state level , district and
block level .
Preparation and implementation of an inter –
sectoral district health plan prepared by the
district health mission , including drinking water,
sanitation , hygiene and nutrition.

9. Continued : -
Formulation of transport policies for deployment
and career development of human resources for
health .
Promoting non – profit sector particularly under-
served sectors .