Making growth inclusive
through social development
quality health care to the
poorest households in the
• N…Newer Initiatives.
• R…Rural Poor Population
• H…Holistic Health Package.
• M…Monitoring mechanisms
To cater to the Primary health care
needs of vulnerable segment of pop. to
bring down IMR and MMR . to attain
The Government of
India made a
commitment to raise
the public expenditure
on health from 1% of
GDP to 2-3% of GDP
over the Mission period
focus on 18
Expected outcomes from the
IMR reduced to 30/1000 live births by 2012.
Maternal Mortality reduced to 100/100,000 by 2012.
TFR reduced to 2.1 by 2012.
Cataract operations-increasing to 46 lakhs until 2012.
Leprosy Prevalence Rate –reduce less than 1 per 10,000
Tuberculosis DOTS series - maintain 85% cure rate
through entire Mission Period.
Engaging 2,50,000 female Accredited Social Health
Activists (ASHAs) in 10 states.
1.DDK for Clean deliveries at home
2.Tab. Iron Folic Acid (L)
3.Tab Punarvadu Mandur (ISM
Preparation of Iron)
7.Povidine Ointment Tube
9.Cotton Absorbent Roll
10.Bandages, 4cm X 4 meters
12.Condoms 13.Oral Pills (In cycles)
IMR reduced to 30/1000 live births by
the number per 1,000 children before
one year of age, is 57, which means
over one in 18 infants die before they
are one year old. (2005 – 2006)
While the figure is a marginal
improvement over the IMR of 68 of
NFHS-2 (1998-99) – about 1 in 14 – this
is unacceptably high.
Maternal Health Situation in
About 28 million pregnancies occur every year
24 million deliveries
15% of these are likely to develop
Complications cannot be predicted.
Over 67,000 avoidable maternal deaths per
Maternal Mortality reduced to
100/100,000 by 2012.
The Maternal Mortality Ratio has
reduced from 301 per 100,000 births in
2001-03 period to 254 in the 2004-06
TFR reduced to 2.1 by 2012.
TFR of 2.7 (SRS 2007)
Ranks 83 in the world - India 2.72 2008
Total fertility rate: 2.68 children
born/woman (2009 est.)
Reproductive & Child Health
MCP (MOTHER &
Information right from
the Antenatal test to
growth monitoring of the
newly born baby in
Key Strategies for MH under
Essential obstetric and new born care for
Skilled attendance at every birth including
essential new born care.
Emergency obstetric care for those having
complications and referral services.
Provision of Safe Abortion Services and
Training of SNs/LHVs/ANMs as Skilled
Training of MBBS doctors in obstetric
and anesthetic skills.
Setting up of Blood Storage Centers
(BSC) at First Referral Units.
At Village Level (1000
Every month at Anganwadi Center a
Village Health and Nutrition Day is being
organized with a focus on ANC, PNC,
Immunization and Counseling on
Nutrition and Family Planning Services.
Monthly Health and Nutrition
Water, sanitation, education, literacy,
nutrition, women’s empowerment have all
been brought together under convergent
community institutions and Health
Missions at various levels.
At the level of Sub- Centre
The ANMs at the sub-center are being trained
as Skilled Birth Attendant(SBA).
50% of the PHCs under NRHM are being
developed as 24X7 PHCs with inputs of 3 or
more SNs/ANMs and one Medical Officer.
To improve the proficiency, skills and quality of
these SNs/ANMs as skilled provider for
delivery, GOI has launched Skilled Birth
Primary Health Centre
Funds have been given to the States for
infrastructural development including
labour rooms and equipments as per the
laid down standards under IPHS.
All CHCs are aimed to be converted as
First Referral Units (FRU) with provision of
1 ObGyn or a Trained MBBS Doctor for
EmOC, 1 Anesthetist or Trained MBBS
Doctor proficient in Anesthetic Skills,
Functional OT and a Blood Storage facility.
focuses on the
key achievement of the NRHM
One of the key achievement of the
NRHM is a visible growth in the field of
3.449 M women benefited so far in 06-07
5.135 M in 07-08,
8.378 M in 2008-09
Gujarat - Chiranjeevi Yojana
A Health financing scheme for safe
maternity services to BPL beneficiaries
More than 7793 BPL mothers, that is
nearly 31 % of BPL pregnant mothers
have safely delivered, under the
not a single death in mothers
has been reported
Haryana -Delivery Hut
Delivery Huts established within villages for
providing services during delivery in institutions
having facilities for normal deliveries and referral
400 Delivery Huts have been established,
16,500 deliveries conducted, 1756 high-risk referred
of RTI / STI.
Madhya Pradesh - Sponsors
The state government has come up with
decision to strengthen the nursing cadre
by sponsoring M Sc, B Sc and post basic
These students have to serve
compulsorily in rural areas for 7 years
after completing the course.
for children who
are studying .
In 2009 –10
Health related indicators would suggest
that significant gains have been made
over the years.
India fares poorly in most of the
indicators in comparison with developing
countries like China and Sri Lanka.
India needs over 6,800 more hospitals in
rural areas to provide basic health
facilities to people.
There is still a shortage of 4,477 primary
healthcare centre's and 2,337
community healthcare centre's as per
the 2001 population norms,
Total of 15196 PHC’s & CHC’s and sub centers are functiona
Current Population of India in
2010 - 1,150,000,000
This means the requirement for
hospitals will be much more if the
population figure in 2010 is taken into
26000 Dr’s : 750 Million pop
we have 30,000 MBBS graduates
coming out of our Colleges every year.
The entire rural health system for more
than 750 million people never has
more than 26000 doctors.
The annual survey presented in
"Almost 29 percent of the existing
health infrastructure is in rented
Poor upkeep and maintenance, and high
absenteeism of manpower in the rural
areas are the main problems in the
health delivery system."
Additional weight age of marks that will
be given for service in rural areas.
Doctors who work in rural areas will be
compensated with extra money
700 consultants (MBA/CA) have been appointed
for state/ district level Program ManagementUnits.