The National Rural Health Mission was launched in 2005 to improve rural health care in India. It focuses on 18 states with weak public health. The goals of NRHM are to reduce infant and maternal mortality and provide universal access to public health services. It aims to do this through community health centers, primary health centers, and accredited social health activists (ASHAs) who work in villages to increase awareness and utilization of health services like immunizations and institutional deliveries. ASHAs and anganwadi workers play important roles in promoting public health in rural communities.

1. POORNIMA
UNIVERSITY
MADE BY:- KANU CHATURVEDI
SUNIL KUMAR
GUIDED BY:- BHANU SIR

2. NATIONAL RURAL HEALTH MISSION
 The National Rural Health Mission (NRHM) was launched by the Hon’ble
Prime Minister on 12th April 2005.
 It Focusses on 18 states which have weak public health indicators and
Infrastructure.
 These 18 States are Arunachal Pradesh, Assam, Bihar, Chhattisgarh,
Himachal Pradesh, Jharkhand, Jammu & Kashmir, Manipur, Mizoram etc.
 Promote policies that strengthen public health management
and service delivery in the country.
 It seeks to revitalize local health traditions and mainstream
AYUSH into the public health system.

3. PURPOSE OF NRHM
 To provide accessible, affordable, reliable primary health care
facilities specially to poor and vulnerable sections of
population.
 To bridge the gap in Rural Health Care services through
creation of a cadre of Accredited Social Health
Activists (ASHA) and improved hospital care.
 To provide overarching umbrella to the existing Program of
health and family welfare including Malaria, Blindness, Iodine
deficiency, Filaria, Kala Azar, TB, Leprosy and rural Disease
Surveillance.
 It seeks decentralization of Program for district management of
health.

4. GOALS OF NRHM
 Reduction in Infant Mortality Rate (IMR) and Maternal Mortality
Ratio (MMR).
 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
diseases, including locally endemic diseases.
 Access to integrated comprehensive primary healthcare.
 Revitalize local health traditions and mainstream AYUSH.
 Promotion of healthy life styles.

5. COMPONETS OF NRHM
 Creation of a cadre of accredited social health
activists (ASHA) in a phased manner.
 Strengthening of programme management
capacities at national, state and district level.
 Promotion of private sector for achieving public
health goals.
 Implementation of Janani Suraksha yojana
(JSY) for improving level of institutional
delivery.

6. COMMUNITY HEALTH CARE
SERVICES
 A healthcare center, health center,
or community health center is one of
a network of clinics staffed by a
group of general practitioners and
nurses providing healthcare
services to people in a certain area.
 Community health centers (CHCs)
have long served an important
safety-net healthcare delivery role
for vulnerable populations.
 The roles of community healthcare
workers which are tailored to meet
the unique needs of community they
serve.
 Educating health system providers
and stakeholders about community
health needs.
 Providing culturally appropriate
health education on topics related to
chronic disease prevention, physical
activity and nutrition.

7. HOW CHC’S DIFFER
FROM OTHER CLINICS
 CHCs differs from other health care clinics in several ways
o CHCs are mandated to improve the health status of the entire community in
addition to the health of individual patients.
o CHCs provide services that are accessible to their target population and
are comprehensive and coordinated with other community services; and
o CHCs are accountable to the communities they serve and community
members are involved in program planning and organizational governance.

8. PRIMARY HEALTH CARE
 The Primary Health Centre (PHC) is the
basic structural and functional unit of the
public health services in developing
countries.
 PHCs were established to provide
accessible, affordable and available primary
health care to people, in accordance with
the Alma Ata Declaration of 1978 by the
member nations of the WORLD HEALTH
ORGANISATION.
 Primary health care is about caring for
people, rather than simply treating specific
diseases or conditions.
 It provides comprehensive, accessible,
community-based care that meets the
health needs of individuals throughout their
life.
 A health system with a strong PHC as its
core delivers better health outcomes,
efficiency and improved quality of care
compared to other models.

9. LEVELS PRIMARY HEALTH CARE
Health promotion
Disease and injury prevention
Diagnosis and treatment
Rehabilitative care
Supportive care

10. ASHA WORKERS
 One of the important part of the National
Rural Health Mission is to provide every village
in the country with a trained female
community health activist ASHA or Accredited
Social Health Activist.
 ASHA will be trained to work as an interface
between the community and the public health
system.
 ASHA must primarily be a woman resident of
the village married/ widowed/ divorced,
preferably in the age group of 25 to 45 years.
 She should be a literate woman with due
preference in selection to those who are
qualified up to 10 standard with good marks.
 ASHA will have to undergo series of training
episodes to acquire the necessary knowledge,
skills and confidence for performing her
spelled out roles.
 ASHAs will receive performance-based
incentives for promoting universal
immunization, referral and escort services for
Reproductive & Child Health (RCH) and other
healthcare program and construction of
household toilets.

11. ROLES AND RESPONSIBILITIES OF
ASHA WORKERS
 ASHA have to take steps to create awareness and
provide information to the community on
determinants of health such as proper diet and
nutrition, basic sanitation and hygienic practices,
healthy living and working conditions
 ASHA have to conduct home visits of the pregnant
women/mother/newborn under Home Based Post
Natal Care (HBPNC), and they are supposed to counsel
pregnant women on birth preparedness, importance
of safe delivery, breastfeeding and complementary
feeding, immunization
 ASHA have to mobilize targeted community once in a
month for the celebration of Village Health Nutrition
Days (VHND) at their Anganwadi Centre. Community
people are expected to participate in the celebration
of VHND.

12. ANGANWADI WORKERS