The National Rural Health Mission was launched in 2005 to provide quality healthcare to rural populations, especially vulnerable groups. It aims to reduce infant and maternal mortality, and ensure universal access to public health services. The mission works to establish a decentralized, community-owned healthcare system with inter-sectoral coordination on issues like water, sanitation, and nutrition. It seeks to strengthen primary healthcare through strategies like training Accredited Social Health Activists and developing village-level health plans through local committees.

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 .