The National Rural Health Mission (NRHM) was launched in India in 2005 to improve healthcare in rural areas. It aims to provide accessible, affordable, and reliable primary healthcare through programs like creating Accredited Social Health Activists (ASHAs) at the village level. The NRHM seeks to strengthen infrastructure by upgrading primary health centers, community health centers, and improving staffing and resources at sub-centers. It also aims to reduce mortality rates and achieve other health goals by integrating vertical health programs at the district level. The mission is monitored through community involvement and quality assurance committees.

1. DR. MAHESWARI JAIKUMAR

2. LESSON OBJECTIVE
• At the end of the class the learner
should be able to:
1. Explain in detail the National Rural
Health Mission
2. Explain It’s focus and implementation
strategies

3. NATIONAL RURAL HEALTH
MISSION (NRHM) 2OO5
• The (NRHM) is an initiative undertaken
by the government of India to address
the health needs of underserved rural
areas. Founded in April 2005 by Indian
Prime Minister Manmohan Singh. ( For a
period of 7 yrs – 2005-2012).

4. • The NRHM was initially tasked with
addressing the health needs of 18 states
that had been identified
• The thrust of the mission is on
establishing a fully functional,
community owned, decentralized health
delivery system with inter-sectoral
convergence at all levels,

5. • to ensure simultaneous action on a wide
range of determinants of health such as
water, sanitation, education, nutrition, social
and gender equality
• May 2013, has approved the launch of
National Urban Health Mission (NUHM) as a
sub-mission of an overarching National
Health Mission (NHM), with National Rural
Health Mission (NRHM) being the other sub-
mission of the National Health Mission.

6. MISSION
• Seeks to improve rural health care
delivery system with a special focus on
18 states.(EMPOWERED ACTION GROUP
STATES)
• To integrate multiple vertical
programmes along with their funds at
district level.

7. EMPOWERED ACTION
GROUP STATES
BIHAR JHARKHAND JAMMU &
KASHMIR
MP CHATTISGARH HP
UTTARANCHAL ODISHA SIKKIM
RAJASTHAN ASSAM MIZORAM
ARUNACHAL PRADESH MEGHALAYA MANIPUR
MEGHALAYA NAGALAND TRIPURA

8. AIM
• PROVIDE:
1.Accessibl, affordable, accountable,
effective & reliable primary health
care & bridging the gap in rural
health care through creation of a
cadre of ACCREDITED SOCIAL
HEALTH ACTIVIST (ASHA)

9. PLAN OF ACTION
STRENGHTHEN INFRASTRUCTURE
1.Creation of a cadre of ASHA.
2.Strengthening of SC.
3.Strengthening of PHC.
4.Strengthening of CHC.

10. PROPOSED INFRASTUCTURE-NHRM

11. MISSION OF NHRM
Is to integrate multiple vertical
programmes along with their fund
at district level
The programmes include : RCH,
Vector BorneDisease Control Prog
and its components, TB, Blindness
and Iodine Deficiency Disorder
Control Programmes

12. PLAN OF ACTION TO
STRNGTHEN INFRASTUCTURE
• Creation of ASHA
• Strengthening of Sub Center
• Strengthening of PHC
• Strengthening of CHC

13. CREATION OF ASHA
• Aims at creating a separate cadre
of Accredited Social Health
Activist (ASHA)

14. STRNGTHENING OF SC : by
• Supply of essential drugs
• Provision of MPHW/ANMs
• Strengthening of SC with untied
funds of. Rs.10,000 per annum
in 18 states

15. STRENGTHENING OF PHC by :
• Qualitizing preventive, promotive, curative,
supervisory and out reach services
• Adequate and regular supply of essential
drugs, equipments
• Provision of 24 hrs service including AYUSH
practitioner
• Following standard treatment guidelines
• Upgradation of PHC for 24 hrs & referral
services and second doctor at PHC

16. STRENGTHENING OF CHC by:
• Operating for 24 hrs as referal units
• Codification of new Indian Public Health
Standards
• Serve as a nodal center for
implementing all vertical health
programmes (District Heealth Mission)
• Provision of Mobile Medical Unit

17. GOALS TO BE ACHIEVED
• Reduce IMR to 30/1000 LB
• Reduce MMR to100/10,000
• Reduce TFR to 2.1
• Malaria Mortality Rate reduction by
50% by 2010

18. • Cont…
• Kala Azar mortality Rate Reduction -
100% by 2010
• Japanese B Encep mortality rate
reduction 50% by 2010
• Increase Cataract Operation to 46
lakhs/year
• Reduce Leprosy prevalence rate from
1.8/10,000 (2005) to less than 1/10,000
thereafter

19. • TB DOTS service : maintain 85 % cure
rate
• Upgrading Community Health Center to
Indian Public Health Standards
• Increase utilization of FRU from 25% to
75%
• Engaga 2,50,000 ASHA s in 10 states

20. GOALS TO BE ACHIEVED AT
COMMUNITY LEVEL
• Availability of trained community
level health worker at village level
with a drug kit for minor ailments
• Fixing a health day at Anganwaadi
for provision of Immunization and
Ante natal and Post natal services

21. • Availability of generic drugs foe
common ailments at HSc & Hospital
level
• Good hospital care through the
availability of doctors, drugs and quality
services
• Improved access to immunization
services by provision of auto disabled
syringes,alternate vaccine delivery and
improved mobilization of services

22. • Improved facilities for institutionalized
delivery through provision of, referal,
transport, escort and improved hospital
care subsidized under Janani Suraksha
Yojana for BPL families
• Availability of assured health care at
reduced financial risk through pilots of
community health insurance under the
mission

23. MONITORING & EVALUATION
NHRM
• Aims at developing a base line survey to
monitor decentralized monitorable
goals
• There would be community monitoring
by Panchayat Raj Institutions, Rogi
Kalyan Samiti, and Quality Assurance
Committee at dist and state level and by
district health missions

24. REFERENCES
• 1.Park’s Textbook of Preventive & Social
Medicine, Banarsidas Bhanot publishers,22
Ed
• 2. Basawanthappa B.T, Community Health
Nursing, Jayapee publications
• 3. Neelam Kumari, Text book of Community
Health Nursing, S. Vikas Publisher, First Edn
• 4. Rao.B sridhar, Book of Community Health
Nursing,AITBS publisher, New Delhi

25. THANK YOU