NRHM stands for the National Rural Health Mission. It was launched by the Government of India in 2005 to address the health needs of underserved rural areas, aiming to provide accessible, affordable, and quality healthcare to rural populations. The mission sought to improve healthcare infrastructure, increase access to essential healthcare services, strengthen public health systems, and enhance the quality of healthcare delivery.

1. NATIONAL RURAL HEALTH
MISSION(NUHM)

2. INTRODUCTION
• It was launched on 5th April 2005 for a period of 7 years
(2005- 2012)
• Extended up to 2017
• Seeks to improve rural health care delivery system
• Adopts a synergic approach by relating health to
determinants of good health (nutrition, sanitation, hygiene
and safe drinking water)
• Brings the Indian System of Medicine to the main stream

3. AIM
• To provide accessible, affordable, accountable, effective
and reliable primary health care.
• Bridging the gap in rural health care through creation of
cadre of Accredited Social Health Activist.(ASHA)

4. Programs integrated into NRHM
•Health and family welfare including RCH 2
•National vector borne disease control programs
•National leprosy eradication pgm
•RNTCP
•National pgm for control of blindness
•Iodine deficiency disorder control pgm
•Integrated disease surveillance project.

5. Plan of action to strengthen infrastructure
1. Creation of cadre of ASHA
2. Strengthening sub centers by
 supply of essential drugs
Provsion of multipurpose worker/ ANM Wherever
needed
Sanction of new subcenters and upgrading existing sub-
centers
Strengthening sub –centers with united funds of RS
10000 / anum

6. 3. Strengthening PHC’s
 adequate and regular supply of essential drugs and
equipment
Provision of 24 hrs service in atleat 50% PHC’s by
including an AYUSH practioner
Following standard treatment guidelines
Upgradation of all the PHC’s for 24 hrs referral
services and provision of 2nd doctor at PHC level.

7. 4. Strengthening CHC’s for first referral care
Operating all existing PHC’s as 24 hrs referral unit,
including posting of an anaesthetist
 codification of new Indian Public Health standards
Promotion of Rogi Kalyan Samiti.
Developing standards of services and costs in hospital
care

9. Major Intiatives Under NRHM
1. Selection of ASHA
Criterias are
• Must be resident of the village
• ASHA must be a women (married/ widow/ divorced)
• Age group 25-45 yrs
• Have formal education upto 8 th class
• Having communication skills and leadership qualities
• One ASHA for 1000 population

10. 2. Rogi Kalyan Samiti
•Registered society
•Members act as trustees to manage the affaairs of
the hospital
•Responsible for upkeep of the facilities
•Ensure provision of better facilities to the patients
in the hospital

11. 3.The united grants to sub centers
•SC ‘s equipped with BP apparatus
•Hb measuring equipment
•stethoscope,
•Weighing machine

12. 4.The village health Sanitation and Nutrition
Committee
•Important tool of community empowerment and
participation at the grass roots level
•It reflects the aspiration of local community

13. 5.Janani suraksha yojana (JSY)
•Aims to reduce mmr among pregnant women by
encouraging them to deliver in government
hospitals
•Cash assistance is provided to pregnant women
for giving birth in a government health facility

14. 6.Janani Shishu Suraksha Karyakram(JSSK)
•All pregnant women delivering in public
health institution to absolutely free
• no expense delivery including CS

15. •NATIONAL MOBILE MEDICAL UNITS (NMMUs)
•To increase visibility, awareness and
accountability all mobile medical units have
been repositioned as NMMUS

16. 8.National Ambulance Services:
•free ambulance services to provide
patients transport in every nook and
corner of the country connected with a
toll free number
•DIAL 108
.

17. 9.Web enabled Mother and Child Tracking
System(MCTS)
• The name-based tracking of pregnant women and
children
• To track every pregnant woman, infant and child upto
the age of three years by name,
• for ensuring delivery of services like timely antenatal
care, institutional delivery and postnatal care for the
mother, and immunization and other related services for
the child.
• recent initiative is to link MCTS with AADHAR in order

18. New initatives
1.Home delivery of contraceptives by ASHA
2.Conducting District Level Household Survey
3. Modifications in the scheme for promotion of menstrual
hygiene
4. Differential financial approach for comprehensive health
care by which allocation of Untied Funds and Rogi Kalyan
Samiti grants will be made based on the case load and
services provided by the health facility

19. 5.Involving ASHA in Home Based Newborn Care;
6. Revision in the criterion of allocation of funds to the
states under NRHM based on the performance of the states
7. Expansion of Village Health and Sanitation Committees to
include nutrition in its mandate and renaming it as
Village Health, Sanitation and Nutrition Committee
(VHSNC);
8. Partial modification of the centrally sponsored scheme for
development of AYUSH hospitals and dispensaries for
mainstreaming of AYUSH under NRHM

20. 9.Rashtriya Bal Swasthya Karyakram (RBSK): This
initiative was launched in February 2013 and
provides for Child Health Screening and Early
Intervention Services through early detection and
management of 4 Ds i.e. ., Defects at birth, Diseases,
Deficiencies, Development delays including disability.

21. 10.Rashtriya Kishor Swasthya Karyakram (RKSK):
• launched in January 2014
• to reach out to 253 million adolescents in the country in
their own spaces and introduces peer-led interventions at
the community level, supported by augmentation of facility
based services.
•focus on life skills, nutrition, injuries and violence
(including gender based violence),non-communicable
diseases, mental health and substance misuse

22. 11. Mother and Child Health Wings (MCH Wings):
100/50/30 bedded Maternal and Child Health (MCH)
Wings have been sanctioned in public health facilities
with high bed occupancy to cater to the increased
demand for services.
12. Free drugs and free diagnostic service

23. 13. National Iron+ Initiative
•launched in 2013, to prevent and control iron deficiency
anemia.
•Besides pregnant women and lactating mothers, it aims to
provide IFA supplementation for children, adolescents and
women in reproductive age group.
•Weekly Iron and Folic Acid Supplementation (WIFS) for
adolescents is an important strategy under this initiative.

24. 14. Reproductive, Maternal, Newborn, Child and
Adolescent Health Services (RMNCH+A)
15. Delivery Points (DPs): Health facilities that have a
high demand for services and performance above a
certain benchmark have been identified as "Delivery
Points "with the objective of providing comprehensive
reproductive, maternal , newborn, child and adolescent
health services.

25. 16.Universal Health Coverage (UHC):
key goal of the12th Five Year Plan. The National
Health Mission is the primary vehicle to move
towards this goal

26. 17. Comprehensive primary healthcare: Nine areas for
action to make primary healthcare
a. Strengthen institutional structures and organizationof
primary healthcare services
b. Improve access to technologies, drugs and diagnostics
for comprehensive primary healthcare
c. Increase utilization of Information, Communication and
Technology ([CT) - empowering patients and providers
d. Promote continuity of care - making care patient
centric

27. e. Enhance quality of care
f. Focus on social determinants of health
g. Emphasize community participation and address
equity concerns in health
h. Develop a human resource policy to support primary
healthcare
• Strengthen governance including financing,
partnerships and accountability
• States are also offered support through the PIPs of he
NHM to strengthen existing sub-centres.

28. 18. Kilkari: Interactive Voice Response (IVR)
•based mobile service that delivers time- sensitive audio
messages (voice call) about pregnancy and child health
directly to the mobile phones of pregnant women,
mothers of young children and their families.
•covers the critical time period- where the most
maternal/ infant deaths occur from the 4th month of
pregnancy until the child is one year old.

29. •Families which subscribe to the service receive
one pre-recorded system generated call per week.
•Each call will be 2 minutes in length and serve as
reminders for what the family should be doing
that week depending on woman's stage of
pregnancy or the child's age.

30. 19. Launch of Nationwide anti-TB drug resistance
survey: Drug resistance survey for 13 anti-
tuberculosis drugs was launched to estimate the
burden of MDR-TB within the community.
20. Kala- azar elimination plan

31. THANK YOU