The National Rural Health Mission (NRHM) was launched in 2005 with the objectives of providing accessible, affordable and quality healthcare, especially to rural women and children. It focuses on 18 low performing states with weak public health indicators. The key strategies include universal healthcare access, reducing infant and maternal mortality, and strengthening primary healthcare. It operates through schemes like Accredited Social Health Activists and Janani Shishu Suraksha Karyakram. Challenges include infrastructure gaps, human resource shortages and limited funding. Future prospects involve strengthening infrastructure, skill development and community engagement.

2. NATIONAL RURAL
HEALTH MISSION
(NRHM)

3. • INTODUCTION
• THE OBJECTIVES OF THE MISSION
• STRATEGIES
• SCHEMES
• SERVICES PROVIDED
• CHALLENGES FACCED
• PROGRESS AND ACHIEVEMENTS
• FUTURE PROSPECTS
• REFERENCES
• THANK YOU
• QUERIES

4. HEALTHCARE IN RURAL AREAS
• NRHM launched by Hon’ble Prime Minister on
12/04/2005
• Aimed to ensure affordable, quality health care
to the poorest household in remotest area
• Special focus on 18 low performing states which
have weak public health indicators and weak
infrastructure

5. • Universalized access to quality health care
especially to rural poor with focus on women and
children.
• Reduced infant mortality rate and Maternal
Mortality Rate.
• Ensuring population stabilization & gender equity.
• Promotion of Healthy life style.
THE OBJECTIVES OF THE MISSION

6. THE OBJECTIVES OF THE MISSION
• Prevention and control of communicable and
non-communicable diseases.
• Access to integrated comprehensive primary
health care.
• Mainstream AYUSH- Integration of AYUSH with
mainstream health institutions
• Emphasis on potable drinking water, hygiene,
sanitation and nutrition.

7. • Decentralization of the process of health planning and management from
Village to District level.
• Involvement of PRIs and Village Health & Sanitation Committees.
• Up-gradation of existing health institutions from Sub Centres to District
Hospitals as per Indian Public Health Standards (IPHS)
• Flexible financing
• Manpower requirement
• Improved management through capacity building
• Intersectoral Convergence with Nutrition, water and sanitation programmes
• Promotion of Public Private Partnership for achieving publie health goals.
Strategies of NRHM

8. SCHEMES UNDER NRHM
• ACCREDITED SOCIAL HEALTH ACTIVISTS
(ASHA)

9. SCHEMES UNDER NRHM
• JANANI SHISHU SURAKSHA KARYAKRAM
(JSSK)

10. SERVICES PROVIDED
SERVICES SERVICES
SERVICES
UNDER NRHM
24 hour delivery
services, both normal
and assisted
SERVICES
SERVICES
• Essential newborn care
• Referral for
emergencies
• Post-natal care
Ante-natal care and
routine immunisation
services for children
and pregnant women
(besides fixed day
services)
• Early and safe abortion
services
• Family planning services
• Prevention and
management of RTIs/STIs
Essential laboratory
services
and Janani Suraksha
Yojna

11. • There is no application or registration process for this scheme. You can use the
NRHM’s services for free if you are a permanent resident in a declared rural
area and your area offers them.
• It is available in eight of India's economically backward states – Orissa, Bihar,
Jharkhand, Rajasthan, Chhattisgarh, Uttar Pradesh, Madhya Pradesh and
Uttaranchal.
• Additionally, rural areas of Himachal Pradesh, North Eastern States and Jammu
and Kashmir also receive NRHM services.You can contact the assigned ASHA
worker in your village for more assistance. They can be found at the nearest
Anganwadi centre.
APPLICATION PROCESS

12. CHALLENGES FACED
INFRASCTRUCTURE
GAPS
HUMAN RESOURCE
SHORTAGE
LIMITED
FUNDING
Inadequate
healthcare
infrastructure in rural
areas, such as lack of
upgraded facilities
and medical
equipment.
Unequal distribution
of healthcare
professionals, with a
concentration in
urban areas and a
shortage in rural
areas.
Insufficient
financial resources
allocated for
implementing and
sustaining the
mission's programs
and initiatives.

13. Progress and Achievements of NRHM

14. Progress and Achievements of NRHM

15. FUTURE PROSPECTS
Strengthening Healthcare
Infrastructure
Skill Development
Community
Engagement
Invest in the
development and
upgrading of
healthcare facilities to
bridge the
infrastructure gaps
and improve service
delivery.
Enhance the capacity
and skills of
healthcare
professionals through
continuous training
and support
programs.
Strengthen
community
participation and
ensure active
involvement in
decision-making
processes for better
healthcare delivery.

16. REFERENCES
• Ministry of Health and Family Welfare, Government of India
• National Health Mission (NHM) - Framework for Implementation
• Annual Reports of the Ministry of Health and Family Welfare
• Reports from the World Health Organization (WHO) on health initiatives in India
• National Sample Survey Organization (NSSO) reports and other official statistical
publications.
• Academic journals and research papers on rural health and NRHM's impact.
• PubMed and other academic databases for specific studies related to NRHM
• Reports from non-governmental organizations (NGOs) working in the healthcare
sector in rural areas.
• health portals of various states and union territories for specific regional data and
initiatives.

17. Thank You