National Rural Health Mission

JANANI SURAKHA YOJANA

Recognizing the importance of health in the process of economic and social development and improvement the quality of life of our citizens, the Government of India has resolved to lunch the National Rural Health Mission to carry out necessary architectural correction in the basic health care delivery system. The Mission adopts a synergistic approach by relating Health to determine of good health viz. of nutrition, sanitation, hygiene and safe drinking water. It also aim at mainstreaming the Indian systems of medicine to facilitate health care. The plan of Action includes increasing public expenditure on health, reducing regional imbalance in health infrastructure, pooling resourses,intrigation of original structures, optimization of health manpower, decentralization and district management and financial personal into district management of health programmes, community participation and ownership of assets, induction of management and financial personal into district health system, and operationalising Community Health Centres into functional hospital meeting Indian Public Health Standards in each Block of the Country. The Goal of the Mission is to Improve the availability of and access to quality health care by people, especially for those residing in rural areas, the poor, women and children.

• The national Rural Health Mission (2005-12) seeks to provide effective healthcare to rural population throughout the country with special focus on 18 states, which have week public health indicators and/or weak infrastructure.
• These 18 states are Arunachal Pradesh, Assam, Bihar, Chatrisghar, Himachal Pradesh, Jharkhand, jammu & Kasmir, Manipur , Mizoram, Meghalaya, Madhya Pradesh, Nagaland, Orissa, Rajeshsthan, Skikim,Tripura, Uttranchal and Uttar Pradesh.
• The Mission is an articulation of the commitment of the government to raise public spending of health from 0.9% of GDP to 2-3% of GDP.
• It aims to undertake architectural correction of health system to enable it to effectively handle increase allocation as promised under the National Common Minimum Program and promote policies that strengthen public health management and service delivery in the country.
• It has as its key components provide of female health activist in each village; a village health plan prepared through a local term headed by the Health and sanitation committee of Panchayat; Strengthening of the rural hospital for Effective Curative Care and measurable and accountable to the community through Indian Public Health Standards (IPHS); and integration of vertical Health & Family Welfare programmes and funds for optimal utilization of funds and infrastructure and strengthening delivery of primary HealthCare.
• It seeks to revitalize local health tradition and mainstream AYUSH into the public health system.
• It aims to effective integration of health concern with health determinants of health like sanitation & hygiene, nutrition, and safe drinking water through a District Plan of Health.
• It seeks decentralization of programmes for District Management of Health.
• It seeks to address the Inter-State and Inter-District disparities, especially among the 18 high focus state, including unmet needs for public health infrastructure.
• It shall define Time-Bound goals and report publicly on their progress.
• It seeks to improve access of rural people, especially poor woman and children, to equitable, affordable, accountable and effective public healthcare.

Decentralized village and district level health planning and management, appointment of Accredited Social Health Activist (ASHA) to facilitate access to health services, Strengthening the public health service delivery infrastructure, particularly at village, primary and secondary levels, mainstreaming AYUSH, improve management capacity to organize health system and services in public health, emphasizing evidence based planning and implementation through improved capacity and infrastructure, promoting the non-profit sector to increase social participation and community empowerment, promoting healthy behaviors, and improving intersectional convergence. Supplementary Strategies include regulation of the private sector to improve equity and reduce out of pocket expenses, foster public-private partnership to meet national public health goals, reorienting medical education, introduction of effective risk pooling mechanism and social insurance to raise the health security of the poor, and taking full advantages of local health tradition.

• Reduction of Infant Morality Rate (IMR) and Maternal Morality Rate (MMR)
• Universal access to public health services such as Womens health, child health, water sanitation & Hygiene, immunisation, and nutrition.
• Prevention and control of communicable and non-communicable diseases, including locally endemic diseases.
• Access to integrated comprehensive primary healthcare.
• Population Stabilization, gender and demographic balance.
• Revitalize local Health traditions and mainstream AYUSH.
• Promotion of Health Life styles.