National Health Mission: Most Important Topic for 2023 NET, IAS, State-SET (KSET, WBSET, MPSET, etc.), GATE, CUET, Olympiads etc.
Get unlimited access to the best preparation resource for NTSE/Stage-II-National-Level : get questions, notes, tests, video lectures and more- for all subjects of NTSE/Stage-II-National-Level.
- The National Health Mission (NHM) envisages achievement of universal access to equitable, affordable & quality health care services that are accountable & responsive to people՚s needs.
- The National Health Mission seeks to ensure the achievement of the following indicators.
- Reduce Maternal Mortality Rate (MMR) to 1⟋1000 live births
- Reduce Infant Mortality Rate (IMR) to 25⟋1000 live births
- Reduce Total Fertility Rate (TFR) to 2.1
- Prevention & reduction of anemia in women aged 15 – 49 years
- Prevent & reduce mortality & morbidity from communicable, non-communicable; injuries and emerging diseases
- Reduce household out-of-pocket expenditure on total health care expenditure
- Reduce annual incidence and mortality from Tuberculosis by half
- Reduce prevalence of Leprosy to < 1⟋10000 population and incidence to zero in all districts
- Annual Malaria Incidence to be < 1⟋1000
- Less than 1 per cent microfilaria prevalence in all districts
- Kala-azar Elimination by 2015, < 1 case per 10000 population in all blocks.
Components of National Health Mission
- The National Health Mission (NHM) encompasses its two Sub-Missions, the National Rural Health Mission (NRHM) & the National Urban Health Mission (NUHM) .
- NHM has six financing components:
- NRHM-RCH Flexipool
- NUHM Flexipool
- Flexible pool for Communicable disease
- Flexible pool for Non communicable disease including Injury & Trauma
- Infrastructure Maintenance
- Family Welfare Central Sector component
- The main programmatic components include
- Health System Strengthening in rural and urban areas
- Reproductive-Maternal- Neonatal-Child & Adolescent Health (RMNCH + A)
- Communicable & Non-Communicable Diseases.
- Within the broad national parameters & priorities, states would have the flexibility to plan & implement state specific action plans. The state PIP would spell out the key strategies, activities undertaken, budgetary requirements & key health outputs & outcomes.
- The State PIPs would be an aggregate of the district⟋city health action plans, & include activities to be carried out at the state level. The state PIP will also include all the individual district⟋city plans. This has several advantages: one, it will strengthen local planning at the district⟋city level, two, it would ensure approval of adequate resources for high priority district action plans, & three, enable communication of approvals to the districts at the same time as to the state.
National Rural Health Mission (NRHM)
- The National Rural Health Mission (NRHM) was launched on 12th April 2005, to provide accessible, affordable & quality health care to the rural population, especially the vulnerable groups.
- NRHM seeks to provide equitable, affordable & quality health care to the rural population, especially the vulnerable groups. Under the NRHM, the Empowered Action Group (EAG) States as well as North Eastern States, Jammu and Kashmir & Himachal Pradesh have been given special focus.
- 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 & gender equality.
- NRHM focuses on Reproductive, Maternal, Newborn, Child Health & Adolescent (RMNCH + A) Services. The emphasis here is on strategies for improving maternal & child health through a continuum of care & the life cycle approach. It recognizes the inextricable linkages between adolescent health, family planning, maternal health & child survival.
- Moreover, the linking of community & facility-based care and strengthening referrals between various levels of health care system to create a continuous care pathway is also to be focused.
Rogi Kalyan Samiti (RKS)
- Rogi Kalyan Samiti (Patient Welfare Committee) ⟋ Hospital Management Committee is a simple yet effective management structure. This committee, a registered society, acts as a group of trustees for the hospitals to manage the affairs of the hospital. It consists of members from local Panchayati Raj Institutions (PRIs) , NGOs, local elected representatives and officials from Government sector who are responsible for proper functioning & management of the hospital ⟋ Community Health Centre ⟋ FRUs. RKS ⟋ HMS is free to prescribe, generate & use the funds with it as per its best judgement for smooth functioning and maintaining the quality of services.
Accredited Social Health Activist (ASHA)
- Accredited Social Health Activist (ASHA) is a trained female community health activist. Selected from the community itself & accountable to it, the ASHA will be trained to work as an interface between the community & the public health system. At present there are over 9 Lakh ASHAs. The ASHA scheme is presently in place in 33 states (except Goa, Chandigarh & Puducherry) .
Ayushman Bharat – PM Jan Arogya Yojana
- Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) is a Centrally Sponsored Scheme having central sector component under Ayushman Bharat Mission anchored in the Ministry of Health & Family Welfare (MoHFW) . It is an umbrella of two major health initiatives, namely Health & wellness Centres & National Health Protection Scheme.
- List of Services to be provided at Health & Wellness Centre
- Pregnancy care & maternal health services
- Neonatal & infant health services
- Child health
- Chronic communicable diseases
- Non-communicable diseases
- Management of mental illness
- Dental care
- Eye care
- Geriatric care Emergency medicine