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The National Rural Health Mission is an attempt to carry out necessary architectural correction in the basic health care delivery system. The mission adopts a synergistic approach by relating health to determinants of good health viz. segment of nutrition, sanitation, hygiene and safe drinking water. It also aims at mainstreaming the Indian systems of medicine to facilitate health care. The Plan of Action includes increasing public expenditure on health, reducing regional imbalances in health infrastructure, pooling resources, integration of organisational structure, optamisation of health manpower, decentralization and district management of health programmes, community participation and ownership of assets, induction of management and financial personnel in to district health system and operationalizing comunity health centers into functional hospitals meeting Indian Public Health Standards (IPHS) in each block of the country.
Goals
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.
- Reduction in infant Mortality Rate(IMR) & Maternal Mortality Ration(MMR)
- Universal access to public health services such as women’s health, child health, water, sanitation & hygiene,immunization & nutrition.
- Prevention & control of communicable & con-communicable diseases including locally endemic diseases.
- Assess to integrated comprehensive primary healthcare.
- Population stabilization gender & demographic balance.
- Revitalize local health traditions & mainstream AYUSH.
- Promotion of healthy life styles.
The National Rural Health Mission envisages the planning process to be participatory and decentralized starting with the Village. it seeks to empower the community by placing the health of the people in their own hands and determine the ways they would like to improve their health. This is the only way to ensure that health plans are need based. The state would play a facilitator role.
NRHM was launched in state of Punjab and planning process for the district started on 30th May 2007. The State is implementing the NRHM in right earnest. A number of enabling actions were taken by the State Health Society. This created environment conducive for decentralized planning by the district.
District Action Plans is the most important unit of the planning process as the Government of India and the state would monitor the progress of implementation district wise. The district is also the key administrative unit for most of the development activities. To make District Plans more meaningful and address local health problems, preparation of Block Health Plans is considered essential.
The decentralized planning process involved village consultations and preparation of Village Health plans by the Village Health Water and Sanitation committees; followed by development of Block Action Plans through integration of Health Facility Surveys and block specific needs. The Block Action plans were integrated to form District Action Plans.
We now have the capacity for preparing the need bases plans following participatory processes. A District Planning Team (DPT0 was set up for this purpose in the month of July 2007. It has representation from various sectors concerned with NRHM. This group was responsible for management of the entire planning process in the district and also for provision of the technical support. The DPT is the standing body and will take charge of the implementation of the plans thus prepared. Thus the DPT not only owns the plans but will also responsible for monitoring the progress of implementation to achieve the objectives of the plan.
NRHM was launched in state of Punjab and planning process for the district started on 30th May 2007. The State is implementing the NRHM in right earnest. A number of enabling actions were taken by the State Health Society. This created environment conducive for decentralized planning by the district.
District Action Plans is the most important unit of the planning process as the Government of India and the state would monitor the progress of implementation district wise. The district is also the key administrative unit for most of the development activities. To make District Plans more meaningful and address local health problems, preparation of Block Health Plans is considered essential.
The decentralized planning process involved village consultations and preparation of Village Health plans by the Village Health Water and Sanitation committees; followed by development of Block Action Plans through integration of Health Facility Surveys and block specific needs. The Block Action plans were integrated to form District Action Plans.
We now have the capacity for preparing the need bases plans following participatory processes. A District Planning Team (DPT0 was set up for this purpose in the month of July 2007. It has representation from various sectors concerned with NRHM. This group was responsible for management of the entire planning process in the district and also for provision of the technical support. The DPT is the standing body and will take charge of the implementation of the plans thus prepared. Thus the DPT not only owns the plans but will also responsible for monitoring the progress of implementation to achieve the objectives of the plan.
The Vision
- The National Rural Health Mission(2005-12) seek to provide effective healthcare to rural population throughout the country with special focus on 18 states, which have weak public health indicators & /or weak infrastructure.
- These 18 states are Arunachal Pradesh, Assam, Bihar,Chhattissgarh, Himachal Pradesh, Jharkand, Jammu & Kashmir, Manipur, Mizoram, Meghalaya, Madhya Pradesh, Nagaland, Orissa, Rajasthan, Sikkhim, Tripura, Uttaranchal & Uttar Pradesh.
- The Mission is an articulation of the commitment of Government to raise public spending on health from 0.9% of GDP to 2-3% of GDP.
- It aims to undertake architectural correction of the health system to enable it to effectively handle increased allocations as promised under the National? Common Minimum Programme & promote policies that strength public health management & services delivery in the country.
- It has as its key components provision of a female health activist in each villages: a village health plan prepared through a local team headed by the Health & Sanitation Committee of the Panchayat strengthening of the rural hospital for effective curative care and made measurable and accountable to the community through Indian Public Health Standards(IPHS): and integration of vertical Health & Family Welfare Programmes & Funds for optimal utilization of funds and infrastructure and strengthening delivery of primary healthcare.
- It seeks to revitalize local heath traditions and mainstream AYUSH into the public health system.
- It aims at effective integration of Health concerns with determinations of health like sanitation & hygiene, nutrition & safe drinking water through a District Plan for Heath.
- It seeks decentralization of programmes for district management of health.
For more information on National Rural Health Mission, go to www.mohf.gov.in
