Eleventh Five Year Plan

70 Eleventh Five Year PlanMission (NUHM), which along with NRHM, will formSarva Swasthya Abhiyan.National Rural Health Mission(NRHM)3.1.45 NRHM was launched to address infirmitiesand problems across primary health care and bringabout improvement in the health system and thehealth status of those who live in the rural areas. TheMission aims to provide universal access to equitable,affordable, and quality health care that is accountableand at the same time responsive to the needs of thepeople. The Mission is expected to achieve the goalsset under the National Health Policy and the MillenniumDevelopment Goals (MDGs).3.1.46 To achieve these goals, NRHM facilitatesincreased access and utilization of quality health servicesby all, forges a partnership between the Central,State, and the local governments, sets up a platformfor involving the PRIs and the community in themanagement of primary health programmes andinfrastructure, and provides an opportunity forpromoting equity and social justice. The NRHMestablishes a mechanism to provide flexibility tothe States and the community to promote local initiativesand develop a framework for promotingintersectoral convergence for promotive and preventivehealth care. The Mission has also defined core andsupplementary strategies.3.1.47 STRATEGIES OF NRHMCore Strategies• Train and enhance capacity of PRIs to supervise andmanage public health services.• Promote access to improved health care at householdlevel through the female health activist (ASHA).• Health Plan for each village through Village HealthCommittee of the Panchayat.• Strengthen SC through an untied fund to enablelocal planning and action and more MultipurposeWorkers (MPWs).• Strengthen existing PHCs and CHCs and provide30–50 bedded CHC per lakh population for improvedcurative care to a normative standard(Indian Public Health Service Standards [IPHS]defining personnel, equipment, and managementstandards).• Prepare and implement an intersectoral DistrictHealth Plan prepared by the District Health Mission,including drinking water, sanitation, hygiene,and nutrition.• Integrate vertical health and family welfareprogrammes at national, State, and district levels.• Technical Support to National, State, and DistrictHealth Missions for Public Health Management.• Strengthen capacities for data collection, assessment,and review for evidence-based planning,monitoring, and supervision.• Formulate transparent policies for deployment andcareer development of Human Resources for health.• Develop capacities for preventive health care at alllevels for promoting healthy life styles, reductionin consumption of tobacco and alcohol, etc.• Promote non-profit sector particularly in underservedareas.Supplementary Strategies• Regulation of private sector including the informalrural practitioners to ensure availability of qualityservice to citizens at reasonable cost.Box 3.1.3Sarva Swasthya Abhiyan• NRHM has been launched for meeting health needs of all age groups and to reduce disease burden across rural India.• NUHM will be launched to mmet the unmet needs of the urban population (28.6 crore in 2001 and 35.7 crore in 2011).As per the 2001 Census, 4.26 crore lived in urban slums spread over 640 towns and cities. The number is growing.• NUHM based on health insurance and PPP will provide integrated health service delivery to the urban poor. Initially, thefocus will be on urban slums. NUHM will be aligned with NRHM and existing urban schemes.• Besides, Sarva Swasthya Abhiyan aims for inclusive growth by finding solutions for strengthening health services andfocusing on neglected areas and groups.