National Health Mission
The
National Health Mission (NHM) aims for attainment of universal access to
equitable, affordable and quality health care services, accountable and
responsive to people’s needs, with effective inter-sectoral convergent action
to address the wider social determinants of health.
Under
NHM, support to States/UTs is provided for five key programmatic components:
(i) Health
Systems Strengthening including infrastructure, human resource, drugs &
equipment, ambulances, MMUs, ASHAs etc under National Rural Health Mission
(NRHM) and National Urban Health Mission (NUHM).
(ii) Reproductive,
Maternal, Newborn, Child and Adolescent Health Services (RMNCH + A)
(iii) Communicable Disease Control
Programmes
(iv) Non-Communicable Diseases Control
Programme interventions upto District Hospital level
(v) Infrastructure
Maintenance- to support salary of ANMs and LHVs etc.
The objectives
of NHM are summarised as under:
i.
Reduction
in child and maternal mortality
ii.
Prevention
and control of communicable and non-communicable diseases, including locally
endemic diseases.
iii.
Access
to integrated comprehensive primary health care.
iv.
Population
stabilisation, gender and demographic balance.
v.
Revitalize
local health traditions & mainstream AYUSH.
vi.
Universal
access to public services for food and nutrition, sanitation and hygiene and
universal access to public health care services with emphasis on services
addressing women’s and children’s health and universal immunisation.
vii.
Promotion
of healthy life styles.
The NHM has been
successful in accelerating the decline of Maternal Mortality Ratio (MMR), Under
5 Mortality Rate (U5MR), Infant Mortality Rate (IMR) and Total Fertility Rate
(TFR). It has also achieved many of the disease control targets.
The key targets
and achievements of NHM are given below:
Targets
as per NHM Framework for Implementation
S.no.
|
Targets (2012-17)
|
Achievements
|
1
|
Reduce IMR to 25/1000 live births
|
IMR has reduced to 37 in 2015 (SRS).
|
2
|
Reduce MMR to 100/1,00,000 live births
|
MMR has reduced to 167 in 2011-13 (SRS).
|
3
|
Reduce TFR to 2.1
|
TFR has reduced to 2.3 in 2014 (SRS).
|
4
|
Reduce annual prevalence and mortality from Tuberculosis by half
|
Tuberculosis
Prevalence and mortality reduced to half as compared to 1990 level.
Incidence reduced
from 300 / lakh in 1990 to 217/ lakh in 2015
Mortality reduced
from 76/ lakh in 1990 to 32/ lakh in 2015
Data Source : WHO
Global TB report 2016
|
5
|
Reduce prevalence rate of Leprosy to <1/10000 population in all
districts.
|
Prevalence rate of Leprosy reduced to Less than 1/10000
population in 551 Districts as on 31st March 2016.
|
6
|
Annual Malaria Incidence to be <1/1000
|
Annual Malaria Incidence is 0.67 in 2016.(Prov)
|
7
|
Less than 1 per cent microfilaria prevalence in all districts
|
Out of 256 LF endemic districts, 222 districts have reported Mf
rate less than 1% as per reports of 2016.
|
8
|
Kala-Azar Elimination by 2015, <1 case per 10000 population
in all blocks
|
Out of 628 endemic blocks 492 (78%) have already achieved
elimination till 2016.
|
No comments:
Post a Comment