FOR MORE PRESENTATIONS

2. STATE OF PUBLIC HEALTH IN INDIA BEFORE
NRHM
 Health gap at rural level
Multiple health crisis ( malnutrition,
maternal and infant deaths, inadequate
water supply etc..

3.  Improve rural health delivery system
-accessible
-affordable
-accountable
-equitable

4.  Launched in 5th April 2oo5 for 7 years by GoI
 Special focus on 18 states
 8 NORTH EASTERN STATES (ASSAM, AP,
MANIPUR, MEGHALAYA, MIZORAM,
NAGALAND, SIKKIM, TRIPURA)
 8 EMPOWERED ACTION GROUP STATES
( BIHAR, JHARKHAND, MP, CHATTISGARH,UP,
UTTARANCHAL, ORISSA, RAJASTAN)
 HP & JK

5.  Child & maternal mortality rate
 Universal access to public health services for
food ,nutrition, sanitation and public health
services addressing maternal and child
health.
 Prevention and control of CD’s and NCD’s
 Access to primary health care
 Mainstreaming of AYUSH
 Promotion of healthy life style

6.  Decentralisation of village and district level
health planning and management
 Appointing ASHA for facilitating the access to
health services
 Strengthen public health delivery services at
primary and secondary level
 Mainstreaming AYUSH
 Improve management capacity to organise
health systems and services
 Improve intersectorial coordination

7.  Private partnership to meet national public
health goals-’public pvt. Partnership’ (ppp)
 Social insurance to raise the health security
of poor

8. AT NATIONAL LEVEL
 IMR : Reduce to 30/1000
 MMR : Reduce to 100/100,000
 TFR : Reduce to 2.1
 MALARIA MORTALITY RATE REDUCTION:
50% by 2010 , addtl 10% by 2012
 FILARIA RATE REDUCTION :
70%(2010), 80%(2012), elimn by 2015
 DENGUE MORTALITY RATE REDUCTION:
50%(2010)
 KALA AZAR MORTALITY RATE REDUCTION:
100%(2010)
 JE MORTALITY RATE REDUCTION:
50%(2010)
 CATARACT OPERATION: increase to 46 lakhs/year 2012

9.  LEPROSY PREVALENCE RATE : reduce from
1.8/10,000 in 2005 to less than 1/10,000
 TB DOTS SERVICES : 85% Cure rate
 Upgrading CHC to Indian Public Health
Standards
 Increase utilisation of FIRST REFERRAL
UNITS from <20% to 75%
 Engaging 250,000 female ASHA in 10 states

10.  PHC/CHC should provide good hospital care.
 Generic drugs at subcentre level
 Access to UIP
 Facilities for institutional deliveries
 Trained community level worker at village level
 Health day at ANGANWADI
-immunisation
- antenatal/postnatal check ups
 Provision of house hold toilets
 Improved outreach services through MOBILE
MEDICAL UNIT at district level
 Community health insurance

11. 1)CREATION OF ASHA (ACCREDITED SOCIAL
HEALTH ACTIVIST)
-health activist in the community
-1ASHA= 1000 population
-not a paid employee
-create awareness about health & its
determinants
-mobilise community to health care
services
- counsel women and escort them to
PHC/CHC & providing medical care for
minor ailments

12. 2) STRENGTHENING OF SUB CENTRES
 Supply of essential medicines
 Provision of MPW / additional ANM
 Provision of funds
3) STRENGTHENING OF PHC
 24 hr service in at least 50% of PHC incl.
AYUSH practitioner
 Upgradation for 24hr referral service
 Adequate and regular supply of essential
drug
 Strengthening CD control programme

13. 4) STRENGTHENING OF CHC’S
 3222 CHCs should function as first referral
unit
 Maintain ‘INDIAN PUBLIC HEALTH
STANDARDS‘
 Promotion of ‘ROGI KALYAN SAMITIS’

14.  AT NATIONAL LEVEL: MISSION STEERING
GROUP ,
-chairman is union minister of health and
family welfare
 AT STATE LEVEL : STATE HEALTH MISSION
- led by CM
 AT DISTRICT LEVEL : DISTRICT HEALTH
MISSION
- Led by chairman of ZILA PARISHAD

15.  Core unit in planning, budgeting and
implementation of the programme.
FUNCTIONS
 Selection and training of ASHA
 Organising health camps at ANGANWADI
 Mainstreaming AYUSH
 Upgrading CHCs to IPHS
 Outreach services through mobile medical
units

16.  Baseline survey at district level & household
level
 Community monitoring at village level
 Eventual monitoring of the outcomes is done
by planning commission of India