The National Health Mission (NHM) is a National effort at ensuring effective healthcare through a range of interventions at individual, household, community, and most critically at the health system levels. Despite considerable gains in health status over the past few decades in terms of increased life expectancy, reductions in mortality and morbidity serious challenges still remain. These challenges vary significantly from state to state and even within states. Studies demonstrate that curative services favour the rich over the poor. Only one tenth of the population is covered by any form of health insurance thereby exposing the large majority to the risk of indebtedness in the event of a major illness in the family. Operational integration in policy and programme between various vertical programmes within the health sector, and between health and other related sectors such as drinking water, sanitation, and nutrition has been limited, resulting in a lack of holistic approaches to health. A number of States particularly in North-East parts of the country have stagnant health indicators and continue to grapple with significant morbidity and mortality. The causes for this basically lie in socio-economic factors, under performing health systems and weak institutional framework. The National Common Minimum Programmer spells out the commitment of the Government to enhance Budgetary Outlays for Public Health and to improve the capacity of the health system to absorb the increased outlay so as to bring all round improvement in public health services. This Mission seeks to provide effective health care to the rural population, especially the disadvantaged groups including women and children, by improving access, enabling community ownership and demand for services, strengthening public health systems for efficient service delivery, enhancing equity and accountability and promoting decentralization
NHM components
Part A – RCH flexipool
Part B – Mission Flexipool include NOHP, NPPCD, NPPCF, Burn Injury
Part C – Routine Immunization
Part D – National Disease Control
- National Vector Borne Disease Control Program (NVBDCP)
- Revised National Tb Control Prog (RNTCP)
- National Leprosy Elimination Prog (NLEP)
- Integrated Disease Control Prog (IDSP)
- National Iodine Deficiency Disorders Control Programme (NIDDCP)
Part E – Non communicable diseases
- National Program for control of blindness
- National Tobacco Control Program (NTCP)
- National Program for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS)
- National Mental Health program (NMHP)
- National Program for the Healthcare of the Elderly (NPHCE)
Part P – National Urban Health Mission (NUHM)
Goals- SDG 2030
- Reduce MMR to <100/1 Lac live births
- Reduce IMR to 25/1000 live births
- Reduce TFR to 2.1
- Prevention and reduction of anaemia in women aged 15-49 years
- Prevent and reduce mortality & morbidity from communicable & non-communicable, injuries and emerging diseases
- Reduce 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
- Annual Malaria Incidence to be < 1/1000
- Chief Minister Universal Health Insurance Scheme (CMUHIS) to 100% coverage.
- To provide equitable quality health services to all the rural population & equip Health Institutions as per IPHS Norms.