Goals of NHM
About National Health Mission (NHM)
The National Rural Health Mission (NRHM) has been launched in Uttrakhand
with a view to bring architectural correction of the health system to enable
it to effectively handle increased allocations and promote policies that
strengthen public health management and service delivery. It aims to improve
the health status of the people, especially those who live in the villages/
inaccessible areas. The vision is to provide universal access to equitable,
affordable and quality health care services which is accountable at the same
time responding to the needs of the people. The programme is funded by
Government of India and State Government. NRHM covers the entire country, with
special focus on some states where the challenge of strengthening poor public
health systems and there by improve key health indicators is the greatest. The
mission envisions targeting especially rural/ tribal people, poor women and
children for providing equitable, affordable, accountable and effective
primary health care. DHAP contains situational analysis of the district,
objectives and interventions, work plan and budgets and an M&E plan including
training plan, BCC plan and Logistics systems plan. After formulation of each
DHAP it will be appraised and approved at state level and will be guiding
document for implementation, monitoring & evaluation of NRHM activities in the
district..
District Pauri Garhwal has successfully managed to gear its efforts
towards improving service provisions at the grass roots level in spite of its
limitations, in terms of availability of skilled manpower and difficult
geographical terrain. With ASHA in place demand for service has certainly
increased. District has seen a remarkable shift from domiciliary to
institutional delivery and the statistics will certainly improve once we
strengthen our existing LI , LII, LIII and also develop our present institutes
into LI, LII & LIII .
District Pauri has completed the selection of ASHAs across district.
District has already started Seventh modules in which focus is on HBNC which
would be of great help to rural population residing in remote locations..
Finally, in the district consultation larger range of stakeholders from
different departments, attempted to examine & work out strategies in context
of feasibility & viability especially for increasing accessibility and quality
of services and come up with district specific comprehensive strategies as
well as tentative time frame to achieve the goals & objectives. The other
stakeholders involved in formulation of these activities includes ICDS, Water
& sanitation departments/SWAJAL, Education, PRIs, civil societies etc.
Goals
- Reduce MMR to 1/1000 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 household 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 population and incidence to zero in all districts
- Annual Malaria Incidence to be <1/1000
- Less than 1 per cent microfilaria prevalence in all districts