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National Health Mission: BY Mr.K.Sagar Asso Professor Community Health Nursing

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kuruvagadda sagar

The National Health Mission encompasses the National Rural Health Mission and National Urban Health Mission. Its main programmatic components are strengthening the health system and addressing reproductive, maternal, neonatal, child, and adolescent health as well as communicable and non-communicable diseases. The mission aims to achieve universal access to equitable, affordable, and quality healthcare services that are responsive to people's needs through inter-sectoral collaboration and by addressing the social determinants of health. Key goals include reducing maternal and infant mortality, family planning, anemia, and incidence of diseases like tuberculosis, malaria, leprosy and kala-azar.

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National Health Mission: BY Mr.K.Sagar Asso Professor Community Health Nursing

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kuruvagadda sagar
134 views14 pages
The National Health Mission encompasses the National Rural Health Mission and National Urban Health Mission. Its main programmatic components are strengthening the health system and addressing reproductive, maternal, neonatal, child, and adolescent health as well as communicable and non-communicable diseases. The mission aims to achieve universal access to equitable, affordable, and quality healthcare services that are responsive to people's needs through inter-sectoral collaboration and by addressing the social determinants of health. Key goals include reducing maternal and infant mortality, family planning, anemia, and incidence of diseases like tuberculosis, malaria, leprosy and kala-azar.

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NHM

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The National Health Mission encompasses the National Rural Health Mission and National Urban Health Mission. Its main programmatic components are strengthening the health system and addressing reproductive, maternal, neonatal, child, and adolescent health as well as communicable and non-communicable diseases. The mission aims to achieve universal access to equitable, affordable, and quality healthcare services that are responsive to people's needs through inter-sectoral collaboration and by addressing the social determinants of health. Key goals include reducing maternal and infant mortality, family planning, anemia, and incidence of diseases like tuberculosis, malaria, leprosy and kala-azar.

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© All Rights Reserved
Download as PPTX, PDF, TXT or read online from Scribd
Download as pptx, pdf, or txt
134 views14 pages

National Health Mission: BY Mr.K.Sagar Asso Professor Community Health Nursing

Uploaded by

kuruvagadda sagar
The National Health Mission encompasses the National Rural Health Mission and National Urban Health Mission. Its main programmatic components are strengthening the health system and addressing reproductive, maternal, neonatal, child, and adolescent health as well as communicable and non-communicable diseases. The mission aims to achieve universal access to equitable, affordable, and quality healthcare services that are responsive to people's needs through inter-sectoral collaboration and by addressing the social determinants of health. Key goals include reducing maternal and infant mortality, family planning, anemia, and incidence of diseases like tuberculosis, malaria, leprosy and kala-azar.

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NATIONAL HEALTH

MISSION

BY
MR.K.SAGAR
ASSO PROFESSOR
COMMUNITY HEALTH NURSING
National Health Mission

The National Health Mission (NHM) encompasses its two


Sub-Missions, 
The National Rural Health Mission (NRHM) and 
The National Urban Health Mission (NUHM).
National Health Mission

The main programmatic components include Health System


Strengthening:
• Reproductive-Maternal- Neonatal-Child and Adolescent Health
(RMNCH+A), and
• Communicable and Non-Communicable Diseases prevention.
National Health Mission - Vision

“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”.
NATIONAL HEALTH MISSION
Flexible Pools under NHM
National Health Mission (NHM)
` 2 Sub-Missions
NRHM NUHM

Communicabl Infrastructure
NRHM –Flexible pool- NCD Pool
e Disease Maintenance Comprehe
(I) RCH Pool
Pool nsive
Health System
(II) Health System
Strengthening Primary
Strengthening
Pool
Health
(i) Other Health System Care
Strengthening

(ii) Comprehensive
Primary Health Care Health System Strengthening- includes components -- NPCD, NOHP, Burns & Trauma,
(iiI) ASHA Benefit Package
NPCF and other New Initiatives under NCD
including social benefits
NATIONAL HEALTH MISSION - COMPONENTS
 RCH Flexipool-
• RMNCH + A - Reproductive, Maternal, Neonatal, Child &
Adolescent Health.
NRHM- RCH • Immunization- Routine Immunization & Pulse Polio
Pool Immunization.
• NIDDCP- National Iodine Deficiency Disorder Control
Programme

 Health System Strengthening – ASHAs, Human Resources including


AYUSH, Mobile Medical Units, Referral Transport, Free Drugs & Free
Diagnostics, Biomedical Equipment Management, Quality Assurance
& Kayakalp, Infrastructure, etc.

• To strengthen the existing primary health care facilities and provide


National Urban new facilities for the un-served population in urban areas & urban
Health Mission poor. Major components Planning & Mapping, Programme
Management, Training, Human Resources, Community process.
NATIONAL HEALTH MISSION - COMPONENTS
• RNTCP – Civil Works, Laboratory materials for testing etc.
Communicable • NVBDCP- Malaria, Dengue, AES etc.
Diseases Pool • NLEP- HR, Mobility support
• IDSP- HR, Mobility support
• NVHCP-National Viral Hepatitis Control Programme, Drugs

• National Prog. For Prevention & Control of Cancer, Diabetes,


Non
Cardiovascular Diseases & Stroke (NPCDCS)
Communicable • National Prog. for Control of Blindness (NPCB).
Diseases Pool • National Mental Health Prog.(NMHP)
• National Tobacco Control Prog. (NTCP)
• National Prog. for Health Care of Elderly (NPHCE)

Infrastructure • To meet salary requirement of Auxiliary Nurse Midwives


Maintenance (ANMs) and the Lady Health Visitors (LHVs) etc.  
NHM PLANNING PROCESS
Divisions examine
Based on State
PIP Guidelines and PIP and share
priorities and PIP
resource envelopes comments/
guidelines
recommendations
Communicated to States States submit Draft PIP

States/UTs to submit MOHFW holds pre


revised PIP based on Consolidated appraisal meeting/
discussions during comments received consultation with
pre-appraisal/1st from all divisions States to obtain
Draft comments details
Communicated to States/ UTS
When States/UTs do not respond to
request of supporting details
To be circulated to Divisions

Revised proposals PIPs appraised in NPCC


accepted only on meetings as per the
sections where NPCC meetings Resource Envelope of
additional information States and ROPs issued
has been sought. accordingly
BOTTOM -UP APPROACH FOR PLANNING

Integrate

State Programme
State Integrate
Implementation Plan

District Health District District Integrate


Action Plan

Block Health Block Block Block


Action Plan Integrate

CHC/PHC CHC/PHC CHC/PHC CHC/PHC

Gram Gram Gram Gram Gram


Panchayat Panchayat Panchayat Panchayat Panchayat
Inputs from Gram
Panchayat level and
CHC/PHCs
National Health Mission GOALS
The endeavor would be to ensure the achievement of
indicators as follows :
1. Reduce MMR to 1/1000 live births
2. Reduce IMR to 25/1000 live births
3. Reduce TFR to 2.1
4. Prevention and reduction of anaemia in women aged 15–
49 years
5. Prevent and reduce mortality & morbidity from
communicable, non- communicable; injuries and emerging
diseases
National Health Mission
6. Reduce household out-of-pocket expenditure on total
health care expenditure
7. Reduce annual incidence and mortality from Tuberculosis
by half
8. Reduce the prevalence of Leprosy to <1/10000 population
and incidence to zero in all districts
9. Annual Malaria Incidence to be <1/1000
10. Less than 1 percent microfilaria prevalence in all districts
11. Kala-azar Elimination by 2015, <1 case per 10000
population in all blocks

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