The National Rural Health Mission (NRHM) has been launched with a view to bringing about remarkable improvement in the health system and the health status of the people, predominantly those who live in the rural areas of the country. The Mission seeks to provide universal access to equitable, affordable and quality health care which is accountable at the same time responsive to the needs of the people, reduction of child and maternal deaths as well as population stabilization, gender and demographic balance. In this process, the Mission would help achieve goals set under the National Health Policy and the Millennium Development Goals.
To achieve these goals NRHM will:
- Facilitate increased access and utilization of quality health services by all.
- Forge a partnership between the Central, state and the local governments.
- Set up a platform for involving the Panchayati Raj institutions and community in the management of primary health programmes and infrastructure.
- Provide an opportunity for promoting equity and social justice.
- Establish a mechanism to provide flexibility to the states and the community to promote local initiatives.
- Develop a framework for promoting inter-sectoral convergence for promotive and preventive health care.
The Objectives of the Mission:
- Reduction in child and maternal mortality
- 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 immunization
- Prevention and control of communicable and non-communicable diseases, including locally endemic diseases
- Access to integrated comprehensive primary health care.
- Population stabilization, gender and demographic balance.
- Revitalize local health traditions & mainstream AYUSH.
- Promotion of healthy life styles.
The expected outcomes from the Mission as reflected in statistical data are:
- IMR reduced to 30/1000 live births by 2012.
- Maternal Mortality reduced to 100/100,000 live births by 2012.
- TFR reduced to 2.1 by 2012.
- Malaria Mortality Reduction Rate - 50% up to 2010, additional 10% by 2012.
- Kala-azar Mortality Reduction Rate - 100% by 2010 and sustaining elimination until 2012..
- Filaria/Microfilaria Reduction Rate - 70% by 2010, 80% by 2012 and elimination by 2015.
- Dengue Mortality Reduction Rate - 50% by 2010 and sustaining at that level until 2012.
- Leprosy Prevalence Rate –reduce from 1.8 per 10,000 in 2005 to less that 1 per 10,000 thereafter.
- Tuberculosis DOTS series - maintain 85% cure rate through entire Mission Period and also sustain planned case detection rate.
- Upgrading all Community Health Centers to Indian Public Health Standards.
- Increase utilization of First Referral units from bed occupancy by referred cases of less than 20% to over 75%.
- Engaging 4,00,000 female Accredited Social Health Activists (ASHAs).
The expected outcomes at Community level
- Availability of trained community level worker at village level, with a drug kit for generic ailments.
- Health Day at Aanganwadi level on a fixed day/month for provision of immunization, ante/post natal checkups and services related to mother and child health care, including nutrition.
- Availability of generic drugs for common ailments at sub Centre and Hospital level.
- Access to good hospital care through assured availability of doctors, drugs and quality services at PHC/CHC level and assured referral-transport-communication systems to reach these facilities in time.
- Improved access to universal immunization through induction of Auto Disabled Syringes, alternate vaccine delivery and improved mobilization services under the programme.
- Improved facilities for institutional deliveries through provision of referral transport, escort and improved hospital care subsidized under the Janani Surakshya Yojana (JSY) for the below poverty line families.
- Availability of assured health care at reduced financial risk through pilots of Community Health Insurance under the Mission.
- Availability of safe drinking water.
Common Health Centre Progress in Garhwa District
Three new CHC building has been constructed in Meral, Bhawnathpur and Nagar Untari. It is expected that Meral CHC building will be handed over by contractor in year 2011-2012. Garhwa Sadar, Kandi and Bhandaria are pending.
There are 8 CHCs in District Garhwa. 4 CHCs have the water supply facility and 4 do not have that facility. Two CHCs have regular power supply and 6 CHCs face the problem of irregular power supply. 7 CHCs have labor room facility and only Garhwa CHC doesn’t have labour room was not started because the deliveries of Garhwa sadar are conducted at Sadar Hospital, Garhwa.
Primary Health Centre Progress in Garhwa District
The financial progress of expenditure under PHC construction is 34.18% of total amount received (Rs 638.18 lakhs) till Sept. 2010.
3 PHCs have the water supply facility and 7 do not have that facility. Two PHCs have irregular power supply and 8 PHCs do not have electricity. 5 PHCs have labor room facility and 5 doesn’t have that facility. All the labour rooms needs minor or major repairs because most of the buildings are in dilapidated condition.
Health Service Centre Progress in Garhwa District
The financial progress of expenditure under HSC construction is 74.42 % of total amount received(Rs 639.18 lakhs) till Sept. 2010.
All the HSCs do not have water supply and Electricity facility. Labour room is not available in any of the HSC. So the deliveries are not conducted in HSCs. There is plan to plan to upgrade atleast 5 HSCs to conduct deliveries at lease during day time.
Referal Health Centre Progress in Garhwa District
There are 3 Referral Hospitals in District Garhwa. 1 facility has the water supply facility and 2 do not have that facility. One referral hospital has the regular power supply and 2 faces problem of irregular power supply. Labor room is functional in all the referral hospitals.Click here for Health & family welfare