Wednesday, March 10, 2010

NRHM


NRHM is a initiative for sector wide rejuvenation of Public Health delivery system in all states in accelerated mode over the period 2005-2012. The NRHM does not have  a target based approach for States/UTs but there are expected outcomes outlined in the NRHM Implementation Framework which are as follows:-

·       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.
·       Cataract operations-increasing to 46 lakhs 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 6,00,000 female Accredited Social Health Activists (ASHAs) etc.
            Since the launch of NRHM, the Jammu & Kashmir State has reported effective and efficient implementation of NRHM.  As per the latest report, 6788 Village Health & Sanitation Committees (VHSCs) have been constituted and 5215 Joint Accounts are operational in the State.  Rogi Kalyan Samiti is operational at 14 District Hospitals, 87 Community HealthCentres (CHCs) and 375 Primary Health Centres (PHCs).  All the districts have started developing their own Integrated District Health Action Plan (IDHAP).  44 CHCs and 14 DistrictHospitals are functioning as First Referral Units (FRUs). 
9500 Accredited Social Health Activists (ASHAs) have been selected and 9500 are trained in 1st Module.  About 9500 ASHAs have been provided with drug kits.  1742 Sub-centres are functional with an ANM.
295 Sub-centres (SCs) are strengthened with 2nd ANM, 346 Staff Nurses, 375 ANMs have been recruited on contractual basis.
            State of J&K have been advised to accelerate the implementation of steps for better health care services at grass root level.  Regular State visits and hand-holding workshops are conducted to address the areas which need support in the State.  Experience sharing workshops are also convened where States share their best practices for benefit of other States.