G.1. NATIONAL RURAL HEALTH MISSION
To improve the healthcare services, particularly in rural areas.
To provide accessible, affordable, accountable and effective primary healthcare facilities, especially to the poor and vulnerable sections of the population.
Establishing a fully functional, community owned, decentralized health delivery system with inter-sectoral convergence at all levels,
Ensures simultaneous action on a wide range of determinants of health such as water, sanitation, education, nutrition, social and gender equality
And general population
Initiatives under NRHM:
Accredited social health activists
Janani Suraksha Yojana
Mobile medical units
Janani Shishu Suraksha Karyakram (JSSK)
Rashtriya Bal Swasthya Karyakram (RBSK)
Mother and child health wings (MCH wings)
Free drugs and free diagnostic service
District hospital and knowledge center (DHKC)
Mainstreaming AYUSH – revitalizing local health traditions.
Strengthening existing PHCs and CHCs, and provision of 30- 50 bedded
Promoting non-profit sector
Components of NRHM
G.2. NATIONAL URBAN HEALTH MISSION
To meet health care needs of the urban population with the focus on urban poor, slum dwellers, by making available to them essential primary health care services and
Reducing their out of pocket expenses for treatment
And general population
Need based city specific urban health care system
Partnership with community and local bodies and ngos
District health action plan
Entre-state funding pattern will be 75:25 for all the states and 90:10 for Special Category s States.
G.3. ACCREDITED SOCIAL HEALTH ACTIVIST (ASHA)
It is a Part of NRHM
To work as an interface between the community and the public health system.
To be a fountainhead of community participation in public health programmes in her village.
To help villagers and mothers access immunisation, ante natal check-up (anc), post natal check-up supplementary nutrition, sanitation
And general population
Key components of the national rural health mission is to provide every village in the country with a trained female community health activist ASHA
be the first port of call for any health related demands of deprived sections of the population, especially women and children, who find it difficult to access health services.
Create awareness on health and its social determinants promoter of good health practices
Provide information to the community on determinants of health such as nutrition, basic sanitation & hygienic practices
G.4. MISSION INDRADHANUSH
Full immunization coverage from present 65% to 90% for all children by 2020
All children under the age of two years and pregnant women are fully immunized with all available vaccines.
All children under the age of two years and
All vaccines are available free of cost under ‘universal immunization programme’
7 vaccine preventable diseases which include diphtheria, whooping cough, tetanus, polio, tuberculosis, measles and hepatitis b.
“catch-up” campaign mode where the aim is to cover all the children who have been left out or missed out for immunization.
first phase of mission has identified and targeted 201 high focus districts in the country that have the highest number of partially immunized and unimmunized children.
G.5. RASHTRIYA SWASTHYA BIMA YOJANA (RSBY)
To recognise the diversity with regard to public health infrastructure, their socio -economic conditions and the administrative network.
The health insurance scheme aims to facilitate launching of health insurance projects in all the districts of the states in a phased manner for bpl workers
Any Below Poverty Line (BPL) family, whose information is included in the district BPL list prepared by the State government and who has enrolled for RSBY.
Government- run health insurance scheme for the BPL family.
It-enabled and smart–card-based cashless healthy insurance cover, up to Rs. 30,000/- per annum on a family floater basis
RSBY was revamped in October 2014 as a part of Shramevajayantey event and links RSBY’s beneficiary’s bank account with Aadhaar card.
Single central smart card to be issued to include other welfare schemes Like Aam Aadmi Bima Yojana and national old age pension scheme.
RSBY was revamped in October 2014 as a part of Shramevajayantey event
Revamped RSBY to be merged with national health assurance mission: ( universal insurance is key to the concept of health assurance)
· States can add to both by paying for the additional coverage.
Health ministry is also looking at developing an it platform where health-related schemes not just of this ministry but also those of other ministries that have a bearing on health - for example, the janani shishu suraksha yojana of the women and child development ministry - can be managed from the same platform and a common registration system, ensuring there is neither duplication nor wastage of resources.
G.6. RASHTRIYA BAL SWASTHYA KARYAKRAM (RBSK)
a. Health screening for 4 ds -defects at birth, diseases, deficiencies and development delays including disability.
b. Equitable child health, care and early detection and treatment.
The services aim to cover all children of 0-6 years of age group in rural areas and urban slums,
Children up to 18 years of age enrolled in classes 1st to 12th in government and government-aided schools.
Reach and benefit of about 27 crore children in a phased manner.
Part of (child health screening and early intervention services under NRHM) -- reproductive and child health initiatives
Children diagnosed with illnesses shall receive follow up including surgeries at tertiary level, free-of-cost under NRHM.
Community based newborn screening by ASHAs (age 0-6 weeks) for birth defect
From 6 week to 18 years, screening by mobile health teams (consists of two doctors (AYUSH) one male and one female, one ANM/staff nurse and one pharmacist)
G.7. JANANI SURAKSHA YOJANA
Reducing maternal and infant mortality by promoting institutional delivery among pregnant women.
Part of rmncha+ of nrhm
To new born babies from pregnancy related complications and deaths.
New born babies (neonates)
Eligible pregnant women are entitled for cash assistance irrespective of the age of mother and number of children for giving birth in a government or accredited private health facility.
Focuses on poor pregnant woman with a special dispensation for low performing states.
Performance based incentives to women health volunteers known as Asha (accredited social health activist) for promoting institutional delivery among pregnant women.
Low performing states: states that have low institutional delivery rates, namely, the states of Uttar Pradesh, Uttarakhand, Bihar, Jharkhand, Madhya Pradesh, Chhattisgarh, Assam, Rajasthan, Orissa, And Jammu And Kashmir.
G.8. JANANI SHISHU SURAKSHA KARYAKRAM
To mitigate the problem of out of pocket expenses which prevents institutional attendance of pregnant women.
To provide better health facilities for pregnant women and sick neonates.
New born babies (neonates)
The scheme emphasizes utmost importance on “free entitlements”. The idea is to eliminate out-of-pocket expenses for both pregnant women and sick neonates.
Zero expense deliveries: pregnant women are entitled for free drugs and consumables, free diagnostics, free blood whenever required, and free diet up to 3 days for normal delivery and 7 days for c-section.
Free transport from home to institution,
It supplements the cash assistance given to a pregnant woman under Janani Suraksha Yojana (JSY).
G.9. SOIL TRANSMITTED HELMINTHES (STH) INFECTIONS
To prioritize investment in control of soil transmitted helminthes (sth) infections
Aims to create mass awareness about the most effective and low-cost sth treatment
Special emphasis on children
Union minister for health and family welfare launched the national deworming day
Administering albendazole tablets
Behavior change practices in terms of cleanliness, hygiene, use of toilets, wearing shoes/chappals, washing hands
The de-worming initiative was implemented in 277 districts and 9.49 lakhs frontline workers were trained for NDD 2015
India is now launching national de-worming day 2016 to cover the whole country, aiming towards a massive target of 27 crore children in 536 districts of the country
G.10. RASHTRIYA AROGYA NIDHI (RAN)
To provide for financial assistance to patients, living below poverty line who are suffering from major life threatening diseases,
To receive medical treatment at any of the super specialty hospitals/institutes or other govt.
Patients, living below poverty line who are suffering from major life threatening diseases,
Assistance in RAN is not directly provided to the Patient but is given to the Superintendent of the hospital in which treatment is being taken. Assistance admissible for treatment in Government Hospital only
The state government can grant up to Rs 1.5 lakhs, beyond which needs centre’s sanction