This slide is about the rural health mission in which we educate the village public about the health and hygiene of themselves

1. PRESENTED BY:- RIYA MALOO
DISHA SONI
YASH VARDHAN CHATURVEDI
DEVESH SHARMA
ANJALI MASOOM

2. NRHM
The National Rural Health Mission (NRHM) was
launched by the Hon’ble Prime Minister on 12th April
2005, to provide accessible, affordable and quality health
care to the rural population, especially the vulnerable
groups. The Union Cabinet vide its decision dated 1st
May 2013, has approved the launch of National Urban
Health Mission (NUHM) as a Sub-mission of an over-
arching National Health Mission (NHM), with National
Rural Health Mission (NRHM) being the other Sub-
mission of National Health Mission.

3. NRHM seeks to provide equitable, affordable, and
quality health care to the rural population, especially
the vulnerable groups. Under the NRHM, the
Empowered Action Group (EAG) States, as well as the
North Eastern States, Jammu and Kashmir and
Himachal Pradesh, have been given special focus. The
thrust of the mission is on establishing a fully
functional, community-owned, decentralized health
delivery system with inter-sectoral convergence at all
levels, to ensure simultaneous action on a wide range
of determinants of health such as water, sanitation,
education, nutrition, social and gender equality.
Institutional integration within the fragmented health
sector was expected to provide a focus on outcomes,
measured against Indian Public Health Standards for
all health facilities.

4. Aims of NRHM:
The main aims of NRHM:
(i) To provide accessible, affordable, accountable
effective and reliable primary health care facilities,
especially, to the poor and vulnerable sections of the
population.
(ii) To bridging the gap in Rural Health Care services
through creation of a cadre of Accredited Social
Health Activists (ASHA) and improved hospital care,
decentralization of programme to district level to
improve intra and inter-sectoral convergence and
utilisation of resources,
(iii) To provide overarching umbrella to the existing
programmes of health and family welfare including
Malaria, Blindness, Iodine deficiency, Filaria, Kala
Azar, TB, Leprosy and rural Disease Surveillance.

5. Components of NRHM:
The key components of the
Mission are:
(i) Involvement and leadership of PRIs for the Health
Sector
(ii) Creation of a Cadre of Accredited Social Health
Activists (ASHA) in a phased manner
(iii) Creation of village health team and preparation of
village health plan—strengthening sub-centres with
united fund of Rs. 10,000 per annum.
(iv) Codification of Indian Public Health Standards
(IPHS).

6. (v) Raising 2,000 + CHCs to the level of IPHs.
(vi) Mainstreaming AYUSH at all levels of primary
health care.
(vii) Integrating vertical health and family welfare
programmer’s under NRHM at National, State and
District level,
(viii) Strengthening of programme management
capacities ai national, state and district level.

7. (v) Raising 2,000 + CHCs to the level of IPHs.
(vi) Mainstreaming AYUSH at all levels of primary
health care.
(vii) Integrating vertical health and family welfare
programmer’s under NRHM at National, State and
District level,
(viii) Strengthening of programme management
capacities ai national, state and district level.

8. Importance of NRHM:
It is important to note that in
rural areas:
1. Infectious diseases continue to be a major cause of
death and disease.
2. Many of such infectious diseases are preventable.
3. Malnutrition still continues to be a major cause of
disease and death.
4. Deaths from famines, floods and other natural
calamities have decreased.
5. Small pox has been eradicated.
6. The incidence of diseases like cholera and malaria have
shown decline.
7. Vaccination programmes have provided some
protection bringing down the prevalence of certain

9. India’s flagship health sector programme, National Rural
Health Mission (NRHM) was launched by Shri Narendra
Modi, Hon’ble Prime Minister on 12th April 2005. The
mission aims to provide accessible, affordable and quality
healthcare to the rural population, especially the vulnerable
groups.
The focus area of the mission is on establishing a fully
functional, community owned, decentralized health
delivery system with inter-sectoral convergence at all levels
to ensure simultaneous action on a wide range of
determinants of health such as water, sanitation, education,
nutrition, social and gender equality.
The goals of NRHM include Reduction in Infant Mortality
Rate and Maternal Mortality Ratio; Universalized access to
public health services for Women’s health, Child health,
water, hygiene, sanitation and nutrition; and Prevention
and control of communicable and non-communicable

10. Criticism of NRHM:
The NRHM is criticized for adopting a system of Indian
Public Health Standards which was seen as having
severe limitations.
While it defined the minimum manpower requirement
and the equipment and infrastructure needed to attain a
set of well-defined health outcomes the attempts to
achieve these were not comprehensive in scope and were
biased largely towards reproductive and child health.
The IPHS was adopted for CHCs, PHCs and district
hospitals as well. However, the emphasis was still on
purchasing equipment and attaining standards of
infrastructure development rather than raising the level
of overall service provision.