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National Rural Health Mission (NRHM)

National Rural Health Mission (NRHM). Review Meeting with State’s Health Secretaries, Mission Directors & Directors of Health Services. 11 th & 12 th Sept. 2012 --- JS (Policy). ACHIEVEMENTS, SO FAR…. Status of Drop in MMR (in points) from 2004-06 to 2007-09.

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National Rural Health Mission (NRHM)

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  1. National Rural Health Mission (NRHM) Review Meeting with State’s Health Secretaries, Mission Directors & Directors of Health Services • 11th& 12th Sept. 2012 • --- JS (Policy)

  2. ACHIEVEMENTS, SO FAR… Status of Drop in MMR (in points) from 2004-06 to 2007-09 • MMR (212 as per RGI report 2007-09) • Annual Rate of decline between 2004-06 and 2007-09 is 23% higher than annual rate of decline between 1999-2001 and 2004-06 • EAG States showed a decline of 67 points in MMR (in 2007-09 compared to 2004-06) against a National Decline of 42 points

  3. ACHIEVEMENTS, SO FAR… • IMR reduced from 58 in 2005 to 47 as per SRS 2010 • Rate of Decline of IMR accelerated by 29 % between 2005-10 as compared to 2000-2005 • Decline in Rural IMR and U5MR is higher than the decline in urban areas, thereby narrowing the Rural - Urban Gap • Decline of U5MR & IMR is more in EAG States • India has remained free of Wild Polio for more than a year

  4. ACHIEVEMENTS, SO FAR… TFR declined to 2.5 in 2010 as against 2.9 in 2005 • Nationally Rate of Decline of TFR between 2005-2010 increased by 47 % as compared to 2000-2005 • All the 6 very high focus states have shown a decline equal to or better than All India average • Steepest decline in annual growth rate from 1.97 to 1.64 since independence

  5. ACHIEVEMENTS, SO FAR… Disease Control Programmes

  6. STRENGTHENING OF HEALTH SYSTEMS/ SERVICES - PROGRESS • Over 1.5 lakh Human Resource added (on a baseline of 2.17 lakh) • 2315 Referral Hospitals strengthened to act as First Referral Units (FRUs) with capacity to provide comprehensive obstetric emergency care • 8475 PHCs upgraded as 24x7 PHCs • 2012 Mobile Medical Units (MMUs) provided in 449 districts for delivery of health care in difficult areas • 7218 Emergency Response / basic ambulance service vehicles • Nation-wide system of HMIS and MCTS set up to ensure and monitor health interventions

  7. HOWEVER…

  8. SHORT FALL OF DOCTORS, SPECIALISTS AND NURSING STAFFS(IN PERCENTAGE OF TOTAL REQUIREMENT) SOURCE: RHS 2011

  9. SHORT FALL OF PARAMEDICS AND MPW (In % of total requirement) SOURCE: RHS 2011

  10. INFRASTRUCTURE STRENGTHENING- INew Construction (Completion Rate < 30%)

  11. INFRASTRUCTURE STRENGTHENING- IIRenovation And Up gradation(Completion Rate < 30%)

  12. CONSTITUTION OF VILLAGE HEALTH SANITATION AND NUTRITION COMMITTEE (VHSNC) PERCENT OF VHSNC CONSTITUTED OUT OF TOTAL VHSNC REQUIRED SOURCE: RHS 2011

  13. STRENGTHENING HEALTH INSTITUTIONS- I (24X7 PHCs) States with less than 50% of total PHCs as 24X7 PHCs

  14. STRENGTHENING HEALTH INSTITUTIONS- II (FRUs)States with less then 50% of DH, SDH &CHC as FRUs

  15. Action Plan for the Year 2012-13

  16. STATES WITH CUSHION MORE THAN Rs 10 Crores

  17. CONDITIONALITIES: IMPLEMENTATION FRAMEWORK

  18. CONDITIONALITIES: IMPLEMENTATION FRAMEWORK

  19. CONDITIONALITIES: IMPLEMENTATION FRAMEWORK

  20. CONDITIONALITIES: IMPLEMENTATION FRAMEWORK

  21. CONDITIONALITIES: IMPLEMENTATION FRAMEWORK

  22. CONDITIONALITIES: IMPLEMENTATION FRAMEWORK

  23. CONDITIONALITIES: IMPLEMENTATION FRAMEWORK

  24. CONDITIONALITIES: IMPLEMENTATION FRAMEWORK

  25. CONDITIONALITIES: IMPLEMENTATION FRAMEWORK

  26. CONDITIONALITIES: IMPLEMENTATION FRAMEWORK

  27. Responsiveness, transparency and accountability Format for state report State to provide a brief write up (<3 pages) on the best practice on Responsiveness, transparency and accountability separately Suggested structure: • Background: (Elaborate on the problem, which the innovation seeks to address; and in particular, provide details of target group/ base line data, if available) • Description of the innovation: (Including date of commencement and current status; coverage in terms of districts/ blocks/ villages; overall approach / strategy; implementation/ institutional arrangements; whether pilot / scaled up) • Costs: (Broad break up of one-time and recurring costs; assessment of cost effectiveness) • Sustainability: (Assess organisational and financial sustainability and approach to ensuring the same) • Outcome:(Extent to which base-line conditions have improved; results of third party evaluations, if carried out)

  28. Thank You

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