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National Health Mission 2012-17. Background. Lays broad principles and strategic directions Encompasses two submissions: National Rural Health Mission (NRHM) National Urban Health Mission (NUHM) Flexible and dynamic
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Background • Lays broad principles and strategic directions • Encompasses two submissions: • National Rural Health Mission (NRHM) • National Urban Health Mission (NUHM) • Flexible and dynamic • Intended to guide states towards universal access to health care through strengthening of health systems, institutions and capabilities
Vision of National Health Mission • “Attainment of Universal Access to Equitable, Affordable and Quality health care services, accountable and responsive to people’s needs, with effective inter-sectoral convergent action to address the wider social determinants of health”.
Core values • Safeguard the health of poor, vulnerable & disadvantaged, and move towards a right based approach to health • Strengthen public health systems as a basis for universal access and social protection • Build environment of trust between people and providers of health services • Empower community to become active participants in the process • Institutionalize transparency and accountability in all processes • Improve efficiency to optimize use of available resources.
Guiding principles • Integrated network of health facilities • Coordinated inter-sectoral action • Greater efficiency through health sector reforms • Prioritization for MCH, CD, NCD • Reduce out of pocket expenditure • Assured quality of health care services • Minimize inequity • Differential financial/ technical support to cities, districts and states with higher vulnerable population and difficult geographical terrain
Guiding principles • Incentivize good performance of both facilities and providers • Address shortages of skilled workers in under-served pockets • Promote public private partnerships • Facilitate knowledge networks • Higher involvement of PRIs • Higher accountability including social audits • Mainstream AYUSH
Targets • Reduce MMR to 1/1000 live births • Reduce IMR to 25/1000 live births • Reduce TFR to 2.1 • Prevention and reduction of anaemia in women • Prevent and reduce mortality & morbidity from CD & NCD • Reduce household out-of-pocket expenditure on health • Reduce annual incidence and mortality from Tuberculosis by half • Reduce prevalence of Leprosy to <1/10000 population and incidence to zero in all districts • Annual Malaria Incidence to be <1/1000 • Less than 1 per cent microfilaria prevalence in all districts • Kala-Azar Elimination by 2015, <1 case per 10000 population in all blocks