The National Health Mission represents India’s flagship health sector programme making the Health For All vision a reality. In its innate success lies the future of a healthy India. represents India’s endeavor to expand the focus of health services beyond Reproductive and Child Health, so as to address the double burden of Communicable and Non-Communicable diseases as also improve the infrastructure facilities at District and Sub-District Levels.
The National Health Mission has synergized learning from the National Rural Health Mission for better implementation of the National Urban Health Mission. The National Health Mission has an allocation of Rs. 30,129.61 crores for 2018-19 and is one of the largest centrally sponsored schemes of the Government of India. The priority focus of NHM is Reproductive and Child Health services.
The successful implementation of Janani Suraksha Yojana (JSY) and Accredited Social Health Activist (ASHA) programmes had a significant impact in behavioral changes and brought pregnant women in large numbers to public health institutions. The NRHM flexi pool resources were utilized to create adequate infrastructure at public health institutions to cope with the heavy rush of maternity cases.
Ambulance services were introduced for transportation of maternity cases to public health institutions and for emergency care. The success story of the 108 ambulance services has been well documented across many States. The increase in institutional deliveries had a significant impact on Maternal Mortality Ratio (MMR) and Under Five Mortality Rate (U5MR).
The Ministry of Health and Family Welfare added two new programmes to its basket of activities under the National Health Mission. The first is Mission Indradhanush, which has demonstrated good progress in improving immunization coverage by over 5% in the just one year. The second is the Kayakalp initiative launched in 2016 under the NHM to inculcate the practice of hygiene, sanitation, effective waste management and infection control in public health facilities.
The competition for awards introduced under Kayakalp has been well received by all the States and significant improvements in sanitation standards are being witnessed. The NHM created a peoples’ movement for health care. India has deployed nearly 10 lac Accredited Social Health Care (ASHA) workers representing transformational change agents. The ASHA workers act as mobilizers for institutional deliveries, focus on integrated management of neonatal and childhood illness and advise on home based neo-natal care.