NATIONAL HEALTH MISSION

NATIONAL HEALTH MISSION LAUNCHED BY GOVERNMENT OF INDIA FOR PROVIDING CARE TO COMMUNITY PEOPLE.

1. RAJOSI KHANRA M.Sc.1st year

2. NATIONAL HEALTH MISSION

3. OBJECTIVES A INTRODUCTION OF NHM B TYPES OF NHM C FUNCTION OF COMMUNITY HEALTH NURSE D DESCRIBE OF TYPES OF NHM

4. INTRODUCTION

5. National Health Mission was approved in 12th Apr,2005.

6. 2 SUBMISSIONS

7. Attainment of universal access to equitable, affordable and quality health care services, accountable and responsive to people's needs.

8. GOAL OF NHM 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 15-49 years women. Reduce annual incidence and mortality rate of tuberculosis by half. Reduce prevalence of leprosy to <1/10000 population Kala azar was eliminated by 2015. Prevent and reduce mortality and morbidity from communicable,non communicable, injuries and emerging diseases.

9. COMPONENTS

10. FINANCE HEALTH SYSTEM STRENGTHENING

11. RMNCH+A NATIONAL DISEASE CONTROL PROGRAMMES

12. NATIONAL RURAL HEALTH MISSION Launched on 12 th April,2005

13. AIM OF NHM To provide accessible, affordable,accountable, effective and reliable primary health care and bridging the gap in rural health care through ASHA.

14. GOALS OF NHM Reduction of infant mortality rate and maternal mortality rate . Universal access to public health services such as hygiene,immunisation and women's health, child's health, water, sanitation and nutrition. Prevention and control of communicable and non communicable diseases. 1 2 3

15. CONT… Access to comprehensive primary health care. Stabilisation of Population. Mainstreaming AYUSH . 4 5 6 7 Promotion of healthy lifestyles.

16. PLAN OF ACTIONS

17. Each sub centre will have an United fund for local action @ 10000/year. This fund will be deposited in the joint bank account of ANM and sarpanch. Supply of essential drugs, both allopathic and AYUSH to sub centres. STRENGTHENING SUB CENTRES

18. Adequate and regular supply of essential drugs and equipment to PHCs. Provisions of 24 hours service in 50% PHCs by addressing shortage of doctors, especially in high focused states. Strengthening of ongoing communicable disease control programmes, launched new programs for control of non communicable diseases, upgrading 100% PHCS for 24 hours referral services. STRENGTHENING PRIMARY HEALTH CENTRES

19. Setting norms for infrastructure,staff equipment for CHCs. Promotion of Rogi Kalyan Samitis for hospital management. Developing standards of services and costs in hospital care. Creation of new CHCs to meet population norms as per census 2001. STRENGTHENING SECONDARY HEALTH CENTRES

20. Health plans would form the core unit of actions in areas like water supply, sanitation, hygiene, nutrition. District becomes the core units of planning, budgeting and implementation. DISTRICT HEALTH PLAN

21. Total sanitation campaign is presently implemented in 350 districts and is proposed to cover all districts. Components of the sanitation campaign include IEC activities, household toilets, sanitary complexes, women and school sanitation programs. ASHA would be incentivized for promoting household toilets by mission. CONVERGING SANITATION AND HYGIENE

22. National disease control programme for malaria, TB, Kala-azar, filaria, blindness, iodine deficiency. Integrated disease surveillance program shall be integrated under mission. New initiatives would be launched for control of non communicable diseases. Disease surveillance systems at village level would be strengthened. Supply of generic drugs for common ailment at village,SC, PHC,CHC level. STRENGTHENING DISEASE PROGRAMMES CONTROL

23. District health missions to move towards paying hospitals for services. Standardisation of services- outpatient, inpatient, laboratory,surgical intervention. A national expert group to monitor these standards and give suitable advice and guidance on protocols and cost comparisons. NEW HEALTH FINANCING MECHANISMS

24. While district and tertiary hospitals are necessarily located in urban centres, they form a part of the referral care chain serving the needs of rural people. Medical and para medical education facilities need to be created in states, based on need assessment. MEDICAL EDUCATION

25. ASHA ' Accredited Social Health Activist' Resident of village a woman(M/W/D) Age between 25-45 years Formal education upto 8th class, Having communication skills and leadership qualities. One ASHA per 1000 population ASHA is chosen by the panchayat .

26. RESPONSIBILITIES To create awareness among the community regarding nutrition,basic sanitation, hygienic practices, healthy living. Counsel women on birth preparedness imp of safe delivery,breastfeeding,complementary feeding, immunisation, contraceptives, STDs. Accompany pregnant women, children requiring treatment and admissions to nearest PHCs. Provider of DOTS.

27. ROGI KALYAN SAMITI A registered Society whose members act as trustee to manage the affairs of the hospital and is responsible for upkeep of facilities.

28. VILLAGE HEALTH SANITATION AND NUTRITION COMMITTEE(VHSNC) Monitoring and Facilitating Public Services and Correlating with health outcomes Facilitating service delivery at the village level Village Health Planning Community Monitoring of health Facilities Monthly Meetings Management and accounting of untied village health fund Maintaining records of diseases

29. JANANI SURAKSHA YOJANA (JSY) Launched on 12 th April,2005. To reduce maternal mortality Encouraging them to deliver in Government Health Facilities.

30. JANANI SHISHU SURAKSHA KARYAKRAM (JSSK) Launched on 1st June, 2011. It entitles all pregnant women delivering in public health Institutions to absolutely free and no expense delivery, Including caesarean section.

31. FACILITY BASED NEWBORN CARE Launched in 2011. To improve the status of newborn health in the country.

32. Maternal health Neonatal and Infant health Child and Adolescent health Reproductive health Contraceptive services Management of chronic non-communicable disease Management of common communicable diseases Basic OPD care Management of mental illness Dental care Eye care/ENT care Geriatric care and Emergency medicine. NATIONAL MOBILE MEDICAL UNITS(NMMU)

33. KAYAKALP Launched by the Ministry of Health & Family Welfare on 15th May,2015 . To promote cleanliness, hygiene and infection control practices in public health facilities.

34. KILKARI Kilkari is a mobile health education service that provides pregnant women, new mothers, and their families with timely, accessible, accurate and relevant information about Reproductive, Maternal, Neonatal and Child health. Aims to improve families' knowledge and uptake of life-saving preventative health practices.

35. NATIONAL URBAN HEALTH MISSION -Launched on May 1st, 2013. - The NUHM will focus on: Urban poor population living in slums. All other vulnerable populations such as homeless, street children, rickshaw pullers, sex workers, workers and other temporary migrants. Public health focuses on sanitation, clean drinking water and vector control.

36. To facilitate equitable access to quality health care. To improve the public health system. To improve outreach services. To involvement of community and urban local bodies. To improve the health status of urban population particularly urban poor and other vulnerable sections.

37. PLAN OF ACTIONS URBAN PRIMARY HEALTH CENTRE It provides services to 50,000-60,000 people. OPD care,basic lab diagnosis,drug/contraceptives distribution, health education,material and counselling for all communicable and non-communicable diseases. URBAN COMMUNITY HEALTH CENTRE It provides services to 2,50,000 people. Provide in patient services and would be 30-50 bedded facility Provide medical care, minor surgical facilities and facilities for institutional delivery.

38. COMMUNITY LEVEL ASHA Mahila Arogya Samiti ANM REFERRAL LINKAGE

39. FUNCTION OF COMMUNITY HEALTH NURSE

40. Quick identification of patients. Assisting in the diagnosis,laboratory examination. Giving treatment to patients. Providing care to patients at home. Health education. Assisting in achieving the targets. Providing supervision and training. Preparation and maintenance of reports. Evaluation of health programmes. Ensuring participation of the community and its leaders for the success programme. Try to change unhealthy religious faiths and superstitions. Exchange knowledge and information. Time and implementation of the programme should be convenient for the community.

41. NRHM NUHM National rural health mission National urban health mission Improves rural health delivery system Separate mission for urban areas and focuses on slum and other urban poor families. Launched on 12 april, 2005 Launched on 1 may, 2013 Creation of ASHA ( Accredited social health activists) Creation of USHA ( Urban social health activists) 1 ASHA= 1000 population 1 USHA= 1000-2500 beneficiaries 200-500 households PHC/CHC are present to provide health services PUHC/CUHC are present to provide health services. DIFFERENCE BETWEEN NRHM AND NUHM

42. CONCLUSION The NHM envisages achievements of universal access to equitable, affordable and quality health care services that are accountable and responsive to people's needs.

43. What are the plan of actions of National Rural Health Mission and National Urban Health Mission?

44. BIBLIOGRAPHY Swarnakar Keshav. Community health Nursing,N.R.Brothers.4th edition(2021).Pg No.(894,925-927). Kluwer Wolters. Textbook of Community Medicine, Third edition (24 February 2019); Wolters Kluwer India Pvt. Ltd.(pg no.409-950). Gulani K.K. Community Health Nursing, kumar Publishing house,3rd edition(2021), pg 782-790 Kamalam S. Essential Community Health Nursing Practices, Jaypee Brothers Medical Publishers Ltd. 3rd edition(2016), pg (678-680). https://www.slideshare.net/annuuuppp/national-health-m ission-108448448. https://www.slideshare.net/amithamarla/national-health- mission-69254538. https://www.slideshare.net/kanikaSharma77/national-heal th-mission-141149293