5 Years of National Rural Health Mission
Saturday, May 22, 2010
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National Rural Health Mission was launched by Prime Minister Man Mohan Singh on 12 th April, 2005 with objectives to provide effective health care to the rural population, the disadvantaged groups including women and children by improving access, enabling community ownership, strengthening public health systems for efficient service delivery, Enhancing equity and accountability Promoting decentralization.
Some of the objects set while launching this programme were:
Some of the objects set while launching this programme were:
Universal Health care, well functioning health care delivery system.
IMR to be reduced to 30/1000 live births by 2012
MMR to be reduced to 100/100,000 live births by 2012
TFR to be reduced to 2.1 by 2012
Malaria Mortality Reduction Rate – 60% upto 2012
Kala Azar to be eliminated by 2010, Filaria reduced by 80 % by 2010
Dengue Mortality reduced by 50% by 2012
RNTCP-2 – maintain 85% cure rate
The maternal mortality rate (MMR) has come down to 204 from 254 per lakh live births and Infant mortality rate has come down from 66 to 53 . None of the above targets have been fully achieved and healthcare in rural India are still in dismay.
Dismal Situation of Healthcare:Our country is still struggling with inadequate health infrastructure & shortage of trained personnel. In rural areas there is a large gap between the health needs and outreach of health services. India is short by 20,486 sub-centres, 4,477 primary health centres (PHCs) and 2,337 community health centres (CHCs) (Economic Survey 2009-10).
Main Healthcare Challenges:
The rural India still lacks basic facilities like proper hospital buildings, hygienic conditions in the hospitals , availability of water and electricity. Many healthcare centers are running without trained personnel’s and high absenteeism among the personnel is another bottleneck. The Primary Healthcare Centers and Community Healthcare Centers are devoid of any kind of in-patient services, operation theatres, labor rooms, pathology tests, X-Ray facilities and emergency care. High absenteeism among personnel manning Public Health Centers and Community Health centers is also a major bottleneck. One third (34%) of the healthcare centers were running in rented buildings. However this fraction comes down to 29% in the latest economic survey. India is struggling with "uneven across regions, gender as well as space" in most health indicators.
Achievements:
The most visible achievement of this programme is that more and more women are going to the hospitals for delivery which has brought down the MMR. Apart from this , India's total life expectancy at birth has increased to 63.5 years between 2002-06 from 59.4 years in 1989-93.
Dismal Situation of Healthcare:Our country is still struggling with inadequate health infrastructure & shortage of trained personnel. In rural areas there is a large gap between the health needs and outreach of health services. India is short by 20,486 sub-centres, 4,477 primary health centres (PHCs) and 2,337 community health centres (CHCs) (Economic Survey 2009-10).
Main Healthcare Challenges:
The rural India still lacks basic facilities like proper hospital buildings, hygienic conditions in the hospitals , availability of water and electricity. Many healthcare centers are running without trained personnel’s and high absenteeism among the personnel is another bottleneck. The Primary Healthcare Centers and Community Healthcare Centers are devoid of any kind of in-patient services, operation theatres, labor rooms, pathology tests, X-Ray facilities and emergency care. High absenteeism among personnel manning Public Health Centers and Community Health centers is also a major bottleneck. One third (34%) of the healthcare centers were running in rented buildings. However this fraction comes down to 29% in the latest economic survey. India is struggling with "uneven across regions, gender as well as space" in most health indicators.
Achievements:
The most visible achievement of this programme is that more and more women are going to the hospitals for delivery which has brought down the MMR. Apart from this , India's total life expectancy at birth has increased to 63.5 years between 2002-06 from 59.4 years in 1989-93.
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