NATIONAL HEALTH MISSION

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 population in all blocks

Critical areas identified for health system strengthening  Decentralized health planning  Facility based health services  The district hospital and knowledge center  Outreach services  Community Processes - BCC, and Addressing SDH  Social protection fund of public health services  Public Private Partnerships

Critical areas identified for health system strengthening  Human resource development  Public health management  Health of tribals and those living in naxal areas  Health of urban poor  Pilots for universal coverage  HMIS  Governance and Accountability