national health mission 2012-17. background lays broad principles and strategic directions ...

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 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