The document discusses the National Health Mission (NHM) in India, which includes the National Rural Health Mission (NRHM) and the National Urban Health Mission (NUHM). The key objectives of NHM are to reduce fertility rates and infant/maternal mortality. NRHM aims to provide accessible primary healthcare in rural areas through community health workers like ASHA. NUHM focuses on improving health services for urban poor populations. Both missions plan to strengthen infrastructure, disease control programs, and establish health committees.

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.
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2
3

15. CONT…
Access to comprehensive primary health care.
Stabilisation of Population.
Mainstreaming AYUSH.
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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

44. 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.

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

46. 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