The state is accountable for raising the level of nutrition, the standard of living, and providing enhancement in public health as a primary onus. In spite of the referendum, 8% of primary health care centers have no doctors, 39% have no technicians, 18% PHC’s done even have a pharmacist.
In 2012, NRHM saw its inception under UPA government as per the Million development goals of United Nations. The NRHM seeks to provide efficient healthcare facilities to minority groups, improving access, enhancing equity, promoting decentralization. And pooling resources. NRHM is a two phase scheme with core strategy 1 and supplementary strategy 2 encompassing reduction in Infant Mortality rate, Maternal mortality rate, universal access to healthcare, immunization and prevention, control of diseases, mainstreaming ayurveda and promoting healthy lifestyles. Institutional mechanisms such as Village Health and Sanitation Committee, Accredited Social Health Activist, Rogi Kalyan Smitees and Panchayati Raj Institutions have helped educating and empowering the neglected sections of the society on health care issues. Rural India has since then seen a decline in the IMR. Another aspect NRHM touches is Monitoring and Evaluation. Under it has been organised ‘People’s Rural Health Watch’ through which mission activities would be monitored at state and national level. It will also include the civil society organization to analyze the implementation of the mission.
However, there are a few concerns that have transpired from time to time. The very first concern is the unsystematic analysis of previous policies. Goals of ‘Health for all by 2020’ have still not been taken care of. Primary Health care approach was never implemented. Next concern is about appointing accredited social health activist in a village. The basic education demanded is up to class eight which excludes a chunk of women who have been denied basic education to the already present gender biases. The next concern is regarding the acceptance and viability of Indian Public Health Standards for Community Health Centers(CHCs) and that all healthcare programs at national level should be delivered through CHCs.
However the strategies of NRHM are based on sound principles and lessons from previous mistakes are taken into account while formulating new initiatives. NRHM reaches out to both urban and rural population, but there is still scope of improvement in the process of accountability, monitoring and evaluation in order to achieve a sustainable healthcare model designed for the diverse population of India.
In 2012, NRHM saw its inception under UPA government as per the Million development goals of United Nations. The NRHM seeks to provide efficient healthcare facilities to minority groups, improving access, enhancing equity, promoting decentralization. And pooling resources. NRHM is a two phase scheme with core strategy 1 and supplementary strategy 2 encompassing reduction in Infant Mortality rate, Maternal mortality rate, universal access to healthcare, immunization and prevention, control of diseases, mainstreaming ayurveda and promoting healthy lifestyles. Institutional mechanisms such as Village Health and Sanitation Committee, Accredited Social Health Activist, Rogi Kalyan Smitees and Panchayati Raj Institutions have helped educating and empowering the neglected sections of the society on health care issues. Rural India has since then seen a decline in the IMR. Another aspect NRHM touches is Monitoring and Evaluation. Under it has been organised ‘People’s Rural Health Watch’ through which mission activities would be monitored at state and national level. It will also include the civil society organization to analyze the implementation of the mission.
However, there are a few concerns that have transpired from time to time. The very first concern is the unsystematic analysis of previous policies. Goals of ‘Health for all by 2020’ have still not been taken care of. Primary Health care approach was never implemented. Next concern is about appointing accredited social health activist in a village. The basic education demanded is up to class eight which excludes a chunk of women who have been denied basic education to the already present gender biases. The next concern is regarding the acceptance and viability of Indian Public Health Standards for Community Health Centers(CHCs) and that all healthcare programs at national level should be delivered through CHCs.
However the strategies of NRHM are based on sound principles and lessons from previous mistakes are taken into account while formulating new initiatives. NRHM reaches out to both urban and rural population, but there is still scope of improvement in the process of accountability, monitoring and evaluation in order to achieve a sustainable healthcare model designed for the diverse population of India.
Anurag is the Chief Branding Officer at Brandcare
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