NRHM Launched in 5 th April 2005 2005

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NRHM

NRHM

▪ Launched in 5 th April 2005 ▪ 2005 -2012 for 7 years ▪

▪ Launched in 5 th April 2005 ▪ 2005 -2012 for 7 years ▪ Empowered Action Group(EAG)

Plan of action to strengthen infrastructure 1. Creation of a cadre of ASHA 2.

Plan of action to strengthen infrastructure 1. Creation of a cadre of ASHA 2. Strengthening of sub centers 3. Strengthening of PHC 4. Strengthening CHC for FRU care

GOALS TO BE ACHIEVED BY NRHM

GOALS TO BE ACHIEVED BY NRHM

A. National Level ▪ IMR reduced to 30/1000 live births ▪ MMR reduced to

A. National Level ▪ IMR reduced to 30/1000 live births ▪ MMR reduced to 100/100000 ▪ TFR reduced to 2. 1 ▪ Malaria mortality reduction – 50% by 2010, additional 10% by 2012 ▪ Kala-azar morbidity rate reduction – 100% 2010 ▪ Filaria/microfilaria rate reduction – 70% by 2010, 80% by 2012 and elimination by 2015 ▪ Dengue mortality rate reduction – 50% by 2010 and sustaining that level till 2012 ▪ JE mortality rate reduction – 50% by 2010 and sustaining that level till 2012

▪ Cataract operation – increasing 46 lakh per year by 2012 ▪ Leprosy prevalence

▪ Cataract operation – increasing 46 lakh per year by 2012 ▪ Leprosy prevalence rate – reduce from 1. 8/10000 in 2005 to less than 1/10000 there after ▪ TB dots services – maintain 85% cure rate ▪ Upgrading of CHC’s to IPHS ▪ Increase utilization of first referral unit from less than 20% to 75% ▪ Engaging 250000 female ASHA’s in 10 states

B. AT COMMUNITY LEVEL ▪ Trained community level worker at village level ▪ Health

B. AT COMMUNITY LEVEL ▪ Trained community level worker at village level ▪ Health day at anganwadi level on a fixed day/month ▪ Generic drugs for common ailments at sub-centre & hospital level ▪ Good hospital care through assured availability of doctors, drugs, quality services at PHC, CHC level ▪ Improved access to universal immunization ▪ Improved facilities for institutional deliveries ▪ Provision of household toilets ▪ Improved outreach services through mobile medical unit

Selection of ASHA

Selection of ASHA

Role & responsibility of ASHA ▪ Create awareness & provide information ▪ Counseling of

Role & responsibility of ASHA ▪ Create awareness & provide information ▪ Counseling of women ▪ Mobilize community and facilitate them in accessing heath and health related services ▪ Work with village health and sanitation committee of the gram panchayat to develop a comprehensive village health plan ▪ Escort/accompany pregnant women and children to health facility ▪ Primary medical care, DOTS provider ▪ Act as a depot holder ▪ Inform live births, deaths, outbreaks etc to sub centre/ PHC ▪ Promote construction of household toilets under toilet sanitation campaign

Role and integration with Anganwadi ▪ Organize health day once/twice a month ▪ AWW

Role and integration with Anganwadi ▪ Organize health day once/twice a month ▪ AWW & ANM will act as resource person in training of ASHA ▪ IEC activity on these days ▪ AWW ll be depot holder of drug kits and ll be issuing it to ASHA ▪ AWW ll update the list of eligible couple & children less than one years of age in the village with the help of ASHA ▪ ASHA ll support AWW in mobilizing pregnant, lactating women and children for nutrition supplement and also mobilize them to anganwadi centre to avail services

Role and integration with ANM ▪ ANM will hold weekly/fortnightly meetings with ASHA ▪

Role and integration with ANM ▪ ANM will hold weekly/fortnightly meetings with ASHA ▪ ANM will inform ASHA the date & time for outreach session and also guide her for bringing the beneficiary to the outreach session ▪ ANM will participate & guide in organizing health day in anganwadi ▪ ANM will take help from ASHA in updating eligible couple ▪ will utilize ASHAs help in motivating pregnant women and married couple to go to sub centre for check up and family planning services respectively

▪ ANM will guide ASHA in motivating pregnant women for taking IFA tablets, TT

▪ ANM will guide ASHA in motivating pregnant women for taking IFA tablets, TT etc ▪ ANM will orient ASHA on dosage and side effects of OCPs ▪ ANM will educate ASHA the danger signs of pregnancy and labour ▪ ANM will inform time, date and place for initial and periodic training schedule and also ensure she gets compensation for performance and also TA/DA for attending the meeting

New initiatives (June 2011) ▪ Home delivery of contraceptives by ASHA ▪ Conducting District

New initiatives (June 2011) ▪ Home delivery of contraceptives by ASHA ▪ Conducting District Level Household Survey(DLHS)- in states where Annual Health Survey(AHS) is not being done ▪ Modifications in the scheme for promotion of menstrual hygiene ▪ Involving ASHA in Home Based Neonatal Care (HBNC) ▪ Village health and sanitation committee to Village Health, Sanitation and Nutrition Committee (VHSNC) ▪ AYUSH hospitals and dispensaries for mainstreaming AYUSH under NRHM ▪ Revision in the criterion of allocation of funds to states under NRHM based on performance of states

▪ Monitoring and evaluation under NRHM

▪ Monitoring and evaluation under NRHM

▪ NRHM + NUHM = NHM ▪ USHA

▪ NRHM + NUHM = NHM ▪ USHA