THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)
(a): Public Health is a State subject. Under the National Health Mission (NHM) which encompasses the National Rural Health Mission (NRHM) and the National Urban Health Mission (NUHM) as its two sub-missions, support is provided to States/UTs for strengthening their health care systems based on requirements posed by the States/UTs in their Programme Implementation Plans (PIPs).Approvals against the PIPs received have been provided to all States/UTs based on appraisal and resource availability. A Statement showing State wise Allocation under NHM in 2014-15 is at Annexure I.
(b): The key goals of the National Rural Health Mission (NRHM) at the time of its launch and achievements are as below:
key Goals Achievements Reduce Infant Mortality Rate (IMR) The IMR for the country is 42/1000 to 30/1000 live births by 2012 live births as per SRS 2012 Reduce Maternal Mortality Ratio The MMR for the country is 178/100000 (MMR) to 100/100000 live births by live births as per SRS 2010-2012 Reduce TFR to 2.1 by 2012 The TFR for the country is 2.4 as per SRS 2012 Bring down Malaria Mortality Rate by The achievement is 46%. 50% upto 2010 and additional 10% by 2012 Tuberculosis - maintain 85% cure rate The treatment success rate which is through the entire Mission period and a sum of Cured and Treatment also sustain planned detection rate completed is 88%. Engage 4,00,000 female Accredited 8.66 lakhs ASHAs were engaged as on 2 Social Health Activist (ASHAs) 31 March,201
Although goal of IMR, MMR and TFR were not achieved, the Infant Mortality Rate (IMR), Maternal Mortality Ratio (MMR) and Total Fertility Rate (TFR) have shown accelerated decline post launch of NRHM. The percentage annual compound rate of decline in IMR during 2005-2013 rose to 4.5% from 2.1% observed during 1990-2005. The percentage annual compound rate of decline in MMR during 2005 to 2011 accelerated to 5.8% from 5.1% observed during 1990 to 2005. The percentage annual compound rate of decline in TFR during 2005-2012 has risen to 2.7% from 1.8% observed during 1990-2005. The achievements on many key indicators have not been as per the goals mainly on account of inadequate funding and governance challenges in certain States.
As far as NUHM is concerned, the implementation of the activities has started only from the last quarter of 2013 -14.
(c) & (d): The implementation of NRHM is reviewed through external surveys such as National Family Health Survey(NFHS), District Level Household Survey (DLHS), Annual Health Survey (AHS) and Sample Registration System (SRS). NFHS-4 Survey is presently ongoing. Institute of Economic Growth conducted an evaluation of NRHM on behalf of the Planning Commission. Further, Common Review Missions (CRMs) also undertake a review of NRHM/NHM every year. The information is available in public domain as under:
DLHS 4: https://nrhm-mis.nic.in/SitePages/DLHS-4.aspx
AHS:http://www.censusindia.gov.in/vital_statistics/AHS
SRS:http://www.censusindia.gov.in/vital_statistics/SRS_Report_2012/1_Contents_2012.pdf
Evaluation of NRHM: Institute of Economic Growth:http://planningcommission.nic.in/ report/peoreport/peoevalu/peo 2807.pdf
CRM reports: http://nrhm.gov.in/monitoring/common-review-mission/ 7th-common-review-mission.html
A summary of observations of the Common Review Missions and the external evaluation by the Institute of Economic growth is at Annexure-II.
(e): The CRM teams consist of public health experts, civil society representatives, development partners, besides Officials from Health and other related Ministries. Regular interactions are held with State Government Officials for seeking their inputs. Download PDF Files
