Question : National Rural Health Mission

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:
(a) the salient features of National Rural Health Mission (NRHM) and the targets set under the said Mission for the years 2019-20 and 2020-21, State/UT-wise;
(b) the targets set and achieved under the said Mission during each of the last five years, criteria-wise, year-wise and State/UT-wise;
(c) whether NRHM has been successful in integrating the various vertical health programmes and decentralizing the healthcare facilities at village level; and
(d) if so, the details thereof?

ANSWER
THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND
FAMILY WELFARE
(SHRI ASHWINI KUMAR CHOUBEY)
(a) National Rural Health Mission (NRHM) is a sub-Mission under the overarching National Health Mission (NHM), along with National Urban Health Mission (NUHM) as the other sub-Mission. The main programmatic components of NHM include Health System Strengthening in rural and urban areas. Although public health is a State subject, technical and financial support is provided to State / UTs under National Health Mission for strengthening of their healthcare systems based on the proposals submitted by them in their Programme Implementation Plans (PIPs). The Framework for implementation of National Health Mission comprises of national targets. However, this framework has laid no state specific targets.

(b) Statement showing the targets set at the national level under National Health Mission and its current achievements is annexed.




(c) & (d): Yes, the integration of vertical health programmes at all levels has been one of the core strategies of the National Rural Health Mission (NRHM)/National Health Mission (NHM). The integration of vertical health programs under one umbrella of NHM has given the States/UTs flexibility to plan, implement State specific action plans and utilize available funds as per their felt needs and priorities within the broad national parameters.
Under Ayushman Bharat, AB initiative Health & Wellness Centres (AB-HWCs), an integrative and expanded range of health services is being provided at the primary level. AB-HWCs has helped to move from a selective approach of health care to deliver comprehensive range of services spanning preventive, promotive, curative, rehabilitative and palliative care.
Further, various institutional mechanisms under the Mission such as District Health Society, Rogi Kalyan Samitis, Village Health Sanitation and Nutrition Committees, etc. act as important instruments for bringing effective integration and decentralization of health programmes/schemes at all levels including village level.