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NRHM delivers on key health indicators : High focus states of Jharkhand and Odisha record satisfactorty decline in Infant Mortality and Maternal Mortality rates

Mumbai: December 4,2012

The National Rural Health Mission  (NRHM) which was launched in 2005, essentially seeks to provide accessible, affordable and quality healthcare services to the rural populations. The key features of the Mission include making the public health delivery system fully functional and accountable to the public, human resource management, community involvement, decentralization, rigorous monitoring and evaluation against standards, convergence of health and related programmes from village level upwards, innovations and increased flexible financing. Key indicators have shown desired results under NRHM. A total of 8,146 Primary Health Centres have been made into 24X7 facilities while 2,536 District Hospital/Sub District

 

Hospital/Community Health Centres have been upgraded as First Referral Units after the inception of NRHM. The proportion of pregnant women undergoing three antenatal check-up increased from 49.8% in 2007-08 to 68.4 % in 2009 while institutional delivery increased from 47% to 72.9% and children getting fully immunized increased from 54% to 61% in the same period. The impact of NRHM is visible in the decline of Infant Mortality Rate (IMR), Maternal Mortality Ratio (MMR) and Total Fertility Rate (TFR) during the period of implementation of the mission so far. The IMR declined from 58 in 2005 to 44 in 2011 while MMR declined from 254 in 2004-06 to 212 in 2007-09 and TFR from 2.9 in 2005 to 2.5 in 2010. The annual rate of decline of IMR improved by about 37% in the period after inception of NRHM ie. 2005-11 as compared to 2000-05.Similarly, the annual rate of decline of MMR accelerated by 22% between 2005and 2008 as compared to 2000-05. The annual rate of decline of TFR increased by 47% between 2005-10 as compared to 2000-05.  While there is significant improvement in rate of decline of IMR, MMR and TFR, there is a need to accelerate the rate of improvement further. Details of decline in IMR, MMR and TFR in the States of Jharkhand and Odisha after the inception of the NRHM are given in Annexure-1. which also show significant improvement in IMR, MMR and TFR during the Mission period.

 

 

Under National Rural Health Mission (NRHM), the States submit their proposals to Government of India as per their felt needs and priorities in their annual ProgrammeImplementation Plan (PIPS). Based on the appraisal by the National Programme Coordination Committee (NPCC), the Government of India approves the PIP for each State. There has been no shortage of funds as against the approved annual PIPs.

 

As per the Rural Health Statistics 2011, there is a shortfall of 2,766 Community Health Centres (CHC), 7,048 Primary Health Centres (PHC) and 35,762 Sub Centres in the country. State/UT wise information on shortfall in health infrastructure is Annexure-2.

 

 

Further, through State PIPs, States are provided funds under NRHM for construction and renovation of CHCs, PHCs, Sub-Centres and District hospitals and increased funding has been available over the years to the states. However, ‘Public Health’ being a State subject, the states have to propose and implement appropriate health infrastructure works.

 

Annexure-1

 

Details of decline of IMR, MMR and TFR in States of Jharkhand and Odisha:

 

Infant Mortality Rate (IMR):

State

IMR in 2005 (Beginning of NRHM

IMR in 2011

Decline (Points)

Jharkhand

50

39

11

Odisha

75

57

18

All India

58

44

14

 

Maternal Mortality Ratio (MMR):

State

MMR in the beginning of NRHM

(SRS 2004-06)

Latest MMR

(SRS 2007-09)

Decline (Points)

Jharkhand

312

261

51

Odisha

303

258

45

All India

254

212

42

 

 

Total Fertility Rate (TFR):

State

TFR in 2005 (Beginning of NRHM

TFR in 2010

Decline (Points)

Jharkhand

3.6

3.0

0.6

Odisha

2.6

2.3

0.3

All India

2.9

2.5

0.4

 

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