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National Health Mission has curbed several public health concerns, says Centre’s report

(Source – The Hindu, International Edition – Page No. – 6)

Topic: GS2 – Social Justice – Health
Context
  • The National Health Mission (NHM) has played a significant role in improving public health in India according to an assessment report (2021-24) presented to the Union Cabinet.
  • It has led to a reduction in maternal mortality, tuberculosis (TB) cases, and sickle cell anaemia.

National Health Mission

Achievements in Human Resources

  • NHM has expanded human resources in the healthcare sector.
    • In FY 2021-22, NHM added 2.69 lakh healthcare workers, including doctors, nurses, allied health professionals, and public health managers.
    • In FY 2022-23, 21 lakh workers were engaged, including 1.29 lakh community health officers (CHOs).
    • In FY 2023-24, 5.23 lakh healthcare professionals were added, including 1.38 lakh CHOs.

Decline in Maternal and Infant Mortality

  • The Maternal Mortality Ratio (MMR) has dropped by 83% since 1990, a much higher reduction than the global average of 45%.
  • The Infant Mortality Rate (IMR) fell from 39 per 1,000 live births in 2014 to 28 in 2020.
  • The Total Fertility Rate (TFR) decreased from 2.3 in 2015 to 2.0 in 2020.

India’s Progress Toward SDG Targets

  • These improvements are indicators that India is on track to meet its United Nations Sustainable Development Goals (SDG) targets for maternal, child, and infant mortality ahead of the 2030 deadline.
  • NHM has also contributed to the elimination and control of various diseases, including reducing the incidence of tuberculosis (TB).
 National Health Mission (NHM)
  • Launched: 2005 by the Government of India under the Ministry of Health and Family Welfare.
  • Objective: To improve healthcare delivery in rural and urban areas, particularly focusing on maternal and child health, and communicable diseases.
  • Components:

○     Reproductive, Maternal, Newborn, Child Health + Adolescent Health: Focus on reducing maternal and child mortality.

○     Health System Strengthening: Improving health infrastructure and human resources.

○     National Disease Control Programs: Addressing diseases like TB, malaria, and leprosy.

○     AYUSH: Promoting traditional medicine for holistic health.

  • Implementation: Primarily through State and District Health Missions.
  • Funding: Shared between the central and state governments.
  • Key Initiatives: Village health and sanitation committees, Janani Suraksha Yojana, ASHA workers.
Practice Question:  Discuss the objectives, components, and challenges of the National Health Mission (NHM) in India. How does NHM contribute to achieving Universal Health Coverage? (150 Words /10 marks)

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