National Health Mission

NATIONAL HEALTH
MISSION
INTRODUCTION
• The National Health Mission (NHM) was launched by the government
of India in 2005 subsuming the National Rural Health Missio(2005) and
National Urban Health Mission(2013)
• It is headed by Mission Director and monitored by National Level

Monitors appointed by the Government of India.
Initiatives
1.Accredited Social Health Activists

Community Health volunteers called Accredited Social Health Activists (ASHAs) have
been engaged under the mission for establishing a link between the community and the
health system.
ASHA Program is expanding across States and has particularly been successful in bringing
people back to Public Health System and has increased the utilization of outpatient
services, diagnostic facilities, institutional deliveries and inpatient .
There is one ASHA for 1000 population.
2.Rogi Kalyan Samiti (Patient Welfare Committee) /
• It is a management structure that acts as a group of trustees for the

hospitals to manage the affairs of the hospital. Financial assistance is
provided to these Committees
3.Untied Grants to Sub-Centres
• Untied Grants to Sub-Centers have been used to fund grass-root

improvements in health care. Some examples include:
• Improved efficacy of Auxiliary Nurse Midwives (ANMs)
4.Healthcare contractors
• NRHM has provided health care contractors to underserved areas, and has
been involved in training to expand the skill set of doctors at strategically
located facilities identified by the states.
• Similarly, due importance is given to capacity building of nursing staff and

auxiliary workers such as ANMs.
• NHM also supports co-location of AYUSH services in Health facilities such
as PHCs, CHCs and District Hospitals.
5.Janani Suraksha Yojana
• Janani Suraksha Yojana (JSY) is a safe motherhood intervention scheme implemented by the Government of
India.
• The Janani Suraksha Yojana was implemented to ensure that pregnant women who are Below the Poverty
Line (BPL) access health facilities for childbirth.
• It was launched on 12 April 2005 by the Prime Minister of India
• It aims to promote institutional delivery among poor pregnant women and to reduce neo-natal mortality
and maternal mortality
• In 2014 -15, 10,438,000 women obtained benefits under the scheme. As per the World Health Organization,
the proportion of institutional deliveries in India almost tripled between 2005 and 2016, from 18% to 52%.[9]
Entitlements under the scheme
• The Scheme has different eligibility criteria in Low Performing States (LPS) and High Performing
States (HPS).
• In LPS, all pregnant women delivering in government health facilities are eligible for a cash benefit.
• Women who choose to deliver in accredited private institutions are eligible only if they are Below the
Poverty Line or belong to a Scheduled Caste or Scheduled Tribe.
• In HPS, only pregnant women who are Below the Poverty Line or belong to a Scheduled Caste or
Scheduled Tribe are eligible for cash benefits, irrespective of whether they choose to deliver in a
government health facility or an accredited private institution.
• Women who are Below the Poverty Line and choose to deliver at home are entitled to a cash
assistance of ₹500 per delivery.
6.National Mobile Medical Units (NMMUs)[edit]
Many un-served areas have been covered through National Mobile Medical
Units (NMMUs).
7.National ambulance services[edit]
Free ambulance services are provided in every nook and corner of the
country connected with a toll free number and reaches within 30 minutes of
the call.
Janani Shishu Suraksha Karyakram (JSSK)[edit]
• As part of recent initiatives and further moving in the direction of
universal healthcare, Janani Shishu Suraksha Karyakarm (JSSK) was
introduced to provide free to and fro transport, free drugs, free diagnostic,
free blood, free diet to pregnant women who come for delivery in public
health institutions and sick infants up to one year.
Rashtriya Bal Swasthya Karyakram (RBSK)[edit]
• A Child Health Screening and Early Intervention Services has been
launched in February 2013 to screen diseases specific to childhood,
developmental delays, disabilities, birth defects and deficiencies.
Free drugs and free diagnostic service
• A new initiative is launched under the National Health Mission to provide Free Drugs Service and
Free Diagnostic Service with a motive to lower the out of pocket expenditure on health.
District hospital and knowledge center (DHKC)
• As a new initiative District Hospitals are being strengthened to provide Multi-specialty health care
including dialysis care, intensive cardiac care, cancer treatment, mental illness, emergency medical
and trauma care etc.
• These hospitals would act as the knowledge support for clinical care in facilities below it through a
tele-medicine center located in the district headquarters and also developed as centers for training
of paramedics and nurses.
National Iron+ Initiative[edit]
• The National Iron+ Initiative is an attempt to look at Iron Deficiency
Anaemia in which beneficiaries will receive iron and folic acid
supplementation irrespective of their Iron/Hb status.
• This initiative will bring together existing programmes (IFA
supplementation for: pregnant and lactating women and; children in the
age group of 6–60 months) and introduce new age groups.
National Health Authority
• National Health Authority (NHA) is the apex body responsible for

implementing India’s flagship public health insurance/assurance scheme
called “Ayushman Bharat Pradhan Mantri Jan Arogya Yojana” & has been
entrusted with the role of designing strategy, building technological
infrastructure and implementation of “National Digital Health Mission” to
create a National Digital Health Eco-system.(ABDM-AYUSHMAN
BHARAT DIGITAL HEALTH MISSION)
• National Health Authority is the successor of the National Health Agency,
which was functioning as a registered society since 23rd May, 2018.
Pursuant to Cabinet decision for full functional autonomy, National Health
Agency was reconstituted as the National Health Authority on 2nd
January 2019, under Gazette Notification Registered No. DL –(N)
04/0007/2003-18.
GOVERNANCE
• NHA is governed by a Governing Board chaired by the Union Minister for Health
and Family Welfare. It is headed by a Chief Executive Officer (CEO), an officer
of the rank of Secretary to the Government of India, who manages its affairs.
• To implement the scheme at the State level, State Health Agencies (SHAs) in the
form of a society/trust have been set up by respective States. SHAs have full
operational autonomy over the implementation of the scheme in the State
including extending the coverage to non SECC beneficiaries.
Functions of NHA under PM-JAY
• Formulation of various operational guidelines related to PM-JAY, model documents
and contracts to ensure standardization and interoperability.
• Determine the central ceiling for premium (or maximum central contribution for trusts)
per family per year to be provided to the States/UTs and review it from time to time,
based on field evidence and actuarial analysis.
• Develop and enforce compliance with standards for treatment protocols, quality
protocols, minimum documentation protocols, data sharing protocols, data privacy and
security protocols, fraud prevention and control including penal provisions etc.
• Set up effective and efficient mechanisms to pay to the health care providers.
• Build a state-of-the-art health information technology ecosystem with
requisite foundational components on which PM-JAY and other health
systems can be hosted/linked; Information Technology standards will be
developed in consultation with Ministry of Electronic and Information
Technology (MeitY)
Key responsibilities of NHA under ABDM
• Administrative and technical leadership to the National Digital Health

Mission
• Development of models for self-financing of National Digital Health
Mission
• Implementation of policies and decision approved by the Mission Steering
Group and Empowered Committee
• Coordination with MoHFW and the States/UTs
• Engagement with all stakeholders including private sector and civil society
organizations, and develop strategic partnerships to achieve the objectives of
ABDM
• Resolution of technical and operation issues
• Recruitment of resources from Government and private sector at competitive
market rates
• Management of day-to-day operations of ABDM
• Capacity building of various stakeholders for health informatics
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National Health Mission

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NATIONAL HEALTH

• It is headed by Mission Director and monitored by National Level

1.Accredited Social Health Activists

• It is a management structure that acts as a group of trustees for the

• Untied Grants to Sub-Centers have been used to fund grass-root

• Similarly, due importance is given to capacity building of nursing staff and

• National Health Authority (NHA) is the apex body responsible for

• Administrative and technical leadership to the National Digital Health

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