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CA Topic

Success of National Health Mission (NHM)

Brief Context

The Union Health Minister recently chaired the ninth meeting of the Mission Steering Group (MSG) of the National Health Mission (NHM).

Source Content

Syllabus :GS 2/Health 

Context 

  • The Union Health Minister recently chaired the ninth meeting of the Mission Steering Group (MSG) of the National Health Mission (NHM).
Do you know?
– The Mission Steering Group is the highest policy-making and steering institution under the NHM, providing broad policy direction and governance for the health sector. 
– The MSG plays a critical role in shaping policies and strategies that drive the nation’s healthcare initiatives. It is fully empowered to approve financial norms for all schemes and components.

National Health Mission (NHM)

  • The National Rural Health Mission (NRHM)  was launched  in April 2005 to provide accessible, affordable, and quality health services to the poorest households in remote rural areas. 
  • In  May 2013, the National Health Mission (NHM) was approved by the Cabinet, incorporating the National Urban Health Mission (NUHM) as a sub-mission alongside NRHM.

Achievements under NHM

  • India achieved the National Health Policy target of Maternal Mortality Ratio (MMR) 100 deaths per 1 lakh live births, with an 83% decline in MMR from 1990 to 2020, surpassing the global decline rate.
  • India saw a 69% reduction in Infant Mortality Rate (IMR) and a 75% decline in Under-5 Mortality Rate, both outperforming the global averages.
  • Total Fertility Rate (TFR) decreased from 3.4 in 1992-93 to 2.0 in 2019-21.
  • Out-of-pocket expenditure decreased from 69.4% in 2004-05 to 39.4% in 2021-22, while government health expenditure increased from 22.5% to 48%.
  • The number of healthy human resources under NHM increased from 23,000 in 2006-07 to 5.23 lakh in 2023-24.
Health Achievements
WHO certification: India eliminated maternal and neonatal tetanus in 2015 and Trachoma as a public health problem in 2024.
Ayushman Arogya Mandirs: Over 1.76 lakh Ayushman Arogya Mandirs are operational, with increased footfall and wellness sessions.
Screening and Teleconsultations: Non-communicable diseases (NCD) screenings grew from 10.94 crore in 2019-20 to 109.55 crore in 2023-24.
1. Teleconsultations increased from 0.26 crore in 2019-20 to 11.83 crore in 2023-24.
Tuberculosis (TB): The National TB Elimination Program saw an 18% reduction in TB incidence and a 21% decrease in mortality.
National Dialysis Program: Covered all states/UTs, providing services to 26.97 lakh patients across 748 districts.
Sickle Cell Anaemia: Over 5 crore people screened, 1.84 lakh diagnosed, and 2.24 crore sickle cell cards distributed.
Malaria and Kala-azar: India achieved a 79.3% reduction in malaria cases and a 85.2% reduction in malaria deaths. The Kala-azar elimination target was met in 2023.

Source: PIB