National Rural Health Mission

NATIONAL RURAL HEALTH MISSION

DERCIA MATUCA

ARYA VATSA

GOKUL BALU

BONNY JOHN

SUKANYA NAIR

Initiatives

• Some of the major initiatives under National Health Mission (NHM) are as follows:

• Accredited Social Health Activists• Rogi Kalyan Samiti (Patient Welfare

Committee) / Hospital Management Society• Untied Grants to Sub-Centres• ANMs• Health care contractors• Janani Suraksha Yojana (JSY)

• National Mobile Medical Units (NMMUs)• National Ambulance Services• Janani Shishu Suraksha Karyakram (JSSK)• Rashtriya Bal Swasthya Karyakram (RBSK)• Mother and Child Health Wings (MCH Wings)• Free Drugs and Free Diagnostic Service• District Hospital and Knowledge Center (DHKC)• National Iron+ Initiative• NRHM Framework Approach: MESH

TWELFTH FIVE YEAR PLAN (2012-2017)STEERING COMMITTEE ON "HEALTH AND MEDICAL

EDUCATION"• 1. To review the National Health Policy 2002 with special

focus on women, children, life cycle care and preventive and curative health care. To also explore the possibility of adopting the Right to Health as an approach.

• 2. To assess the need to continue NRHM in the 12th Five Year Plan and review the situation of health care in urban and rural areas including the health care provided by government as well as voluntary, private and joint sectors after the launch of NRHM.

• 3. To review the progress and performance of AYUSH schemes of the 11th Five Year Plan and make recommendations about specific schemes that can develop and modernize the AYUSH sector outlining their scope, objectives, budget outlays, strategies as well as mechanism for their effective implementation.

• 4. To appoint a special group with select members of Working Groups and others to review the existing norms for infrastructure / human resource (keeping inputs of the High Level Expert Group as the basis) in health and critically assess the role of private sector and PPP in Medical Education and healthcare deliver, suggesting reforms,

• 5. To review community processes and assess the role of community ownership in changing responsiveness of Public Health Services (For example, Community Based Monitoring),

• 6. To review the drug & food regulatory mechanism in the country to ensure access to quality, safe drugs and wholesome food in the country,

• 7. to recommend governance reforms in primary, secondary and tertiary health care,

• 8. To suggest effective initiatives for monitoring and evaluation of health programmes and recommend monitorable indicators for the 12th Plan,

• 9. To deliberate and give recommendations on any other matter relevant to the topic.

VILLAGES VISITED

• Lalheri Kalan• Rajpura• Sandal Kalan

COMPARATIVE STUDYLALHERI KALAN RAJPURA SANDAL KALAN

POPULATION 3000-4000 6000 3000

SARPANCH Female (32) Female (85) Male (45)

EDUCATION QUALIFICATION

10TH Pass Illiterate 10TH Pass

CASTES Jhats, Pandits, Sunar,Sharma, Rathi, Harijans

Jhats, Brahmin, Teli Harijan, Valmiki, Sikni, Gujjar

OCCUPATION Farming, Poor families go to factory, carpet making, polishing

cooker

farming, animal husbandry, business

like textile shops, agriculture, and animal

husbandry

HEALTH CENTRE NIL Sub centre Subcentre

LALHERI KALANSL NO VILLAGE HEALTH OBSERVATIONS/

REMARKS

1. Contribution and duties of Sarpanch- 1. Address the grievances of the community 2.documentation and in issuing the BPL cards, 3.Installed street lights, laid streets. expanded junctions .

VHSC 1 Anganwadi worker, ASHA worker 1 ANM worker Freedom Fighter Chaukidar

1. A Health Centre and a dispensary needs to be set up.

2. They want a veterinary hospital.

3. Rich families also apply for the BPL cards.

4. Sarpanch is not in good terms with the ASHA worker.

5. Internal conflicts between Panch and sarpanch.

2. Waste Disposal 1. huge pits 2. Three ponds: 2 for Disposal & 1 for cleaning buffaloes

Epidemic Diseases

Kidney stone and one case of chikungunya

was reported.

No serious health issues

3. Gram Sabha 1-2 times Preferred Treatment

No SC.Ganaur Private hospital

preferred.

4. Water supply & Sanitation Jet pumps, Tube wellsMost of the houses have

toilets except 2 or 3

Awareness Programmes

NIL

RAJPURASL NO VILLAGE HEALTH OBSERVATIONS/

REMARKS

1. Contribution and duties of Sarpanch-

1.Tube wells and connection for pipelines, 2. laid roads, resolved many complex fights, 3.hear to the complaints of the community

VHC 1 ASHA, 1 ANM, 1 freedom fighter, 1 Watchman, 1 teacher, 1 Mahila Mandal worker.

1. SHG’s and youth groups who discuss social issues of the community.(4-5 SHGs)

2. Case of the pregnant woman: JSY

2 Waste Disposal No Information Epidemic Diseases No epidemic diseases

3 Gram Sabha Since women in the village are restricted from attending the meetings, Sarpanch’s son represents the women related issues. 

Preferred Treatment Sine most of the villagers are rich, they prefer going to the private hospitals in Ganaur and Sonipat.

Sub center is mostly seen as dispensary.

4. Water supply & Sanitation

mainly dependent on tube wells. Pipeline water facility is also available (Poor quality)

Toilets available in every households.

Awareness Programmes

No awareness programmes have been conducted. The only channel of awareness is through ASHA workers and PRIA

SANDAL KALANSL NO VILLAGE HEALTH OBSERVATIONS/

REMARKS

1. Contribution and duties of Sarpanch-

Welfare of the people, resolving conflicts,

infrastructural development

(Laid down streets and canals, Laid roads to

sub centres, graveyards, MCC plots,

SC/ST chaupal, General chaupal-

MNREGA)

VHC There is a VHC but no one takes it seriously. Sarpanch doesn’t attend the VHSC meeting as well as SHG meeting.

1. Stadium needs to be constructed

2. Swagath gate needs to be erected.

3. Indira Awaas Yojana (IAY) & Priyadarshini Awaz Yojana

4. Members of Parliament Local Area Development Scheme – 9lakhs.

5. The Speaker gave one crore for the village’s development2

Waste Disposal 1.Dumped at a common spot.

2.Some dispose in their own farms

Epidemic Diseases No recent cases.

3 Gram Sabha 3 timesfeud between

neighbours, domestic violence.

Preferred Treatment Subcentres. Rich go to private hosptitals.

4. Water supply & Sanitation

Government tube wells

Toilets in every Households except for a couple.

Awareness Programmes

polio camps, awareness programs and rallies like sarva siksha abhayan were conducted.

ASHA

ASHA (Sahayogini)

Five important duties of ASHA

TRAINING & FUNCTIONS

COMMUNITY AWARENESS

Create Awareness and Information on:

• Nutrition & Minimum curative care• Basic sanitation & Hygiene practice• Health living and working conditions• Local Health Planning & • Family Welfare Services

Counsel on:

Pre-Natal -- Post Natal -- Anti-Natal Care,

Vaccination and

Child Health Care

ASHA in the village

Rajpura Lalheri Kalan Santhal Kalan

Population & households

6000 6000 550(h)

ASHA workers(since)

4 4 3(2007)

Qualification 10th pass 10th pass 10th pass

Training (every year) -- 7 times

QUESTIONAIRE

• According to the guidelines

• Awareness on nutrition, sanitation hygiene practice

• Assist VHSC

• Counsel women on birth preparedness

• Recruitment & Training

• ASHA kit

• Responsibilities under JSY

• Community support & suggestions

THANK YOU