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National Rural Health Mission - Stratagies


(a) Core Strategies:

  • Train and enhance capacity of Panchayati Raj Institutions (PRIs) to own, control and manage public health services.
  • Promote access to improved healthcare at household level through the female health activist (ASHA).
  • Health Plan for each village through Village Health Committee of the Panchayat.
  • Strengthening sub-centre through an untied fund to enable local planning and action and more Multi Purpose Workers (MPWs).
  • Strengthening existing PHCs and CHCs, and provision of 30-50 bedded CHC per lakh population for improved curative care to a normative standard (Indian Public Health Standards defining personnel, equipment and management standards).
  • Preparation and Implementation of an inter-sectoral District Health Plan prepared by the District Health Mission, including drinking water, sanitation & hygiene and ntrition.
  • Integrating vertical Health and Family Welfare programmes at National, State, Block, and District levels.
  • Technical Support to National, State and District Health Missions, for Public Health Management.
  • Strengthening capacities for data collection, assessment and review for evidence based planning, monitoring and supervision.
  • Formulation of transparent policies for deployment and career development of Human Resources for health.
  • Developing capacities for preventive health care at all levels for promoting healthy life styles, reduction in consumption of tobacco and alcohol etc.
  • Promoting non-profit sector particularly in under served areas.

(b) Supplementary Strategies:

  • Regulation of Private Sector including the informal rural practitioners to ensure availability of quality service to citizens at reasonable cost.
  • Promotion of Public Private Partnerships for achieving public health goals.
  • Mainstreaming AYUSH – revitalizing local health traditions.
  • Reorienting medical education to support rural health issues including regulation of Medical care and Medical Ethics.
  • Effective and viable risk pooling and social health insurance to provide health security to the poor by ensuring accessible, affordable, accountable and good quality hospital care.