All are included in NRHM except:
Formation of health & family welfare societies [Ref: Park 20/e, p 379-380; National Health programmes of India by J. Kishore 7/e, p 78-92; ASHA is one of the core strategies of NRHM Janani Suraksha Yojana (JSY) is a safe motherhood intervention under the National Rural Health Mission being implemented with the objective of reducing maternal & neo-natal moality by promoting institutional delivery among the poor pregnant women. One of the components of plan of action for NRHM is District health plan. Under this plan all veical Health and Family Welfare Programmes at district & state level merge into one common "District Health Mission" at the district level and the "State Health Mission" at the state level. So under NRHM it is the intergration not .formation of veical Health &.family welfare programmes. NATIONAL RURAL HEALTH MISSION - THE VISION The National Rural Health Mission (2005-12) seeks to provide effective healthcare to rural population throughout the country with special focus on 18 states, which have weak public health indicators . These 18 States are Arunachal Pradesh, Assam, Bihar, Chhattisgarh, Himachal Pradesh, Jharkhand, Jammu & Kashmir, Manipur, Mizoram, Meghalaya, Madhya Pradesh, Nagaland, Orissa, Rajasthan, Sikkim, Tripura, Uttaranchal and Uttar Pradesh. The Mission is an aiculation of the commitment of the Government to raise public spending on Health from 0.9% of GDP to 2-3% of GDP. Key components: provision of a female health activist in each village a village health plan prepared through a local team headed by the Health & Sanitation Committee of the Panchayat strengthening of the rural hospital for effective curative care and made measurable and accountable to the community through Indian Public Health Standards(IPHS) integration of veical Health & Family Welfare Programmes Funds for optimal utilization of funds and infrastructure and strengthening delivery of primary healthcare. Aim Effective integration of health concerns with determinants of health like sanitation & hygiene, nutrition, and safe drinking water through a District Plan for Health. GOALS Reduction in Infant Moality Rate (IMR) and Maternal Moality Ratio (MMR)by 50% from existing levels in 7 years. Universal access to public health services such as Women's health, child health, water, sanitation & hygiene, immunization, and Nutrition. Prevention and control of communicable and non-communicable diseases, including locally endemic diseases Access to integrated comprehensive primary healthcare Population stabilization, gender and demographic balance. Revitalize local health traditions and mainstream AYUSH(Indian system of medicine) Promotion of healthy life styles 4. STRATEGIES (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 Preparation and Implementation of an inter-sectoral District Health Plan prepared by the District Health Mission, including drinking water, sanitation & hygiene and nutrition. Integrating veical Health and Family Welfare programmes at National, State, Block, and District levels. Technical Suppo 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. 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 paicularly 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 Panerships for achieving public health goals. Mainstreaming AYUSH - revitalizing local health traditions. Reorienting medical education to suppo rural health issues including regulation of Medical care and Medical Ethics. Effective and ble risk pooling and social health insurance to provide health security to the poor by ensuring accessible, affordable, accountable and good quality hospital care. PLAN OF ACTION Accredited Social HealthActivist(ASHA) .Strengthening sub centers Strengthening CHC's for first referral care Strengthening PHC for quality preventive, promotive,curative, supervisory and Outreach services District Health Plan Total Sanitation Campaign (TSC) National Disease Control Programmes for Malaria, TB, Kala Azar, Filaria,Blindness & Iodine Deficiency and Integrated Disease SurveillanceProgramme shall be integrated under the Mission Public-private panership for publichealth goals, including regulation of private sector New health financing mechanism Reorienting health/medical education to suppo rural health issuers Details of the above are available on website & book by J. Kishore mentioned in reference
Strengthening of JSY (Janani Suraksha Yojna)
Formation of health & family welfare societies
State & district health mission
Recruitment & training of ASHA