National Health Mission in 550 words.

National Health Mission is the mission mode project in India. National Health Mission brought radical changes in the field of the health sector. Many of the health concerns were addressed by the program. NHM created a pool of job opportunities for non-clinical staff and clinical staff. The management candidates, doctors, staff nurses, lab technicians, Ayush doctors, MBBS doctors, specialist’s doctors. The remarkable financial strengthening of rural women through the incentives program. Accredited Social Health Activists are a gift to the nation. In India, from the times of the Indus civilization rulers, administrators cared for the health of the people. With the onset of Muslim invasion and rule and later colonization Dutch, French, England had certain specific reforms in the field of the health sector. The pandemic diseases increased population, maternal deaths, children deaths, cases of tuberculosis, HIV called for a mission mode project to bring the indicators under control.

 NHM is the continuation of erstwhile NRHM. National Rural Health Mission was implemented in India in the year 2005. NRHM concentrated primarily on providing primary health care services. Post-independence India witnessed challenges in the health ecosystem. Maternity deaths, child death, polio and immunization, malnutrition, hygiene issues, increased rate of tuberculosis, controlling HIV, shortage of MBBS doctors, shortage of staff nurse availability per 100 population, increasing population, and the stagnant health infrastructure, epidemics at intervals, shortage of medicine. Rural health issues include antenatal and postnatal care. With the onset of industrialization, urbanization started.  The industries required workers to work. Workers were drawn from the nearby villages and far villages and other states and countries as well. With urbanization, the urban slums came into existence.

 The urban slum included people from below the poverty line, the migratory population, and the neglected community of the society. They had either less access to hygiene or no access to hygiene in terms of food, shelter, water, sanitation. They are basically daily earners. They were away from the health facilities. They are dependent on self-medication, an indigenous system of medicine, gods, and temples. The death rate was more due to a lack of hygienic health clinical treatment. This resulted in increasing pandemics. The recurrence of incidents made the governments form the health and other relevant policies concentrating on the urban slums.

 The Government of India conceptualized the National Urban Health Mission.  National Rural Health Mission which was looking after the rural domain, was endowed to include urban and run forward in the accomplishment of the mission goals. The sub-mission National Rural Health Mission (12^th April 2005), sub-mission National Urban Health Mission (1^st May 2013). = National Health Mission

01. Reduce MMR to 1/1000 live births

02. Reduce IMR to 25/1000 live births

03. Reduce TFR to 2.1

04. Prevention and reduction of anemia in women aged 15–49 years

05. Prevent and reduce mortality & morbidity from communicable, noncommunicable; injuries, and emerging diseases

06. Reduce household out-of-pocket expenditure on total health care expenditure

07. Reduce annual incidence and mortality from Tuberculosis by half

08. Reduce the prevalence of Leprosy to<1/10000 population and incidents to zero in all districts.

09. Annual Malaria incidence to be <1/100

10. Less than 1 percent microfilaria prevalence in all districts

11. Kala-azar elimination by 2015, <1 case per 10000 population in all blocks.

 NHM’s vision is “Attainment of Universal Access to Equitable, Affordable and Quality health care services, accountable and responsive to people’s needs, with effective inter-sectoral convergent action to address the wider social determinants of health.