- Accredited Social Health Activist (ASHA) acts as interface between community and Health System. 8.96 lakhs ASHAs engaged at village level
- Village Health Sanitation and Nutrition Committees (VHSNCs) constituted at Village/ Gram Panchayat level with representation from all sections of the community including the disadvantaged sections. 512276 VHSNCs constituted
- Rogi Kalyan Samitis (Patient Welfare Societies) set up at various hospitals to encourage involvement of the community in the management of Public Health services. 30338 RKSs constituted at the health facilities
- VHSNCs and RKSs empowered with Untied Grants
Under the VIIth Schedule of the Constitution of India, public health is the responsibility of the State governments. However, the Government of India plays a vital role by providing financial and technical support to improve the health care delivery.
India's health challenges are diverse. Communicable diseases, notably Tuberculosis and Malaria, continue to constitute a major part of the country's disease burden. At the same time the threat of Non-communicable Diseases (NCDs) including diabetes, hypertension, cancer and mental illness is clearly perceived.
Key Points of Manifesto
- Health Assurance to all Indians and to reduce the out of pocket spending on health care.
- New Health Policy and National Health Assurance Mission.
- Utilize the ubiquitous platform of mobile phones for healthcare delivery and set up the 'National e-Health Authority'
- Set up an AIIMS like Institute in every State.
NHM - Main Approaches
Janani Shishu Suraksha Karyakram
- Free and Zero Expense delivery including C-section, free care in case of ante-natal & post-natal complications
- Free drugs, diagnostics, blood and consumables
- Free diet during stay in facilities
- Free transport home to health institution, between health institutions in case of referral and drop back home
- Exemption from all kinds of user charges
- Similar entitlements for sick Infants
Rashtriya Bal Swasthya Karyakaram (RBSK)
An estimated 1.5 million babies born with a birth defect account for 9.6% of all newborn deaths and 4% of under five mortality in India
Systematic universal screening of all children (0-18 years) for early identification of 4Ds: Defects at birth, Deficiency, Diseases and Disability and their management
Rashtriya Kishor Swasthya Karyakram (RKSK) for adolescents
- 13.5 crore children are being given free vaccination for seven vaccine preventable diseases
- 90 lakh immunization sessions conducted every year
- Average cost- nearly 800 crore each year
- Four vaccines against preventable diseases being introduced:
- Rotavirus Diarrhoea, Measles-Rubella, and Inactivated Polio Vaccine (single dose) to be rolled out in a phased manner.
- Japanese Encephalitis (JE) vaccine extended to adults in affected areas
Augmentation of Human Resources
Strengthening of Health Facilities
- 2593 Referral Hospitals strengthened to act as FRUs with CEmONC capacity (176 % increase on a baseline of 940 FRUs in 2005)
- 13302 PHCs/CHCs strengthened to provide 24x7 services. (493% increase over a baseline of 2243 24X7 PHCs/ CHCs in 2005)
- 477 dedicated Maternal and Child Health Wings (MCH Wings) with more than 29,000 additional beds have been sanctioned in 20 States.
- A total of 28147 new construction works sanctioned.
- A total of 32024 renovation/upgradation works sanctioned.
Ambulance Service & Mobile Medical Units
- Over 16000 'Dial 102/108' ambulances across 29 States/UTs are being supported under NHM
- Besides 5778 empanelled vehicles also being used as referral transport for pregnant women
- 1685 Mobile Medical Units provided in 369 districts for delivery of health care to difficult areas
Mainstreaming of AYUSH
- 21361 AYUSH doctors & 6289 AYUSH paramedics have been co-located at various health facilities
- Co-location has helped improve utilization of public health facilities & given users a greater choice between systems
- Support for AYUSH drugs, IEC & capacity building introduced under NRHM
Strengthening Community Processes
Communicable Disease Control Programmes
National Urban Health Mission
- Launched as a sub-mission of the National Health Mission (NHM) to strengthen the primary health care system in cities & towns
- Target Population: 29.95 Crore urban population (Census 2011)
- 942 cities/ towns with population above 50,000 (29.69 Crore)
- 64 District Headquarter towns with population between 30,000 – 50,000 (0.26 Crore)
- Special focus on:
- People living in listed, unlisted slums and other low income neighborhoods
- All other vulnerable population such as homeless, rag-pickers, street children, rickshaw pullers, and other temporary migrants
Eradication of Polio
- India has been certified as 'Polio-free' by WHO in March 2014
- Monumental Success-
- Considering that in 2009, India accounted for over 50 percent of the world's polio.
- No polio case reported for nearly four years
Under 5 Mortality Rate - MDG4
- In 1990, India carried a 40 % higher burden of child mortality as compared to global average
- U5MR in India has declined at higher rate as compared to global decline, would reach MDG4 goal at current rate
- Rate of decline more than doubled from 3.3% in 1990-2008 to 6.8 % in 2008-2012
- Most EAG States have started to show a decline equal to or better than the national average
Progress on Maternal Mortality Ratio (MMR) -MDG5
- In 1990, India carried a 47 % higher burden of maternal mortality as compared to global average
- India has declined at an accelerated pace & has reached a figure lower than the global average
- India projected to reach MMR of 141/ lakh live births in 2015 while MDG Goal is 140/ lakh live births
- IMR reduced from 58 (2005) to 40 (2013)
- Average annual rate of decline more than doubled
- Almost all EAG States have started to show a decline in IMR and TFR equal to or better than the national average rate of decline.
- TFR reduced from 2.9 (2005) to 2.4 (2012)
- 50% Acceleration in average annual rate of decline
- 24 States/UTs already achieved replacement level of less than 2.1
- The percentage decadal growth during 2001-2011 has registered the sharpest decline since independence with less population added than the previous decade
creation and human resources
National Urban Health Mission
- NUHM Programme Implementation Plans (PIPs) of 34 States/UTs for 2014-15 approved
- Rs 1345.73 crore released to 34 States/UTs till date
- Approvals given for strengthening infrastructure & human resources (HR) in 2059 facilities and establishment of 524 new Urban primary Health Centres (UPHCs) during the current year
- Steps are being taken to operationalize 902 new UPHCs sanctioned during January/February, 2014
- To prevent and control chronic NCDs.
- Capacity building at various levels
- Cost-effective treatment at secondary and tertiary levels.
- Developing an effective National Surveillance System to monitor NCDs
National Programmes on Non Communicable Diseases
- National programme for Control of Cancer, Diabetes Cardiovascular diseases and Stroke(NPCDCS)
- National Mental Health programme(NMHP)
- National Programme for Health Care of Elderly (NPHCE)
- National Programme for Prevention & control of Deafness
- National Tobacco control Programme
- National Oral health programme
- National Programme for Palliative care
- National Programme for Prevention of Burns and Trauma injuries.
- National Programme for control of Blindness
National Programme for Control of Cancer, Diabetes, Cardiovascular diseases and Stroke
- NCD Cells established at State & District level
- Screening for Diabetes & Hypertension
- Screening programme for common cancer (Oral, Breast and Cervical Cancers) also initiated.
- 20 State Cancer Institutes and 50 Tertiary Care Cancer Centres being established.
National Programme for Prevention of Burns and Trauma Injuries
- 13 additional Trauma Centres on National/State Highways approved for funding
- 17 Burn Units in Medical Colleges approved to support
National Programme for control of Blindness
- Total no. of 23,43,573 Cataract operation performed upto November, 2014.
- Total no. of 1,21,262 free spectacles provided to school children.
- Total no. of 25,254 Eye Donations made for corneal transplantation.
Tertiary Healthcare Infrastructure
Medical Education - North East
Medical Education : Achievements
- 17 new Medical Colleges and 8 new Dental Colleges established.
- Increase in intake capacity : 2750 MBBS seats 1150 PG seats and 1220 BDS seats.
- Intervention by HFM – Renewal of 4747 seats restored in case of 73 Government Medical Colleges.
- Group of Experts set up to recommend ways of improving regulation of medical education.
- MoUs with 19 States/UTs signed under the scheme for ‘Establishment of new Medical Colleges attached with existing District/ Referral hospitals’. Approval accorded by the Empowered Committee on 29.12.2014 to set up 7 New Medical Colleges under the scheme.
- 127 ANM & 137 GNM Schools in 29 States approved.
- Increase in intake capacity of Nurses by 13500.
- Rs.15 Cr released for ANM/GNM Schools & Development of Nursing services.
- 17 Schools of Nursing being upgraded to Colleges of Nursing.
- National curriculum taskforce set up for standardization & regularization of Allied Health Education.
Food Safety and Standards Authority of India (FSSAI)
Drug Regulatory Mechanism
Drug Regulatory Mechanism (Achievements)
- Website developed for National Organs Transplantation Programme (www.notto.nic.in)
- Online registry of organ transplant and retrieval.
- National Biomaterial Centre ready.
- Regional and State Organ and Tissue transplant organisations all over the country.
- Awareness generation for increased cadaver organ/tissue donation.
- New Organ Donation Campaign Initiative unveiled with felicitation of the family of Surabhi, a young organ donor.
- Launch of the "Asian Indian Donor Marrow Registry" (AIDMR) in AIIMS
Transplantation of Human Organs Act and National Organ Transplant Programme
NATIONAL AIDS CONTROL PROGRAMME (NACP)
- 39 new Targeted Interventions have been established, taking the total to 1,833 TIs to provide HIV prevention services to FSW, MSM, IDU, migrants & truckers.
- Link Worker Scheme is operational in 138 districts of India to provide HIV prevention services in rural areas.
- 41.1 lakh STI/RTI patients were treated as per the national protocol.
- 42.2 crore pieces were distributed through social marketing and 15.81 crore pieces were distributed free.
- 33.16 lakh blood units were collected across the country, 82.57% of this was through voluntary blood donation.
- 68.93 lakh general clients and 51.07 lakh pregnant women have been counseled & tested for HIV. 92% HIV positive Pregnant Women and their babies received ARV prophylaxis for prevention of mother to child transmission.
- 459 new Red Ribbon Clubs have been formed in colleges & schools. Under mainstreaming, around 1.58 lakh personnel were trained from various departments at State & District level.
- 32 new ART centres have been established, taking the total to 448 and 8.12 lakh People living with HIV are receiving free ART.
- New Plasma Policy was announced to enhance rational use of blood and plasma derivatives for various health conditions.
- National Helpline was launched to facilitate easy dissemination of information related to HIV/AIDS to general public in all Indian languages.
- Computerized Inventory Management System was launched to strengthen the supply chain management system of Anti Retroviral Drugs, enhance efficient use of the drugs and minimize wastages across the country.
m-Health initiatives to improve the knowledge and skill of front line health workers
Campaigning through various Media
A judicious mix of various media channels used
- Print and electronic Media
- Interpersonal communication & community mobilization
- Folk and traditional media
- Community radio
- Outdoor media
- Events and Exhibitions
- Social Media
Health Pavilion at IITF 2014, Delhi
MoHFW participated in India International Trade Fair at Pragati Maidan. The Theme was "Asha as Change Agent"
Health Pavilion at IITF, 2014
Won Gold Medal in Ministry/ Department Category
Use of Social Media (Twitter)
- More than 38,000 followers.
- Various campaigns have been organized on Twitter including for Intensified Diarrhoea Control Fortnight, National Nutrition Week, National Breast-feeding Week, Launch of TB survey, India’s Newborn Action Plan, Independence Day, Eye Donation Day, Alzheimer’s Disease, Cardio Vascular Disease, Gandhi Jayanti, Mental Health, World Polio Day, Global Hand-washing Day etc.