Lok Sabha Question No. 2166 (UNSTARRED), answered on 2020-09-23
Subject: National Rural Health Mission
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Vijay Kumar

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUE STION NO. 2166 TO BE ANSWERED ON 23 RD SEPTEMBER, 2020

## NATIONAL RURAL HEALT H MISSION

## 2166. SHRI VIJAY KUM AR:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a) the salient features of National Rural Health Mission (NRHM) and the targets set under the saidMission for the years 2019 - 20 and 2020 - 21,State/UT - wise;
- (b) the targets set and achieved under the said Mission during each of the last five years, criteria -wise,year - wise and State/UT - wise;
- (c) whether NRHM has been successful in integrating the various vertical health programmes and decentralizing the healthcare facilities at village level; and
- (d) if so, th e details thereof?

## ANSWER

## THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ASHWINI KUMAR CHOUBEY)

- (a) National Rural Health Mission (NRHM) is a sub -Mission under the overarching National Health  Mission  (NHM),  along  with  National  Urban  Health  Mission  (NUHM)  as  the  other sub- Mission. The main programmatic components of NHM include Health System Strengt hening in rural and urban areas. Although public health is a State subject, techni financial support is provided to State / UTs under National Health Mission for strengthe their  healthcare  systems  based  on  the  proposals  submitted  by  them  in  t heir  Programme Implementation Plans (PIPs). The Framework for implementation of National Health Missio comprises of national targets. However, this framework has laid no state specific targets.
- (b) Statement showing the targets set at the national level unde r National Health Mission and its current achievements is annexed.

(c) & (d): Yes, the integration of vertical health programmes at all levels has been on core strategies of the National Rural Health Mission (NRHM)/National Health Mission (NHM The  integration  of  vertical  health  programs  under  one  umbrella  of  NHM  has  given States/UTs flexibility to plan, implement State specific action plans and utilize availab per their felt needs and priorities within the broad national parameters.

Under  Ayushman  Bharat,  AB  initiative  Health  &  Wellness  Centres  (AB - HWCs),  an integrative  and  expanded  range  of  health  services  is  being  provided  at  the  primary AB - HWCs  has  helped  to  move  from  a  selective  approach  of  health  care  to  delive comprehensive  range  of  services  spanning  preventive,  promotive,  curative,  rehabilitati palliative care.

Further,  various  institutional  mechanisms  under  the  Mission  such  as  District  H Society, Rogi Kalyan Samitis, Village Health Sanitation and Nu trition Committees, etc. act as important instruments for bringing effective integration and decentralization of programmes/schemes at all levels including village level.

ANNEXURE Statement  showing targets  set  at  the  national  level under  National Health Mission and its achievements

| S. No.   | Targets* Status                                                                                                         | Targets* Status                                        | Targets* Status                                        | Targets* Status                                                                                                                                                                       |
|----------|-------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------|--------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 1        | Reduce MMR to 1/1000 live births# 122 (SRS 2018)                                                                        | Reduce MMR to 1/1000 live births# 122 (SRS 2018)       | Reduce MMR to 1/1000 live births# 122 (SRS 2018)       | 130 (2014- 2016)                                                                                                                                                                      |
| 2        | Reduce IMR to 25/1000 live births#                                                                                      | 32 (SRS bulletin 2020 Reference year 2018)             | 34 (SRS 2016)                                          | 37 (SRS2015) 39 (SRS2014)                                                                                                                                                             |
| 3        | Reduce TFR to 2.1#                                                                                                      | 2.2 (SRS                                               | 2018)                                                  | 2.3 (SRS 2016)                                                                                                                                                                        |
| 4        | Prevention and reduction of anaemia in women aged 15 - 49 years#                                                        | 53% (NFHS - 4) 2015- 2016                              | 53% (NFHS - 4) 2015- 2016                              | 55.3% (NFHS - 3) 2005- 2006                                                                                                                                                           |
| 5        | Reduce household out - of- pocket expenditure total health care expenditure (THE)#                                      | on 21% (2014)                                          | 17% (2004)                                             | Household Out of Pocket Expenditure health (OOPE) is Rs. 340196 (58.7% of THE, 2.2 of GDP, Rs. 2570 capita) Private Health expenditure is Rs. 27339 crores Total Health Expenditure). |
|          |                                                                                                                         | Source:National Health Accounts Estimates (2016 -2017) | Source:National Health Accounts Estimates (2016 -2017) | Source:National Health Accounts Estimates (2016 -2017)                                                                                                                                |
| 6        | The (Sustainable Development Goal (SDG) target for TB is reduce the incidence TB cases by 80% from the baseline of 2015 | to of 199/lakh population 2018                         | 204/lakh population 2017                               | 211/lakh population (2016)                                                                                                                                                            |
| 7        | Reduce prevalence of Leprosy to <1/10000 population and incidence to zero in all districts                              | 0.61 (NHM QPR March 2020)                              | 0.67 (NHM QPR March 2019)                              | 0.74 (NHM QPR Dec 2017)                                                                                                                                                               |
| 8        | Annual Malaria Incidence to be <1/1000                                                                                  | 0.25 (NHM QPR March 2020)                              | 0.22 (NHM QPR March 2019)                              | 0.63 (NHM QPR Dec 2017)                                                                                                                                                               |
| 9        | Kala- Azar Elimination by 2015, <1 case per 10000 populations in blocks                                                 | all 3706 (NHM QPR March 2020)                          | 480 (NHM QPR March 2019)                               | 4073 (NHM QPR December 2017)                                                                                                                                                          |
| 10       | Mortality from Non Communicable diseases#                                                                               | 61% (2016)                                             | 37% (1990)                                             | Source : https://www.nhp.gov.in/healthlyliving/ ncd2019                                                                                                                               |

crores

Insurance