New Delhi: In a major boost to health infrastructure the Union Cabinet chaired by the Prime Minister Shri Narendra Modi has approved the continuation of the National Health Mission – with effect from 1st April 2017 to 31st March 2020 with a budgetary support of Rs. 85,217 crore as Central Share over this period.
The Cabinet has also approved continuation of the Prime Minister’s Development Package for Jammu & Kashmir 2015 – “Stepping up of support under creation of Infrastructure in District Hospitals, Sub-district Hospitals and Primary Health Centers over 5 years” – with effect from 1st April 2017 to 31st March 2020 with a budgetary support of Rs. 625.20 crores as total centrally-funded scheme.
- NHM will be the principle vehicle for the UHC (Universal Health Coverage)
- The goals/targets aligned with National Health Policy, 2017 and SDG-3.
- NHM has helped the country achieve the MDGs and will be the principal vehicle to achieve the SDG 3 targets including the target for UHC.
- NHM will continue to strengthen the public health systems, particularly in high prioritydistricts that include aspirational districts.
- Shift from selective to comprehensive primary health care that includes care for common non- communicable diseases, geriatric health care, palliative care and rehabilitative care services etc. through strengthening of the SHCs/PHCs as Health and Wellness Centres (HWCs).
- The HWCs would provide preventive, promotive, curative and rehabilitative services, including NCD screening and management and are expected to be linked to CHCs and the DHs through a two-way referral and follow up system to reduce fragmentation and improve continuity of care. Package of twelve services including free universal screening for common NCDs.
- Posting of a Mid-Level health provider at the level of the sub-center who is trained in primary health care and public health related competencies.
- Emphasis on wellness by integration of AYUSH, and a focus on health promotion and prevention particularly for chronic diseases.
- Ambitious targets have been set that includes key health indicators and others to spur performance.
- Outcome oriented with increased funds earmarked for incentivizing better performance on key outcomes and health sector reforms.
- Horizontal integration of all vertical disease programmes to ensure integrated approach to health and wellness.
- Specially crafted and differentia! strategies and interventions to achieve set goals.
- Special focus on reducing Out Of Pocket Expenditure (OOPE) with intensification of Initiatives such as NHM Free Drugs and Diagnostics Services Initiatives, Pradhan Mantri National Dialysis Programme – Reduction on OOPE incorporated as a separate target.
- Effective harnessing of available platforms for inter sectoral convergent action on health.
- Team based incentives to foster spirit of cooperation and encouragement between frontline workers.
- Sharpened focus on quality through Quality certification of public health facilities, Kayakalp, LaQshya. Utilisation of public health facilities is a specific target.
- Proposed to expand basket of vaccines to all the states.
- Will integrate with the proposed National Health Protection Mission under Ayushman Bharat.
It will result in / facilitate the:
- Achievement of targets set for the NHM in the continuation period.
- Improvement in key health indicators like Neo-natal Mortality Rate (NMR), Infant Mortality Rate (IMR), Under-Five Mortality Rate (U5MR), Maternal Mortality Rate (MMR) and Total Fertility Rate (TFR).
- Reduction in incidence of communicable diseases.
- Reduction in Out Of Pocket Expenditure (OOPE) on health care.
- Improvement in coverage and utilization of Routine Immunization services and also those for non-communicable diseases.