Government of India has been implementing various programmes to ensure accessible, affordable and equitable healthcare services to all. the Planning Commission has increased the outlay for health and family welfare schemes in Eleventh and Twelfth Five Year Plan considerably with the objective of “establishing a system of Universal Health Coverage (UHC) in the country.” National Rural Health Mission Launched in 2005, National Rural Health Mission is an overarching project in mission mode that strives to provide effective healthcare to rural masses in the country with a focus on states with poor public health indicators and/or weak healthcare infrastructure. The programmes under NRHM can broadly be categorised into two: Reproductive & Child Health Programmes (RCH) and National Disease Control Programmes. RCH programmes address the issues and challenges relating to maternal and child healthcare through a range of initiatives. The important initiatives include: Janani Suraksha Yojana (JSY) Launched in 2005 as a key component of NRHM and being implemented in all states and UTs with special focus on low performing states, JSY aims to reduce maternal mortality and neo-natal mortality by promoting institutional delivery among poor pregnant women. Under JSY, pregnant women from rural BPL families are provided Rs. 1,400 as incentive to use government healthcare facilities and also to cover travel costs and other expenses. Janani–Shishu Suraksha Karyakram (JSSK) aims to provide free and cashless healthcare services to pregnant women including normal deliveries, caesarean operations (up to 30 days after birth) in public health institutions in both rural and urban areas. Navajat Shishu Suraksha Karyakram (NSSK) Launched in 2009, NSSK attempts to impart special training to healthcare providers at the District Hospitals, Community Health Centres and Primary Health Centres in the interventions at birth aimed at significantly reducing Infant Mortality Ratio. The programme is part of the policy of embedding child health strategy as an integral part of maternal health. Rashtriya Kishor Swasthya Karyakram (RKSK) Launched on 7 January 2014, RKSK is the nation’s first comprehensive adolescent health programme. The programme is committed at promotion of adolescent health mission across India and would address the health needs of 243 million adolescents constituting 21 per cent of the total population in the country. National Disease Control Programmes Non-communicable diseases like cancer, diabetes, cardiovascular diseases, and chronic obstructive pulmonary diseases, are on the rise in the country due to changes in life style. Communicable diseases such as Tuberculosis, Leprosy, Vector borne diseases, HIV/ AIDS among others also continue to be a major public health challenge. These endemic diseases result in high morbidity, mortality and adverse socio-economic impact. Therefore, national level programmes on diseases have been implemented with a renewed vigour and focus under National Rural Health Mission. National Vector Borne Diseases Control Programme (NVBDCP) A comprehensive programme for the prevention and control of vector borne diseases, NVBDCP covers diseases like Malaria, Filaria, Kala-azar, Japanese Encephalitis, Dengue and Chikungunya. Revised National Tuberculosis Control Programme (RNTCP) Launched in 1997 and implemented in a phased manner, Revised National TB Control Programme – an application in India of Directly Observed Treatment Short Course (DOTS) – is a revamped strategy to control Tuberculosis with the objective of curing at least 85 per cent of new sputum positive TB patients.
Posted on: Sun, 09 Nov 2014 19:26:39 +0000