Union Cabinet informed about progress under National Health Mission (NHM) – 2020-21

Source: The post is based on the articleUnion Cabinet informed about progress under National Health Mission (NHM) – 2020-21published in PIB on 28th September 2022

What is the News?

The Union Cabinet chaired by the Prime Minister was informed about the progress under the National Health Mission(NHM) during FY 2020-21.

What is the National Health Mission(NHM)?

National Health Mission(NHM) was launched by the government of India in 2013 subsuming the National Rural Health Mission (Launched in 2005) and the National Urban Health Mission (Launched in 2013).

Aim: To provide financial and technical support to States enabling them to provide accessible, affordable, accountable, and effective healthcare up to District Hospitals (DHs) especially to the poor and vulnerable sections of the population.

Components: The main programmatic components include Health System Strengthening in rural and urban areas, Reproductive-Maternal- Neonatal-Child and Adolescent Health (RMNCH+A), and Communicable and Non-Communicable Diseases.

Beneficiaries: NHM is implemented for universal benefit – i.e. entire population; services are offered to everyone visiting the public healthcare facilities with a special focus to vulnerable sections of the society.

Targets under NHM by 2025: 1) Reduce MMR to 90 from 113, 2) Reduce IMR to 23 from 32, 3) Reduce U5MR to 23 from 36, 4) Sustain Total Fertility Rate(TFR) to 2.1, 5) Reduce prevalence of Leprosy to <1/10000 population and incidence to zero in all districts, 6) Annual Malaria Incidence to be <1/1000, 7) Prevent and reduce mortality & morbidity from communicable, non- communicable; injuries and emerging diseases, 8) Reduce household out-of-pocket expenditure on total health care expenditure and 9) Ending the TB epidemic by 2025 from the country.

What has been achieved under the mission?

Under-five mortality rate(U5MR): It has declined from 49 in 2013 to 36 in 2018.As per SRS 2020, U5MR has further reduced to 32.

Maternal Mortality Ratio (MMR): It has declined by 443 points from 556 per one lakh live births in 1990 to 113 in 2016-18. 

Infant Mortality Rate(IMR): It has declined from 80 in 1990 to 32 in the year 2018.As per SRS 2020, IMR has further reduced to 28.

Total Fertility Rate(TFR): As per Sample Registration System (SRS), TFR in India declined from 2.3 in 2013 to 2.2 in the year 2018.As per SRS 2020, TFR has further reduced to 2.0.

Malaria: In the year 2020, malaria cases and deaths have declined by 46.28% and 18.18%, respectively.

TB Cases: The incidence of TB per 1,00,000 population has been reduced from 234 in 2012 to 193 in 2019. The mortality due to TB per 1,00,000 populations for India reduced from 42 in 2012 to 33 in 2019.

Kala Azar: The percentage of Kala Azar (KA) endemic blocks, achieving the elimination target of < 1 KA case per 10000 population, increased from 74.2% in 2014 to 97.5% in 2020-21.

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