Archives of Disease in Childhood. The recent policy initiatives and experiences in the private health sector in India raise questions on distributive justice in India [ 30 ]. Are we to take an official stand that both science and non-science are on equal footing as long as they prove to be of any personal utility? Accompanying women for delivery, the most publicly known activity of the ASHA was above 85 per cent in all districts except Kerala and West Bengal. However, in the late post-NRHM period —12, there was considerable improvement in the uptake of ANC, particularly for the lowest socioeconomic tertiles Table 3. Community Processes Including Community Participation. These nursing homes are usually five to thirty bed health facilities with inpatient and outpatient services, with co-location of pathology and other auxiliary services, depending on available resources.

The same document mentions about the review of NRHM leading to following conclusions: The focus of the government, driven by political compulsions and paucity of resources, has been to ensure availability of basic services for a large section of the rural poor population and enforcement of regulations for sections which pay for their own care has been largely neglected. Indian Journal of Community Medicine: In the new paradigm, transfer of power to PRIs is believed to be of great significance in running the programmes effectively. Sociologically speaking, apart from providing financial support, NRHM intended to bring out several new institutional changes:

Remember me on this computer. Contracting of services such as laundry, kitchen and cleanliness services by state governments of Rajasthan, Delhi, and Punjab, India to private players have given good results.

In the DLHS rounds, data on the use of maternal healthcare were collected for the most recent birth. We describe this below.

literature review of nrhm

The cost of drug consumptions is similar to cost of hospitalizations. Restructuring of the public health system with decentralization of the services and use of a resource allocation formula, which is based on population weights, to distribute the national health budget between states on an equitable basis.


literature review of nrhm

Chiranjeevi scheme of Gujarat, India. Ethical and social issues in the care of the newborn. Both state and central governments develop guidelines for them, and assign work to them, as for other government functionaries.

Village meetings or any collective meeting for health promotion, an indicator of the mobilisation role was varied, with six districts- Andhra Pradesh and Kerala and Orissa reporting a higher than 70 per cent activity level, while it was less than 50 per cent in all the rest.

Bulletin of the World Health Organization.

Is it justified to accept mistakes and errors on the part of overworked employees? In Bihar it was as low as 8. Thus, it appears that although the status of health facilities is deplorable, for those who come to avail services in government health facilities they are of great value, perhaps for one reason that they have no other alternative.

Among the NE states, Manipur and Tripura have shown promising improvement. Status of maternal and new born care at first referral units in the state of West Bengal. Supposedly, NRHM has several new things which could be extended to urban areas. According to the Constitution of India, health is literaturd state subject. This is equally true of discourses among experts and lay persons.

A very small proportion comes from health premiums which are paid by employees and group insurance schemes. Are there negative and positive sanctions in place for performance of staff? The recent policy initiatives and experiences in the private health sector in India raise questions on distributive justice in India [ 30 ].

There was an increase in the percentage of eligible women receiving financial incentives in the late post-NRHM period —12, being The landscape of community health insurance in India: Public-private interactions made for sharing resources creating greater access, efficiency and enhanced sharing of health information systems.

Also, the privatization of health services poses unique ethical dilemmas and challenges for developing countries [ 34 ].


National rural health mission: Time to take stock Sharma AK – Indian J Community Med

Bindaas Bol is a campaign directed at promotion of condom use by men, in nine states. This is not to denigrate the importance of other measures or of a multipronged approach to health, but is only to stress that, to improve public health standards in the population, a fully functioning primary health care system is a necessary condition for other goals to be achieved.

This can be kept in mind in programme evaluations and fixing responsibilities, but fixing targets at levels much above what is technically and medically possible at the moment and have already been achieved in countries at similar levels of income leads to lethargy in the system and is against the constitutional guarantee of equal opportunities ilterature all.

Does it mean that, while the elite classes go for allopathic medicine, the rural poor are provided AYUSH because they cannot be given allopathic medicine?


Key challenges to achieving health for all in an inequitable society: Authors of Document Garg, P. This document establishes that there are pronounced inequalities between states, and the achievements are far from being satisfactory.

There are documented evidences that ASHAs have encouraged institutional deliveries and are willing to take more work load. The use of private-sector contracts for primary health care: Similar trends were found for the education tertiles.

Although there was only a moderate decline in inequity in the uptake of ANC between the pre- and the early post-NRHM period —08, there was considerable decline in the late post-NRHM period —