Objectives of National Rural Health Mission
Reduction in early neonatal mortality within first 48 hrs. of the delivery.
Reduction in post neonatal mortality due to diarrhea and ARI.
Reduction in neonatal deaths by timely transfer of sick neonates to referral hospitals.
Strategy of National Rural Health Mission
The overall strategy is aimed at minimizing the shortcomings of and constraints faced in RCH Phase I and to adopt innovative processes/activities along with institutional strengthening to improve service delivery in infant, child and maternal health.
- Enhancing, Quality of services and access of services by poorer, i.e. SC/ST and BPL population with in respect to following indicators.
- Fully protected mother (3 ANC checkups, Full Dose of Iron and Folic Acid(IFA) consumed, Tetanus Toxoid (TT) 2/B, Promoting Institutional Deliveries, Delivery by Skilled Birth Attendent (SBA) and adequate PNC care).
- Fully immunized children (BCG, 3 DPT, 3OPV, and Measles).
- No. of issues at sterilization.
- Issue wise couple protection rate (especially for couples with 1 and 2 issues).
- Streamlining management systems at various levels esp. procurement and inventory, material supply (drugs and vaccines) and human resource development.
- Broad-basing existing monitoring and evaluation system to report status of process and impact indicators – in addition to (quantitative) outputs of the various activities and inputs; various process and impact indicators.
- e - reporting.
- Systematic provision of training inputs to improve technical & managerial competence and performance of service providers at various levels within the health system.
- Facilitating convergence (by taking initiative) within various health programmes, with other government departments & Dept. partners with overlapping goals and objectives.
- Contracting services and outsourcing services where provision for permanent functionaries is not available – this will maintain tempo of work and guarantee outreach to underserved areas like Urban Slums, tribal areas & hilly areas.
- Linking (wherever possible) with private medical practitioners for specialized services.
- Collaborating with NGOs and other external agencies to extend outreach in remote tribal areas and to address non-health issues with a bearing on health impact.
- Replicating successful approaches, systems and activities from earlier and existing, externally funded projects.
- Women and community empowerment initiatives for demand generation and for establishing interface of women’s groups with health institutions especially for quality assurance initiatives.
- Partnership with suitable personnel, agencies, NGO for BCC and demand generation- There is urgent need for creating awareness and change in behavior of the community towards danger sings related to EmOC and EmPC, need for routine immunization and MCH services, popularizing use of ORS / Home available fluids, need for early and exclusive breast feeding, Limiting family size and issues related to non health interventions. State as well as districts will give priority for this activity through in-house efforts and involvement of suitable personnel, agencies, NGO's and CBO's partnership.
- Adolescent Reproductive Health Initiatives for in school and out of school adolescents, for enhancing their knowledge and skills on ARSH issues and for developing life skills in them for healthy practices. ARH initiatives addressing environment building for adolescents to seek information and to develop their life skills, Information on ARH issues through life skills approach, and providing needs based services including counseling services to adolescents.