Interventions & Strategies under NRHM. part 1

Interventions & Strategies under NRHM.
The National Rural Health Mission (NRHM) was launched on 12th April, 2005 throughout the country with special focus on 18 states, including eight Empowered Action Group (EAG) States, the North-Eastern States, Jammu & Kashmir and Himachal Pradesh. The NRHM seeks to provide accessible, affordable and quality health care to the rural population, especially the vulnerable sections.

3. During the 12th Plan, one of the goals of NRHM is to reduce MMR to less than 100 per 100,000 live births. Under National Rural Health Mission (NRHM) and within its umbrella, the Reproductive and Child Health Programme Phase II, the Government of India has taken a number of steps to accelerate the pace of reduction in maternal mortality.
   These strategies and interventions are:
   (1) Janani Suraksha Yojana (JSY):
   Janani Suraksha Yojana, a demand promotion scheme for reduction of MMR and IMR has led to steep increase in Institutional Delivery in government health facilities. Cash benefits are provided under the scheme to SC/ST/BPL women to promote institutional delivery.
   (2) Quality Antenatal, Intranatal and Postnatal care:
   Quality ANC includes minimum of at least 4 ANCs including early registration and 1st ANC in first trimester along with physical and abdominal examination, Hb estimation and urine investigation, 2 doses of T.T Immunization and consumption of IFA tablets for 100 days. (a) Iron and Folic Acid supplementation to pregnant & lactating women for prevention and treatment of anaemia. (b) Health and nutrition
   education: To promote dietary diversification; iron and folate rich food and items to promote iron absorption
   (3) Operationalization of the health facilities:
   For provision of Basic Emergency Obstetric Care (BeMOC) and Comprehensive Emergency Obstetric Care (CEMOC) services.
   (4) Sub-Centres, Primary Health Centres, Community Health Centres and District obstetric and new born care services. Hospitals are being operationalized for providing 24×7 basic and comprehensive
   (5) Delivery Points:
   Govt. of India is facilitating the States in identifying the “delivery points” for providing comprehensive and quality Reproductive Maternal Newborn and Child Health (RMNCH) Services at these health facilities which are performing deliveries/ C- sections above a certain benchmark.