The health status of the population especially, that of rural population requires improvement. However, the condition of the health services in rural areas of the country has improved after the launch of the National Rural Health Mission (NRHM).
As per National Sample Survey Organization (NSSO) 2004-05, the health worker density in rural areas is 11.74 per 10,000 populations while in urban areas, the density is 40.46 per 10,000 populations. As per the 2011 National Health Profile, there are 1, 60,862 hospital beds in rural areas out of the total 7, 84,940 hospital beds available in the country.
Public health being a state subject, the primary responsibility to provide health care facilities lies with the state governments. To address the healthcare challenges, particularly in rural areas, the NRHM was launched in 2005 to supplement the efforts of the State/UT governments to provide accessible, affordable and quality healthcare. The NRHM has now been subsumed under the National Health Mission (NHM) as its sub-mission, along with National Urban Health Mission (NUHM) as the other sub-mission.
Under NRHM, high focus States that are economically and socially backward and have poor health indices are provided with higher per capita allocation as compared to rest of the states. Further, within the States, to ensure equitable healthcare and to bring about sharper improvements in health outcomes, a systematic effort to effectively address the intrastate disparities in health outcomes has been undertaken. At least 25% of all districts in each state have been identified as “High Priority Districts” based on a composite health index. All tribal districts which are below the state’s average of composite health index have also been included as high priority districts. These districts receive higher per capita funding, enhanced monitoring and focused supportive supervision, and are supported to adopt innovative approaches to address their special healthcare challenges.
Under NHM, financial support is provided to States to strengthen their health care systems including support for infrastructure, equipment, human resource and other resources based on the requirements posed by the States in their Programme Implementation Plans. Besides the support for medical human resource, support is also provided for programme managers, finance managers and accountants, data managers etc. for effective programme implementation.
The draft National Health policy, 2015 has been placed in public domain seeking suggestions from stakeholders.