NRHM was launched on April 12, 2005 to provide accessible, affordable and accountable quality health services to the poorest households in the remotest rural regions.
NRHM is being operationalized throughout the country with special focus on 18 states. The main aim of NRHM is to provide accessible, affordable, accountable, effective and reliable primary health care facilities, especially, to the poor and vulnerable sections of the population.
It also aims at bridging the gap in rural health care services through the creation of a cadre of Accredited Social Health Activists (ASHA) and improved hospital care, decentralization of programme to district level to improve intra and inter-sectoral convergence and effective utilization of resources.
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NRHM further aims to provide support to the existing programmes of health and family welfare including RCH-II, malaria, blindness, iodine deficiency, filaria, kala- azar, tuberculosis, and leprosy and for integrated disease surveillance.
Further, it addresses the issue of health in the context of sector-wide approach towards sanitation and hygiene, nutrition and safe drinking water as basic determinants of good health in order to have greater convergence among the related social sector departments.
The expected outcomes of the mission include reduction of Infant Mortality Rate (IMR) to below 30/1000 live births, Maternal Mortality Rate (MMR) to below 100/100000 live births and Total Fertility Rate (TFR) to 2.1 by 2012. Janani Suraksha Yojana (JSY)
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The Janani Suraksha Yojana (JSY) is a 100 per cent centrally-sponsored scheme and it integrates cash assistance with delivery and post-delivery care. The scheme was launched with locus on demand promotion for institutional deliveries in states and regions where these are low. It targeted lowering of MMR by ensuring that deliveries were conducted by the skilled birth attendants at every birth.
The Yojana has identified ASFIA, the accredited social health activist, as an effective link between the government and poor pregnant women in 10 low performing States. In other eligible States and UTs, wherever, Anganwadi Workers and ASFIA like activist have been engaged for this purpose, she can be associated with this Yojana for providing the services.