Wednesday, May 1, 2013
National Urban Health Mission (NUHM) as a sub-mission under the National Health Mission (NHM)
The Union Cabinet gave its approval to launch a National Urban Health Mission (NUHM) as a new sub-mission under the over-arching National Health Mission (NHM). Under the Scheme the following proposals have been approved :
1. One Urban Primary Health Centre (U-PHC) for every fifty to sixty thousand population.
2. One Urban Community Health Centre (U-CHC) for five to six U-PHCs in big cities.
3. One Auxiliary Nursing Midwives (ANM) for 10,000 population.
4. One Accredited Social Health Activist ASHA (community link worker) for 200 to 500 households.
The estimated cost of NUHM for 5 years period is Rs.22,507 crore with the Central Government share of Rs.16,955 crore. Centre-State funding pattern will be 75:25 except for North Eastern states and other special category states of Jammu and Kashmir, Himachal Pradesh and Uttarakhand for whom the funding pattern will be 90:10.
The scheme will focus on primary health care needs of the urban poor. This Mission will be implemented in 779 cities and towns with more than 50,000 population and cover about 7.75 crore people.
The interventions under the sub-mission will result in
· Reduction in Infant Mortality Rate (IMR)
· Reduction in Maternal Mortality Ratio (MMR)
· Universal access to reproductive health care
· Convergence of all health related interventions.
The existing institutional mechanism and management systems created and functioning under NRHM will be strengthened to meet the needs of NUHM. Citywise implementation plans will be prepared based on baseline survey and felt need. Urban local bodies will be fully involved in implementation of the scheme.
NUHM aims to improve the health status of the urban population in general, particularly the poor and other disadvantaged sections by facilitating equitable access to quality health care, through a revamped primary public health care system, targeted outreach services and involvement of the community and urban local bodies.
The Union Cabinet in its meeting held in April 2012 has already approved the continuation of the National Rural Health Mission (NRHM) and the other sub-mission under NHM till 31.3.2017.