In News:

The Union Cabinet reviewed the progress under NHM (2021–24), underscoring significant gains in public health infrastructure, disease control, and healthcare accessibility, particularly during and after the COVID-19 pandemic.

About NHM:

• Launched: 2013, integrating NRHM (2005) and NUHM (2012).
• Objective: Universal access to equitable, affordable, and quality healthcare services.
• Focus: Vulnerable populations, rural and urban poor.
• Implementation: Ministry of Health & Family Welfare supports states and UTs.

Key Achievements (2021–2024):

1. Human Resource Expansion

• 12.13 lakh healthcare workers added, including doctors, nurses, CHOs, and AYUSH practitioners.
• Ni-kshay Mitras: 1.56 lakh volunteers supported 9.4 lakh TB patients.
• Progressive annual engagement:
  • FY 2021–22: 2.69 lakh
  • FY 2022–23: 4.21 lakh
  • FY 2023–24: 5.23 lakh

Maternal and Child Health

• Maternal Mortality Ratio (MMR): Dropped by 83% since 1990 (from 130 to 97 per lakh live births).
• Under-5 Mortality Rate (U5MR): Reduced from 45 (2014) to 32 (2020).
• Infant Mortality Rate (IMR): Declined from 39 (2014) to 28 (2020).
• Total Fertility Rate (TFR): Reduced from 2.3 (2015) to 2.0 (2020).

Disease Control and Elimination

• Tuberculosis (TB):
  • Incidence: From 237 (2015) to 195 (2023) per 1,00,000.
  • Mortality: Decreased by 21.4% (from 28 to 22).
• Kala-azar: Target achieved in all endemic blocks (<1 case/10,000 population by 2023).
• Sickle Cell Anemia: 2.61 crore people screened under the National Elimination Mission.
• Malaria:
  • Cases fell in 2021 but rose in 2022 and 2023.
  • Deaths declined continuously.

Immunization Campaigns

• COVID-19: Over 220 crore doses administered (2021–2024).
• Measles-Rubella: 97.98% coverage, vaccinating 34.77 crore children under IMI 5.0.
• Digital Health: U-WIN platform launched in 2023 for real-time vaccination tracking in 65 districts.

Healthcare Infrastructure

• 7,998 health facilities certified under National Quality Assurance Standards (NQAS).
• Ayushman Arogya Mandirs: 1.72 lakh operational, with 1.34 lakh offering 12 essential services.
• 24×7 services: At 12,348 PHCs and 3,133 FRUs.
• Mobile Medical Units (MMUs): Expanded to 1,424 units, MMU Portal operational.

Specialized Health Initiatives

• Pradhan Mantri TB Mukt Bharat Abhiyan: Volunteer-driven TB patient support.
• Pradhan Mantri National Dialysis Programme:
  • Delivered 62.35 lakh hemodialysis sessions to 4.53 lakh patients in FY 2023–24.
• Sickle Cell Mission: Major tribal health initiative targeting elimination by 2047.

National Programs Under NHM

• RMNCH+A: Reproductive, Maternal, Newborn, Child, and Adolescent Health.
• Communicable Disease Control: TB, malaria, leprosy, HIV/AIDS.
• Non-Communicable Diseases (NCDs): Cancer, diabetes, hypertension.
• Other Initiatives: Rashtriya Bal Swasthya Karyakram (RBSK), PM National Dialysis Programme, Ayushman Bharat (AB-PMJAY).

Alignment with SDG Goals

• NHM achievements indicate India is on track to meet SDG-3 targets (Good Health and Well-being), especially in maternal and child mortality reduction.