Table 1.
Implementation status of NRHM health sector plans
NRHM Plans (independent variables) | Implementation status | ||
---|---|---|---|
Full | Partial | None | |
Health system strengthening | |||
Mobile medical units with access to hard-to-reach areas | – | – | – |
Patient transport service/referral services | – | – | – |
Infrastructure development and strengthening: construction of new healthcare facilities for universal access to primary healthcare as per the norms, and strengthening of existing facilities as per Indian Public Health Standards (IPHS) | – | – | – |
Human resources: availability of additional nurses, doctors, specialists, ANMs, and administrative staff on a contractual basis | – | – | – |
Drugs and logistics (free essential medicines at all healthcare facilities) | – | – | – |
Telemedicine | – | – | – |
Communitization | |||
Accredited Social Health Activist (ASHA) | – | – | – |
Village health and sanitation committees | – | – | – |
Village health and nutrition days | – | – | – |
Rogi Kalyan Samities (patient welfare committees in the hospitals with members also deriving from the community) | – | – | – |
Maternal healthcare strategies | |||
JSY – Janani Suraksha Yojna | – | – | – |
JSSK – Janani Shishu Suraksha Karyakaram | – | – | – |
Increased number of delivery points with provision of 24/7 delivery services | – | – | – |
Provision of safe MTP services | – | – | – |
Provision of emergency obstetrics care and cesarean services at reachable distance | – | – | – |
Child health care strategies | |||
Specialized care for newborns – facility-based neonatal care | – | – | – |
Facility-based integrated management of neonatal and childhood illnesses | – | – | – |
Integrated management of childhood illnesses | – | – | – |
Home-based neonatal care | – | – | – |
Infant and young child feeding | – | – | – |
Nutritional rehabilitation centers for malnourished children | – | – | – |
Micronutrient (iron and folic acid) supplementation | – | – | – |
JSSK | – | – | – |
Immunization Increased number of outreach sessions Alternate vaccine delivery vaccinators | – | – | – |