Contagious, infectious and waterborne diseases such as diarrhoea, amoebiasis, typhoid, infectious hepatitis, worm infestations, measles, malaria, tuberculosis, whooping cough, respiratory infections, pneumonia and reproductive tract infections dominate the morbidity pattern, especially in rural areas of India. India launched various health project to provide the health services.

1. Dr. Nilima Sonawane
PhD(N), MPhil, PGDDM, PGDEM, MBA ( Health care Management)
Principal
Institute Of Nursing Education, Mumbai
drnilima.priyadarshi09@gmail.com

3. Of all the forms of injustice, inequality in healthcare is the
most shocking and inhumane.
– Martin Luther King

4. Health is a state of complete
physical, mental and social
well-being and not merely the
absence of disease or infirmity.

5.  Family
 Religion & Caste
 Cultural
 Internal organization
 Religious organization
 Economic organization

6. Health is a dynamic concept, and is
constantly evolving and changing over time.

10. Disease, any harmful deviation from the normal structural or
functional state of an organism, generally associated with
certain signs and symptoms and differing in nature from
physical injury. A diseased organism commonly exhibits
signs or symptoms indicative of its abnormal state.
By WHO

13.  The genetic make up
 Genetic origin of the
diseases
Chromosomal abnormalities,
Error of Metabolism,
mental retardation,

18.  The purpose of health services is
to improve the health status of
population.
 Health services can also be
essential for social & economical
development.

19.  By the year 2020, the world is estimated to have more
than 1.5 billion people aged 60 and over and more than
two third of them living I developing countries.

20.  Gender equality
 Sex Ratio

21.  The revolution in information
& communication technology

22. In Medicine, rural
health or rural medicine
is the interdisciplinary
study of health and
health care delivery in
rural environments.

23.  Contagious, infectious and waterborne diseases such as
diarrhoea, amoebiasis, typhoid, infectious hepatitis,
worm infestations, measles, malaria, tuberculosis,
whooping cough, respiratory infections, pneumonia and
reproductive tract infections dominate the morbidity
pattern, especially in rural areas.

24.  such as cancer, blindness, mental illness,
hypertension, diabetes, HIV/AIDS, accidents and
injuries are also on the rise.

25.  Water
 Population
 Health facilities
 Poverty
 Ignorance
 Maternal Mortality
 Infant Mortality
 Malnutrition
 NCD

26.  RURAL HEALTH PROJECTS
IN
INDIA

27.  The National Rural Health Mission (NRHM) was
launched by the Hon’ble Prime Minister on 12th April
2005, to provide accessible, affordable and quality
health care to the rural population, especially the
vulnerable groups. The Union Cabinet vide its decision
dated 1st May 2013, has approved the launch of
National Urban Health Mission (NUHM) as a Sub-
mission of an over-arching National Health Mission
(NHM), with National Rural Health Mission (NRHM)
being the other Sub-mission of National Health
Mission.

28.  Government of India adopted the Reproductive,
Maternal, New-born, Child and Adolescent Health
(RMNCH+A) framework in 2013, It essentially aims
to address the major causes of mortality and
morbidity among women and children

29.  Reproductive And Child Health
 Family planning
 JJSK
 Maternal Health
 Child Health
 UIP
 Adolescent Health
 Declining sex Ratio

30.  JSY is a safe motherhood intervention under the
National Health Mission. It is being implemented
with the objective of reducing maternal and neonatal
mortality by promoting institutional delivery among
poor pregnant women. The scheme, launched on 12
April 2005 by the Hon’ble Prime Minister, is under
implementation in all states and Union Territories
(UTs), with a special focus on Low Performing States
(LPS).

31. Categ
ory
Rural
area
Total Urban
area
Total
Mother’s
package
ASHA’s
package
*
Mother’s
package
ASHA’s
package**
(Amount in
Rs.)
LPS 1400 600 2000 1000 400 1400
HPS 700 600 1300 600 400 1000
*ASHA package of Rs. 600 in rural areas include Rs.
300 for ANC component and Rs. 300 for facilitating
institutional delivery.
**ASHA package of Rs. 400 in urban areas include Rs.
200 for ANC component and Rs. 200 for facilitating
institutional delivery.
CASH ASSISTANCE FOR INSTITUTIONAL
DELIVERY (IN RS)

32.  Dakshata is an initiative under the National Health
Mission to improve the quality of maternal and
newborn care during the intra- and immediate
postpartum period, through providers who are
competent and confident. The programme was
launched in 2015.
 Providing high quality services during childbirth in
institutions with support from Norway India
Partnership Initiative (NIPI) for strengthening maternal
& newborn care under Dakshata.

33. Objective
 Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA)
was launched to provide fixed-day assured,
comprehensive and quality antenatal care universally to
all pregnant women (in 2nd and 3rd trimester) on the 9th
of every month

34. India launched an ambitious program LaQshya on
11th December 2017 with following objectives
Reduce maternal and newborn morbidity and mortality
Improve quality of care during delivery and immediate
post-partum period
Enhance satisfaction of beneficiaries, positive birthing
experience and provide Respectful Maternity Care (RMC)
to all pregnant women attending public health facilities

35.  LaQshya program will benefit
every pregnant woman and
newborn delivering in public
health institutions. Program
will improve quality of care for
pregnant women in labour
room, maternity Operation
Theatre and Obstetrics
Intensive Care Units (ICUs) &
High Dependency Units
(HDUs)

36.  The VHND is to be organized once every month
(preferably on Wednesdays, and for those villages that
have been left out, on any other day of the same month)
at the AWC in the village. This will ensure uniformity
in organizing the VHND. The AWC is identified as the
hub for service provision in the RCH-II, NHM, and
also as a platform for inter-sectoral convergence.
VHND is also to be seen as a platform for interfacing
between the community and the health system

37.  Maternal Health
 Child Health
 Family Planning
 Reproductive Tract Infections and Sexually
Transmitted Infection
 Sanitation
 Communicable Diseases
 Gender
 AYUSH
 Health Promotion
 Nutrition

39.  The Surakshit Matritva Aashwasan scheme is an initiative
by the Central Government for Zero preventable
maternal and newborn death i.e. through the Suman
scheme the central government is committed to achieving
the target of reducing maternal and infant mortality.
 SUMAN promotes safe pregnancy, childbirth and
immediate postpartum care with respect and dignity by
translating the entitlements into a service guarantee which
is more meaningful to the beneficiaries.

41.  The Pradhan Mantri Matru Vandana Yojana was
announced in the Prime Minister’s address to the nation
on 31st December 2016 to benefit pregnant women and
lactating mothers. The basic features of the scheme is
given in following table.

42.  Institutional vs Home Delivery
 Janani Shishu Suraksha Karyakaram (JSSK) was
launched in June 2011 to eliminate out-of-pocket
expenses for both pregnant women and sick infants.
 Building on the progress of this safe motherhood
scheme
 Essential Antenatal , Intra Natal & Post Natal care

43.  In order to ensure holistic development of adolescent
population, the Ministry of Health and Family
Welfare launched Rashtriya Kishor Swasthya
Karyakram (RKSK) on 7th January 2014 to reach out
to 253 million adolescents - male and female, rural
and urban, married and unmarried, in and out-of-
school adolescents with special focus on marginalized
and undeserved groups .

44. Objective
 Improve nutrition
 Improve sexual and
reproductive health
 Enhance mental health
 Prevent injuries and violence
 Prevent substance abuse

47.  The Pradhan Mantri Jan Arogya
Yojana (PM-JAY) popularly
known as Ayushman Bharat was
launched on September 25, 2018
which aims to secure the lives of
50 crore individuals that comprises
of 10.74 cr poor families including
both rural and urban areas

49.  Goals:
 To revitalize efforts towards promotion, protection and support of
breastfeeding practices through health systems to achieve higher
breastfeeding rates.
 Objectives:
• Build an enabling environment for breastfeeding through
awareness generation activities,
• Reinforce lactation support services at public health facilities
through trained healthcare providers and through skilled
community health workers.
• To incentivize and recognize those health facilities that show high
rates of breastfeeding along with processes in place for lactation
management.

50.  MNP Components
 Community Development Programme 1952
 National Water And Sanitation Programme
 Pradhan Mantri Gram Sadak Yojana (Pmgsy) 2000
 Mahatma Gandhi National Rural Employment Guarantee
Act (Mgnrega)
 Prime Minister Rural Development Fellows Scheme
 Sampoorna Grameen Rozgar Yojana (Sgry)
 Sansad Adarsh Gram Yojana (Sagy)
 Samagra Siksha Abhiyan 2000
 National Social Assistance Programme (NSAP)