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National Health Mission (NHM): Goals, Components & Achievements - UPSC Notes

Last Updated on Feb 28, 2025
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Initiated by the Government of India, the National Health Mission (NHM) was designed to tackle the severe malnutrition crisis facing the country. This mission, launched in 2013, subsumed two pre-existing missions aimed at addressing malnutrition in rural and urban populations. The NHM was implemented under the supervision of the Ministry of Health and Family Welfare. 

This article provides a detailed overview of the National Health Mission's four key components, its main objectives and goals, as well as the major initiatives and significant successes of the National Health Mission. This topic is important from the point of view of General Studies Paper 2 of the UPSC Civil Services Examination.

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Syllabus

General Studies - Paper II

Topics for Prelims

National Rural Health Mission, National Urban Health Mission, National Immunization Program

Topics for Mains

India’s public health system

About the National Health Mission

The NHM is a public health initiative introduced by the Government of India in 2005. It includes the National Rural Health Mission and the National Urban Health Mission. It was born out of an affront to the health care needs of underserved rural and urban populations. It commits itself for universalization vis-a-vis provision of affordable, equitable, and quality health care services. The programme pays close attention to reproductive, maternal, neonatal, child, and adolescent health, as well as communicable and non-communicable diseases. The NHM is realized into a series of initiatives and programs. All of them contain constituents of community participation and inter-sectoral convergence to enhance the health outcomes across the country.

Background of the National Health Mission

The National Health Mission (NHM) was launched in 2005 by the Government of India. It was a consolidation of the National Rural Health Mission (NRHM) and the National Urban Health Mission (NUHM). The NRHM was initiated in 2005 to address the healthcare needs of under-served rural areas. The NUHM was launched to focus on urban areas. The mission aims to establish a decentralized health delivery system. It has a focus on improving health indicators in vulnerable states and regions. NHM has been extended many times and continues to be a significant public health initiative in India.

Read the article on the Boost for Immunisation Drive in India!

National Health Mission Objectives 

The mission seeks to extend beyond the focus of previous missions on reproductive and child health.

  • It aims to combat two categories of diseases – Communicable and Non-Communicable.
  • The mission has the goal of significantly enhancing health infrastructure facilities at District and Sub-District levels.
  • The following are some of the key goals of the National Health Mission.
    • Total Fertility Rate (TFR) – Aims to lower it to 2.1
    • Infant Mortality Rate (IMR) – Strives to decrease it to 25 per 1000 live births
    • Maternal Mortality Rate (MMR) – Aims to reduce it to 1 per 1000 live births
    • Aims to reduce the incidence of malaria to less than 1 per 1000 population.
    • Aims to prevent and decrease anemia in women aged between 15 years to 49 years.
    • Strives to halve the incidence and mortality rate of tuberculosis.

Learn more about the National Mental Health Programme (NMHP)!

Components of the National Health Mission

The major components of the National Health Mission include the following:

Funding Pattern of the National Health Mission

The funding pattern of the National Health Mission (NHM) is a shared responsibility between the central and state governments. The central government provides financial assistance to the states and union territories in the form of grants-in-aid. The funding follows a defined ratio. The central government usually bears 60% to 90% of the total funding. It depends on the state's category (special category, northeastern states, or other states). The remaining share is contributed by the respective state governments. The funds allocated are utilized for various health programs, infrastructure development, capacity building, and service delivery improvement under NHM.

Read the article on the Intensified Mission Indradhanush 3.0!

Achievements of the National Health Mission (NHM)

Some of the major achievements of the National Health Mission include the following:

  • Improved Healthcare Access: As of 2022, there are over 1.6 lakh Health and Wellness Centres (HWCs) set up under NHM across the country, improving healthcare access, especially in rural and remote areas.
  • Better Maternal and Child Health: Maternal Mortality Ratio (MMR) has significantly decreased from 374 per 100,000 live births in 2001-03 to 113 per 100,000 live births in 2016-18, as per the Sample Registration System (SRS).
    • The under-5 mortality rate has also dropped from 74 per 1,000 live births in 2012 to 37 per 1,000 live births in 2021, showing improved child health.
  • Vaccination Drives: The Universal Immunization Programme (UIP), supported by NHM, has helped increase national vaccination coverage to about 89% as of 2021, up from 61% in 2001.
    • Polio eradication: India has been declared polio-free since 2014, thanks to vaccination programs under NHM.
  • Health Centers in Rural Areas: NHM has set up more than 1.6 lakh Health and Wellness Centers as of 2022, which provide comprehensive primary healthcare services, including treatment for common ailments, maternal care, and childhood vaccinations.
  • Focus on Clean Water and Sanitation: Through the NHM’s Swachh Bharat Mission, more than 60 million households have been provided with toilets, leading to an increase in rural sanitation coverage from 39% in 2014 to over 100% in 2021.
  • Increased Awareness about Health: NHM has launched campaigns like the "Beti Bachao Beti Padhao" program, leading to an improvement in the Child Sex Ratio (CSR), which increased from 919 girls per 1,000 boys in 2011 to 919 girls per 1,000 boys in 2021, according to Census 2021.
  • Reducing Malnutrition: The National Nutrition Mission (Poshan Abhiyan) launched under NHM aims to reduce stunting, undernutrition, and low birth weight. As of 2020, it has reached over 10 crore beneficiaries, with a focus on improving maternal and child nutrition.
  • Improved Healthcare Infrastructure: As of 2021, NHM has contributed to the construction and upgrading of over 700 district hospitals and 5,000 sub-district hospitals to enhance healthcare delivery.
  • Improved Immunization Rates: The Mission Indradhanush launched under NHM in 2014 has targeted to cover unvaccinated and partially vaccinated children. By 2021, it successfully covered almost 3.5 crore children in its phases.
  • Better Family Planning Services: Family Planning efforts under NHM have led to an increase in contraceptive prevalence from 54% in 2015-16 (National Family Health Survey) to 67% in 2020-21.
  • Better Mental Health Services: The National Mental Health Program (NMHP), a part of NHM, has provided mental health care services to over 2 million people through tele-counseling and outreach services as of 2021.
  • Control of Diseases:
    • TB Control: NHM’s Revised National Tuberculosis Control Programme (RNTCP) has treated over 2.5 crore TB patients and aims to eliminate tuberculosis by 2025.
    • Malaria: The number of malaria cases has dropped significantly due to interventions like indoor spraying and the distribution of insecticide-treated nets, with cases reducing by 85% between 2000 and 2020.

Learn more about the Health Care Sector in India!

Major Initiatives under the National Health Mission

The National Health Mission includes approximately 24 major initiatives.

Accredited Social Health Activists (ASHAs)

Community health volunteers who act as a bridge between the community and the health system, particularly in rural areas. Over 9.15 lakh ASHA activists are deployed across the country. These activists have positively impacted institutional delivery, immunization, and disease control programmes.

Rogi Kalyan Samiti/Hospital Management

Management structures that oversee hospital affairs and work towards patient welfare. 31,673 Rogi Kalyan Samiti (RKS) has been established across District and Sub District Hospitals, Community and Primary Health Care Centres. This society is registered and its members are responsible for ensuring adequate facilities for patients at the hospital.

United Grants to Sub Centres (SC)

Funding for grassroots improvements in healthcare. This includes enhancing the efficacy of healthcare workers and empowering local health committees. These centres are well-equipped to provide improved health care to patients.

Village Health Sanitation and Nutrition Committee (VHSNC)

The committee comprises members from Panchayati Raj. There are 5 Lakh VHSNCs across the country. They are responsible for monitoring and planning public services.

Janani Suraksha Yojana (JSY)

A scheme promoting institutional delivery among poor pregnant women to reduce neonatal and maternal mortality. This scheme encourages pregnant women to give birth in government health facilities, thereby helping to reduce maternal mortality. 8.55 crore women have benefitted from this scheme.

Janani Shishu Suraksha Karyakram (JSSY)

Under this scheme, pregnant women do not incur any expenses for delivery in public health institutions. Health services are provided free of cost to sick infants under the age of 1 year.

National Mobile Medical Units

Mobile healthcare units providing medical services in remote and underserved areas. Support has been provided in 333 out of 672 districts for 1107 Mobile Medical Units.

National Ambulance Service

Emergency medical services to ensure timely access to healthcare in critical situations. This service can be accessed through a toll-free number.

Rashtriya Bal Swasthya Karyakram (RBSK) 

Child health program focusing on early identification and intervention for birth defects, diseases, and deficiencies.

Comprehensive Primary Health Care

This initiative aims to improve access to Information, Communication and Technology (ICT). It seeks to enhance the Quality of Care. It provides improved access to technology, drugs, and diagnostics.

  • Free drugs and free diagnostic services
  • Provision of essential medicines and diagnostic services at public health facilities.

Learn more about the National Health Assurance Mission (NHAM)!

Key Takeaways on the National Health Mission for UPSC Aspirants

  • Introduction to NHM: The National Health Mission (NHM) was launched in 2013 by the Ministry of Health and Family Welfare to address the health needs of the rural and urban population in India. It consolidates and improves two previous health programs: the National Rural Health Mission (NRHM) and the National Urban Health Mission (NUHM).
  • Objective: NHM's primary goal is to provide accessible, affordable, and quality healthcare to rural and urban populations, especially vulnerable groups, including women, children, and marginalized communities.
  • Key Components:
    • Rural Health Care (NRHM): Focuses on strengthening the rural healthcare infrastructure, improving maternal and child health, immunization, and reducing the burden of diseases like malaria and TB.
    • Urban Health Care (NUHM): Focuses on delivering quality healthcare services in urban areas, particularly to slum populations, improving sanitation, and addressing issues such as non-communicable diseases (NCDs).

Download the Key Takeaways PDF for the National Health Mission!

We hope all your doubts regarding this topic have been addressed after going through this article. Ace your UPSC preparation with the Testbook App! For a comprehensive understanding of the general pattern of competitive exams, please visit the Syllabuspage.

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National Health Mission UPSC FAQs

The goals of NHM are to improve healthcare accessibility, affordability, and quality, focus on vulnerable populations, strengthen healthcare infrastructure, reduce maternal and child mortality, and control both communicable and non-communicable diseases.

The programs under NHM aim to reduce maternal and infant mortality, ensure universal immunization, increase average life expectancy, strengthen the healthcare system, and focus efforts on preventing and controlling non-communicable diseases.

NHM is a broader initiative that combines the National Rural Health Mission (NRHM) and the National Urban Health Mission (NUHM). NRHM focused solely on rural healthcare, while NHM now includes both rural and urban areas, aiming for universal health coverage and improved healthcare services across India.

You can download NHM notes from various educational websites, UPSC preparation portals, or government resources such as the official Ministry of Health and Family Welfare website.

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