Achievements of MDG Commitments Made Under NRHM

The Millennium Development Goals (MDGs) 4, 5, 6 are set for the year 2015. The achievement under NRHM against these Goals are as follows:

·        The Under 5 Mortality Rates is 59 per 1000 live births in 2010.

·        The Maternal Mortality Ratio stands at 212 per 1, 00,000 Live Births during 2007-09.

·        The annual incidence of malaria (Cases of malaria/1000 population) has been halted around 1.5 since the year 2008. In case of Tuberculosis, the New Smear Positive case detection rate is 72 % and New Smear Positive Success Rate is 88%.

MDG Goal 4 requires that Under Five Mortality Rate is to be reduced by two thirds between 1990 & 2015.  This in case of India translates into a goal of reducing Under Five Mortality Rate from 118 per 1000 live births in 1990 to 39 per 1000 live births in 2015.  Between 2008 and 2010, Under Five Mortality Rate has declined by 5 points each year.  At this pace of decline, the Under Five Mortality in 2015 is expected to be 34, which is lower than goal under MDG. Further, the achievements under Revised National TB Control Programme are sufficient to meet the commitments under the MDG-6.

The steps taken to work towards achievement of MDG Goals include:

(i)                 A new initiative namely Janani Shishu Suraksha Karyakaram (JSSK) was launched on 1^st June, 2011, which entitles all pregnant women delivering in public health institutions to absolutely free and no expense delivery including Caesarean section.  The initiative stipulates free drugs, diagnostics, blood and diet, besides free transport from home to institution, between facilities in case of a referral and drop back home.  Similar entitlements have been put up in place for all sick newborns accessing public health institutions for treatment till 30 days after birth.

(ii)             For focused attention to districts having weak health indicators, 264 High Focus Districts have been identified across the country for supportive supervision and higher allocation of funds to bridge critical gaps especially in infrastructure and human resources.

(iii)           To overcome shortage of Specialists, Multi skilling of the available doctors through trainings such as Life Saving Anesthetic Skills (LSAS), Basic Emergency Obstetrics & Neonatal Care (BeMONC), Comprehensive Emergency Obstetric & Neonatal Care (CeMONC) taken up.

(iv)           To improve availability of personnel in difficult and remote areas, monetary and non-monetary incentives are provided to staff posted in such hard to reach and inaccessible areas.

(v)              Allowing contractual appointment under NRHM to immediately fill gaps so as to meet the requirement of health personnel. Nearly,      1.44 lakhs health personnel which includes doctors, specialists, nurses and paramedics have been engaged under NRHM.

(vi)           Over 8 lakhs Accredited Social Health Activists (ASHAs) have been trained and placed to bridge the gap between community and health facilities.

(vii)         Development of BCC/ IEC tools highlighting benefits of Family Planning especially on spacing methods.

(viii)      Mother and Child Protection Card in collaboration with the Ministry of Women and Child Development to monitor service delivery for mothers and children.

(ix)           Antenatal, Intranatal and Postnatal care including Iron and Folic Acid supplementation to pregnant & lactating women for prevention and treatment of anaemia.

(x)              Rapid Diagnostic Tests (RDT) and Artemisinin based Combination Therapy (ACT) scaled up for the diagnosis and treatment of all Pf malaria cases

(xi)           28 accredited labs have been set up across country to diagnose Multi Drug Resistant TB (MDR-TB).

The above information was laid in the Rajya  Sabha today by the Union Minister for Health & Family Welfare Shri Ghulam NabiAzad.