The
details of important Centrally Sponsored Health Schemes/Programmes of Ministry
of Health & Family Welfare presently in operation in the country are as
follows:
1.National Rural Health Mission
(NRHM) - The National Rural Health Mission(NRHM) is a Centrally
sponsored programme of this Ministry. The NRHM launched in April, 2005
(for seven years i.e. 2005 to March 2012) seeks to provide accessible,
affordable and quality health care to the rural population, especially the
vulnerable sections, with special focus on 18 states, including Jammu and
Kashmir, Himachal Pradesh and North-Eastern states. The mission proposes
to facilitate increased access and utilization of quality health
services. This has been carried out by increasing the spending on health
and improving the health care services at the community level. The
mission undertakes several architectural corrections of the health system to
enable and promote policies that strengthen public health management and
service delivery within the country. It also envisages revitalizing the local
health traditions and attempts to mainstream AYUSH into the public health
system by effectively integrating health concerns through decentralized
management at local levels. The mission also addresses issues on
sanitation and hygiene nutrition, safe drinking water, gender, social concerns,
and inter-state as well inter-district disparities in health care provision.
Objectives of NRHM - The main objectives of NRHM are as follows:
i) Reduction
in Child and maternal mortality
ii) Universal
access to public services like food and nutrition, sanitation and hygiene and
also access to public health care services with emphasis on services addressing
women and children health and universal immunization.
iii) Prevention
and control of communicable and non-communicable diseases, including locally endemic diseases.
iv) Access to integrated
complete primary health care.
v) Population
stabilization, gender and demographic balance.
vi) Regenerate local health
traditions & mainstream AYUSH.
vii) Promotion of healthy life styles.
2.Revised National Tuberculosis
Control Programme(RNTCP) - The programme is being
implemented in the entire country among the urban as well as rural areas
to address the problem of Tuberculosis, based
on WHO recommended strategy of Directly Observed Treatment Short Course
Chemotherapy,.
Under the programme, diagnosis and treatment facilities including anti TB drugs
are provided free of cost to all TB patients. For quality diagnosis, designated
microscopy centers have been established for every one lac population in the
general areas and for every 50,000 population in the tribal, hilly and
difficult areas. More than 13000 microscopy centers have been established in
the country. Drugs are provided under direct observation and the patients are
monitored so that they complete their treatment.
3. Janani
Suraksha Yojana (JSY) - Janani Suraksha Yojana (JSY) is a
nationwide, centrally sponsored scheme being implemented with the objectives of
reduction in infant and maternal mortality by improving coverage of
institutional delivery among pregnant women. Under the scheme, cash assistance
is provided to pregnant women for giving birth in a health facility.
4. Janani Shishu Suraksha Karyakaram (JSSK) - Under National
Rural Health Mission, the Government
of India has launched Janani Shishu Suraksha Karyakaram (JSSK) on 1st 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.
5. Routine
Immunization Programme and Pulse Polio Immunization Programme - Routine
Immunization Programme and Pulse Polio Immunization Programme are under
operation in the country.
6. National
Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular
Diseases and Stroke (NPCDCS) - National Programme for Prevention and
Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) is a
new initiative in the 11th Five Year Plan. The NPCDCS aims at
reducing the burden of Non-Communicable Diseases (NCDs) such as cancer,
diabetes, cardiovascular diseases and stroke which are major factors
reducing potentially productive years of human life, resulting in huge economic
loss. The NPCDCS has been approved at a total outlay of Rs.1230.90 crore
for the remaining period of the 11th Five Year Plan. This includes
Rs.499.38 crore for DCS component of NPCDCS and Rs.731.52 core for Cancer
Control Programme. The expenditure will be met on cost sharing basis with
the participating States at ratio of 80:20. The programme has been
initiated in 100 Districts of 21 States during 2010-11 & 2011-12. The
objective of the programme include prevention and control of diabetes at
various levels viz. Sub-centres, Community Health Centre (CHC), District Hospital
etc. through screening of all persons above 30 years of age and all pregnant
women for diabetes and hypertension, awareness generation on healthy life style
and management of non-communicable diseases by strengthening / establishing
Cardiac Care Units, Day-care cancer facilities at District Hospitals and
specialised clinics (Non Communicable Diseases Clinic) at District Hospitals
and Community Health Centres.
7.National Programme for Control of
Blindness (NPCB)
- National Programme for Control of Blindness (NPCB) is one of the Centrally
Sponsored Schemes in operation in the country for control of
blindness.
8. National
Mental Health Programme (NMHP) - Under National Mental Health Programme
(NMHP), the objective is to provide treatment and care to the mentally ill
patients in the country. Following provisions have been made under National
Mental Health Programme:
i) Strengthening
of State run Mental Hospitals.
ii) Upgrdation of
Psychiatric Wings of Govt. Medical Colleges/ General Hospitals
iii) District Mental
Health Programme.
iv) Manpower
Development Schemes
9.National
Tobacco Control Programme (NTCP)- The National Tobacco Control
Programme (NTCP) has been launched in 42 Districts of 21 States in order to
implement the various provisions made under Tobacco Control Act (COTPA), 2003
and to create awareness about the harmful effects of tobacco consumption.
The programme broadly envisages-
i) Public
awareness/mass media campaigns for awareness building & for behavioral
change.
ii) Establishment
of tobacco product testing laboratories, to build regulatory capacity, as
required under COTPA, 2003.
iii) Mainstream
Research & Training – on alternate crops and livelihoods with other
nodal Ministries.
iv)
Monitoring and Evaluation including surveillance e.g. Adult Tobacco Survey.
v) Dedicated
tobacco control cells for effective implementation and monitoring of Anti Tobacco
Initiatives.
vi)
Training of health and social workers, NGOs, school teachers etc.
vii) Setting up tobacco
cessation centres.
10.National Vector Borne Disease
Control Programme (NVBDCP) - The National Vector Borne Disease Control Programme (NVBDCP) is an
ongoing centrally sponsored scheme which is implemented in all the states/UTs
for prevention and control of six vector borne diseases, namely Malaria,
Dengue, Chikungunya, Japanese Encephalitis, Kala-Azar and Lymphatic Filariasis.
The Govt. of India provides technical support as well as cash and commodity
assistance as per the approved pattern.
11.National Leprosy Eradication Programme(NLEP)
12.Capacity
building for Trauma Care - Under the Centrally sponsored Scheme-Assistance
for capacity building for Trauma Care, funds have been released to 117
Government Hospitals situated along the Golden Quadrilateral, North-South and
East-West Corridors of the national highways in 16 States, as per laid down
norms of level of Trauma Center, in phases, towards construction, equipments,
manpower, communication and Legal Service, after signing of Memorandum of
Understanding (MOU) with the respective state Governments.
13.Upgradation of facilities in
the Department of Physical Medicine & Rehabilitation in Medical
Colleges -
Under the Centrally Sponsored Scheme for
“Upgradation of facilities in the Department of Physical Medicine &
Rehabilitation in Medical Colleges”, funds have been released to 18 Medical Colleges
under Central/State Governments after signing of Memorandum of Understanding
(MOU) with the respective State Governments.
14.Reproductive and Child Health programme (RCH) - Reproductive and Child Health programme is a comprehensive
sector wide flagship programme, which is being implemented under Government of
India’s (GoI) National Rural Health Mission (NRHM), to achieve the targets for
reduction of maternal and infant mortality and total fertility rates.
15.National Programme
for the Health Care of Elderly (NPHCE) - The National Programme for the
Health Care of Elderly (NPHCE) has been initiated in 100 identified districts
of 21 States during the 11th Plan period (2010-12) in order to
provide comprehensive health care facilities to the elderly people of the
country. Eight selected Regional Medical Institutions (Regional Geriatric
Institutions) in different regions of the country have also been
identified.
16.Strengthening
and Upgradation of State Government medical colleges - The
Medical Education Division is implementing a Centrally Sponsored Scheme for
strengthening and upgradation of State Government medical colleges by way of a
one-time grant of Rs.1350 crores with funding pattern of 75% by Central Government
and 25% by State Government for starting new Post Graduate disciplines and
increasing PG seats.
17.National AIDS Control Programme
-Department of AIDS Control is implementing National AIDS Control Programme-IV
as a 100% centrally sponsored scheme/programme is implemented in all
States/UTs.
18.Centrally Sponsored Scheme for Development of AYUSH Hospitals and
Dispensaries - A Centrally sponsored Scheme for Development of
AYUSH Hospitals and Dispensaries is under implementation. The Department of
AYUSH is providing funds to all States/UTs Government under the following
components:
i) Establishment
of OPD at PHC’s
ii) Establishment
of IPD at CHC’s
iii) Establishment of
AYUSH wings at DH’s
iv) Upgradation of
AYUSH Hospital and Dispensaries
v) Establishment
of PMU
vi) Essential drugs to AYUSH Hospital &
Dispensaries