This book presents a systematic mid-term evaluation of the processes of the National Rural Health Mission (NRHM), India’s biggest rural health program. Data from District Level Health Surveys (DLHS), National Family Health Surveys (NFHS) and Sample Registration System (SRS) as well as primary data collected from field surveys and interviews with health functionaries have been utilized for undertaking empirical analysis in the study. The book draws from data collected in field visits in the three states of Madhya Pradesh, Uttar Pradesh, and Rajasthan. After assessing the NRHM processes and progress achieved so far, it discusses important ground realities, identifies the gaps and bottlenecks in the implementation of the Mission and recommends corrective actions.

Concluding Remarks and Recommendations

Concluding remarks and recommendations

SINCE THE launch of the National Rural Health Mission (NRHM) on April 12, 2005 by Dr Manmohan Singh, Prime Minister of India, undoubtedly the Mission has achieved a great deal, especially in the areas of putting in place an ASHA for every 1,000 population; creating greater awareness about ante-natal care, institutional delivery, post-natal care, and child immunization; raising institutional deliveries; raising the number of outpatients being provided with healthcare services in the health facilities; providing untied funds at all levels of facilities; and providing the much needed flexibility for outreach of services, and so on. These are all very commendable achievements. However, the scale of the challenge that remains is immense, but so too, we believe is India's ...

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