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.

Evaluation of NRHM: Sample Survey of ANMs, ASHAs, and People's Participation

Evaluation of NRHM: Sample survey of ANMs, ASHAs, and people's participation

TABLE 6.1 PROVIDES information on the sub-centers (SCs) and ANMs based on our sample survey. It can be seen that on an average there is one ANM per SC and about 76 percent of the ANMs are staying in the same village where the SC is located. While in Rajasthan, the number of villages covered per ANM is in the range of 2 to 4, they are more than double in the case of MP and UP. In Sitapur (UP), there are on average 13 villages covered by ANM. Quality of healthcare at SC therefore obviously suffers. Number of ASHAs per ANM also varies ...

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