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.

Reducing Under-5 Mortality

Reducing under-5 mortality

INDIA IS committed to achieving MDG 4 of reducing under-5 child mortality by two-thirds by the year 2015. Among the 2 million deaths of under-5 children each year in India, 45 percent occur in the neonatal period. In addition, pneumonia causes 370,000 deaths and diarrhea causes an additional 410,000 deaths (UNICEF 2009, WHO 2008). Neonatal, pneumonia and diarrheal deaths together account for approximately 84 percent of all under-5 deaths in India. A number of strategies are currently available to prevent each of these causes of death. In order to be effective, many of these strategies need to be initiated at the community level. The ASHA worker could play a pivotal role in ensuring the successful implementation of these strategies as ...

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