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.
CARDIOVASCULAR DISEASE is the leading cause of death in India. The epidemic of diabetes that has already begun in India has the potential to unravel the spectacular economic and social progress that has been achieved in recent decades. At least 30 million, perhaps even 70 million, Indian citizens have diabetes. The trends in dietary and activity patterns, seen in the increasing prevalence of overweight and obesity, will inevitably drive this number much higher. It is possible that prevalence of diabetes could become as high as half of the adult population. Although the exact genetic variants have not been identified, the evidence is clear that populations from south, East, and southeast Asia have a heightened susceptibility to diabetes when combined with unhealthy diets, ...