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Home >> Exams >> MD MS EE >> AIIMS MD MS EE >> AIIMS MD MS EE 2009 Nov >> Mcqs >> Unsorted Mcqs >> Q14.
AIIMS MD MS EE 2009 Nov
AIIMS PG (MD/MS) 2010 January 50% Marks List
AIIMS MD MS EE 2009 Nov Mcqs
(Single Best Answer) Question 14: The objective of National Rural Health Mission (NRHM) is all except ?
A) Implementation of JSY
B) Recruitment of ASHA
C) Formulation of state and district health programme
D) Formulation of family planning and welfare societies
Answer: D) Formulation of family planning and welfare societies
Explanation
The NRHM was launched in the Northeast by the Prime Minister on 8th November, 2005 at Guwahati, indicating the commitment for the region at the highest decision making body of the country. Since the launch, activities on Mission mode, with the objective to deliver services to the unreached, undeserved, besides others, making central the accessibility of the services provided and the awareness to access these, a reality.

The National Rural Health Mission (NRHM) aims to provide for an accessible, affordable, acceptable and accountable health care through a functional public health system. It is designed to galvanise the various components of primary health system, like preventive, promotive and curative care, human resource management, diagnostic services, logistics management, disease management and surveillance, and data management systems etc. for improved service delivery.

This is envisioned to be achieved by putting in place an enabling institutional mechanism at various levels, community participation, decentralized planning, building capacities and linking health with its wider determinants. It also aims to expedite achievements of policy goals by facilitating enhanced access and utilization of quality health services, with an emphasis on addressing equity and gender dimension.

Vision To provide effective healthcare to rural population throughout the country with special focus on 18 sates, which have weak public health indicators and/ or weak infrastructure. To increase public spending on health from 0.9% GDP to 2-3% of GDP, with improved arrangement for community financing and risk pooling. To undertake architectural correction of the health system to enable it to effectively handle increased allocations and promote policies that strengthen public health management and services delivery in the country. To revitalize local health traditions and mainstream AYUSH into the public health system. Effective integration of health concerns through decentralized management at district, with determinants of health like sanitation and hygiene, nutrition, safe drinking water, gender and social concerns. Addresses inter State and inter district disparities. Time bound goals and report publicly on progress. To improve access to rural people, especially poor women and children to equitable, affordable, accountable and effective primary health care.

OBJECTIVES OF NRHM:

o Reduction in child and maternal mortality.

o Universal access to public services for food and nutrition, sanitation and hygiene and universal access to public health care services with emphasis on services addressing women�s and children�s health and universal immunization.

o Prevention and control of communicable and non-communicable diseases, including locally endemic diseases.

o Access to integrate comprehensive primary health care.

o Population stabilization, gender and demographic balance.

o Revitalize local health traditions & mainstream AYUSH.

o Promotion of healthy lifestyles.

CORE STRATEGIES OF THE MISSION:

Train and enhance capacity of Panchayati Raj Institutions (PRIs) to own, control and manage public health services. Promote access to improved healthcare at household level through the female health activist (ASHA). Health Plan for each village through Village Health Committee of the Panchayat.

Strengthening sub-centre through better human resource development, clear quality standards, better community support and an untied fund to enable local planning and action and more Multi Purpose Workers (MPWs).

Strengthening existing (PHCs) through better staffing and human resource development policy, clear quality standards, better community support and an untied fund to enable the local management committee to achieve these standards.

Provision of 30-50 bedded CHC per lakh population for improved curative care to a normative standard. (IPHS defining personal, equipment and management standards, its decentralized administration by a hospital management committee and the provision of adequate funds and powers to enable these committees to reach desired levels).

Preparation and implementation of an inter sector District Health Plan prepared by the District Health Mission, including drinking water, sanitation, Hygiene and nutrition. Integrating vertical Health and Family Welfare programmes at National, State, Districts and Block levels. Technical support to National, State and District Health Mission, for public health management. Strengthening capacities for data collection, assessment and review for evidence based planning, monitoring and supervision.

Formulation of transparent policies for deployment and career development of human resource for health.

Developing capacities for preventive healthcare at all levels for promoting healthy lifestyle, reduction in consumption of tobacco and alcohol, etc.

Promoting non-profit sector particularly in undeserved areas.

Janani Suraksha Yojana (JSY) under the overall umbrella of National Rural Health Mission (NRHM) is being proposed by way of modifying the existing National Maternity Benefit Scheme (NMBS).

While NMBS is linked to provision of better diet for pregnant women from BPL families, JSY integrates the cash assistance with antenatal care during the pregnancy period, institutional care during delivery and immediate post-partum period in a health centre by establishing a system of coordinated care by field level health worker. The JSY would be a 100% centrally sponsored scheme.

2. Vision To reduce over all maternal mortality ratio and infant mortality rate, and To increase institutional deliveries in BPL families. 3. Target Group All pregnant women belonging to the below poverty line (BPL) households and Of the age of 19 years or above Up to two live births.
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JINEESH A Pis the choice D correct answer for this question
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