Maternal health care amid political unrest: Studies in Health Technology and Informatics. The former indicates the ratio of maternal deaths to , childbirths and the later, maternal deaths to per lakh of women in age group 15— In the context of inadequate public spending on health care in India 0. How do we select some traditional practices and not others? However, there are no provisions on the type of services that these hospitals can deliver, payment mechanisms for doctors, fees that these hospitals can charge for services, competitive practices which should be followed and the number of hospitals which can be allowed market entry. With increased institutional delivery, the case load has risen considerably.

Thus, it appears that although the status of health facilities is deplorable, for those who come to avail services in government health facilities they are of great value, perhaps for one reason that they have no other alternative. However, challenges of regulation, quality, accountability and collaboration with other sectors hinders its potential to deliver public health goals, such as the reduction of under five mortalities [ 2 ]. Second Common Review Mission. Saving mothers and newborns through an innovative partnership with private sector obstetricians: Kerala has shown the way by involving the community in palliative care and linking it to NRHM.


Two of them are of special interest. Based on available data and findings, it has discussed the achievements and limitations of the Mission. With nrhj aging of population and epidemiologic transition Omrannon-communicable, degenerative diseases are going to have a greater disease burden.

Accompanying women for delivery, the most publicly known activity of the ASHA was above 85 per cent in all districts except Kerala and West Bengal. Indian Journal of Community Medicine: Health Policy and Planning.

Is the corporate transformation of hospitals creating a new hybrid health care space? Existing problems and possible solutions. Lessons from Regulation of Private Health Sector in South Africa The key lessons learned from the government policies of South Africa for regulating health care in the private sector are [ 4243 ]: Inequity in health care delivery in India: An initial search was conducted between April and May and broad themes were identified by using the approach of a thematic synthesis of qualitative data for systematic reviews [ 56 ].


literature review of nrhm

Our results indicate that over-coming financial and other structural barriers through programs focussing lower socioeconomic groups, rather than psychological perceptions of poor people, are likely to promote uptake and reduce inequities in uptake of maternal and child healthcare.

Indeed their development is at a similar level to several low-focus NRHM states. Open University Press; The same document mentions about the review of NRHM leading to following conclusions: However, there are no provisions on the type of services that these hospitals can deliver, payment mechanisms for doctors, fees that these hospitals can charge for services, competitive practices which should be followed and the number of hospitals which can be allowed market entry.

This goes against the fundamental definition of the areas of regulation made by Moran and Wood [ 27 ]. This finding highlights the need within NRHM to link antenatal services with institutional delivery litedature achieve a continuity of maternal health services Lahariya There are over medical schools in major cities, with an increasing participation of private health sector [ 9 ].

Institutional delivery in India, — Click here to sign up. At feview base, there is a vast network of 22, Primary Health Centers PHC which coordinate six sub-centrer and serve a population of about 30, people.

Evolved on the pattern of training of traditional birth- attendants, training of existing village practitioners could be of immense value in primary care.

Published online Feb 3. It is based on the understanding that under the prevailing circumstances states required additional funding and technical and institutional support from the central government to improve the health status of their population. The planners have to revied that, instead of expanding in all possible directions, we must prioritise our activities and the highest priority must be assigned to strengthen the primary health system.


literature review of nrhm

In other words, what needs reiew be done to improve the use of safe water, advantages of early breastfeeding, compliance in cases of tuberculosis and other diseases, and health diet? Can health governance be dissociated from general governance? As is evident at present, the patient flow among various social classes is highly demarcated, with reviea health facilities being utilized predominantly by the lower income quintiles [ 21 ]. It has raised nine questions about the approaches and strategies of NRHM and suggests that the most effective way to attain goals of NRHM is to strengthen the primary health care system rather than taking up a large number of programmes simul- taneously without any focus.

Evaluation Of Janani Suraksha Yojna Under National Rural Health Mission In Kashmir Valley

Intra-house information, resource and asset sharing and demographic balancing lower the prevalence of illness. I am most perplexed by the target- setting under NRHM. We will now discuss some of the insights gained from the review of literature from South Africa and Australia.

Without going into the issues of social structure, although they are very important in the case of public health, I wish to discuss nine questions. Non-governmental organizations and other supports contribute to 2. Medical tourism in India: