Ashwini Kumar Choubey, Minister of State for Health and Family Welfare released the 11th Common Review Mission (CRM) report of the National Health Mission today.
Speaking at the function, Choubey stated that India has registered a record 22% reduction in MMR since 2013, which is the highest percentage decline so far when compared to all the previous reductions in Maternal Mortality Rate (MMR) as per the earlier rounds of Sample Registration Scheme (SRS).
“Maternal Mortality Ratio of India has declined from 167 in 2011-2013 to 130 in 2014-2016. It is because of the joint efforts of the Ministry and the states. I congratulate the states and all stakeholders associated with this achievement,” Choubey said.
He further said that it has led to improved health outcomes and health indicators due to strengthened system of healthcare delivery.
“National Health Mission continues to play an important role in strengthening public health systems at the state and sub district levels, Choubey stated.
He was also of the view that state health ministers should also be adequately informed about NHM activities as this shall enhance their involvement in the programme.
Preeti Sudan, Secretary (Health & Family Welfare) stated that NHM is a great institutional framework as it helps to assimilate government structures, diverse working conditions and priorities existing in the states.
Sudan further said that the ministry has undertaken to strengthen Sub Health Centres as Health and Wellness Centres (HWC-SHC) in a phased manner so as to meet the commitment of operationalizing 1,50,000 HWC by 2022.
“One of the key elements is the midlevel provider in HWCs. We must focus on training them and enhancing their capacities,” she added.
She further stated that the NMC Bill will enable flexibility in hiring manpower in the states.
She suggested that NHM needs to look at Anti-microbial Resistance (AMR) especially in SNCUs and should ensure that they are infection free. She also emphasised on the need for developing specific time bound strategy for leprosy and kala-azar districts.
The 11th CRM team visited 16 states/UTs, of which four were North-Eastern States, six were high focus states and six were non-high focus states.
The terms of reference include service delivery; quality assurance; RMNCH+A; human resources; community processes; information and knowledge; healthcare financing; procurement of drugs, diagnostics and supply chain management; NUHM; and governance and management.
The CRM report spans all aspects of health system reform and uses a mix of methods- including secondary data review, rapid assessment of facilities, and implementer and beneficiary perspectives.