The Union Cabinet vide its decision dated 1st May 2013 has approved the setting up of National Urban Health Mission (NUHM) as a Sub-mission of an over-arching National Health Mission (NHM), with National Rural Health Mission (NRHM) being the other Sub-mission of National Health Mission.
As moving ahead, improving the quality of healthcare where the health-seeking behavior is very high is of utmost importance. The resources of National Rural Health Mission came in an opportune time when the state was observing it difficult to find resources matching the demand.
In the last three years, the State has been able to initiate many programmes suiting to its specific requirements and considering its health issues that need immediate intervention. These initiatives correspond to the Major Performance areas outlined by NRHM like
- Institutional Strengthening
- Enhancing access to better healthcare and quality services and
- Accessibility of health care to the less privileged and marginalized.
NHM has six financing components:
- NRHM-RCH Flexi pool
- NUHM Flexi pool
- Flexible pool for Communicable disease
- Flexible pool for Noncommunicable disease including Injury and Trauma
- Infrastructure Maintenance
- Family Welfare Central Sector component
Under the broad national parameters and priorities, states would have the flexibility to plan and implement state-specific action plans. The state PIP would spell out the key strategies, activities undertaken, budgetary requirements and key health outputs and results.
The fund flow from the Central Government to the states/UTs would be as per the stages prescribed by the Government of India.
The State PIP is finalized by the Union Secretary of Health & Family Welfare as Chairman of the EPC, based on appraisal by the National Programme Coordination Committee (NPCC), which is chaired by the Mission Director and includes representatives of the state, technical and programme divisions of the MoHFW, national technical assistance agencies providing support to the respective states, other departments of the MoHFW and other Ministries as appropriate.
Forward Linkages project to NRHM in NE: With a view to complement & supplement the initiatives under the NRHM for improving the Secondary/Tertiary level and Other health infrastructure in the north
Eastern region, the Forward Linkage Scheme to NRHM was established in the 11th Plan (to be financed form likely saving from other Health schemes). This scheme has been continued in the 12th Plan. The Forward Linkages Scheme is fully funded by the Central Government. The projects sent by the state are appraised and for the approved projects, funds are released by the Ministry.