New Delhi: In a bid to address healthcare challenges, particularly in rural areas, the Indian government has implemented a series of initiatives under the National Rural Health Mission (NRHM). Launched in 2005, NRHM aims to supplement the efforts of state and union territory governments to provide accessible, affordable, and quality healthcare to all citizens accessing public health facilities.
Under NRHM, support is extended to all states and union territories, including Maharashtra, for establishing new healthcare facilities and upgrading existing ones, bridging infrastructure gaps based on the specific requirements posed by each region.
To further bolster the healthcare sector, the government has introduced four mission mode projects:
- PM-Ayushman Bharat Health Infrastructure Mission (PM-ABHIM): Launched with an outlay of Rs. 64,180 crores, PM-ABHIM focuses on developing capacities of health systems and institutions at all levels—primary, secondary, and tertiary. The goal is to enhance the readiness of health systems in responding effectively to current and future pandemics and disasters.
- Ayushman Arogya Mandir (Erstwhile AB-HWCs): With 1.64 lakh Ayushman Arogya Mandir, this initiative strengthens Sub Health Centres (SHCs) and Primary Health Centres (PHCs) to provide comprehensive primary healthcare. These centers offer preventive, promotive, rehabilitative, and curative care for a wide range of services, covering reproductive and child healthcare, communicable diseases, non-communicable diseases, and other health issues.
- Pradhan Mantri Jan Arogya Yojana (PMJAY): PMJAY provides health coverage of up to Rs. 5.00 lakh per family per year to poor and vulnerable families, ensuring financial protection against high medical costs.
- Ayushman Bharat Digital Mission (ABDM): ABDM aims to develop the necessary digital health infrastructure by creating Ayushman Bharat Health Accounts (ABHA). As of February 8, 2024, 55 crore ABHA accounts have been established, fostering integrated digital healthcare.
In addition to these initiatives, the Fifteenth Finance Commission (FC-XV) has recommended grants totaling Rs. 70,051 crores through local governments for specific components of the health sector. These grants will be dispersed over the five-year period from FY 2021-22 to FY 2025-26, contributing to the strengthening of the health system at the grassroots level.
The Union Health Ministry continues to provide technical and financial support to states and union territories, strengthening the public healthcare system based on proposals received through Programme Implementation Plans (PIPs) under the National Health Mission. The government, in turn, approves these proposals in the form of Record of Proceedings (RoPs) as per norms and available resources.
These comprehensive measures signify the government’s commitment to overcoming healthcare challenges and ensuring that quality healthcare is accessible to all, especially in rural areas.