<prompt> NRHM was started in -2005200620072009  <response>: Ans. is 4a i.e., 2005 National Rural Health Mission INRHM1o Government of India launched NRHM on 5th April, 2005 for a period of 7 years 2005-2012.o The mission seeks to improve rural health care delivery system.o The main aim of NRHM is to provide accessible, affordable, accountable, effective and reliable primary health care and bridging the gap in rural health care through creation of a cadre of Accredited Social Health Activist ASHA.o District becomes the core unit of planning, budgeting and implementation of the programme. All vertical health and family welfare programmes at district level will merge into one common District health Mission and at state level into State health mission there will be provision of a mobile medical unit at district level for improved outreach services.o Since almost 75 percent of health services are being currently provided by the private sector, it is contempolated that involving the private sector as part of the RCH initiatives will provide more effective health care delivery system. Thus settng up of public private partnership PPP would help to make the RCH II programme better, and ensure availability or preventive and curative reproductive and health services to the community,o Janani Suraksha Yojana JSY is a safe motherhood intervention under the National Rural Health Mission being implemented with the objective of reducing maternal neo-natal mortality by promoting institutional delivery among the poor pregnant women.o The schedule of implementation of major components of NRHM are as following 40:Merger of multiple societies and constitution of districtstate mission.Provision of additional generic drugs at SC PHCCHC level.Operational programme management units.Preparation of village health plans.ASHA at village level with drug kitUpgrading of rural hospitalOperationalising district planningMobile medical unit at district levelThe Goals to be achieved by NRHM 40A National levelInfant mortality rate reduced to 301,000 live births.Maternal mortality ratio reduced to 100100,000.Total fertility rate reduced - 50 by 2010, additional 10 by 2012.Malaria mortality- rate reduction -50 by 2010 additional 10 by 2012.Kala-azar mortality rate reduction -100 by 2010 and sustaining elimination until 2012.FilariaLmicrofilaria rate reduction - 70 by 2010,80 by 2012 and elimination until 2015.Dengue mortality rate reduction - 50 by 2010 and sustaining at that level until 2012.Japanese encephalitis mortality rate reduction - 50 by 2010 and sustaining at that level until 2012.Cataract operation : increasing to 46 lakhs per year by 2012.Leprosy prevalence rate: from 1.810,000 in 2005 to less titan 110,000 thereafter.Tuberculosis DOTS services : maintain 85 cure rate through entire mission period.Upgrading community health centres to Indian public health standards.Increase utilization of first referral units from less than 20 to 75.Engaging 250,000 female accredited social health activists ASHA in 10 states.B. At community levelAvailability of trained community- level worker at village level, with a drug kit for general ailments.Health day at angamvadi level on a fixed daymonth for provision of immunization, antepost natal checkups and sendees related to mother and child healthcare, including nutrition.Availability of generic drugs for common ailments at subcentre and hospital level. Good hospital care through assured availability of doctors, drugs and quality services under the programme, Improvedfacilities for institution deliver through provision of referral, transport, escort and improved hospital care subsidized under the janani suraksha yojana for the below poverty line families, Availability of assured healthcare at reduced financial risk through pilots of community health insurance under the mission. Provision of household toilets, Improved outreach services through mobile medical unit at district level. 