Even though the state of Kerala has advanced as compared to the other states of India in terms of critical health indicators are concerned, the state is facing challenges that are unique and specific. The people are now facing the problem of high morbidity both from re-emergence of communicable diseases and the second generation problems like the ageing population and non communicable diseases. Moreover, there remains the challenge of sustaining the privileged health indicators. Further, improving the quality of health care where the health seeking behaviour is very high is of utmost importance. The resources of National Rural Health Mission came in an opportune time when the state was finding it difficult to find resources matching the demand.During 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 Key Performance areas outlined by NRHM like a) Institutional Strengthening b)Improving access to better health care and quality services and c) Accessibility of health care to the under privileged and marginalised

At NRHM we aim at,

  • Provision of comprehensive health care services to the community – with special thrust to rural areas
  • Reduction in Infant Mortality Rate
  • Reduction in Maternal Mortality Ratio
  • Reduction of TFR – For population stabilization
  • Provision of client centered, accessible, quality Health Services to the needy population
  • Surveillance, Prevention and Control of communicable and NCDs

Essence of NRHM implementation in Kerala

  • Establishing referral system of protocol – Strengthening the 3rd tier and activating the 2nd tier

  • Promoting preventive and promotive aspects of Primary Health care in the community

  • Strengthening Training program and Capacity Building

  • Establishing Health Management Information System

  • Strengthening Nursing Education Department

  • Improving & sustaining Health Indicators

  • Putting up a system of referral transport

  • Launching special programs for NCDs linked with ASHA

  • Piloting remedial measures for 2nd Generation problems like

    • Pain & Palliation.

    • Malignancies.

    • Geriatric

    • Suicides.

    • Mental Health Problems

  • Tackling Re-emergence of Infectious Diseases

  • Combined Behaviour Change Communication strategy

  • Optimizing use of all systems of medicine

  • Convergence of activities of Health Determinants

Five components of NRHM

  • Part A RCH Phase II

  • Part B Additionalities

  • Part C Immunization

  • Part D National Disease Control Programs

  • Part E Convergence Action