NUHM Rolled out in the year 2013 as a submission of NHM

Implemented by the State Health Department with ULBs as major stakeholders

Vision

The National Urban Health Mission visualizes addressing health care needs of the urban population with focus on urban poor and special emphasis on slum population, by making available them essential primary health care services and reducing their out-of-pocket expenses for treatment.

Mission

To provide essential primary health services to the entire urban population, while urban poor and vulnerable sections remaining its prime concern

Target Community & Implementation

NUHM Lay Special focus on:

  • People living in colonies and colony like inhabitations and other low income neighbourhoods
  • All other vulnerable population such as homeless, rag-pickers, street children, interstate migrants etc.,

Major Implementation mechanism

  • Urban PHCs for every 50000 population
  • Urban CHCs for 2.5 lakhs or more populous cities
  • Infrastructure (mainly building) to be provided by the ULB concerned

Objectives

The overall objective is to address unique and diverse health needs of urban poor and vulnerable population. Specifically aims to,

  1. Address the health concerns of the urban poor
  2. Facilitate equitable access to available health facilities
  3. Strengthen the existing capacity of health delivery and the public health capacity of the urban local bodies.
  4. To fill the existing gaps with the active involvement of urban local bodies, NGOs and CBOs with a public health thrust on sanitation, clean drinking water and vector control

Comprehensive Primary healthcare approach under NUHM

  • Universal access: No one shall be turned away or refused any health service.
  • Assured minimum package of services: Delivered as close to home as possible to ensure universal access with quality.
  • Preventive and promotive care: Enhanced focus on screening of NCDs, early identification of communicable diseases, early outbreak identification and management
  • Effective Gatekeeping: Reduced patient load at higher facilities by strengthening primary health services
  • Outreach: Special efforts to identify, reach out to and address health needs of marginalized
  • Reduction in out of pocket expenditure: Provision of free drugs, diagnostics and consultation
  • Integration: Collaboration with ULBs and other departments to tackle cross cutting issues
  • Continuity of Care: Continued care through referral and follow ups

Programme Highlights of Kerala

  • No:of urban local bodies covered : 58
  • Approximate Total population covered : 78 lakhs
  • No:of UPHCs : 102
  • No:of UCHCs   :  02
  • No:of UAAMs : 218
  • Transit Clinics(Vazhikatti) : 12

Community Process & outreach

  • Rogi Kalyan Samithy(RKS) , synonymous to HMC operational in all UPHC with the ULB chief(chairman/Mayor of the local body) as Chairman . Annual Untied fund of Rs. 1.75 lakhs
  • Mahila Arogya Samithy for every 50 -100 urban slum households  with 8-20 local women as members . This entity acts as a demand generating link between the UPHC and the community it serve
  • Observance of Urban Health and Nutrition Day(UHND) every month in all the urban wards
  • One Urban ASHA for every 1000- 2500 population

Hospital Quality Assurance

41 UPHCs across 14 districts are NQAS accredited
All UPHCs participates in the Kayakalp competitive programme every year for which special funds are allotted
A quality committee is active in all UPHCs