In
its proposals to the Planning Commission, the Ministry of Health and
Family Welfare has said that the National Urban Health Mission would be
taken up as a thrust area for the 12th Plan and launched as a separate
mission for urban areas with focus on slums and urban poor. It will
cover all cities and towns with a population of more than 50,000,
broadly covering 779 cities and towns including seven mega cities
including Mumbai, New Delhi, Kolkata, Chennai, Bengaluru, Hyderabad and
Ahmedabad.
The budget allocation for the mission is
envisaged to be Rs. 30,000 crore and the programme will be implemented
by investing in health professionals, creating new and upgradation of
existing infrastructure, and strengthening the existing health care
service delivery system.
Principally, the NUHM will
cover the entire urban areas irrespective of the dwelling status
(including general population, listed and unlisted slums) but outreach
services will be targeted for slum/slum like areas and other homeless
people, street vendors, railway and bus station coolies, homeless people
and street children, construction site workers who may be in slums or
on sites. Inter-sectoral convergence will be planned between the
Jawaharlal Nehru National Urban Renewal Mission, Rajiv Awas Yojana and
the NUHM.
Realising that the health care needs of the
urban poor and vulnerable populations, the urban health mission will
ensure adequate resources for addressing the health problems in urban
areas and address the need-based city specific urban health care system
to meet the diverse health needs of the urban population with focus on
the urban poor and other vulnerable sections. The institutional
mechanism and management systems will be in place to meet the
health-related challenges of a rapidly growing urban population and join
hands with community for a more proactive involvement in planning,
implementation and monitoring of health activities.
At
the primary care level, one Urban Primary Health Centre will be
established for every 50-60,000. At the community level, outreach
services will be provided to the urban poor slums with the help of Urban
Social Health Activist (USHA) (200-500 households) and Mahila Aarogya
Samiti (50-100 households). No sub-centres are proposed but
communisation will be made possible through Mahila Aarogya Samiti and
Rogi Kalyan Samiti while secondary and tertiary level services will be
provided through public or empanelled private providers.
The National Rural Health Mission was launched in 2005 and is proposed to be extended by five years.
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