Findings of NFHS – 4

  • The NFHS 4 results demonstrate that the improvements over NFHS 3 are significant for many key indicators, but there are considerable rural, urban and inter State disparities in key indicators. 

  • Health is a state subject and the lag in improvement of indicators is linked to low baselines, limited investment and inefficiencies in spending by States.

  • The country is undergoing a demographic and epidemiological transition and that life style related diseases are on the rise.

  • There is also a significant influence on non-health determinants – such as education, income level, access to water, sanitation and nutrition, clean fuel, etc, that impact health status.

  • These actions require significant multi-sectoral convergence, and are beyond the purview of the Ministry of Health Family welfare alone.

  • Though the health is a state subject, yet under National Health Mission (NHM), support is provided to the States/UTs to strengthen their health care system based on the requirements proposed by them under Programme Implementation Plans.

  • NHM envisages achievement of universal access to equitable, affordable & quality healthcare services that are accountable and responsive to people’s needs.

  • The main programmatic components include Health System Strengthening in rural and urban areas, Reproductive, Maternal, New-born, Child and Adolescent Health (RMNCH+A) interventions and control of Communicable and Non-Communicable Diseases.

  • Based on the emerging issues some of the recent initiatives taken include:

  • Launching of PradhanMantri National Dialysis Services Programme,

  • Launching Mother’s Absolute Affection (MAA) Programme

  • Launching of   PradhanMantriSurakshitMatritvaAbhiyan, 

  • Introduction of Rubella vaccine- it is an Universal Immunization Programme as Measles-Rubella combination vaccine to provide protection against congenital birth defects caused by Rubella infection,   

  • Launching of “Mission ParivarVikas” in 145 high focus districts having higher total fertility rates(TFR) in the country,

  • Expansion of basket of choices, to include new contraceptives like Injectable contraceptive, Centchroman and Progestogen Only Pills (POP),

  • Launching of a universal population based screening programme for early detection, management and control of common non-communicable diseases such as hypertension, diabetes, and cancers (breast, cervix and oral).

  • Swachh Swasth Sarvatra (SSS), a joint initiative of the Ministry of Health & Family Welfare (MoHFW) and the Ministry of Drinking Water and Sanitation (MoDWS) to leverage the achievements of the two Ministries for convergence of the interventions to maximize the health gains.


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