Key Features of the RMNCH+A Strategy
- Health Systems Strengthening: Focus on infrastructure, human resources, supply chain management, and referral transport measures.
- High-Impact Interventions: Prioritize interventions for various lifecycle stages.
- Effective Investments: Target geographical areas based on evidence to increase the effectiveness of investments.
- Integrated Monitoring and Accountability: Ensure good governance, use of data sets, community involvement, and steps to address grievances.
- Collaboration and Partnerships: Engage with ministries, departments, development part ners, civil society, and other stakeholders.
The RMNCH+A strategy provides a robust platform for delivering services across the entire continuum of care, from the community level to various health care system levels.
Streamlining Public Health
through Digital
Interventions
The RMNCH+A strategy, launched in 2013 under India's National Health Mission, aims to improve maternal and child health and reduce mortality through integrated, evidence-based interventions across all life stages. It emphasizes adolescence, links reproductive and child health with broader health issues, and ensures continuous care via strong referrals and service linkages.
Health Thematic Area
RMNCH+A
Reproductive, Maternal, Newborn, Child, Adolescent Health and Nutrition
Sub-Thematic Area
Maternal Health
Key Features of the RMNCH+A Strategy
Population Cohort
Government programs
National Health Mission includes several key government programs aimed at improving health outcomes. These programs are designed to address the needs at different life stages and ensure integrated care across the continuum.
JSSK
The Janani Shishu Suraksha Karyakram
ensures free and cashless healthcare services for pregnant women and sick infants in public health institutions, covering delivery, drugs, diagnostics, diet, and transportation.
SUMAN
Surakshit Matritva Aashwasan
ensures respectful and high-quality healthcare for all pregnant women, mothers, and newborns.
PMSMA
Pradhan Mantri Surakshit Matritva Abhiyan
offers free antenatal services to pregnant women on the 9th of every month.
ICDS
Integrated Child Development Services
provide food, preschool education, and primary healthcare to children under 6 years and their mothers.
JSV
Janani Shishu Suraksha Karyakram
ensures free and cashless services to pregnant women, including normal deliveries and caesarean operations.
AMB
Anemia Mukt Bharat
aims to reduce the prevalence of anemia among children, adolescents, and women.
NACP
National AIDS Control Program
focuses on preventing and controlling HIV/AIDS in India.
NTEP
National Tuberculosis Elimination Program
aims to eliminate tuberculosis from India by 2025.
UIP
Universal Immunization Program
aims to provide vaccines to all children to protect them against life-threatening diseases.
NPNCD
National Program for Prevention and Control of Non-Communicable Diseases
addresses major NCDs such as cardiovascular diseases, diabetes, and cancer.
MAA
Mothers’ Absolute Affection
promotes breastfeeding through health systems to ensure child health and nutrition.
Health Care Package
Health care packages are implemented to address specific health needs and improve health outcomes across different population groups. These packages include comprehensive services targeting different aspects of health care delivery. Here are some types of health care packages commonly implemented under NHM
Maternal & Child Health (MCH) Package
Anternatal Care (ANC)
Intrapartum Care
Postnatal Care (PNC)
Child Health
Package
Universal Immunization Program (UIP)
Integrated Managment of Neonatal and Childhood Illnesses (IMNCI)
Postnatal Care (PNC)
Family Planning & Reproductive Health Package
Contraceptive Service
Reproductive Tract Infections(RTI)
Sexually Transmitted Infections(STI)
Non-Communicable Disease(NCD) Prevention & Mgmt. Package
Screening and Early Detection
Lifestyle Interventions
Infectious Disease Control Package
Vector-Borne Disease Control
Tuberculosis (TB) Control
Mental Health & Rehabilitation Services Package
Counseling and Psychotherapy Services
Rehabilitation Service
Health System
Strengthening
Infrastructure Development
Human Resources for Health
Health Information Systems
Health Service Delivery
The National Health Mission (NHM) in India encompasses a wide range of points of service delivery to ensure comprehensive and accessible healthcare across different levels. These points of service delivery include both community-based and facility-based settings:
Community Health Workers (CHWs)
Community Health Workers (CHWs)
Village Health and Nutrition Days (VHND)
Home-Based Newborn Care (HBNC)
Anganwadi Centers
Sub-Center Level
Sub-Health Centers (SHCs)
Health and Wellness Centers (HWCs)
Primary Level
Primary Health Centers (PHCs)
Secondary Level
Community Health Centers (CHCs)
Tertiary Level
Regional/Teaching Hospitals Advanced medical care & specialized services
Specialized Hospitals Hospitals focused on specific health issues such as cancer, cardiology, and mental health
Mobile and Outreach Services
Mobile Health Clinics Mobile units providing primary health care services in remote and hard-to-reach areas
School Health Programs Health services within schools, including screenings, vaccinations, and health education
Virtual Services
Telemedicine Platforms Remote consultations, follow-up care, and health information dissemination
eHealth Services Digital health services including appointment scheduling, health education, and digital records
Health Service Provider Type
The healthcare system comprises a diverse array of health service providers, each with specialized roles and responsibilities. Below is a comprehensive list of different types of health service providers:
Auxiliary Nurse Midwife (ANM)
Work Setting:
Sub-Health Centers (SHCs)
Health and Wellness Centers (HWCs)
Community outreach programs
Accredited Social Health Activist (ASHA)
Work Setting:
Community level
Village Health and Nutrition Days (VHND)
Home visits
ANC (2)
Lorem ipsum dolor sit amet consectetur adipisicing elit.
ANC (3)
Lorem ipsum dolor sit amet consectetur adipisicing elit.