Performance Audit of National Rural Health Mission (NRHM) in Arunachal Pradesh

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AuthorCAG of India
Date Accessioned2023-08-06T16:05:55Z
Date Available2023-08-06T16:05:55Z
Date of Publication2008
AbstractNational Rural Health Mission (NRHM) was launched in April 2005 throughout the country with special focus on 18 States including Arunachal Pradesh to provide healthcare to all in an equitable manner through increased outlays, horizontal integration of existing healthcare schemes with special emphasis on primary healthcare to 9.74 lakh rural people in the State. There are some noteworthy achievements of the Mission and the State Government in implementation of NRHM. Arunachal Pradesh has been declared as the first State in the country to eradicate the polio menace. Moreover, there is no incidence of death due to vector borne diseases like kala azar, filaria, Japanese encephalitis and dengue in the State. However, there were deficiencies in planning, implementation and monitoring of the scheme; shortage of medical staff, inadequate infrastructure facilities and lack of public awareness about the facilities provided under the scheme nullified some of the interventions of the scheme. The overall performance of the Mission was not very satisfactory, as the delivery of rural healthcare services in the State was only partial. The review highlights glaring gaps in planning and programme implementation. The State Mission failed to conduct household / facility survey, which constitutes the most crucial element of the planning process upon which the very basis of the Mission success depends. The credibility and the basis on which the State PIP was formulated is questionable. The major shortcoming experienced by the Mission till date is largely attributable to the manpower shortage and the absence of appropriate functionaries at all tiers of the implementation structure. Inadequate health infrastructure, compounded by the delay in upgradation of the existing health infrastructure adversely affected the delivery of healthcare services among the rural population. Shortfall in selection/training of ASHAs and shortfall/ delay in constitution of RKS, contributed to poor awareness among the targeted groups. Monitoring system was inadequate at all levels in the State.
Identifier URIhttps://resourcerepository.azimpremjiuniversity.edu.in/handle/apurr/247
LanguageEnglish
PublisherCAG of India
TitlePerformance Audit of National Rural Health Mission (NRHM) in Arunachal Pradesh
SubtitleFor the Period 2005-06 to 2007-08
Item TypeAudit Report
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