You are on page 1of 27

Government

Schemes/Programs and
Initiatives on
Health and Family Welfare
Government Schemes – Health and Family Welfare

Table of Contents

Contents Page No.


A. Summarized Table 3
B. Schemes in Details
1. Ayushman Bharat Digital Mission 6
2. PM Atmanirbhar Swasth Bharat Yojana 6
3. Ayushman CAPF Healthcare Scheme 7
4. National Health Policy 7
5. National Health Mission 8
6. Ayushman Bharat 11
7. Pradhan Mantri Garib Kalyan Package Insurance Scheme for Health Workers Fighting 12
COVID-19
8. Electronic Vaccine Intelligence Network (eVIN) 12
9. Aarogya Setu app 13
10. Integrated Disease Surveillance Programme (IDSP) 13
11. National Digital Health Mission (NDHM) 13
12. eSanjeevani 14
13. Janani Suraksha Yojana (JSY) 14
14. Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) 14
15. Surakshit Matritva Aashwasan (SUMAN) 15
16. Janani Shishu Suraksha Karyakram (JSSK) 15
17. Rashtriya Bal Swasthya Karyakram (RBSK) 16
18. Anganwadi Services 16
19. MAA (MOTHERS' ABSOLUTE AFFECTION) 17
20. LaQSHYA 17
21. Pradhan Mantri Matru Vandana Yojana (PMMVY) 17
22. POSHAN Abhiyaan 18
23. Kilkari 18
24. National Deworming Day 18
25. SAANS (Social Awareness and Actions to Neutralize Pneumonia Successfully) 18
26. Rashtriya Kishor Swasthya Karyakram (RKSK 19
27. Mission Indradhanush 19
28. Mission Parivar Vikas 20
29. Pradhan Mantri Bhartiya Janaushadhi Pariyojana (PMBJP) 21
30. Pradhan Mantri Swasthya Suraksha Yojana (PMSSY) 21
31. Rashtriya Arogya Nidhi 21
32. National Vector Borne Disease Control Programme (NVBDCP) 22
33. Revised National Tuberculosis Control Programme (RNTCP) 22
34. TB Harega Desh Jeetega Campaign 22
35. National Leprosy Eradication Programme (NLEP) 23
36. National Ayush Mission 23
37. Mission Madhumeha 24
38. National AIDS Control Programme (NACP) 24
39. Beti Bachao, Beti Padhao (BBBP) Scheme 25
C. Annexure 26

2
Government Schemes – Health and Family Welfare

A. Summarized Table

Health and Family Welfare Policies/Schemes/Initiatives


Budget
Launch Category
S. No. Scheme Name Ministry Key Objective Allocation Details
Year (Note 1)

Ayushman Bharat Digital Ministry of Health to develop the


Mission and backbone necessary
to support the Centrally
Rs 200 Cr Click
1 2021 Sponsored
integrated digital Scheme
(2022-23) Here
health infrastructure
of the country.
PM Atmanirbhar Swasth Family Welfare To address health
Bharat Yojana issues in a holistic
Centrally
manner and to adopt Click
2 2021 Sponsored
a four-pronged Here
Scheme
strategy for a healthy
India
Ayushman CAPF Ministry of Health
To render health
Healthcare Scheme and Central
services to central Click
3 2021 Sector
armed forces under Jan Here
Scheme
Arogya Yojna
To inform, clarify,
Ministry of Health strengthen and
Click
4 2017 and prioritize the role of the - -
National Health Policy Here
Family Welfare Government in shaping
health systems in India.
Universal access to
Ministry of Health Centrally Rs.37800
equitable, affordable & Click
5 2005 and Sponsored Crore
National Health Mission quality health care Here
Family Welfare Scheme (2022-23)
services.
To holistically address
the healthcare system
Ministry of Health at the primary, Centrally
Ayushman Bharat Click
6 2018 and Sponsored -
secondary and tertiary Here
Family Welfare Scheme
level.

Pradhan Mantri Garib


Ministry of Health Insurance cover to
Kalyan Package Central
healthcare providers, Click
7 Insurance Scheme for 2020 and including community
Sector -
Here
Health Workers Fighting Family Welfare Scheme
health workers
COVID-19
To strengthen
Electronic Vaccine Ministry of Health immunization supply
Click
8 Intelligence Network 2015 and chain systems - -
Here
(eVIN) Family Welfare across the country.

Ministry of Health Augment the efforts


Click
9 Aarogya Setu app 2020 and of limiting the spread - -
Here
Family Welfare of COVID 19

To strengthen/maintain
decentralized
Integrated Disease Ministry of Health laboratory-based IT Centrally
Click
10 Surveillance Programme 2004 and enabled disease Sponsored
Here
(IDSP) Family Welfare surveillance system for Scheme
epidemic prone
diseases
To provide the
Ministry of Health necessary support for
National Digital Health Click
11
Mission (NDHM)
2020 and integration of digital - -
Here
Family Welfare health infrastructure in
the country

3
Government Schemes – Health and Family Welfare

Health and Family Welfare Policies/Schemes/Initiatives


Budget
Launch Category
S. No. Scheme Name Ministry Key Objective Allocation Details
Year (Note 1)

Ministry of Health
Click
12 eSanjeevani 2019 and Telemedicine initiative - -
Here
Family Welfare

To reduce maternal and


neo-natal mortality by Centrally
Janani Suraksha Yojana Ministry of Health Click
13 2005 promoting institutional Sponsored -
(JSY) and Family Welfare Here
delivery among the poor Scheme
pregnant women.
To provide quality
antenatal care
Pradhan Mantri universally to all
Ministry of Health Click
14 Surakshit Matritva 2016 pregnant women (in - -
and Family Welfare Here
Abhiyan (PMSMA) 2nd and 3rd trimester)
on the 9th of every
month.

Initiative for Zero


Surakshit Matritva Ministry of Health Click
15 2019 Preventable Maternal - -
Aashwasan (SUMAN) and Family Welfare Here
and Newborn Deaths.

To benefit pregnant
women who access
Janani Shishu Suraksha Ministry of Health Click
16 2011 government health - -
Karyakram (JSSK) and Family Welfare Here
facilities for their
delivery.

Strategic interventions
Rashtriya Bal Swasthya Ministry of Health to address birth defects, Click
17 2013 - -
Karyakram (RBSK) and Family Welfare diseases, delays and Here
deficiencies.

Holistic development of
Ministry of Women children below 6 years Centrally
Click
18 Anganwadi Services 1975 and Child of age and pregnant Sponsored
Here
development women & lactating Scheme
mothers
To revitalize efforts
MAA (MOTHERS' towards promotion,
Ministry of Health Click
19 ABSOLUTE 2015 protection and support - -
and Family Welfare Here
AFFECTION) of breastfeeding
practices
To improve quality of
care in Labour room
Ministry of Health Click
20 LaQSHYA 2017 and Maternity Operation - -
and Family Welfare Here
Theatres in Public
health facilities.

Pradhan Mantri Matru Ministry of Women Maternity benefit


Click
21 Vandana Yojana 2017 and Child Programme Conditional -
Here
(PMMVY) development Cash Transfer Scheme

Ministry of Women To ensure attainment of


Click
22 POSHAN Abhiyaan 2018 and Child malnutrition free India -
Here
development by 2022.

to deliver free weekly


Ministry of Health audio messages about Click
23 Kilkari - -
and Family Welfare pregnancy, child birth Here
and care.
To deworm all
preschool and school-
National Deworming Ministry of Health Click
24 Day and Family Welfare
age children (enrolled - -
Here
and non-enrolled)
between the ages of 1-

4
Government Schemes – Health and Family Welfare

Health and Family Welfare Policies/Schemes/Initiatives


Budget
Launch Category
S. No. Scheme Name Ministry Key Objective Allocation Details
Year (Note 1)

19 years

SAANS (Social
Awareness and Actions Ministry of Health Reducing mortality due Click
25 2019 - -
to Neutralize Pneumonia and Family Welfare to childhood Pneumonia Here
Successfully)
To ensure holistic
Rashtriya Kishor development of
Ministry of Health Click
26 Swasthya Karyakram 2014 adolescent population - -
and Family Welfare Here
(RKSK (age group 10-19 years)
in India.
To achieve full
immunization coverage
27 Ministry of Health Click
Mission Indradhanush 2014 for all children and - -
and Family Welfare Here
pregnant women at a
rapid pace
Substantially increasing
Ministry of Health access to Click
28 Mission Parivar Vikas 2016 - -
and Family Welfare contraceptives and Here
family planning services
Department of Making quality
Pradhan Mantri Bhartiya Pharmaceuticals, Central
medicines available Click
29 Janaushadhi Pariyojana 2008 Ministry of Sector
at affordable prices Here
(PMBJP) Chemicals & Scheme
Fertilizers for all.
Availability of
Pradhan Mantri Central Rs.10000
Swasthya Suraksha
Ministry of Health affordable/ reliable Click
30 2003
and Family Welfare
Sector Crore Here
Yojana (PMSSY)
tertiary healthcare
Scheme (2022-23)
services

To provide financial
Ministry of Health Click
31 Rashtriya Arogya Nidhi 1997
and Family Welfare
assistance to - -
Here
patients

National Vector Borne Prevention and


Ministry of Health Click
32 Disease Control - and Family Welfare
control of vector -
Here
Programme (NVBDCP) borne diseases

Revised National To decrease


Ministry of Health Click
33 Tuberculosis Control 1997
and Family Welfare
mortality and - -
Here
Programme (RNTCP) morbidity due to TB

To improve and
TB Harega Desh Ministry of Health Click
34
Jeetega Campaign
2019
and Family Welfare
expand the reach of - -
Here
TB care services

To provide quality
National Leprosy
1983 Ministry of Health leprosy services Click
35 Eradication Programme - -
and Family Welfare through general Here
(NLEP)
health care

Centrally
To promote AYUSH Click
36 National Ayush Mission 2014 Ministry of AYUSH Sponsored -
medical systems Here
Scheme

5
Government Schemes – Health and Family Welfare

Health and Family Welfare Policies/Schemes/Initiatives


Budget
Launch Category
S. No. Scheme Name Ministry Key Objective Allocation Details
Year (Note 1)

Prevention and
Click
37 Mission Madhumeha 2016 Ministry of AYUSH control of diabetes - -
Here
through Ayurveda

Central
National AIDS Control Ministry of Health Prevention and Click
38 1992 Sector -
Programme (NACP) and Family Welfare control of HIV/AIDS Here
Scheme

Ministry of Women
Beti Bachao Beti and Child To address declining
Padhao Scheme Development, Child Sex Ratio (CSR Centrally
Click
39 2019 Ministry of Health & and ensuring education Sponsored
Here
Family Welfare and and participation of the Scheme
Ministry of girl child.
Education

B. Policies/Schemes/Initiatives for Health and Family Welfare

1. Ayushman Bharat Digital Mission


 It aims to provide digital health IDs for all Indian citizens to help hospitals, insurance firms, and citizens
access health records electronically when required.
 The project is being implemented in the pilot phase in six States & Union Territories.
 National Health Authority (NHA) under the Ministry of Health and Family Welfare will be the
implementing agency.

Features:
Health ID
 Health ID will be issued for every citizen that will also work as their health account. This health
account will contain details of every test, every disease, the doctors visited, the medicines taken and
the diagnosis.
 Health ID is free of cost & voluntary. It will help in doing analysis of health data and lead to better
planning, budgeting and implementation of health programs.
o Healthcare Facilities & Professionals’ Registry:
 The other major component of the programme is creating a Healthcare Professionals’ Registry
(HPR) and Healthcare Facilities Registry (HFR), allowing easy electronic access to medical
professionals and health infrastructure.
 The HPR will be a comprehensive repository of all healthcare professionals involved in delivering
healthcare services across both modern and traditional systems of medicine.
 The HFR database will have records of all the country’s health facilities.
o Ayushman Bharat Digital Mission Sandbox:
 The Sandbox, created as a part of the mission, will act as a framework for technology and product
testing that will help organisations, private players become a Health Information Provider or Health
Information User and will efficiently link with building blocks of Ayushman Bharat Digital Mission.

6
Government Schemes – Health and Family Welfare

2. PM Atmanirbhar Swasth Bharat Yojana


To address health issues in a holistic manner and to adopt a four-pronged strategy for a healthy India that includes
implementing the PM Atmanirbhar Swasth Bharat scheme. It was announced in Union Budget 2021-22 and
launched in Oct 2022.

4 Pronged Strategy
1. Prevention of illness and promotion of wellness including measures such as Swachh Bharat
Abhiyan, yoga and timely care and treatment of pregnant women and children,
2. Providing cheap and effective treatment to the poorest of the poor,
3. Increasing the quality of health infrastructure and healthcare professionals and
4. Working on a mission mode to overcome obstacles in health sector. Like Mission
Indradhanush has been extended to the tribal and far-flung areas of the country.
Objective
 Supporting development of 17,788 rural and 11,024 urban health and wellness centers and setting up
of integrated public health labs in all districts and 3,382 block public health units in 11 states.
 Help in establishing critical care hospital blocks in 602 districts and 12 central institutions. Strengthening of
the National Centre for Disease Control (NCDC), its 5 regional branches and 20 metropolitan health
surveillance units.
 Expansion of the Integrated Health Information Portal to all States/UTs to connect all public health labs.
 Help in rolling out the Covid-19 vaccination program as well as strengthen the delivery system and build
better capability and capacity to combat any future pandemics.

3. Ayushman CAPF Healthcare Scheme


 Union Home Minister Amit Shah announced that, Central government has extended the benefits of
“Ayushman CAPF healthcare scheme” to the personnel of all Central Armed Police Forces (CAPFs).
 All central armed force personnel of Sashatra Seema Bal (SSB), Central Reserve Police Force (CRPF),
Indo Tibetan Border Police Force (ITBP), National Security Guard (NSG), Central Industrial Security
Force (CISF), Border Security Force (BSF) are eligible under the scheme.
 Under this scheme, CAPF personnel & their families would be able to avail cashless in-patient and out-
patient healthcare facilities across the hospitals that come under Ayushman Bharat PM-JAY

4. National Health Policy,2017

The National Health Policy- 2017 is India’s third National Health policy (NHP). Earlier NHPs were released in
1983 and 2002.NHP 2017 was announced by Ministry of Health and Family Welfare.

Goal of the NHP-2017


To achieve the highest possible level of good health and well-being for all Indians through a preventive and
promotive healthcare orientation in all developmental policies, and to achieve universal access to good quality
health care services without anyone having to face financial hardship as a consequence.
This would be achieved through increasing access, improving quality and lowering the cost of healthcare
delivery.

Objectives
Improve health status through concerted policy action in all sectors and expand preventive, promotive, curative,
palliative and rehabilitative services provided through the public health sector with focus on quality.

Specific Quantitative Goals


The indicative, quantitative goals and objectives are outlined under three broad components

7
Government Schemes – Health and Family Welfare

I. Health status and programme impact,


II. Health systems performance and
III. Health system strengthening.

Following are some of the key quantitative indicators –


Health status and programme impact
 Increase Life Expectancy at birth from 67.5 to 70 by 2025.
 Reduction of TFR to 2.1 at national and sub-national level by 2025.
 Reduce Maternal Mortality Ratio MMR to 100 per 100,000 live births by 2020.
 Reduce infant mortality rate to 28 per 1000 live births by 2019.
 Reduce under Five Mortality to 23 per 1000 live births by 2025.

Definitions
Life Expectancy at birth The average number of years that a new born could expect to live, if he
or she were subject to the age-specific mortality rates of a given period.

Age-specific mortality Number of deaths in a particular age-group


rate (ASMR) ---------------------------------------------------------- x 1000
Mid-year population of the same age-group

Total fertility rate (TFR) TFR indicates the average number of children expected to be born per
woman during her entire span of reproductive period assuming that the
age specific fertility rates, to which she is exposed to, continue to be
the same and that there is no mortality.
TFR of about 2.1 children per woman is called Replacement-level
fertility.
Age-specific fertility Number of live births in a particular age-group
------------------------------------------------------------------- x 1000
Mid-year female population of the same age-group

Maternal Mortality Ratio MMR defined as the number of maternal deaths during a given time
(MMR) period per 100,000 live births during the same time period.

Infant mortality rate (IMR) IMR is the probability of death of children below one year of age
expressed as per 1,000 live births.

Under-five mortality rate It indicates the probability of dying between birth and exactly five years
U5MR of age, expressed per 1,000 live births.

 Achieve global target of 2020 which is also termed as target of 90:90:90, for HIV/AIDS i.e, - 90% of all
people living with HIV know their HIV status, - 90% of all people diagnosed with HIV infection receive
sustained antiretroviral therapy and 90% of all people receiving antiretroviral therapy will have viral
suppression.
 Achieve and maintain elimination status of Leprosy by 2018, Kala-Azar by 2017 and Lymphatic Filariasis
in endemic pockets by 2017.
 To achieve and maintain a cure rate of >85% in new sputum positive patients for TB and reduce
incidence of new cases, to reach elimination status by 2025.
 To reduce premature mortality from cardiovascular diseases, cancer, diabetes or chronic respiratory
diseases by 25% by 2025.
Health Systems Performance
 Increase utilization of public health facilities by 50% from current levels by 2025.
 More than 90% of the newborn are fully immunized by one year of age by 2025.
8
Government Schemes – Health and Family Welfare

 Meet need of family planning above 90% at national and sub national level by 2025.
 80% of known hypertensive and diabetic individuals at household level maintain „controlled disease
status‟ by 2025.
 Reduction of 40% in prevalence of stunting of under-five children by 2025.
 Access to safe water and sanitation to all by 2020 (Swachh Bharat Mission).
 Reduction of occupational injury by half from current levels of 334 per lakh agricultural workers by 2020.
Health Systems strengthening
 Increase health expenditure by Government as a percentage of GDP from the existing 1.15% to 2.5 %
by 2025.
 Increase State sector health spending to > 8% of their budget by 2020.
 Decrease in proportion of households facing catastrophic health expenditure from the current levels by
25%, by 2025.
 Ensure availability of paramedics and doctors as per Indian Public Health Standard (IPHS) norm in high
priority districts by 2020.
 Increase community health volunteers to population ratio as per IPHS norm, in high priority districts by
2025.
 Establish primary and secondary care facility as per norms in high priority districts (population as well as
time to reach norms) by 2025.
 Ensure district-level electronic database of information on health system components by 2020.
 Strengthen the health surveillance system and establish registries for diseases of public health
importance by 2020.
 Establish federated integrated health information architecture, Health Information Exchanges and
National Health Information Network by 2025.

Salient features of NHP 2017


 Every family to have a health card for access to primary care and services.
 Enhanced outreach of public healthcare through Mobile Medical Units (MMUs)
 Expanding the network of blood banks across the country.
 Free drugs and diagnostics along with low cost pharmacy chains (Jan Aushadhi stores)
 Coordination between National Council for Skill Development, MOHFW and State Government(s) for
engaging private hospitals/private general medical practitioners in skill development.
 creation of a unified emergency response system, linked to a dedicated universal access number, with
network of emergency care that has an assured provision of life support ambulances, trauma
management centers–
o One per 30 lakh population in urban areas and
o One for every 10 lakh population in rural areas
 Women friendly public hospitals for better diagnosis and treatment.
 Mainstreaming the potential of AYUSH - Incorporate AYUSH for safe and cost effective prevention and
therapy.
 Integration with ‘Make in India’ initiative for drug discovery and domestic production of medical tools.
 School curriculum to include health education,promote hygiene and safe health practices.
 The policy identifies coordinated action on seven priority areas for improving the environment for health:
o The Swachh Bharat Abhiyan
o Balanced, healthy diets and regular exercises.
o Addressing tobacco, alcohol and substance abuse
o Yatri Suraksha – preventing deaths due to rail and road traffic accidents
o Nirbhaya Nari –action against gender violence
o Reduced stress and improved safety in the work place
o Reducing indoor and outdoor air pollution
 The policy also articulates the need for the development of strategies and institutional mechanisms in
each of these seven areas, to create Swasth Nagrik Abhiyan –a social movement for health.

9
Government Schemes – Health and Family Welfare

The National Health Policy envisages that an implementation framework be put in place to deliver on
these policy commitments.

5. National Health Mission

National Health Mission (NHM) is a flagship programme of the Ministry of


Health and Family Welfare.
The NHM envisages achievement of universal access to equitable,
affordable & quality health care services that are accountable and responsive
to people’s needs.

It has two Sub-Missions, National Rural Health Mission (NRHM) and National Urban Health Mission
(NUHM).

I. National Rural Health Mission (NRHM)


Launched: 12th April, 2005
Objective: To provide accessible, affordable and quality health care to the rural population, especially
the vulnerable groups.

II. National Urban Health Mission (NUHM)


It has been approved on 1st May 2013.
Objective: NUHM envisages to meet health care needs of the urban population with the focus on urban
poor, by making available to them essential primary health care services and reducing their out of pocket
expenses for treatment.

NUHM covers all cities and town with more than 50,000 population and district headquarters and state
headquarters with more than 30,000 population.The remaining cities or towns continue to be covered
under National Rural Health Mission.
The main programmatic components of the National Health Mission include –

i. Health system strengthening in rural and urban areas


 Free Drugs & Diagnostics Service Initiative
 Patient Transport Service
 Human Resource
 Infrastructure
 Mobile Medical Unit (MMUs)
 Comprehensive Primary Health Care
 Tribal Health
 Blood services and blood disorders
 District Hospital Strengthening
 Other Health Systems Strengthening

ii. Reproductive-Maternal-Neonatal-Child and Adolescent Health (RMNCH + A) interventions

 Adolescent Health
 Child Health
 Maternal Health
 Family Planning
 Immunization
 Aspirational District Program

iii. Control of Non-communicable diseases

10
Government Schemes – Health and Family Welfare

 National Programme for prevention & Control of Cancer, Diabetes, Cardiovascular Diseases
& stroke (NPCDCS)
 National Programme for Control Of Blindness & Visual Impairment (NPCBVI)
 National Mental Health Programme (NMHP)
 National Programme for healthcare of Elderly (NPHCE)
 National Programme for the Prevention & Control of Deafness (NPPCD)
 National Tobacco Control Programme (NTCP)
 National Oral Health Programme (NOHP)
 National Programme for Palliative care (NPPC)
 National Programme for Prevention & Management of Burn Injuries (NPPMBI)
 Other Non-Communicable Disease Control Programmes

iv. Control of Communicable diseases

 National Vector Borne Disease Control Programme (NVBDCP)


 Revised National Tuberculosis Control Programme (RNTCP)
 National Leprosy Eradication Programme (NLEP)
 Integrated Disease Surveillance Programme (IDSP)

v. Infrastructure maintenance

Initiatives under NHM

i. ASHA
 Under the Framework for Implementation of NRHM, a female community health worker
called Accredited Social Health Activist (ASHA) has been engaged in each village in the ratio
of one ASHA per 1000 population or one ASHA per habitation in tribal areas.
ii. Rogi Kalyan Samiti
 (Patient Welfare Committee)/Hospital Management Society is a simple yet effective
management structure.
 This committee is a registered society that acts as a group of trustees for the hospitals to
manage the affairs of the hospital.
 To ensure involvement of the communities in oversight of the provisioning of health care and
to redress public grievances.
iii. Mobile Medical Units (MMUs)
iv. National Ambulance Services
v. 24x 7 Services and First Referral facilities
vi. Mainstreaming of AYUSH
Mainstreaming the potential of AYUSH systems (Ayurveda, Yoga & Naturopathy, Unani, Siddha,
Sowa-rigpa and Homoeopathy) within the healthcare system.
vii. Kayakalp initiative has been launched to promote cleanliness, hygiene and infection control
practices in public health facilities.

6. Ayushman Bharat

Launched: 2018

Aim: To undertake path breaking interventions to holistically address the healthcare system (covering
prevention, promotion and ambulatory care) at the primary, secondary and tertiary level.

Ayushman Bharat is a centrally sponsored scheme. Ayushman Bharat adopts a continuum of care approach.

11
Government Schemes – Health and Family Welfare

It comprises of two inter-related components -


Health and Wellness Centres and Pradhan Mantri Jan Arogya Yojana

I. Health and Wellness Centres (HWCs)


 Under Ayushman Bharat – Health & Wellness Centres (AB-HWCs), 1.5 lakh Sub Health
Centres and Primary Health Centres are to be transformed into Health and Wellness
Centres across the country for provision of Comprehensive Primary Health Care (CPHC)
that includes preventive healthcare and health promotion at the community level with
continuum of care approach by December, 2022.
 These centres are to deliver Comprehensive Primary Health Care (CPHC) bringing
healthcare closer to the homes of people.
 The first Health and Wellness Centre was launched by the Prime Minister at Jangla, Bijapur,
Chhatisgarh on 14th April 2018.
 The Health and Wellness Centres cover - maternal and child health services, non-
communicable diseases, including free essential drugs and diagnostic services.

II. Pradhan Mantri Jan Arogya Yojana (PM-JAY)


 Pradhan Mantri Jan Arogya Yojana or
popularly known as PM-JAY.
 This scheme was launched on 23rd
September, 2018 in Ranchi, Jharkhand
(subsuming the erstwhile Rashtriya
Swasthya Bima Yojana)
 National Health Authority (NHA) is the apex
body responsible for implementing
Ayushman Bharat Pradhan Mantri Jan
Arogya Yojana

Aim:
To improve affordability, accessibility and quality of care for the poor and vulnerable section of the
population.
Key Features of PM-JAY
 PM-JAY is the world’s largest health insurance/ assurance scheme fully financed by the
government.
 It provides a cover of Rs. 5 lakhs per family per year for secondary and tertiary care
hospitalization across public and private empanelled hospitals in India.
 Over 10.74 crore poor and vulnerable entitled families (approximately 50 crore beneficiaries)
are eligible for these benefits.
 PM-JAY provides cashless access to health care services for the beneficiary at the point of
service, that is, the hospital.
 PM-JAY envisions to help mitigate catastrophic expenditure on medical treatment which
pushes nearly 6 crore Indians into poverty each year.
 It covers up to 3 days of pre-hospitalization and 15 days post-hospitalization expenses such
as diagnostics and medicines.
 There is no restriction on the family size, age or gender.
 All pre–existing conditions are covered from day one.
 Benefits of the scheme are portable across the country.
 Services include approximately 1,393 procedures covering all the costs related to treatment,
including but not limited to drugs, supplies, diagnostic services, physician's fees, room
charges, surgeon charges, OT and ICU charges etc.
 Public hospitals are reimbursed for the healthcare services at par with the private hospitals.

12
Government Schemes – Health and Family Welfare

7. Pradhan Mantri Garib Kalyan Package Insurance Scheme for Health Workers Fighting COVID-19

Launched: 30th March, 2020; Central Sector Scheme under the Ministry of Health and Family Welfare.

 The scheme will be funded through the National Disaster Response Fund NDRF operated by the
Ministry of Health and Family Welfare.
 An insurance cover of Rs. 50 lakhs to healthcare providers, including community health workers, who
may have to be in direct contact and care of COVID-19 patients and therefore at risk of being infected.
 This scheme also includes accidental loss of life on account of contracting COVID-19.
 The scheme also covers private hospital staff/ retired/volunteer/ local urban bodies/contract/daily wage/
ad-hoc/outsourced staff requisitioned by States/ Central hospitals/autonomous hospitals of
Central/States/UTs, AIIMS & INIs/ hospitals of Central Ministries drafted for COVID-19 related
responsibilities.
 The insurance provided under this scheme is over and above any other insurance cover being availed of
by the beneficiary.
 There is no age limit for this scheme and individual enrolment is not required.
 The entire amount of premium for this scheme is being borne by the Ministry of Health and Family
Welfare, Government of India
 Ministry of Health and Family welfare has collaborated with the New India Assurance (NIA) Company
Limited for providing the insurance amount based on the guidelines prepared for the scheme.

8. Electronic Vaccine Intelligence Network (eVIN)

eVIN is implemented by the United Nations Development Programme (UNDP) in partnership with the
Ministry of Health and Family Welfare.
Launched: 2015

Aim
To strengthen immunization supply chain systems across the country.

Key Features
 eVIN combines a strong IT infrastructure and trained human resource to enable real time monitoring of
stock and storage temperature of the vaccines kept in multiple locations across the country.
 eVIN India is helping the State/UT governments monitor the supply chain of COVID response material.

9. Aarogya Setu app

Government of India launched Aarogya Setu mobile App for helping augment the efforts of limiting the spread of
COVID19.
Launched: 2nd April, 2020
Objective:
 Enabling Bluetooth based contact tracing, mapping of likely hotspots and dissemination of relevant
information about COVID19.
 Government has also launched a Bug Bounty Programme with a goal to partner with security
researchers and Indian developer community to test the security effectiveness of Aarogya Setu.

10. Integrated Disease Surveillance Programme (IDSP)

Centrally Sponsored Scheme under Minister of Health & Family Welfare


Launched: November 2004

Objectives:

13
Government Schemes – Health and Family Welfare

To strengthen/maintain decentralized laboratory-based IT enabled disease surveillance system for epidemic


prone diseases to monitor disease trends and to detect and respond to outbreaks in early rising phase through
trained Rapid Response Team (RRTs)to detect and respond to outbreaks in early rising phase through trained
Rapid Response Team (RRTs).

Key features:

 A Central Surveillance Unit (CSU) at Delhi, State Surveillance Units (SSU) at all State/UT headquarters
and District Surveillance Units (DSU) at all Districts in the country have been established.
 IDSP Portal: A one stop portal (www.idsp.nic.in) which has facilities for data entry, view reports, outbreak
reporting, data analysis, training modules and resources related to disease surveillance.

11. National Digital Health Mission (NDHM)

The Ministry of Health and Family Welfare, Government of India has formulated the National Digital Health
Mission (NDHM).
Launched: 15th August,2020
Aim

 To provide the necessary support for integration of digital health infrastructure in the country.
 The role of designing strategy, building technological infrastructure and implementation of “National
Digital Health Mission” by National Health Authority (NHA).
 The NDHM is a collaborative initiative between many ministries/departments.
 The NDHM has been designed, developed, deployed, operated and maintained in accordance with
National Digital Health Blueprint (NDHB). NDHB published by Ministry of Health and Family Welfare
provides necessary guidance for all stakeholders to engage and contribute to strengthen health systems
in India.
 NDHM will integrate doctors, hospitals, pharmacies, insurance companies and make a digital health
infrastructure.
 The national digital health mission includes health ID, digidoctor, telemedicine, pharmacy, healthcare
registry and personal health records digitally stored.
 Health ID will be given to every Indian. This information will be very useful as it is portable and easily
accessible even if the patient shifts to new place and visits a new doctor. The health ID card is created
with details like Aadhar and mobile number and generate unique ID for each individual.

12. eSanjeevani
eSanjeevani is a telemedicine initiative by the Ministry of Health and Family Welfare.This platform has
enabled two types of telemedicine services viz. Doctor-to-Doctor (eSanjeevani) and Patient-to-Doctor
(eSanjeevani OPD) Tele-consultations.

I. eSanjeevani AB-HWC
Launched: November, 2019.
 It is being implemented under the Ayushman Bharat Health and Wellness Centre (AB-HWC). It aims to
implement tele-consultation in all the 1.5 lakh Health and Wellness Centres in collaboration with
identified Medical College hospitals in a ‘Hub and Spoke’ model.
 States have identified and set up dedicated ‘Hubs’ in Medical Colleges and District hospitals to provide
tele-consultation services to ‘Spokes’, i.e Sub Health Centres SHCs,Primary Health Centres PHCs and
HWCs.
II. eSanjeevaniOPD
Launched: April 2020.
 It is tele-consultation service ‘eSanjeevaniOPD’ enabling patient-to-doctor telemedicine.

14
Government Schemes – Health and Family Welfare

13. Janani Suraksha Yojana (JSY)

Centrally sponsored scheme under the National Health Mission, Ministry of Health and Family Welfare.

Launched: 12th April, 2005.

Objective: To reduce maternal and neo-natal mortality by promoting institutional delivery among the poor
pregnant women.

Salient features
 JSY is a 100 % centrally sponsored scheme and it integrates cash assistance with delivery and post-delivery
care.
 The Scheme has identified ASHA, the accredited social health activist as an effective link between the
Government and the pregnant women.
 The scheme focuses on the poor pregnant woman with special dispensation for states having low
institutional delivery rates namely the states of Uttar Pradesh, Uttaranchal, Bihar, Jharkhand, Madhya
Pradesh, Chhattisgarh, Assam, Rajasthan, Orissa and Jammu and Kashmir. While these states have been
named as Low Performing States (LPS), the remaining states have been named as High performing States
(HPS).
 BPL pregnant women, who prefer to deliver at home, are entitled to a cash assistance of Rs 500 per delivery
regardless of age of women and the number of children.
 The Scheme enables the States/UTs to hire the services of a private specialist to conduct Caesarean
Section or for the management of Obstetric complications, in the Public Health facilities, where Government
specialists are not in place.

14. Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA)


Launched: in the year 2016 under the Ministry of Health and Family Welfare

Objective
 Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) was launched to provide fixed-day assured,
comprehensive and quality antenatal care universally to all pregnant women (in 2nd and 3rd trimester) on the
9th of every month.

Salient features:
 Ensure at least one antenatal checkup for all pregnant women in their second or third trimester by a
physician/specialist.
 Antenatal checkup services would be provided by OBGY specialists / Radiologist/physicians with support
from private sector doctors to supplement the efforts of the government sector.
 Pregnant women would be given Mother and Child Protection Cards and safe motherhood booklets.
 One of the critical components of the Abhiyan is identification and follow up of high-risk pregnancies. A
sticker indicating the condition and risk factor of the pregnant women would be added onto MCP card for
each visit:
o Green Sticker- for women with no risk factor detected
o Red Sticker – for women with high risk pregnancy
 ‘IPledgeFor9’ Achievers Awards have been devised to celebrate individual and team achievements and
acknowledge voluntary contributions for PMSMA in states and districts across India.

15. Surakshit Matritva Aashwasan (SUMAN)

Launched: 10th October,2019 by Ministry of Health and Family Welfare

15
Government Schemes – Health and Family Welfare

SUMAN is an Initiative for Zero Preventable Maternal and Newborn Deaths.

Aim
 Assured, dignified and respectful delivery of quality healthcare services at no cost and zero tolerance for
denial of services to any woman and newborn visiting a public health facility in order to end all preventable
maternal and newborn deaths and morbidities and provide a positive birthing experience.

Salient features
All Pregnant Women/Newborns visiting public health facilities are entitled to the following free services
 At least 4 Antenatal care check-up and 6 Home based New born care visits.
 Deliveries by trained personnel.
 Free transport from Home to Institution and drop to Home after due discharge.
 Management of sick neonates and infants.
 Conditional cash transfers /Direct Benefit Transfer under various schemes.
 Elimination of Mother to Child transmission of HIV, HBV and Syphilis.

16. Janani Shishu Suraksha Karyakram (JSSK)

Launched: 1st June, 2011 by Ministry of Health and Family Welfare

Objective: To benefit pregnant women who access government health facilities for their delivery.

Salient features
 Entitlements for pregnant women
i. Free and cashless delivery
ii. Free C-Section
iii. Free drugs and consumables
iv. Free diagnostics
v. Free diet during stay in the health institutions
vi. Free provision of blood
vii. Exemption from user charges
viii. Free transport from home to health institutions
ix. Free transport between facilities in case of referral
x. Free drop back from Institutions to home after 48hrs stay
 Entitlements for Sick infants under JSSK till one year after birth:
i. Free and zero expense treatment
ii. Free Drugs and Consumables
iii. Free Diagnostics
iv. Free Provision of Blood
v. Free Transport from Home to Health institutions.
vi. Free Transport between facilities in case of referral
vii. Drop back from institutions to home
viii. Exemption from all kinds of user charges.

17. Rashtriya Bal Swasthya Karyakram (RBSK)

Launched: in 2013 by the Ministry of Health and Family Welfare

Objective
 Early identification and early intervention for children from birth to 18 years to cover 4 ‘D’s viz. Defects at
birth, Diseases in children, Deficiency conditions and Developmental delays including Disabilities.

16
Government Schemes – Health and Family Welfare

Salient features
 The services aim to cover children of 0-6 years of age in rural areas and urban slums in addition to children
enrolled in classes 1st to 12th in Government and Government aided Schools.
 Child Health Screening and Early Intervention Services under RBSK envisages to cover 30 selected health
conditions for Screening, early detection and free management.
 Confirmation of preliminary findings, referral support, management and follow up.

18. Anganwadi Services

 The Integrated Child Development Services (ICDS) Scheme was launched in 1975.
 ICDS is now known as Anganwadi Services Scheme.
 Anganwadi Services under Umbrella Integrated Child Development Services (ICDS) Scheme is a Centrally
sponsored scheme of the Ministry of Women and Child development.

Aim: Holistic development of children below 6 years of age and pregnant women & lactating mothers

Beneficiaries: Children in the age group of 0-6 years, pregnant women and lactating mothers.

Objectives
i. To improve the nutritional and health status of children in the age-group of 0-6 years;
ii. To lay the foundation for proper psychological, physical and social development of the child;
iii. To reduce the incidence of mortality, morbidity, malnutrition and school dropouts;
iv. To achieve effective co-ordination of policy and implementation amongst the various departments to
promote child development; and
v. To enhance the capability of the mother to look after the normal health and nutritional needs of the child
through proper nutrition
and health education.

Salient features
 The package of following six services is provided under the Anganwadi Services scheme:

i. Supplementary Nutrition (SNP),


ii. Pre-school Non-formal Education,
iii. Nutrition & Health Education,
iv. Immunization,
v. Health Check-up, and
vi. Referral Services
 Three of the six services namely Immunization, Health Check-up and Referral Services delivered through
Public Health Infrastructure under the Ministry of Health & Family Welfare.

19. MAA (MOTHERS' ABSOLUTE AFFECTION)

Launched: in 2016 by Ministry of Health and Family Welfare


 The goal of the MAA programme is to revitalize efforts towards promotion, protection and support of
breastfeeding practices through health systems to enhance breastfeeding rates.
 The key components of the programme are - awareness generation, promotion of breastfeeding and inter
personal counselling at community level, skilled support for breastfeeding at delivery points, monitoring and
award/ recognition.

20. LaQSHYA

Launched: in 2017 under the Ministry of Health and Family Welfare

17
Government Schemes – Health and Family Welfare

Objective
 Reduce maternal and new born morbidity and mortality
 Improve quality of care during delivery and immediate post-partum period
 Enhance satisfaction of beneficiaries, positive birthing experience and provide Respectful Maternity Care
(RMC) to all pregnant women attending public health facilities

Beneficiaries
 The program will benefit every pregnant woman and new born delivering in public health institutions.

Salient features
 Multi-pronged strategy has been adopted such as improving Infrastructure upgradation, ensuring availability
of essential equipment, providing adequate Human Resources, capacity building of health care workers and
improving quality processes in labour room.
 Program will improve quality of care for pregnant women in labour room, maternity Operation Theatre and
Obstetrics Intensive Care Units (ICUs) & High Dependency Units (HDUs).

21. Pradhan Mantri Matru Vandana Yojana (PMMVY)

 Launched in 2017
 Centrally Sponsored Conditional Cash Transfer Scheme of Ministry of Women and Child development

Beneficiaries: All eligible pregnant women for first living child of the family are entitled for benefits under the
Scheme.

Salient features
 Cash incentive amounting to Rs. 5,000 in three installments directly to the Bank/Post-Office Account of
pregnant women and lactating mother (PW&LM) subject to fulfilling specific conditions relating to Maternal
and Child Health.
 The beneficiary also receives benefits under Janani Suraksha Yojana so that on an average a beneficiary
gets Rs. 6,000.

22. POSHAN Abhiyaan

 POSHAN Abhiyaan– PM’s Overarching Scheme for Holistic Nourishment (earlier known as National
Nutrition Mission)
 Centrally sponsored scheme of the Ministry of Women and
Child development.
 Launched by Hon’ble Prime Minister on 8th March, 2018 at
Jhunjhunu in Rajasthan.
 It is a multi-ministerial convergence mission with the vision
to ensure attainment of malnutrition free India by 2022.
 The POSHAN Abhiyaan, as an apex body, will monitor,
supervise, fix targets and guide the nutrition related interventions
across the Ministries.

Implementation Strategy
Implementation strategy would be based on intense monitoring and Convergence Action Plan right up to the
grass root level.
 POSHAN Abhiyaan has been rolled out in three phases from 2017-18 to 2019-20.

Targets

18
Government Schemes – Health and Family Welfare

 To reduce stunting in children (0-6 years), under-nutrition (underweight prevalence) in children (0-6 years)
and Low Birth Weight @2% per annum.
 To reduce anaemia among young children (6-59 months), women and adolescent girls (in the age group of
15-49 years) @3% per annum across the country.
 Although the target to reduce Stunting is at least 2% p.a., Mission would strive to achieve reduction in
Stunting from 38.4% (NFHS-4) to 25% by 2022.

23. Kilkari
 App launched by the Ministry of Health and Family Welfare.
 It is an application to deliver free weekly audio messages about pregnancy, child birth and care directly
to family’s mobile phone from the second trimester of pregnancy until child is one year old.

24. National Deworming Day


National Deworming Day NDD is being observed annually on 10th February. NDD is an initiative of Ministry of
Health and Family Welfare.

Objective
 To deworm all preschool and school-age children (enrolled and non-enrolled) between the ages of 1-19
years through the platform of schools and Anganwadi Centers in order to improve their overall health,
nutritional status, access to education and quality of life.

Key features
 Single dose of albendazole is administered to children from 1-19 years of age group schools and anganwadi
centres.
 NDD is being observed as worm infestation is an important cause on anaemia.

25. SAANS (Social Awareness and Actions to Neutralize Pneumonia Successfully)

SAANS Campaign by the Ministry of Health and Family Welfare


Launched: 2019
Goal
To intensify action for reducing mortality due to childhood Pneumonia in India to less than 3 per thousand live
births by 2025.
Key Features

 A child suffering from Pneumonia will be treated with pre-referral dose of Amoxicillin by ASHA
 Pulse Oximeter will be used at the Health and Wellness Centre for identification of low oxygen levels in
the blood and if required treated by use of Oxygen.
 Create mass awareness about the most effective solutions for pneumonia prevention like breast feeding,
age appropriate complementary feeding, immunization, good quality air etc.

26. Rashtriya Kishor Swasthya Karyakram (RKSK)

Launched: 2014 by the Ministry of Health and Family Welfare

Objective: To ensure holistic development of adolescent population (age group 10-19 years) in India.

Components
 The Adolescent Friendly Health Clinics (AFHCs) are established across various levels of public health
institutions in all the States.
 Weekly Iron Folic Acid Supplementation (WIFS) Programme is being implemented for school going
adolescent boys and girls and out of school adolescent girls across the country.

19
Government Schemes – Health and Family Welfare

 The Peer Educator Programme is being implemented in select 200 districts, based on Composite Health
Index and identified as High Priority Districts (HPDs).
 Under the Menstrual Hygiene Scheme, funds are provided to the States/UTs for procurement of sanitary
napkins for Adolescent Girls (aged 10-19 years).
 Rashtriya Kishor SwasthyaKaryakram (RKSK) focuses on reaching out alladolescents include Lesbian, Gay,
Bisexual, Transgender and Queer (LGBTQ). The training of the Medical Officers, Auxiliary nurse
midwifeANMs, Counsellors and Peer educators also caters to the need of this special population group in
non-judgmental and non-stigmatized manner.

27. Mission Indradhanush

Introduction

About Universal Immunisation Programme UIP

 Introduced in 1978 as ‘Expanded Programme of Immunization’ (EPI) by the Ministry of Health and Family
Welfare, Government of India.
 In 1985, the programme was modified as ‘Universal Immunization Programme’ (UIP) to be implemented in
phased manner to cover all districts in the country by 1989-90 with the one of largest health programme in
the world.
 Ministry of Health and Family Welfare, Government of India provides several vaccines to infants, children
and pregnant women through this programme.
 Through UIP, Government of India is providing vaccination free of cost against vaccine preventable diseases
include diphtheria, pertussis, tetanus, polio, measles, severe form of childhood tuberculosis, hepatitis B,
meningitis and pneumonia (Hemophilus influenza type B infections), Japanese encephalitis (JE) in JE
endemic districts with introduction of newer vaccines such as rotavirus vaccine, IPV, adult JE vaccine,
pneumococcal conjugate vaccine (PCV) and measles-rubella (MR) vaccine in UIP/national immunization
programme.
 UIP has been able to fully immunize only 65% children in the first year of their life.

About the Mission Indradhanush


 Launched to strengthen and re-energize the programme
and achieve full immunization coverage for all children and
pregnant women at a rapid pace.
 The ultimate goal of Mission Indradhanush is to ensure full
immunization with all available vaccines for children up to
two years of age and pregnant women.
 Launched: in the year 2014 by the Ministry of Health and
Family Welfare

Intensified Mission Indradhanush (IMI)


 To further intensify the immunization programme, Intensified Mission Indradhanush (IMI) was launched on
October 8, 2017.
 It aims to reach each and every child up to two years of age and all those pregnant women who have been
left uncovered under the routine immunisation programme/UIP.
 The focus of special drive was to improve immunisation coverage in select districts and cities to ensure full
immunisation to more than 90% by December 2018.

Intensified Mission Indradhanush (IMI) 2.0


The salient features of IMI 2.0 are:
 IMI 2.0 drive is being conducted in the selected districts and urban cities between Dec 2019 – March 2020

20
Government Schemes – Health and Family Welfare

 Conduction of four rounds of immunization activity over 7 working days excluding the Routine Immunization
(RI) days, Sundays and holidays.
 Enhanced immunization session with flexible timing, mobile session and mobilization by other departments.
 Enhanced focus on left outs, dropouts, and resistant families and hard to reach areas.
 Focus on urban, underserved population and tribal areas.
 Inter-ministerial and inter-departmental coordination.
 Enhance political, administrative and financial commitment, through advocacy.

 Intensified Mission Indradhanush 2.0 gives India the opportunity to achieve further reductions in deaths
among children under five years of age, and achieve the Sustainable Development Goal of ending
preventable child deaths by 2030.

28. Mission Parivar Vikas

Launched: 2016
 Mission Parivar Vikas was launched for substantially increasing access to contraceptives and family planning
services in 146 high fertility districts with Total Fertility Rate (TFR) of 3 and above in seven high focus states.
 These districts are from the states of Uttar Pradesh, Bihar, Rajasthan, Madhya Pradesh, Chhattisgarh,
Jharkhand and Assam.

Key Strategic Actions


i. Delivering assured services
ii. Building additional Capacity/ HRD for enhanced service delivery
iii. Ensuring commodity security
iv. Implementing new ‘Promotional Schemes’
v. Creating Enabling Environment

Expected Outcome:
TFR to reach replacement level of 2.1 by 2025 in the high focus states.

29. Pradhan Mantri Bhartiya Janaushadhi Pariyojana (PMBJP)

Central Sector scheme by the Department of Pharmaceuticals, Ministry of Chemicals & Fertilizers.

Launched: 2008 (renamed as “Pradhan Mantri Bhartiya Janaushadhi Pariyojana” (PMBJP) in 2016)

Implementing agency: Bureau of Pharma PSUs of India (BPPI)

Objective:
 Making quality medicines available at affordable prices for all, particularly the poor and disadvantaged,
through exclusive outlets “Pradhan Mantri Bhartiya Janaushadhi Kendras”, so as to reduce out of pocket
expenses in healthcare.

Implementing agency: Bureau of Pharma PSUs of India (BPPI)

Key features:
 State Governments or any organization / reputed NGOs / Trusts / Private hospitals / Charitable
institutions / Doctors / Unemployed pharmacist/ individual entrepreneurs are eligible to apply for new
Pradhan Mantri Bhartiya Janaushadhi Kendras.
 Create awareness about generic medicines through education and publicity so that quality is not
synonymous with only high price.

21
Government Schemes – Health and Family Welfare

 PMBJP stores have been set up to provide generic drugs, which are available at lesser prices but are
equivalent in quality and efficacy as expensive branded drugs.
 Mobile application “Jan Aushadhi Sugam” is also available for common public to locate their nearest
Janaushadhi Kendra and availability of medicines with its price.

30. Pradhan Mantri Swasthya Suraksha Yojana (PMSSY)

Central Sector Scheme under the Ministry of Health and Family Welfare.

Launched: August, 2003

Aim: Correcting regional imbalances in the availability of affordable/ reliable tertiary healthcare services and also
to augment facilities for quality medical education in the country.

Key features:
 PMSSY has two components:

I. Setting up of AIIMS like Institutions


II. Up-gradation of existing State/Central Government Medical College/Institutions (GMC):
This involves construction of Super Speciality Block/Trauma Centre and procurement of Medical
Equipment.

 Total 22 new AIIMS have been announced


o 6 AIIMS are already functional. Bihar (Patna), Chhattisgarh (Raipur), Madhya Pradesh (Bhopal),
Orissa (Bhubaneswar), Rajasthan (Jodhpur) and Uttaranchal (Rishikesh).
o 16 more AIIMS are approved by the Cabinet.

31. Rashtriya Arogya Nidhi

 The scheme Rashtriya Arogya Nidhi (RAN) is implemented by Ministry of Health and Family Welfare.
 Rashtriya Arogya Nidhi (RAN) Society was set up in 1997.

Key features:
 The scheme has three components

I. Rashtriya Arogya Nidhi (RAN) – to provide financial assistance to patients suffering from life
threatening diseases other than Cancer.
II. Health Minister’s Cancer Patients Fund (HMCPF) - to provide financial assistance to patients
suffering from Cancer.
III. Scheme for financial assistance for patients suffering from specified rare diseases.

 Financial assistance is provided to patients belonging to families living below State/UT-wise threshold
poverty lines and who are suffering from major life-threatening diseases/cancer/rare diseases, for
medical treatment at Government hospitals.

32. National Vector Borne Disease Control Programme (NVBDCP)

 Scheme under the National Health Mission ,Ministry of Health and Family Welfare
Key features:
 NVBDCP is an umbrella programme for prevention and control of vector borne diseases – Malaria,
Japanese Encephalitis (JE),Dengue,Chikungunya,Kala-azar and Lymphatic Filariasis.
 The Directorate of NVBDCP is the nodal agency for programme implementation in respect ofprevention
and control of these vector borne diseases.

22
Government Schemes – Health and Family Welfare

 The States/UTs are responsible for implementation of programme.


 This Directorate provides technical assistance to the states/UTs.

33. Revised National Tuberculosis Control Programme (RNTCP)

 The Revised National TB Control Programme (RNTCP), based on the internationally recommended
Directly Observed Treatment Short-course (DOTS) strategy.

Launched:1997 by the Ministry of Health and Family Welfare.

Goal: To decrease mortality and morbidity due to TB and cut transmission of infection until TB ceases to be a
major public health problem in India.

Key features:
 Free treatment services are available for TB at all Government hospitals, Community Health Centers
(CHC), Primary Health Centers (PHCs).
 The National Strategic Plan (2017-25) was approved on 8th May 2017 and has been operational since
then in the entire country with the goal of Ending TB by 2025.
 Nikshay - case based web-based TB case management system.
 Nikshay Poshan Yojana
o Implemented from 01st April 2018
o Rs. 500 per month is being provided to All TB patients towards nutritional support for the
duration of their treatment.
o Tribal patient travel support, wherein 750 rupees is being provided to all TB patients in tribal
notified blocks.
 Nikshay Aushadhi
Logistics and supply chain management solution called the Nikshay Aushadhi to enable real time
visibility into stock status at all levels and enable forecasting, quantification & further distribution of TB
drugs and diagnostics.

34. TB Harega Desh Jeetega Campaign

This campaign was launched an Accelerator to National Strategic Plan by the Ministry of Health and Family
Welfare
Objectives

 Promoting health seeking behavior in the community for early case detection
 Preventing emergence of new cases of TB

Aim
To improve and expand the reach of TB care services across the country, by 2022.

Key components under “TB Harega, Desh Jeetega” campaign


 Community Engagement
 Advocacy and Communication
 Health & Wellness centres and TB
 Inter-Ministerial collaboration
 Private health sector engagement
 Corporate sector engagement
 Latent TB Infection Management

23
Government Schemes – Health and Family Welfare

35. National Leprosy Eradication Programme (NLEP)

Centrally sponsored Scheme under the National Health Mission, Ministry of Health and Family Welfare.

Launched: 1983

Objective

 To provide quality leprosy services through general health care.


 Elimination of leprosy i.e. prevalence of less than 1 case per 10,000 population in all districts of the
country.
 Strengthen Disability Prevention & Medical Rehabilitation of persons affected by leprosy.
 Reduction in the level of stigma associated with leprosy.

Key features:
 Technical and Financial assistance to states for all activities related to detection, diagnosis, treatment
and post treatment care of persons affected by leprosy.
 Services for diagnosis and treatment (Multi drug therapy) are provided by all primary health centres and
govt. dispensaries throughout the country free of cost.
 Information, Education and Communication IEC activities are conducted for awareness generation and
particularly reduction of stigma and discrimination against leprosy affected persons.
 Disability Prevention and Medical Rehabilitation.

36. National Ayush Mission

Centrally Sponsored Scheme of National AYUSH Mission (NAM) is a flagship scheme of Ministry of AYUSH.
(AYUSH - Ayurveda,Unani,Siddha and Homoeopathy)
Launched: 2014
Objective
 to promote AYUSH medical systems through cost effective AYUSH services,
 strengthening of educational systems,
 facilitate the enforcement of quality control of Ayurveda, Siddha and Unani & Homoeopathy drugs and
sustainable availability of raw materials.

Components of the Mission:

I. Mandatory Components
i. AYUSH Services
ii. AYUSH Educational Institutions
iii. Quality Control of ASU &H Drugs
iv. Medicinal Plants

II. Flexible Components


i. AYUSH Wellness Centres including Yoga & Naturopathy
ii. Tele-medicine
iii. Sports Medicine through AYUSH
iv. Innovations in AYUSH including Public Private Partnership
v. Reimbursement of Testing charges
vi. Information,Education and Communication IEC activities
vii. Research & Development in areas related to Medicinal Plants
viii. Voluntary certification scheme: Project based.
ix. Market Promotion, Market intelligence

24
Government Schemes – Health and Family Welfare

 Ministry of AYUSH will operationalize 10% of the total sub-health Centres as Health and Wellness
Centres i.e. 12,500 under Ayushman Bharat.

37. Mission Madhumeha


Launched: in 2016 by Ministry of AYUSH
Aim: Prevention and control of diabetes through Ayurveda.

38. National AIDS Control Programme (NACP)

Launched:1992

 National AIDS Control Programme (NACP) Phase-IV (Extension), 2017-20 is under implementation as 100%
Central Sector Scheme of Ministry of Health and Family Welfare.
 NACP is a comprehensive programme for prevention and control of HIV/AIDS in India.
 NACP response to HIV/AIDS epidemic in India comprises a three-pronged strategy
i. Prevention
ii. testing and
iii. treatment
 The strategy is supported through critical enablers of Information Education Communication (IEC), laboratory
services and strategic information management. Communities are at the centre of response, and equity,
gender and respect for the rights of communities are NACP’s guiding principles.

Target of NACP by the year 2020:

i. 75% reduction in new HIV infections


ii. Achieving 90-90-90 i.e. 90% of those who are HIV positive in the country know their status, 90% of
those who know their status are on treatment and 90% of those who are on treatment experience
effective viral load suppression,
iii. Elimination of mother-to-child transmission of HIV, and
iv. Elimination of HIV/AIDS related stigma and discrimination.
39. Beti Bachao Beti Padhao Scheme

Launched: 22nd January, 2015 at Panipat, Haryana.

 The Centrally Sponsored Scheme is a tri-ministerial initiative of Ministries


of Women and Child Development, Health& Family Welfare and Human
Resource Development.The Ministry of Women and Child Development
would be responsible for budgetary control and administration of the
scheme from the Centre.
 The scheme aims to address the declining Child Sex Ratio (CSR).
(The CSR, defined as number of girls per 1000 boys in the age group of 0-
6 years, declined sharply from 976 in 1961 to 918 in Census 2011.)
 The Overall Goal of the Beti Bachao, Beti Padhao (BBBP) Scheme is to Celebrate the Girl Child & Enable
her Education.

Objectives
i. To prevent gender biased sex selective elimination.
ii. To ensure survival and protection of the girl child, building value of girl child.
iii. To ensure education and participation of the girl child.

Salient features

25
Government Schemes – Health and Family Welfare

 Scheme has two major components.


i. Mass Communication Campaign and
ii. Multi-sectoral action
 Effective enforcement of Pre-Conception and Pre Natal-Diagnostic Techniques (PC&PNDT) Act and
Enabling girl child’s education.
 Monitorable targets
i. Improve the Sex Ratio at Birth (SRB) in selected gender critical districts by 2 points in a year. ii
ii. Reduce Gender differentials in Under Five Child Mortality Rate from 7 points in 2014(latest available
SRS report) to 1.5 points per year
iii. At least 1.5 % increase per year of Institutional Deliveries.
iv. At least 1% increase per year of 1st Trimester ANC Registration. v)Increase enrolment of girls in
secondary education to 82% by 2018-19.
v. Provide functional toilet for girls in every school in selected districts.
vi. Improve the Nutrition status of girls - by reducing number of underweight and anemic girls under 5 years
of age.
vii. Ensure universalization of ICDS, girls’ attendance and equal care monitored, using joint ICDS NHM
Mother Child Protection Cards.
viii. Promote a protective environment for Girl Children through implementation of Protection of Children from
Sexual Offences (POCSO) Act 2012.
ix. Train Elected Representatives/ Grassroot functionaries as Community Champions to mobilize
communities to improve CSR and promote Girl’s education.

C. Annexure

Note 1

The schemes announced by the Government of India can be categorized as -

26
Government Schemes – Health and Family Welfare

Schemes

I.I. Central I.II.Centrally


Sector Sponsored
Schemes Scheme (CSS)

Core of the Optional


Core Schemes
Core Schemes Schemes

I. Central Sector Schemes


Central Sector schemes are 100% funded by the Central government and implemented by the
Central Government machinery.

II. Centrally Sponsored Scheme (CSS)


 Under Centrally Sponsored Schemes, a certain percentage of the funding is borne by the States and the
implementation is by the State Governments.
 There are several models of funding of centrally sponsored schemes, but a large part of the funding comes
from the Centre. In most of the cases, the Union government and the states fund these schemes at 60:40
ratio. In some cases, the funding ratio could be 80:20. In the case of north-eastern states, 90 per cent of the
funds come from the central government.
 CSSs are further divided into Core of the Core Schemes, Core schemes and Optional Schemes
1. Core of the Core Schemes
 Schemes which are for social protection and social inclusion form the core of core and be
the first charge on available funds for the National Development Agenda.
2. Core schemes
 Focus of CSSs should be on schemes that comprise the National Development Agenda
where the Centre and States will work together in the spirit of Team India.
 For Core Schemes, the funding pattern for the North Eastern States and Himalayan States
shall be Centre: 90% and State: 10%, whereas for the rest of the States this ratio shall he
Centre: 60% and State: 40%.
3. Optional Schemes
 States would be free to choose which Optional Schemes they wish to implement.
 The funding pattern for the North Eastern States and Himalayan States shall be Centre: 80%
and State: 20%, whereas for the rest of the States this ratio shall be Centre: 50% and State:
50%.

27

You might also like