Author: Ms Christa Maria Joel Moderator- Dr. Sudarshan Pai Department of Community Medicine Father Muller Medical College 3rd Year MBBS (2016-2017)

1. Presenter: Christa Maria Joel
University Reg No: 12M5536
Guide: Dr. Sudarshan Pai
National Urban Health
Mission

2. 1. To understand the goals and startegies of NUHM.
2. To Know the health related achieveable targets
3. To understand the institutional framework of
NUHM.
4. To understand the concept of community risk
pooling and Urban health insurance model
5. To understand the concept of Primary urban health
center/Intrasectoral coordination and Monitoring
and evaluation
Specific Learning Objectives
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3.  NUHM has been taken up during the 11th five year
plan to meet the health needs of the urban poor.
 Covers all cities with a population of more than
1,00,000.
Introduction
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4.  Urban population estimated to increase from 35.7
crores to 43.2 crores in 2021.
 This can lead to increase in number of slums.
 Slum population growing at the rate of 7% annually.
 Poor health status of urban slums.
 Inadequacy of health care delivery to slums
 Unfriendly treatment at government hospitals.
 Slum people at greater health hazards.
Rationale
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5.  Improve health status of poor by:
- Facilitating equitable access to quality health care.
- Revising public health system.
- Building public private partnership.
- Community based risk pooling and insurance
mechanism.
- Active involvement of the urban local bodies.
Goal
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6. 1. Strengthening urban primary health structure.
2. Strengthening community participation.
3. Establishment of Mahila Arogya Samiti.
4. Appointment of Urban Social Health Activist.
5. Capacity building of stake holders.
6. Prioritizing the most vulnerable.
7. Ensuring quality health care services.
Strategies
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7.  IMR
 MMR
 TFR
 Malaria
 Kala azar
 Filariasis
 Dengue fever
 Chickungunya
 Tuberculosis
 leprosy
Targets under NUHM
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8.  Coverage and duration of NUHM:
- Duration: period of eleventh five year plan (2008-
2012)
- Coverage: entire urban poor population of 430
cities.
- Phase 1: all cities with population of more than 1
lakh.
- Phase 2: all towns with population of less than 1
lakh.
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9. Definition of slum:
Any compact habitation of atleast 300 people or about
60-70 households of poorly built, congested tenements,
in unhygienic environments, usually without adequate
infrastructure and lacking in proper sanitary and
drinking water facilities in these towns irrespective of
the fact whether such slums have been notified or not
as slums by state or local governement and union
territory administration under any act, recognised or
not, are legal or not, is to be covered under NUHM.
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11. Functions of USHA:
- Promote good health practices in her area.
- Facilitate awareness on RCH services.
- Motivate all types of family planning methods.
- Register all pregnant mothers and to motivate them for
antenatal care.
- Act as depot holder for essential provisions.
- Support ANM/MAS in conducting monthly outreach
session regularly.
- Form and promote MAS.
- Escort patients requiring health services.
- Encourage community participation in health activities.
- Maintain records of vital events in her area.
- Treat minor ailments with drug kit provided 11

12.  Functions of Mahila Arogya Samiti:
- Focus on preventive and promotive care.
- Act as peer education group.
- Facilitate access to identified facilities.
- Community monitoring and referral.
- Risk pooling fund and health insurance.
 Functions of Auxillary Nurse Midwife of primary
urban health center:
- Provide preventive and promotive health care
services at household level.
- Monitor the activities of USHA
- Arrange outreach medical camps.
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13.  Consist of women from MAS.
 One time seed money (Rs 25/ household) will be
given by the government at the initial time and
again annual performance grant (Rs 25/ household)
is given.
 Uses of this pooling- unforeseen health expenditure
of the member or family, other activities like group
meetings, mobilization for health camps.
Community risk pooling
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15.  Benefits-
- Includes hospitalization, in patient services for more
than 24 hours.
- Includes consultation, investigation and room charges
and medicines and surgical/ medical procedures.
- Maternal and childhood conditions and illnesses.
- Monetary coverage is upto a maximum of
50000/year/enrolled household.
- Amount is directly paid to the empanelled.
Urban health insurance model
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17.  Staff pattern-
- Medical officer- 1
- Pharmacist/ lab technician- 2
- Program health manager- 1
- Multi-skilled nurse- 2
- ANMs- 4
- Account keeper- 1
- Support staff- 3
Primary urban health center
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18.  Functions-
- Medical care: OPD services, 4 hours in the morning and 2
hours in the evening.
- RCH- 2 services.
- National health program
- Collection and reporting of vital events
- Integrated disease surveillance program
- Referral services
- Basic laboratory services
- Counselling services
- Services for non communicable diseases
- Social mobilisation and community level activities.
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19.  Referral units-
Existing hospitals including urban local body
maternity homes, state government hospitals and
medical colleges will be accredited as referral points
for health care services.
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20.  Housing and slum development society to establish new
PUHCs.
 Colocation of RNTCP, ICTC, AYUSH, IDSP, NVBDCP at
UHCs.
 Convergence of all national health programs.
 Convergence with Swarn Jayanthi Shahri Rozgar Yojana.
 Convergence with ICDs and education department.
 Convergence with Jawaharlal Nehru National Urban
Renewal Mission.
Intrasectoral coordination
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21. Monitoring and evaluation
Community
based
monitoring
Health
management
information
system for
reporting and
feedback
External
evaluations
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