National Health Mission (NHM) 2019-20

The Union Cabinet chaired by the Prime Minister, Shri Narendra Modi on March 23, 2021 was apprised on the progress under National Health Mission (NHM) during FY 2019-20 including an accelerated decline in Maternal Mortality Ratio (MMR), Infant Mortality Rate (IMR), Under Five Mortality Rate (U5MR) and Total Fertility Rate (TFR).

It also noted the progress in respect of various diseases programmes like TB, Malaria, Kala-Azar, Dengue, Tuberculosis, Leprosy, Viral Hepatitis etc.

NHM 2019-20: New Initiatives

The Cabinet noted that NHM has envisaged new Initiatives in 2019-20 as:

  • Social Awareness and Actions to Neutralize Pneumonia Successfully (SAANS) initiative was launched to accelerate action to reduce deaths due to childhood pneumonia.
  • Surakshit Matritva Aashwasan (SUMAN) initiative was launched to provide assured, dignified, respectful and quality healthcare at no cost and zero tolerance for denial of services and all existing Schemes for maternal and neonatal health have been brought under one umbrella.
  • Midwifery Services Initiative aims to create a cadre of Nurse Practitioners in Midwifery who are skilled in accordance with competencies prescribed by the International Confederation of Midwives (ICM) and are knowledgeable and capable of providing compassionate women-centered, reproductive, maternal and newborn health care services.
  • School Health and Wellness Ambassadors Initiative has been launched under the AB-HWCs Programme in partnership with the Ministry of Education to promote health and well-being through an active lifestyle amongst school children.

Implementation Strategy And Targets

Implementation Strategy

The implementation strategy of Ministry of Health and Family Welfare under NHM is to provide financial and technical support to States/Union Territories (UTs) enabling them to provide accessible, affordable, accountable, and effective healthcare up to District Hospitals (DHs), especially to the poor and vulnerable sections of the population.

It has also aimed to bridge the gap in rural healthcare services through improved health infrastructure, augmentation of human resources and improved service delivery in rural areas and has envisaged decentralization of programme to district level to facilitate need-based interventions, improve intra and inter-sectoral convergence and effective utilization of resources.


  • Reduce MMR to 1/1000 live births
  • Reduce IMR to 25/1000 live births
  • Reduce TFR to 2.1
  • Reduce the prevalence of Leprosy to < 1 /10000 population and incidence to zero in all districts
  • Annual Malaria Incidence to be <I/1000
  • Prevent and reduce mortality &morbidity from communicable, non-communicable; injuries and emerging diseases
  • Reduce household out-of-pocket expenditure on total health care expenditure
  • Ending the TB epidemic by 2025 from the country