National Rural Health Mission
National Rural Health Mission
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DOI：
10.1007/s12098-011-0536-4
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发表时间：
2011-12-01
影响因子：
4.3
通讯作者：
Dutta, Ashok Kumar
中科院分区：
文献类型：
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作者：
Dhingra, Bhavna;Dutta, Ashok Kumar
我国与健康有关的指数远远不能令人满意，我国仍然在全球疾病负担中占有很大份额。在一个幅员辽阔、文化多样、区域间和区域内存在差异和不平等的国家，偏远农村和欠发达城市地区的保健服务和人员缺乏可获得性、稀缺性和质量差，是提供优质保健服务的主要障碍。公共卫生保健系统已经不堪重负，一直在努力解决与附带健康决定因素有关的缺陷，基础设施、财政和人力资源严重短缺和未得到利用。在国家农村卫生使命下振兴现有的初级卫生保健基础设施，将带来卫生保健部门早该进行的结构调整，并能够提供可获得、负担得起、负责任、有效和可靠的卫生保健，特别是向社会贫困阶层提供这种保健。国家保健和医疗保健制度的基础是保健系统权力下放、赋予社区权力和行政委员会机构。目前正在通过地区保健计划，将保健问题与环境卫生、个人卫生和营养等其他保健决定因素有效结合起来。
The health related indices in our country are far from satisfactory and the country still bears an enormous share of the global disease burden. The lack of accessibility, scarce availability and the poor quality of health services and personnel in the remote rural and underdeveloped urban areas have been the major obstacles to the delivery of quality health care services in a vast and culturally diverse country with inter- and intra-regional variations and inequalities. The already over-stretched public health care system has been grappling with the deficiencies in linkage with the collateral health determinants, gross shortage and non utilization of infrastructure, financial and human resources. Revitalizing the existing primary health care infrastructure under the National Rural Health Mission (NRHM) will bring about the long overdue architectural corrections in the health care sector and be able to provide accessible, affordable, accountable, effective and reliable health care especially to the under-privileged sections of the society. NRHM is based on the principles of decentralisation of the health system, empowerment of the community and the panchayati raj institutions. Effective integration of health concerns with other health determinants like sanitation, hygiene and nutrition through district health plan is being made.