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Government Of Assam Health & Family Welfare National Health Mission

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National Urban Health Mission(NUHM)

  • Introduction:

    The National Urban Health Mission (NUHM) as a sub-mission of National Health Mission (NHM) was approved by the Cabinet on 1st May 2013. The Mission envisages to address the health concerns of the urban poor and vulnerable. It  makes special efforts to make its services accessible by urban marginalised population through its location, service delivery, outreach and making its service providers sensitive to the needs of its target population.

    Under this programme, support is provided for strengthening of the health infrastructure and engagement of Human Resources in identified health facilities. To enhance community participation in health, a community health volunteer ASHA is promoted and a community based unit, named as Mahila Arogya Samiti (MAS) are formed in between 50-100 households.

    The programme also address the peculiarities of urban health needs which constitutes non communicable diseases (NCDs) as a major portion of the burden of diseases.

    The NUHM focuses on the following points-

    1. Urban poor population living in listed and unlisted slums.
    2. The vulnerable population such as homeless, rag-pickers, street children, rickshaw pullers, construction and brick and lime kiln workers, sex workers and other temporary migrants.
    3. Service delivery- Home visits by ASHAs, ANMs; outreach services at community level by ANMs, MOs and specialists (for special outreach camps, sanitary workers camps and specialist OPD services); services at UPHCs and UCHCs.
    4. Assured referral linkages.
    5. Effective intersectoral coordination.
    6. Public health thrust on sanitation, clean water, vector born disease control etc.
    7. Strengthening of public health capacity through Urban Local Bodies.

    In Assam, NUHM has covered 31 nos of districts with cities and towns of above fifteen thousand populations.

    Presently 1280 urban ASHAs are working with 658 nos. of MAS at community level in the aforesaid districts. Total 2nos. of UCHCs are functional, 54 UPHCs are functional as AAMs and 105 Urban-AAMs are functional and  are providing services to the Urban needy.

    The Mission is striving to put in place a sustainable urban health delivery system for addressing the health concerns of the urban poor.