FUNCTIONING OF THE NATIONAL RURAL HEALTH MISSION IN A SPECIFIC RURAL CONTEXT IN KARNATAKA: AN APPRAISAL








Professor K. S. Umamani




e-ARTCILE available at




The National Rural Health Mission (2005-12) was launched in April 2005 by GOI. It aims to provide effective healthcare to rural population throughout the country with a special focus on 18 states, which have weak public health indicators. These States are Arunachal Pradesh, Assam, Bihar, Chhattisgarh, Himachal Pradesh, Jharkhand, Jammu and Kashmir, Manipur, Mizoram, Meghalaya, Madhya Pradesh, Nagaland, Orissa, Rajasthan, Sikkim, Tripura, Uttaranchal and Uttar Pradesh (GOI 2005).



Objectives: this pilot study is restricted to the following core components of the Mission:

a) To look into the functioning of Janani Suraksha Yojana (JSY)

b) Utilization of untied funds at the Sub-centre and Primary Health Centre levels

c) Facility upgradation under NRHM

d) Working of Village Health and Sanitation Committee (VHSC)



The present study covers a case study of two PHCs, Bidadi and Veeregowdana Doddi, in Bangalore rural district of Karnataka. There was no specific questionnaire in place for the collection of data; however, a checklist for observations was used by the researcher. Secondary data was collected from the respective PHCs. In addition to this, all sub centre ANMs were contacted for gathering their opinions about the scheme besides visiting few villages for some feed on the working of VHSC. Further, discussions were held with medical officers of both the PHCs. Details about the location of the PHCs, number of sub centres in each PHC, and some observations about the working of the PHCs are included





K. S. UMAMANI Assistant Professor, Population Research Centre, Institute for Social and Economic Change, Bangalore, India. Prof. Umamani has written widely in her field of expertise, including:



• Awareness about HIV/AIDS among Karnataka Women –An analysis of RCH, 2002-04 Data

• Maternal Health and Family Planning among Maidservants in Bangalore City

• Infant and Childhood Mortality in Karnataka: Levels, Trends and Differentials, assessed through Indirect Techniques

• Differential Acceptance of Family Planning Methods in High Performance District in Karnataka

• Cultural Factors and Pre-Puberty Marriages in Karnataka

• Choice of Birth Places-Home v/s Hospital: Evidence from Rural Karnataka



She is a member of Solution Exchange - U N initiative for Development Practitioners in India and Indian Association for the Study of Population (IASP). She is associated and assisted in numerous projects including:



• Evaluation of Health and Family Welfare: Scheduled Castes and Others

• Evaluation of Health and Family Welfare Programme in Coorg District

• Selected Indicators of Population and Health, Karnataka

• National Family Health Survey in Karnataka I, II, III

• World Fertility Survey in Karnataka,

• A study of Universal Primary Education (Tumkur District),

• Multipurpose Health Worker Scheme in Karnataka: Kolar District,

• Operation Research on Spacing Methods in Bangalore (Rural) District,

• Selected Indicators of Population and Health, Karnataka

• Operation Research on Spacing Methods



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